Page last updated: 2024-11-08

alanine and Heart Failure

alanine has been researched along with Heart Failure in 26 studies

Alanine: A non-essential amino acid that occurs in high levels in its free state in plasma. It is produced from pyruvate by transamination. It is involved in sugar and acid metabolism, increases IMMUNITY, and provides energy for muscle tissue, BRAIN, and the CENTRAL NERVOUS SYSTEM.
alanine : An alpha-amino acid that consists of propionic acid bearing an amino substituent at position 2.

Heart Failure: A heterogeneous condition in which the heart is unable to pump out sufficient blood to meet the metabolic need of the body. Heart failure can be caused by structural defects, functional abnormalities (VENTRICULAR DYSFUNCTION), or a sudden overload beyond its capacity. Chronic heart failure is more common than acute heart failure which results from sudden insult to cardiac function, such as MYOCARDIAL INFARCTION.

Research Excerpts

ExcerptRelevanceReference
"The aim of the study was to compare, in a rat model of congestive heart failure, the effect of captopril, a selective angiotensin-converting enzyme (ACE; EC 3."7.69Effects of alatriopril, a mixed inhibitor of atriopeptidase and angiotensin I-converting enzyme, on cardiac hypertrophy and hormonal responses in rats with myocardial infarction. Comparison with captopril. ( Bralet, J; Gros, C; Lecomte, JM; Marie, C; Mossiat, C; Schwartz, JC, 1994)
"Intravenous infusion of L-glutamic acid results in the augmentation of the cardiac output and an improvement of the circulation in patients with postoperative cardiac failure."7.67Cardiac metabolism and performance during L-glutamic acid infusion in postoperative cardiac failure. ( Ivanov, VE; Lepilin, MG; Pisarenko, OI, 1986)
" In fact, two of the actually used drugs against SARS-CoV2, such as chloroquine and the combination lopinavir/ritonavir, might determine a QT (the time from the start of the Q wave to the end of the T wave) interval prolongation and they show several interactions with antiarrhythmic drugs and antipsychotic medications, making them prone to an increased risk of developing arrhythmias."5.12COVID-19 and the burning issue of drug interaction: never forget the ECG. ( Cameli, M; Cameli, P; Franchi, F; Mandoli, GE; Menci, D; Mondillo, S; Sciaccaluga, C; Sisti, N; Valente, S, 2021)
"The aim of the study was to compare, in a rat model of congestive heart failure, the effect of captopril, a selective angiotensin-converting enzyme (ACE; EC 3."3.69Effects of alatriopril, a mixed inhibitor of atriopeptidase and angiotensin I-converting enzyme, on cardiac hypertrophy and hormonal responses in rats with myocardial infarction. Comparison with captopril. ( Bralet, J; Gros, C; Lecomte, JM; Marie, C; Mossiat, C; Schwartz, JC, 1994)
"The effects of a selective neutral endopeptidase inhibitor, SQ 28,603 (N-[2-(mercaptomethyl)-1-oxo-3-phenylpropyl]-beta-alanine), were determined in an experimental model of heart failure."3.68Inhibition of neutral endopeptidase 3.4.24.11 in conscious dogs with pacing induced heart failure. ( Asaad, MM; Cheung, HS; Fennell, SA; Lanoce, VM; Rogers, WL; Seymour, AA, 1993)
" Recognizing that activation of the renin-angiotensin-aldosterone system in congestive heart failure (CHF) antagonizes the renal actions of atrial natriuretic factor, we hypothesized that angiotensin II antagonism with converting enzyme inhibition would potentiate the renal actions of NEP-I in CHF."3.68Angiotensin inhibition potentiates the renal responses to neutral endopeptidase inhibition in dogs with congestive heart failure. ( Burnett, JC; Margulies, KB; McKinley, LJ; Perrella, MA, 1991)
"Intravenous infusion of L-glutamic acid results in the augmentation of the cardiac output and an improvement of the circulation in patients with postoperative cardiac failure."3.67Cardiac metabolism and performance during L-glutamic acid infusion in postoperative cardiac failure. ( Ivanov, VE; Lepilin, MG; Pisarenko, OI, 1986)
" Other factors, including congestive heart failure, growth hormone deficiency, and hypoalaninemia might have contributed to the development of hypoglycemia in this patient."3.66Sulfonamide-induced hypoglycemia in chronic renal failure. ( Arem, R; Field, JB; Garber, AJ, 1983)
"Congestive heart failure is characterized by avid sodium retention and a blunted renal response to exogenous and endogenous atrial natriuretic peptide."1.29Pulmonary and renal neutral endopeptidase EC 3.4.24.11 in rats with experimental heart failure. ( Abassi, ZA; Golomb, E; Keiser, HR; Kotob, S; Pieruzzi, F, 1995)

