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Use of oral glutamine in radiation‑induced adverse effects in patients with thoracic and upper aerodigestive malignancies: Results of a prospective observational study

  • Authors:
    • Amalia Papanikolopoulou
    • Nikolaos Syrigos
    • Louisa Vini
    • Maria Papasavva
    • Georgios Lazopoulos
    • Stelios Kteniadakis
    • Demetrios A. Spandidos
    • Adrianni Charpidou
    • Nikolaos Drakoulis
  • View Affiliations / Copyright

    Affiliations: Clinical Pharmacology Department, Athens Medical Center, 15125 Athens, Greece, Oncology Unit, 3rd Department of Medicine, Sotiria General Hospital, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece, Radiotherapy Department, Athens Medical Center, 15125 Athens, Greece, Research Group of Clinical Pharmacology and Pharmacogenomics, Faculty of Pharmacy, School of Health Sciences, National and Kapodistrian University of Athens, 15771 Athens, Greece, Cardio‑Thoracic Surgery Department, University Hospital of Heraklion, 71003 Heraklion, Greece, Laboratory of Clinical Virology, School of Medicine, University of Crete, 71003 Heraklion, Greece
    Copyright: © Papanikolopoulou et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 19
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    Published online on: November 16, 2021
       https://doi.org/10.3892/ol.2021.13137
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Abstract

Cancer growth in host tissues features glutamine (gln) depletion over time, decreasing epithelial cells' optimal functioning. In addition, radiotherapy (RT) and/or chemotherapy (CT) cause damage to normal tissues, probably enhanced by this depletion. The present study prospectively examined the effect of gln supplementation on 72 patients with thoracic and upper aerodigestive malignancies (T&UAM) treated with sequential or concurrent RT‑CT or RT alone. All patients received prophylactic gln powder 15 g bid for the full duration of treatment. The severity of acute radiation toxicities was graded according to the RT Oncology Group/European Organization for Research and Treatment of Cancer criteria. Primary endpoints were the incidence of grade >2 toxicities, weight loss and requirement for analgesics, and the secondary endpoint was the association of the length of irradiated esophagus from treatment planning with the use of opioids. The incidence of adverse effects was as follows: Grade >2 stomatitis, 25.0%; esophagitis, 60.5%; dysphagia, 54.2%; pain, 25.4%; mycosis, 40.8%. Stomatitis grade >2 was more frequent in patients with head and neck tumors (P<0.001) and in those with prior surgery (P<0.001). Esophagitis (P=0.020) and dysphagia (P=0.008) grade >2 were more frequent in patients with concurrent RT‑CT. Regarding analgesics, 9.9% of patients received no pain treatment, 56.3% received simple analgesic therapy and 33.8% opioids. Patients on opioid therapy had a greater mean length of irradiated esophagus (P=0.024) or length >12 cm (P=0.018). In 54.2% of patients, weight loss was observed, particularly with concurrent RT‑CT (P=0.007). Thus, the use of oral gln may have an important role in reducing acute radiation toxicities and weight loss, and in lowering the requirement for analgesics in patients with T&UAM. Further randomized trials are required to identify the appropriate gln dose, duration of treatment and precise radiation dosimetric parameters in this group of patients. The present clinical trial was retrospectively registered in the ClinicalTrials.gov Protocol Registration and Results System (registration no. NCT05054517/22‑09‑2021).
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1 

DeBerardinis RJ and Cheng T: Q's next: The diverse functions of glutamine in metabolism, cell biology and cancer. Oncogene. 29:313–324. 2010. View Article : Google Scholar : PubMed/NCBI

2 

Levine AJ and Puzio-Kuter AM: The control of the metabolic switch in cancers by oncogenes and tumor suppressor genes. Science. 330:1340–1344. 2010. View Article : Google Scholar : PubMed/NCBI

3 

Barger JF and Plas DR: Balancing biosynthesis and bioenergetics: Metabolic programs in oncogenesis. Endocr Relat Cancer. 17:R287–R304. 2010. View Article : Google Scholar : PubMed/NCBI

4 

Cantor JR and Sabatini DM: Cancer cell metabolism: One hallmark, many faces. Cancer Discov. 2:881–898. 2012. View Article : Google Scholar : PubMed/NCBI

