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Interleukin-11 enhances small intestine absorptive function and mucosal mass after intestinal adaptation
K Alavi1, R Prasad, K Lundgren
1Department of Surgery, Alfred I duPont Hospital for Children, Wilmington, DE 19803, USA.
Journal of Pediatric Surgery
|February 29, 2000
Summary
Interleukin-11 (IL-11) significantly boosts small intestine absorption and mucosal mass after massive small bowel resection (MSBR). The optimal dose of IL-11 for enhanced absorptive function was 750 microg/kg/d.
Area of Science:
- Gastroenterology
- Regenerative Medicine
- Pharmacology
Background:
- Massive small bowel resection (MSBR) leads to impaired nutrient absorption.
- Interleukin-11 (IL-11) has shown potential in increasing mucosal mass post-MSBR.
- The correlation between increased mucosal mass and enhanced absorptive function requires further investigation.
Purpose of the Study:
- To investigate the dose-dependent effects of systemic Interleukin-11 (IL-11) administration on small intestine absorptive function and mucosal mass following MSBR.
- To determine if increased mucosal mass induced by IL-11 translates to improved substrate absorption.
Main Methods:
- Twenty-five rats underwent 80% small bowel resection.
- Rats received varying doses of IL-11 (0, 250, 500, 750, 1000 microg/kg/d) via osmotic pumps for 14 days.
- In vivo closed-recirculation technique measured [14C]galactose and [14C]glycine absorption; mucosal DNA content was also assessed.
Main Results:
- IL-11 at 250 microg/kg/d did not significantly alter substrate absorption.
- Higher doses of IL-11 (≥500 microg/kg/d) significantly increased both substrate absorption and mucosal mass compared to controls.
- The optimal dose for enhanced absorption and mucosal mass was 750 microg/kg/d, yielding 72% increase in galactose absorption, 112% in glycine absorption, and 98% in DNA content.
Conclusions:
- Systemic IL-11 administration enhances small intestine absorptive function beyond normal adaptation post-MSBR.
- The optimal dose for maximal effect on absorptive function was 750 microg/kg/d.
- IL-11 demonstrates potential as a therapeutic agent for patients with compromised intestinal function.