Research

Studies (26)

TimeframeStudies, this research(%)All Research%
pre-19902 (7.69)18.7374
1990's12 (46.15)18.2507
2000's4 (15.38)29.6817
2010's3 (11.54)24.3611
2020's5 (19.23)2.80

Authors

AuthorsStudies
Spyropoulos, F1
Sorrentino, A1
van der Reest, J1
Yang, P1
Waldeck-Weiermair, M1
Steinhorn, B1
Eroglu, E1
Saeedi Saravi, SS1
Yu, P1
Haigis, M1
Christou, H1
Michel, T1
Morales, A1
Danziger, J1
Sciaccaluga, C1
Cameli, M1
Menci, D1
Mandoli, GE1
Sisti, N1
Cameli, P1
Franchi, F1
Mondillo, S1
Valente, S1
Ballout, JA1
Ahmed, T1
Kolodziej, AR1
Colaco, K1
Lee, KA1
Akhtari, S1
Winer, R1
Welsh, P1
Sattar, N1
McInnes, IB1
Chandran, V1
Harvey, P1
Cook, RJ1
Gladman, DD1
Piguet, V1
Eder, L1
Sato, PY1
Chuprun, JK1
Grisanti, LA1
Woodall, MC1
Brown, BR1
Roy, R1
Traynham, CJ1
Ibetti, J1
Lucchese, AM1
Yuan, A1
Drosatos, K1
Tilley, DG1
Gao, E1
Koch, WJ1
Weitzel, LB1
Ambardekar, AV1
Brieke, A1
Cleveland, JC1
Serkova, NJ1
Wischmeyer, PE1
Lowes, BD1
Qian, J1
Ren, X1
Wang, X1
Zhang, P1
Jones, WK1
Molkentin, JD1
Fan, GC1
Kranias, EG1
Dey, BR1
Chung, SS1
Spitzer, TR1
Zheng, H1
Macgillivray, TE1
Seldin, DC1
McAfee, S1
Ballen, K1
Attar, E1
Wang, T1
Shin, J1
Newton-Cheh, C1
Moore, S1
Sanchorawala, V1
Skinner, M1
Madsen, JC1
Semigran, MJ1
Ozdener, F1
Ozdemir, V1
O'Donoghue, M1
de Lemos, JA2
Morrow, DA2
Murphy, SA1
Buros, JL1
Cannon, CP2
Sabatine, MS2
Scirica, BM1
Murphy, S1
Wiviott, SD1
Rifai, N1
McCabe, CH1
Braunwald, E1
Arem, R1
Garber, AJ1
Field, JB1
Seymour, AA3
Abboa-Offei, BE1
Smith, PL1
Mathers, PD1
Asaad, MM4
Rogers, WL4
Abassi, ZA1
Kotob, S1
Golomb, E1
Pieruzzi, F1
Keiser, HR1
Trippodo, NC2
Panchal, BC1
Fox, M1
Bralet, J1
Marie, C1
Mossiat, C1
Lecomte, JM1
Gros, C1
Schwartz, JC1
Lanoce, VM2
Fennell, SA2
Cheung, HS1
Langenbacher, KM1
Willenbrock, R1
Scheuermann, M1
Höhnel, K1
Luft, FC1
Dietz, R1
Hu, K1
Ertl, G1
Ferguson, JJ1
Margulies, KB1
Perrella, MA1
McKinley, LJ1
Burnett, JC1
Gabel, RA1
Harvey, CM1
Pisarenko, OI1
Lepilin, MG1
Ivanov, VE1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Phase III Study of Metabolic Intervention With Glutamate in Coronary Surgery II[NCT02592824]Phase 3321 participants (Actual)Interventional2015-11-15Completed
Phase III Study of Intravenous Glutamate Infusion for Metabolic Protection of the Heart in Surgery for Unstable Coronary Artery Disease[NCT00489827]Phase 3865 participants (Actual)Interventional2005-10-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Incidence of Mortality