5 

Liu W, Le A, Hancock C, Lane AN, Dang CV, Fan TW-M and Phang JM: Reprogramming of proline and glutamine metabolism contributes to the proliferative and metabolic responses regulated by oncogenic transcription factor c-MYC. Proc Natl Acad Sci USA. 109:8983–8988. 2012. View Article : Google Scholar : PubMed/NCBI

6 

Chen JQ and Russo J: Dysregulation of glucose transport, glycolysis, TCA cycle and glutaminolysis by oncogenes and tumor suppressors in cancer cells. Biochim Biophys Acta. 1826:370–384. 2012.PubMed/NCBI

7 

Kuhn KS, Muscaritoli M, Wischmeyer P and Stehle P: Glutamine as indispensable nutrient in oncology: Experimental and clinical evidence. Eur J Nutr. 49:197–210. 2010. View Article : Google Scholar : PubMed/NCBI

8 

Polet F and Feron O: Endothelial cell metabolism and tumour angiogenesis: Glucose and glutamine as essential fuels and lactate as the driving force. J Intern Med. 273:156–165. 2013. View Article : Google Scholar : PubMed/NCBI

9 

Ahluwalia GS, Grem JL, Hao Z and Cooney DA: Metabolism and action of amino acid analog anti-cancer agents. Pharmacol Ther. 46:243–271. 1990. View Article : Google Scholar : PubMed/NCBI

10 

Rubio IT, Cao Y, Hutchins LF, Westbrook KC and Klimberg VS: Effect of glutamine on methotrexate efficacy and toxicity. Ann Surg. 227:772–778; discussion 778–780. 1998. View Article : Google Scholar : PubMed/NCBI

11 

Cluntun AA, Lukey MJ, Cerione RA and Locasale JW: Glutamine Metabolism in Cancer: Understanding the Heterogeneity. Trends Cancer. 3:169–180. 2017. View Article : Google Scholar : PubMed/NCBI

12 

Choi YK and Park KG: Targeting Glutamine Metabolism for Cancer Treatment. Biomol Ther (Seoul). 26:19–28. 2018. View Article : Google Scholar : PubMed/NCBI

13 

Anderson PM and Lalla RV: Glutamine for Amelioration of Radiation and Chemotherapy Associated Mucositis during Cancer Therapy. Nutrients. 12:16752020. View Article : Google Scholar : PubMed/NCBI

14 

Savarese DM, Savy G, Vahdat L, Wischmeyer PE and Corey B: Prevention of chemotherapy and radiation toxicity with glutamine. Cancer Treat Rev. 29:501–513. 2003. View Article : Google Scholar : PubMed/NCBI

15 

Papanikolopoulou A, Syrigos KN and Drakoulis N: The role of glutamine supplementation in thoracic and upper aerodigestive malignancies. Nutr Cancer. 67:231–237. 2015. View Article : Google Scholar : PubMed/NCBI

16 

Cox JD, Stetz J and Pajak TF: Toxicity criteria of the Radiation Therapy Oncology Group (RTOG) and the European Organization for Research and Treatment of Cancer (EORTC). Int J Radiat Oncol Biol Phys. 31:1341–1346. 1995. View Article : Google Scholar : PubMed/NCBI

17 

Subramaniam AV, Salem Yehya AH and Oon CE: Molecular Basis of Cancer Pain Management: An Updated Review. Medicina (Kaunas). 55:5842019. View Article : Google Scholar

18 

van den Berg H: Asparaginase revisited. Leuk Lymphoma. 52:168–178. 2011. View Article : Google Scholar : PubMed/NCBI

19 

Jaffe N, Traggis D, Das L, Moloney WC, Hann HW, Kim BS and Nair R: L-asparaginase in the treatment of neoplastic diseases in children. Cancer Res. 31:942–949. 1971.PubMed/NCBI

20 

Jia ZY, Shen TY, Jiang W and Qin HL: Identification of molecular mechanisms of glutamine in pancreatic cancer. Oncol Lett. 14:6395–6402. 2017.PubMed/NCBI

21 

Stanciu AE, Zamfir-Chiru-Anton A, Stanciu MM, Stoian AP, Jinga V, Nitipir C, Bucur A, Pituru TS, Arsene AL, Dragoi CM, et al: Clinical significance of serum melatonin in predicting the severity of oral squamous cell carcinoma. Oncol Lett. 19:1537–1543. 2020.PubMed/NCBI

