Effect of glutamine use on the formation of intestinal neomucosa on peritoneal surface in rats.

Sıçanlarda Glutamin kullanımının peritoneal yüzeyde intestinal neomokoza oluşumuna etkisi.

Journal

Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES
ISSN: 1307-7945
Titre abrégé: Ulus Travma Acil Cerrahi Derg
Pays: Turkey
ID NLM: 101274231

Informations de publication

Date de publication:
Nov 2022
Historique:
entrez: 25 10 2022
pubmed: 26 10 2022
medline: 28 10 2022
Statut: ppublish

Résumé

Short bowel syndrome (SBS) is a clinical condition with high mortality and morbidity, which leads to the lack of absorption of fluids or nutrients necessary for the body due to the decrease in the length of the small bowel (SB). Glutamine is an amino acid essential for the nutrition and proliferation of intestinal mucosa cells. The main aim of the present study was to investigate the effect of glutamine on intestinal neomucosa formation in rats which developed SBS. Sixteen Wistar Hannover rats were randomly divided into two groups of eight rats. Saline was applied to the rats in Group 1 (control) following the enteroperitoneal anastomosis between mucosal surface of the ileum and the parietal peritoneum surface (adherent to abdominal wall) while glutamine was applied to the rats in Group 2 following the same anastomosis. Fourteen days later, the rats were euthanatized and blood samples were taken. Simultaneously, en bloc resection of the anastomosis part was performed and histopathological examination was carried out to observe neomucosa formation. The effects of glutamine on anastomosis were determined by microscopic and biochemical evaluations. Biochemical analyses were performed by measuring serum oxidant (malondialdehyde [MDA] and 8-hydroxy-2'-deoxyguanosine [8-OHdG]) and antioxidant (superoxide dismutase [SOD] and glutathione peroxidase [GPx]) parameters. Based on the biochemical evaluation results of the antioxidant values of the control and glutamine groups, it was found that while the serum antioxidant level (SOD and GPx activity) was significantly higher (p<0.05) in the glutamine-administered rats compared to the control group, the oxidative damage (MDA and 8-OHdG) was lower (p<0.05). In terms of the histological evaluations made for the neomucosa formation, the number of neomucosa formation was higher in the glutamine group, but the difference was not significant (p=0.315). The use of glutamine in patients with SBS may increase surface absorption by increasing neomucosa formation. However, additional studies of large statistical power are needed.

Sections du résumé

BACKGROUND BACKGROUND
Short bowel syndrome (SBS) is a clinical condition with high mortality and morbidity, which leads to the lack of absorption of fluids or nutrients necessary for the body due to the decrease in the length of the small bowel (SB). Glutamine is an amino acid essential for the nutrition and proliferation of intestinal mucosa cells. The main aim of the present study was to investigate the effect of glutamine on intestinal neomucosa formation in rats which developed SBS.
METHODS METHODS
Sixteen Wistar Hannover rats were randomly divided into two groups of eight rats. Saline was applied to the rats in Group 1 (control) following the enteroperitoneal anastomosis between mucosal surface of the ileum and the parietal peritoneum surface (adherent to abdominal wall) while glutamine was applied to the rats in Group 2 following the same anastomosis. Fourteen days later, the rats were euthanatized and blood samples were taken. Simultaneously, en bloc resection of the anastomosis part was performed and histopathological examination was carried out to observe neomucosa formation. The effects of glutamine on anastomosis were determined by microscopic and biochemical evaluations.
RESULTS RESULTS
Biochemical analyses were performed by measuring serum oxidant (malondialdehyde [MDA] and 8-hydroxy-2'-deoxyguanosine [8-OHdG]) and antioxidant (superoxide dismutase [SOD] and glutathione peroxidase [GPx]) parameters. Based on the biochemical evaluation results of the antioxidant values of the control and glutamine groups, it was found that while the serum antioxidant level (SOD and GPx activity) was significantly higher (p<0.05) in the glutamine-administered rats compared to the control group, the oxidative damage (MDA and 8-OHdG) was lower (p<0.05). In terms of the histological evaluations made for the neomucosa formation, the number of neomucosa formation was higher in the glutamine group, but the difference was not significant (p=0.315).
CONCLUSION CONCLUSIONS
The use of glutamine in patients with SBS may increase surface absorption by increasing neomucosa formation. However, additional studies of large statistical power are needed.

Identifiants

pubmed: 36282159
doi: 10.14744/tjtes.2022.36903
pmc: PMC10277354
doi:

Substances chimiques

Glutamine 0RH81L854J
Glutathione Peroxidase EC 1.11.1.9
Antioxidants 0
8-Hydroxy-2'-Deoxyguanosine 88847-89-6
Malondialdehyde 4Y8F71G49Q
Superoxide Dismutase EC 1.15.1.1
Oxidants 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1541-1548

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Auteurs

Ahmet Akbaş (A)

Department of General Surgery, Faculty of Medicine, Karadeniz Technical University, Trabzon-Türkiye.

Osman Bilgin Gülcicek (OB)

Department of General Surgery, University of Health Sciences İstanbul Bağcılar Training and Research Hospital, İstanbul-Türkiye.

Erkan Yavuz (E)

Department of General Surgery, University of Health Sciences İstanbul Bağcılar Training and Research Hospital, İstanbul-Türkiye.

Hakan Yigitbas (H)

Department of General Surgery, University of Health Sciences İstanbul Bağcılar Training and Research Hospital, İstanbul-Türkiye.

Ali Solmaz (A)

Department of General Surgery, University of Health Sciences İstanbul Bağcılar Training and Research Hospital, İstanbul-Türkiye.

Yigit Ulgen (Y)

Department of Pathology, University of Health Sciences İstanbul Bağcılar Training and Research Hospital, İstanbul-Türkiye.

Nadir Adnan Hacım (NA)

Department of General Surgery, University of Health Sciences İstanbul Bağcılar Training and Research Hospital, İstanbul-Türkiye.

Gulcin Ercan (G)

Department of General Surgery, University of Health Sciences İstanbul Bağcılar Training and Research Hospital, İstanbul-Türkiye.

Yuksel Altinel (Y)

Department of General Surgery, University of Health Sciences İstanbul Bağcılar Training and Research Hospital, İstanbul-Türkiye.

Aysegul Kırankaya (A)

Department of Biochemistry, University of Health Sciences İstanbul Bağcılar Training and Research Hospital, İstanbul-Türkiye.

Atilla Çelik (A)

Department of General Surgery, University of Health Sciences İstanbul Bağcılar Training and Research Hospital, İstanbul-Türkiye.

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Classifications MeSH