Postoperative mortality was defined as mortality within 30 days of surgery. (NCT02592824)
Timeframe: up to 30 days

InterventionParticipants (Count of Participants)
Intravenous Glutamate Infusion1
Intravenous Saline Infusion6

Incidence of Unexpected Adverse Events

suspected unexpected serious adverse reaction (NCT02592824)
Timeframe: within 24 hours from infusion

InterventionParticipants (Count of Participants)
Intravenous Glutamate Infusion0
Intravenous Saline Infusion0

Number of Participants With Incidence of Stroke

"Postoperative stroke was defined as neurological or cognitive deficit with a cerebral injury verified on (Computed Tomography) CT-scan. All suspected cases of stroke underwent CT-scan.~Stroke within 24 h of surgery was defined as a stroke that occurred within 24 h of surgery or signs of a stroke, when first assessable in deeply sedated patients on a ventilator." (NCT02592824)
Timeframe: within 24 hours from surgery

InterventionParticipants (Count of Participants)
Intravenous Glutamate Infusion0
Intravenous Saline Infusion4

Postoperative Increase of Plasma NT-proBNP

"Postoperative increase of NT-proBNP reflects postoperative myocardial dysfunction sustained in association with surgery. NT-proBNP usually peaks on the third to fourth postoperative day after coronary artery bypass surgery.~In the first GLUTAMICS trial a good agreement between hemodynamic criteria for postoperative heart failure and postoperative NT-proBNP was found." (NCT02592824)
Timeframe: from the day before surgery to the third postoperative day

Interventionng/L (Mean)
Intravenous Glutamate Infusion5390
Intravenous Saline Infusion6452

Postoperative Increase of Plasma NT-proBNP in Patients Without Diabetes

"Postoperative increase of NT-proBNP reflects postoperative myocardial dysfunction sustained in association with surgery. NT-proBNP usually peaks on the third to fourth postoperative day after coronary artery bypass surgery.~Previous observations suggest a blunted effect of glutamate in diabetic hearts." (NCT02592824)
Timeframe: from preoperative level to the third postoperative day

Interventionng/L (Mean)
Intravenous Glutamate Infusion4503
Intravenous Saline Infusion6825

Postoperative Plasma Level of NT-proBNP

Postoperative NT-proBNP reflects postoperative myocardial dysfunction. (NCT02592824)
Timeframe: first postoperative day

Interventionng/L (Mean)
Intravenous Glutamate Infusion4438
Intravenous Saline Infusion4420

Postoperative Plasma Level of NT-proBNP

Postoperative NT-proBNP reflects postoperative myocardial dysfunction. (NCT02592824)
Timeframe: third postoperative day

Interventionng/L (Mean)
Intravenous Glutamate Infusion8055
Intravenous Saline Infusion8804

Atrial Fibrillation

Number of patients with atrial fibrillation recorded postoperatively (NCT00489827)
Timeframe: Hospital stay

InterventionParticipants (Count of Participants)
Intravenous Glutamate147
Saline Infusion152

ICU Stay

ICU duration of stay (hours) (NCT00489827)
Timeframe: ICU stay

Interventionhours (Median)
Intravenous Glutamate21
Saline Infusion21

Number of Participants With Perioperative Myocardial Infarction, Postoperative Heart Failure or Postoperative Mortality

