To study BAT activity and energy metabolism in patients with cachexia induced by cancer or chronic disease.
This is a prospective, cross-sectional study to determine BAT activity in cachectic patients with pancreatic or non-small cell lung cancer, and in cachectic patients with chronic obstructive pulmonary disease (COPD), and compare results with healthy individuals and non-cachectic COPD patients, matched for age and BMI.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
16
BAT activity: 18F-FDG PET-MRI-imaging.
Body composition: DXA scanning, D2O and MRI.
Inflammatory and metabolic profile of adipose tissue: abdominal subcutaneous adipose tissue biopsy.
Maastricht UMC+
Maastricht, Netherlands
Brown adipose tissue (BAT) activity measured by PET(-MRI)
The main endpoint of this study is BAT volume and intensity of activity in Standard Uptake Value (SUV) in the presence of cancer cachexia, COPD cachexia, and compared to non-cachectic COPD patients and healthy individuals, as assessed by 18F-fluoro-deoxyglucose (18F-FDG) PET-MRI scanning.
Time frame: participants will be followed for 2 weeks
Total energy metabolism measured by resting energy expenditure (REE) and doubly labeled water
Time frame: participants will be followed for 2 weeks
Resting metabolic rate measured by REE
Time frame: participants will be followed for 2 weeks
Metabolic gene expression in WAT measured by biopsy of subcutaneous fat
Time frame: participants will be followed for 2 weeks
Systemic inflammatory status measured in blood
Time frame: participants will be followed for 2 weeks
Fat tissue mass measured by MRI, DXA, and doubly labeled water
Detailed body composition phenotyping of cachexia by (PET-)MRI to compare with commonly applied clinical measures (D2O and DXA)
Time frame: participants will be followed for 2 weeks
Hormonal status measured in blood
Time frame: participants will be followed for 2 weeks
Lean tissue mass measured by MRI, DXA, and doubly labeled water
Detailed body composition phenotyping of cachexia by (PET-)MRI to compare with commonly applied clinical measures (D2O and DXA)
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Systemic inflammatory profile: blood sampling.
Resting metabolic rate: indirect calorimetry.
Physical activity level: accelerometry.
Body composition: DXA scanning, D2O and MRI. Total daily energy expenditure: double-labeled water.
Time frame: participants will be followed for 2 weeks