22 

Olaru OT, Venables L, VAN DE Venter M, Nitulescu GM, Margina D, Spandidos DA and Tsatsakis AM: Anticancer potential of selected Fallopia Adans species. Oncol Lett. 10:1323–1332. 2015. View Article : Google Scholar : PubMed/NCBI

23 

Pavlova NN, Hui S, Ghergurovich JM, Fan J, Intlekofer AM, White RM, Rabinowitz JD, Thompson CB and Zhang J: As Extracellular Glutamine Levels Decline, Asparagine Becomes an Essential Amino Acid. Cell Metab. 27:428–438.e5. 2018. View Article : Google Scholar : PubMed/NCBI

24 

Bobrovnikova-Marjon EV, Marjon PL, Barbash O, Vander Jagt DL and Abcouwer SF: Expression of angiogenic factors vascular endothelial growth factor and interleukin-8/CXCL8 is highly responsive to ambient glutamine availability: Role of nuclear factor-kappaB and activating protein-1. Cancer Res. 64:4858–4869. 2004. View Article : Google Scholar : PubMed/NCBI

25 

Ishak Gabra MB, Yang Y, Li H, Senapati P, Hanse EA, Lowman XH, Tran TQ, Zhang L, Doan LT, Xu X, et al: Dietary glutamine supplementation suppresses epigenetically-activated oncogenic pathways to inhibit melanoma tumour growth. Nat Commun. 11:33262020. View Article : Google Scholar : PubMed/NCBI

26 

Zhang J, Pavlova NN and Thompson CB: Cancer cell metabolism: The essential role of the nonessential amino acid, glutamine. EMBO J. 36:1302–1315. 2017. View Article : Google Scholar

27 

García-de-Lorenzo A, Zarazaga A, García-Luna PP, Gonzalez-Huix F, López-Martínez J, Miján A, Quecedo L, Casimiro C, Usán L and del Llano J: Clinical evidence for enteral nutritional support with glutamine: A systematic review. Nutrition. 19:805–811. 2003. View Article : Google Scholar : PubMed/NCBI

28 

Marur S and Forastiere AA: Head and Neck Squamous Cell Carcinoma: Update on Epidemiology, Diagnosis, and Treatment. Mayo Clin Proc. 91:386–396. 2016. View Article : Google Scholar : PubMed/NCBI

29 

Bayman NA, Blackhall F, Jain P, Lee L, Thatcher N and Faivre-Finn C: Management of unresectable stage III non-small-cell lung cancer with combined-modality therapy: A review of the current literature and recommendations for treatment. Clin Lung Cancer. 9:92–101. 2008. View Article : Google Scholar : PubMed/NCBI

30 

Huang EY, Leung SW, Wang CJ, Chen HC, Sun LM, Fang FM, Yeh SA, Hsu HC and Hsiung CY: Oral glutamine to alleviate radiation-induced oral mucositis: A pilot randomized trial. Int J Radiat Oncol Biol Phys. 46:535–539. 2000. View Article : Google Scholar : PubMed/NCBI

31 

Sarumathy S, Ismail AM and Palasimany A: Efficacy and safety of oral glutamine in radiation induced oral mucositis in patients with Head and Neck cancer. Asian J Pharm Clin Res. 5:138–140. 2012.

32 

Zygogianni A, Kyrgias G, Kouvaris J, Pistevou-Gombaki K, Capezzali G, Zefkili S, Kokkakis J, Georgakopoulos J, Kelekis K and Kouloulias V: Impact of acute radiation induced toxicity of glutamine administration in several hypofractionated irradiation schedules for head and neck carcinoma. Head Neck Oncol. 4:86–92. 2012.