(NCT00489827)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
Intravenous Glutamate31
Saline Infusion25

Number of Participants With Postoperative Stroke < 24 Hours

Incidence of Postoperative stroke < 24 hours of surgery verifed by CT-scan (NCT00489827)
Timeframe: 24 hours

InterventionParticipants (Count of Participants)
Intravenous Glutamate4
Saline Infusion6

Postoperative Hemodynamic State in Patients With Severely Reduced Left Ventricular Ejection Fraction (LVEF<0.40)

Hemodynamic instability despite inotropes or need for IABP at the end of surgery in patients with severely reduced left ventricular ejection fraction (LVEF<0.40) (NCT00489827)
Timeframe: End of surgery

InterventionParticipants (Count of Participants)
Intravenous Glutamate1
Saline Infusion5

Postoperative Renal Function

maximum p-creatinine value recorded postoperatively < 30 days (NCT00489827)
Timeframe: 30 days

Interventionµmol/L (Mean)
Intravenous Glutamate106
Saline Infusion106

Severe Circulatory Failure in CCS Class IV Patients

Severe circulatory failure according to prespecified criteria as judged by a blinded endpoints committee in CCS class IV patients (NCT00489827)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
Intravenous Glutamate3
Saline Infusion16

Degree of Perioperative Myocardial Injury

p-CK-MB postoperative day 1, p-troponin-T postoperative day 3 (NCT00489827)
Timeframe: perioperative

,
Interventionµg/L (Median)
CK-MB day 1Troponin-T day 3
Intravenous Glutamate140.27
Saline Infusion140.24

Postoperative Hemodynamic State

Mixed venous oxygen saturation (SvO2) measured at weaning from cardiopulmonary bypass and on arrival to ICU (NCT00489827)
Timeframe: Until arrival to ICU

,
Interventionpercentage of saturated hemoglobin (Mean)
SvO2 at weaning from CPBSvO2 on arrival to ICU
Intravenous Glutamate72.065.0
Saline Infusion72.264.9

Reviews

3 reviews available for alanine and Heart Failure

ArticleYear
COVID-19 and the burning issue of drug interaction: never forget the ECG.
    Postgraduate medical journal, 2021, Volume: 97, Issue:1145

    Topics: Adenosine Monophosphate; Alanine; Antibodies, Monoclonal, Humanized; Antirheumatic Agents; Antiviral

2021
Fasidotril Eli Lilly.
    Current opinion in investigational drugs (London, England : 2000), 2003, Volume: 4, Issue:9

    Topics: Alanine; Angiotensin-Converting Enzyme Inhibitors; Antihypertensive Agents; Clinical Trials, Phase I

2003
Potentiation of natriuretic peptides by neutral endopeptidase inhibitors.
    Clinical and experimental pharmacology & physiology, 1995, Volume: 22, Issue:1

    Topics: Alanine; Animals; Atrial Natriuretic Factor; Blood Pressure; Cyclic GMP; Heart Failure; Hemodynamics

1995

Trials

2 trials available for alanine and Heart Failure

ArticleYear
Prognostic utility of heart-type fatty acid binding protein in patients with acute coronary syndromes.
    Circulation, 2006, Aug-08, Volume: 114, Issue:6

    Topics: Acute Disease; Adult; Alanine; Biomarkers; Fatty Acid-Binding Proteins; Female; Heart Failure; Human

2006
Clinical application of C-reactive protein across the spectrum of acute coronary syndromes.
    Clinical chemistry, 2007, Volume: 53, Issue:10

    Topics: Acute Disease; Aged; Alanine; Angina Pectoris; Angina, Unstable; C-Reactive Protein; Coronary Diseas

2007

Other Studies

21 other studies available for alanine and Heart Failure

ArticleYear
Metabolomic and transcriptomic signatures of chemogenetic heart failure.
    American journal of physiology. Heart and circulatory physiology, 2022, 03-01, Volume: 322, Issue:3

    Topics: Alanine; Amino Acids; Animals; Cardiomyopathy, Dilated; Dependovirus; Disease Models, Animal; Heart

