Metabolic and molecular responses to leucine‐enriched branched chain amino acid supplementation in the skeletal muscle of alcoholic cirrhosis
Cynthia Tsien, Gangarao Davuluri, Dharmvir Singh, Allawy Allawy, Gabriella A.M. Ten Have, Samjhana Thapaliya, John M. Schulze, David Barnes, Arthur J. McCullough, Marielle P.K.J. Engelen, Nicolaas E.P. Deutz, Srinivasan Dasarathy – 22 January 2015 – Skeletal muscle loss (sarcopenia) is a major clinical complication in alcoholic cirrhosis with no effective therapy. Skeletal muscle autophagic proteolysis and myostatin expression (inhibitor of protein synthesis) are increased in cirrhosis and believed to contribute to anabolic resistance.