33 

Chattopadhyay S, Saha A, Azam M, Mukherjee A and Sur PK: Role of oral glutamine in alleviation and prevention of radiation-induced oral mucositis: A prospective randomized study. South Asian J Cancer. 3:8–12. 2014. View Article : Google Scholar : PubMed/NCBI

34 

Tsujimoto T, Yamamoto Y, Wasa M, Takenaka Y, Nakahara S, Takagi T, Tsugane M, Hayashi N, Maeda K, Inohara H, et al: L-glutamine decreases the severity of mucositis induced by chemoradiotherapy in patients with locally advanced head and neck cancer: A double-blind, randomized, placebo-controlled trial. Oncol Rep. 33:33–39. 2015. View Article : Google Scholar : PubMed/NCBI

35 

Pattanayak L, Panda N, Dash MK, Mohanty S and Samantaray S: Management of Chemoradiation-Induced Mucositis in Head and Neck Cancers With Oral Glutamine. J Glob Oncol. 2:200–206. 2016. View Article : Google Scholar : PubMed/NCBI

36 

Lopez-Vaquero D, Gutierrez-Bayard L, Rodriguez-Ruiz JA, Saldaña-Valderas M and Infante-Cossio P: Double-blind randomized study of oral glutamine on the management of radio/chemotherapy-induced mucositis and dermatitis in head and neck cancer. Mol Clin Oncol. 6:931–936. 2017. View Article : Google Scholar : PubMed/NCBI

37 

Pachón Ibáñez J, Pereira Cunill JL, Osorio Gómez GF, Irles Rocamora JA, Serrano Aguayo P, Quintana Ángel B, Fuentes Pradera J, Chaves Conde M, Ortiz Gordillo MJ and García Luna PP: Prevention of oral mucositis secondary to antineoplastic treatments in head and neck cancer by supplementation with oral glutamine. Nutr Hosp. 35:428–433. 2018.PubMed/NCBI

38 

Huang CJ, Huang MY, Fang PT, Chen F, Wang YT, Chen CH, Yuan SS, Huang CM, Luo KH, Chuang HY, et al: Randomized double-blind, placebo-controlled trial evaluating oral glutamine on radiation-induced oral mucositis and dermatitis in head and neck cancer patients. Am J Clin Nutr. 109:606–614. 2019. View Article : Google Scholar : PubMed/NCBI

39 

Pathak S, Soni TP, Sharma LM, Patni N and Gupta AK: A Randomized Controlled Trial to Evaluate the Role and Efficacy of Oral Glutamine in the Treatment of Chemo-radiotherapy-induced Oral Mucositis and Dysphagia in Patients with Oropharynx and Larynx Carcinoma. Cureus. 11:e48552019.PubMed/NCBI

40 

Algara M, Rodríguez N, Viñals P, Lacruz M, Foro P, Reig A, Quera J, Lozano J, Fernández-Velilla E, Membrive I, et al: Prevention of radiochemotherapy-induced esophagitis with glutamine: Results of a pilot study. Int J Radiat Oncol Biol Phys. 69:342–349. 2007. View Article : Google Scholar : PubMed/NCBI

41 

Topkan E, Yavuz MN, Onal C and Yavuz AA: Prevention of acute radiation-induced esophagitis with glutamine in non-small cell lung cancer patients treated with radiotherapy: Evaluation of clinical and dosimetric parameters. Lung Cancer. 63:393–399. 2009. View Article : Google Scholar : PubMed/NCBI

42 

Topkan E, Parlak C, Topuk S and Pehlivan B: Influence of oral glutamine supplementation on survival outcomes of patients treated with concurrent chemoradiotherapy for locally advanced non-small cell lung cancer. BMC Cancer. 12:502–512. 2012. View Article : Google Scholar : PubMed/NCBI

43 

Gul K, Muge A, Taner A and Sehri E: Oral glutamine supplementation reduces radiotherapy- induced esophagitis in lung cancer patients. Asian Pac J Cancer Prev. 16:53–58. 2015. View Article : Google Scholar : PubMed/NCBI

44 

Chang SC, Lai YC, Hung JC and Chang CY: Oral glutamine supplements reduce concurrent chemoradiotherapy-induced esophagitis in patients with advanced non-small cell lung cancer. Medicine (Baltimore). 98:e144632019. View Article : Google Scholar : PubMed/NCBI

45 

Sayles C, Hickerson SC, Bhat RR, Hall J, Garey KW and Trivedi MV: Oral Glutamine in Preventing Treatment-Related Mucositis in Adult Patients With Cancer: A Systematic Review. Nutr Clin Pract. 31:171–179. 2016. View Article : Google Scholar : PubMed/NCBI