2022
Management Consideration in Drug-Induced Lactic Acidosis.
    Clinical journal of the American Society of Nephrology : CJASN, 2020, 10-07, Volume: 15, Issue:10

    Topics: Acidosis, Lactic; Acute Kidney Injury; Aged; Alanine; Continuous Renal Replacement Therapy; Diabetes

2020
COVID-19 and Heart Transplant: A Case Series and Review of the Literature.
    Transplantation proceedings, 2021, Volume: 53, Issue:4

    Topics: Adenosine Monophosphate; Aged; Alanine; Comorbidity; COVID-19; COVID-19 Drug Treatment; Dexamethason

2021
Targeted metabolomic profiling and prediction of cardiovascular events: a prospective study of patients with psoriatic arthritis and psoriasis.
    Annals of the rheumatic diseases, 2021, Volume: 80, Issue:11

    Topics: Adult; Alanine; Angina Pectoris; Apolipoproteins B; Arthritis, Psoriatic; Cardiovascular Diseases; C

2021
Restricting mitochondrial GRK2 post-ischemia confers cardioprotection by reducing myocyte death and maintaining glucose oxidation.
    Science signaling, 2018, 12-11, Volume: 11, Issue:560

    Topics: Alanine; Animals; Apoptosis; G-Protein-Coupled Receptor Kinase 2; Glucose; Heart Failure; Ischemia;

2018
Left ventricular assist device effects on metabolic substrates in the failing heart.
    PloS one, 2013, Volume: 8, Issue:4

    Topics: Adult; Alanine; Amino Acids, Aromatic; Case-Control Studies; Creatine; Female; Glucose; Glutamine; H

2013
Blockade of Hsp20 phosphorylation exacerbates cardiac ischemia/reperfusion injury by suppressed autophagy and increased cell death.
    Circulation research, 2009, Dec-04, Volume: 105, Issue:12

    Topics: Alanine; Animals; Apoptosis; Autophagy; Base Sequence; Disease Models, Animal; Heart Failure; HSP20

2009
Cardiac transplantation followed by dose-intensive melphalan and autologous stem-cell transplantation for light chain amyloidosis and heart failure.
    Transplantation, 2010, Oct-27, Volume: 90, Issue:8

    Topics: Adult; Aged; Alanine; Amyloidosis; Aspartate Aminotransferases; Cardiotonic Agents; Female; Heart Fa

2010
Sulfonamide-induced hypoglycemia in chronic renal failure.
    Archives of internal medicine, 1983, Volume: 143, Issue:4

    Topics: Aged; Alanine; Female; Glucagon; Glucose; Glucose Tolerance Test; Growth Hormone; Heart Failure; Hum

1983
Pulmonary and renal neutral endopeptidase EC 3.4.24.11 in rats with experimental heart failure.
    Hypertension (Dallas, Tex. : 1979), 1995, Volume: 25, Issue:6

    Topics: Alanine; Animals; Base Sequence; Heart Failure; Kidney; Lung; Male; Molecular Sequence Data; Neprily

1995
Repression of angiotensin II and potentiation of bradykinin contribute to the synergistic effects of dual metalloprotease inhibition in heart failure.
    The Journal of pharmacology and experimental therapeutics, 1995, Volume: 272, Issue:2

    Topics: Alanine; Angiotensin II; Animals; Biphenyl Compounds; Blood Pressure; Blood Volume; Bradykinin; Cric

1995
Effects of alatriopril, a mixed inhibitor of atriopeptidase and angiotensin I-converting enzyme, on cardiac hypertrophy and hormonal responses in rats with myocardial infarction. Comparison with captopril.
    The Journal of pharmacology and experimental therapeutics, 1994, Volume: 270, Issue:1

    Topics: Alanine; Amino Acid Sequence; Angiotensin I; Angiotensin-Converting Enzyme Inhibitors; Animals; Atri

