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  1. Article

    Open Access

    Efficacy and safety of ketone ester infusion to prevent muscle weakness in a mouse model of sepsis-induced critical illness

    In septic mice, 3-hydroxybutyrate-sodium-salt has shown to partially prevent sepsis-induced muscle weakness. Although effective, the excessive sodium load was toxic. We here investigated whether ketone ester 3...

    Ruben Weckx, Chloë Goossens, Sarah Derde, Lies Pauwels in Scientific Reports (2022)

  2. Article

    Open Access

    Identification of the toxic threshold of 3-hydroxybutyrate-sodium supplementation in septic mice

    In septic mice, supplementing parenteral nutrition with 150 mg/day 3-hydroxybutyrate-sodium-salt (3HB-Na) has previously shown to prevent muscle weakness without obvious toxicity. The main objective of this st...

    Ruben Weckx, Chloë Goossens, Sarah Derde, Lies Pauwels in BMC Pharmacology and Toxicology (2021)

  3. Article

    Open Access

    The role of pro-opiomelanocortin in the ACTH–cortisol dissociation of sepsis

    Sepsis is typically hallmarked by high plasma (free) cortisol and suppressed cortisol breakdown, while plasma adrenocorticotropic hormone (ACTH) is not increased, referred to as ‘ACTH–cortisol dissociation.’ W...

    Arno Téblick, Sarah Vander Perre, Lies Pauwels, Sarah Derde in Critical Care (2021)

  4. Article

    Open Access

    Adipose tissue protects against sepsis-induced muscle weakness in mice: from lipolysis to ketones

    ICU-acquired weakness is a debilitating consequence of prolonged critical illness that is associated with poor outcome. Recently, premorbid obesity has been shown to protect against such illness-induced muscle...

    Chloë Goossens, Ruben Weckx, Sarah Derde, Thomas Dufour in Critical Care (2019)

  5. Article

    Open Access

    The Role of Autophagy in Critical Illness-induced Liver Damage

    Mitochondrial dysfunction and endoplasmic reticulum (ER) stress, which activates the unfolded protein response (UPR), mediate critical illness-induced organ failure, often affecting the liver. Autophagy is kno...

    Steven E. Thiessen, Inge Derese, Sarah Derde, Thomas Dufour in Scientific Reports (2017)