Page last updated: 2024-10-18

kynurenine and Adrenal Insufficiency

kynurenine has been researched along with Adrenal Insufficiency in 2 studies

Kynurenine: A metabolite of the essential amino acid tryptophan metabolized via the tryptophan-kynurenine pathway.
kynurenine : A ketone that is alanine in which one of the methyl hydrogens is substituted by a 2-aminobenzoyl group.

Adrenal Insufficiency: Conditions in which the production of adrenal CORTICOSTEROIDS falls below the requirement of the body. Adrenal insufficiency can be caused by defects in the ADRENAL GLANDS, the PITUITARY GLAND, or the HYPOTHALAMUS.

Research Excerpts

ExcerptRelevanceReference
"Metabolism of tryptophan through the kynurenine pathway is reduced after a 10-week treatment with a higher dose HC and plays a role in the effect of HC on fatigue and physical functioning in patients with secondary AI."9.27Hydrocortisone Affects Fatigue and Physical Functioning Through Metabolism of Tryptophan: A Randomized Controlled Trial. ( Bos, EH; Kema, IP; Sorgdrager, FJH; Van Beek, AP; Werumeus Buning, J, 2018)
"Metabolism of tryptophan through the kynurenine pathway is reduced after a 10-week treatment with a higher dose HC and plays a role in the effect of HC on fatigue and physical functioning in patients with secondary AI."5.27Hydrocortisone Affects Fatigue and Physical Functioning Through Metabolism of Tryptophan: A Randomized Controlled Trial. ( Bos, EH; Kema, IP; Sorgdrager, FJH; Van Beek, AP; Werumeus Buning, J, 2018)

Research

Studies (2)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's1 (50.00)24.3611
2020's1 (50.00)2.80

Authors

AuthorsStudies
Vulto, A1
van Faassen, M1
Kerstens, MN1
van Beek, AP2
Sorgdrager, FJH1
Werumeus Buning, J1
Bos, EH1
Kema, IP1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Randomized Double Blind Cross-over Study of the Effects of Low Dose and High Dose Hydrocortisone Replacement Therapy on Cognition, Quality of Life, Metabolic Profile and Somatosensation in Patients With Secondary Adrenal Insufficiency[NCT01546922]Phase 463 participants (Actual)Interventional2012-02-29Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Cognition After 10 Weeks of Treatment With a Low Dose of Hydrocortisone Compared to 10 Weeks of Treatment With a High Dose of Hydrocortisone.

"Cognitive domains to be tested: memory, executive functioning, attention and social cognition.~The psychological tests consist of oral and written questions or computer tasks.~Data is given as Z-scores based on normative data. Higher Z-scores represent a better performance." (NCT01546922)
Timeframe: After completion of treatment period 1 (that is after 10 weeks from baseline) and after treatment period 2 (that is after 20 weeks from baseline).

,
InterventionZ-scores based on normative data. (Mean)
RBMT-Immediate MemoryRBMT-Delayed MemoryRBMT-Delayed corrected for immediate memory15 Words Test-Short-term memory15 Words Test-Total immediate memory15 Words Test - Learning Score15 Words Test - Delayed Memory15 Words Test - Delayed corrected for total memory15 Words Test-RecognitionDigit Span forward - Short term memoryRey Complex Figure - Immediate memoryRey Complex Figure - Delayed memoryDivided attention-reaction time auditory responseDivided attention-reaction time visual responseDivided attention - Number of omission errorsDivided attention - Number of commission errorsVisual scanning - Reaction time for target stimuliVisual scanning - Number of omission errorsVisual scanning - Number of commission errorsAlertness - Reaction time tonic alertnessAlertness - Reaction time phasic alertnessSemantic fluencyPhonemic fluencyDigit Span backwards-Working memoryTrail Making Test - Time condition ATrail Making Test - Time condition BTrail Making Test - Condition B/ASocial Cognition
High Dose of Hydrocortisone-0.420.100.89-0.030.250.380.23-0.160.080.561.401.28-0.890.03-0.140.34-0.360.08-0.70-0.99-1.100.090.21-0.01-0.260.180.36-0.71
Low Dose of Hydrocortisone-0.410.070.850.360.430.080.02-0.30-0.110.491.141.11-0.87-0.06-0.020.30-0.38-0.03-0.72-0.90-1.030.020.320.05-0.320.160.37-0.67

Trials

2 trials available for kynurenine and Adrenal Insufficiency

ArticleYear
Susceptibility to Adrenal Crisis Is Associated With Differences in Cortisol Excretion in Patients With Secondary Adrenal Insufficiency.
    Frontiers in endocrinology, 2022, Volume: 13

    Topics: Acute Disease; Adrenal Insufficiency; Cortisone; Glucocorticoids; Humans; Hydrocortisone; Kynurenine

2022
Hydrocortisone Affects Fatigue and Physical Functioning Through Metabolism of Tryptophan: A Randomized Controlled Trial.
    The Journal of clinical endocrinology and metabolism, 2018, 09-01, Volume: 103, Issue:9

    Topics: Adrenal Insufficiency; Adult; Cross-Over Studies; Dose-Response Relationship, Drug; Double-Blind Met

2018