46 

Leung HW and Chan AL: Glutamine in Alleviation of Radiation-Induced Severe Oral Mucositis: A Meta-Analysis. Nutr Cancer. 68:734–742. 2016. View Article : Google Scholar : PubMed/NCBI

47 

Tang G, Huang W, Zhang L and Wei Z: Role of Glutamine in the Management of Oral Mucositis in Patients with Cancer: A Meta-Analysis of Randomized Controlled Trials. Nutr Cancer. 19:1–14. 2021. View Article : Google Scholar : PubMed/NCBI

48 

Peng TR, Lin HH, Yang LJ and Wu TW: Correction to: Effectiveness of glutamine in the management of oral mucositis in cancer patients: a meta-analysis of randomized controlled trials. Support Care Cancer. 29:48932021. View Article : Google Scholar : PubMed/NCBI

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Copy and paste a formatted citation
Spandidos Publications style
Papanikolopoulou A, Syrigos N, Vini L, Papasavva M, Lazopoulos G, Kteniadakis S, Spandidos DA, Charpidou A and Drakoulis N: Use of oral glutamine in radiation‑induced adverse effects in patients with thoracic and upper aerodigestive malignancies: Results of a prospective observational study. Oncol Lett 23: 19, 2022.
APA
Papanikolopoulou, A., Syrigos, N., Vini, L., Papasavva, M., Lazopoulos, G., Kteniadakis, S. ... Drakoulis, N. (2022). Use of oral glutamine in radiation‑induced adverse effects in patients with thoracic and upper aerodigestive malignancies: Results of a prospective observational study. Oncology Letters, 23, 19. https://doi.org/10.3892/ol.2021.13137
MLA
Papanikolopoulou, A., Syrigos, N., Vini, L., Papasavva, M., Lazopoulos, G., Kteniadakis, S., Spandidos, D. A., Charpidou, A., Drakoulis, N."Use of oral glutamine in radiation‑induced adverse effects in patients with thoracic and upper aerodigestive malignancies: Results of a prospective observational study". Oncology Letters 23.1 (2022): 19.
Chicago
Papanikolopoulou, A., Syrigos, N., Vini, L., Papasavva, M., Lazopoulos, G., Kteniadakis, S., Spandidos, D. A., Charpidou, A., Drakoulis, N."Use of oral glutamine in radiation‑induced adverse effects in patients with thoracic and upper aerodigestive malignancies: Results of a prospective observational study". Oncology Letters 23, no. 1 (2022): 19. https://doi.org/10.3892/ol.2021.13137
Copy and paste a formatted citation
x
Spandidos Publications style
Papanikolopoulou A, Syrigos N, Vini L, Papasavva M, Lazopoulos G, Kteniadakis S, Spandidos DA, Charpidou A and Drakoulis N: Use of oral glutamine in radiation‑induced adverse effects in patients with thoracic and upper aerodigestive malignancies: Results of a prospective observational study. Oncol Lett 23: 19, 2022.
APA
Papanikolopoulou, A., Syrigos, N., Vini, L., Papasavva, M., Lazopoulos, G., Kteniadakis, S. ... Drakoulis, N. (2022). Use of oral glutamine in radiation‑induced adverse effects in patients with thoracic and upper aerodigestive malignancies: Results of a prospective observational study. Oncology Letters, 23, 19. https://doi.org/10.3892/ol.2021.13137
MLA
Papanikolopoulou, A., Syrigos, N., Vini, L., Papasavva, M., Lazopoulos, G., Kteniadakis, S., Spandidos, D. A., Charpidou, A., Drakoulis, N."Use of oral glutamine in radiation‑induced adverse effects in patients with thoracic and upper aerodigestive malignancies: Results of a prospective observational study". Oncology Letters 23.1 (2022): 19.
Chicago
Papanikolopoulou, A., Syrigos, N., Vini, L., Papasavva, M., Lazopoulos, G., Kteniadakis, S., Spandidos, D. A., Charpidou, A., Drakoulis, N."Use of oral glutamine in radiation‑induced adverse effects in patients with thoracic and upper aerodigestive malignancies: Results of a prospective observational study". Oncology Letters 23, no. 1 (2022): 19. https://doi.org/10.3892/ol.2021.13137
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