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Using l-Carnitine as a Pharmacologic Probe of the Interpatient and Metabolic Variability of Sepsis.


ABSTRACT:

Objective

The objective of this review is to discuss the therapeutic use and differential treatment response to Levo-carnitine (l-carnitine) treatment in septic shock, and to demonstrate common lessons learned that are important to the advancement of precision medicine approaches to sepsis. We propose that significant interpatient variability in the metabolic response to l-carnitine and clinical outcomes can be used to elucidate the mechanistic underpinnings that contribute to sepsis heterogeneity.

Methods

A narrative review was conducted that focused on explaining interpatient variability in l-carnitine treatment response. Relevant biological and patient-level characteristics considered include genetic, metabolic, and morphomic phenotypes; potential drug interactions; and p

SUBMITTER: Jennaro TS 

PROVIDER: S-EPMC7722044 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature