Abstract
AIM: To investigate the protective effects of early enteral glutamine supplementation on the barrier function of intestinal mucosa in scalded rats and explore the mechanism underlying such protective effects.
METHODS: Healthy adult SD rats were subjected to a 30% TBSA third-degree scald injury to develop a rat model of scald injury. Scalded rats were then randomly divided into EN and EN plus Gln group, respectively. Rats in the EN group were fed standard enteral nutrition (Nutrison Multi Fibre) while those in the EN plus Gln group were fed standard enteral nutrition plus Gln. On days 1, 4, 7 and 10 after scald induction, plasma D-lactic acid levels were analyzed by ultraviolet spectrophotometry, the expression of Occludin protein was detected by Western blot, and the expression of ZO-1 mRNA was determined by RT-PCR.
RESULTS: Serum D-lactic acid level was elevated in response to scald induction. The levels of D-lactic acid in the serum of rats in the EN group did not return to normal within the period of observation of this study, whereas those in the EN plus Gln group returned to normal on day 4 after scald induction (4.5 ± 0.8 mg/L vs 3.8 ± 0.6 mg/L). Semiquantitative Western blot analysis showed that the expression of Occludin protein in intestinal mucosa of rats in the EN plus Gln group showed an initial rise, followed by a decline. On days 4 and 7, the expression level of Occludin protein in intestinal mucosa of rats in the EN plus Gln group were significantly higher than those in the EN group (1.18 ± 0.14 vs 0.79 ± 0.09 and 1.59 ± 0.16 vs 1.12 ± 0.13, respectively; both P < 0.05). In both groups, the expression levels of ZO-1 mRNA on day 1 significantly declined when compared with pre-induction values (0.71 ± 0.19 and 0.76 ± 0.17 vs 1.00, both P < 0.05). On day 4, a significant difference was noted in the expression levels of ZO-1 mRNA between the two groups (1.17 ± 0.16 vs 0.76 ± 0.15; P < 0.05) though no significant differences were found at other time points.
CONCLUSION: Early enteral glutamine supplementation is superior to standard enteral nutrition in promoting the expression of Occludin protein and ZO-1 mRNA in intestinal mucosa and improving the barrier function of intestinal mucosa.
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