1994
Inhibition of neutral endopeptidase 3.4.24.11 in conscious dogs with pacing induced heart failure.
    Cardiovascular research, 1993, Volume: 27, Issue:6

    Topics: Alanine; Animals; Atrial Natriuretic Factor; Cardiac Pacing, Artificial; Cyclic GMP; Dogs; Dose-Resp

1993
Systemic hemodynamics, renal function and hormonal levels during inhibition of neutral endopeptidase 3.4.24.11 and angiotensin-converting enzyme in conscious dogs with pacing-induced heart failure.
    The Journal of pharmacology and experimental therapeutics, 1993, Volume: 266, Issue:2

    Topics: Alanine; Angiotensin-Converting Enzyme Inhibitors; Animals; Atrial Natriuretic Factor; Captopril; Ca

1993
Acute and chronic neutral endopeptidase inhibition in rats with aortocaval shunt.
    Hypertension (Dallas, Tex. : 1979), 1996, Volume: 27, Issue:6

    Topics: Alanine; Angiotensin II; Animals; Aorta, Abdominal; Arteriovenous Shunt, Surgical; Atrial Natriureti

1996
Potential role of mixed ACE and neutral endopeptidase inhibitor in the treatment of heart failure.
    Cardiovascular research, 1999, Volume: 41, Issue:3

    Topics: Alanine; Angiotensin-Converting Enzyme Inhibitors; Animals; Blood Pressure; Cardiomegaly; Cricetinae

1999
Meeting highlights. Highlights of the 48th scientific sessions of the American College of Cardiology.
    Circulation, 1999, Aug-10, Volume: 100, Issue:6

    Topics: Abciximab; Alanine; Angioplasty, Balloon, Coronary; Angiotensin-Converting Enzyme Inhibitors; Antibo

1999
Fasidotril. Aladotril, alatriopril, BP 1137.
    Drugs in R&D, 1999, Volume: 1, Issue:4

    Topics: Alanine; Angiotensin-Converting Enzyme Inhibitors; Animals; Dogs; Drugs, Investigational; Endopeptid

1999
Angiotensin inhibition potentiates the renal responses to neutral endopeptidase inhibition in dogs with congestive heart failure.
    The Journal of clinical investigation, 1991, Volume: 88, Issue:5

    Topics: Alanine; Angiotensin II; Animals; Atrial Natriuretic Factor; Cyclic GMP; Dogs; Heart Failure; Hemody

1991
Heart failure augments the cardiovascular and renal effects of neutral endopeptidase inhibition in rats.
    Journal of cardiovascular pharmacology, 1991, Volume: 18, Issue:3

    Topics: Alanine; Animals; Blood Pressure; Body Weight; Central Venous Pressure; Heart Failure; Heart Rate; H

1991
Cardiac metabolism and performance during L-glutamic acid infusion in postoperative cardiac failure.
    Clinical science (London, England : 1979), 1986, Volume: 70, Issue:1

    Topics: Alanine; Ammonia; Cardiac Output; Glutamates; Glutamic Acid; Glutamine; Heart; Heart Failure; Hemody

1986
Cardiac metabolism and performance during L-glutamic acid infusion in postoperative cardiac failure.
    Clinical science (London, England : 1979), 1986, Volume: 70, Issue:1

    Topics: Alanine; Ammonia; Cardiac Output; Glutamates; Glutamic Acid; Glutamine; Heart; Heart Failure; Hemody

1986
Cardiac metabolism and performance during L-glutamic acid infusion in postoperative cardiac failure.
    Clinical science (London, England : 1979), 1986, Volume: 70, Issue:1

    Topics: Alanine; Ammonia; Cardiac Output; Glutamates; Glutamic Acid; Glutamine; Heart; Heart Failure; Hemody

1986
Cardiac metabolism and performance during L-glutamic acid infusion in postoperative cardiac failure.
    Clinical science (London, England : 1979), 1986, Volume: 70, Issue:1

    Topics: Alanine; Ammonia; Cardiac Output; Glutamates; Glutamic Acid; Glutamine; Heart; Heart Failure; Hemody

1986