Microvascular effects of oral interleukin-6 on ischemia/reperfusion in the murine small intestine

F M Rollwagen1, Y Y Li, N D Pacheco

  • 1Department of Pathology, Uniformed Services University of the Health Sciences, Bethesda, Maryland 20814-4799, USA. frollag@usuhs.mil

Insights

Oral interleukin-6 (IL-6) administration in mice prevents gut barrier dysfunction after hemorrhage. This treatment preserves intestinal microvasculature integrity, reducing bacterial translocation and sepsis risk.

Area of Science:

  • Gastroenterology
  • Immunology
  • Microcirculation Research

Background:

  • Hemorrhage can lead to gut barrier dysfunction and bacterial translocation.
  • Interleukin-6 (IL-6) has shown potential in mitigating these effects.
  • The impact of IL-6 on intestinal microvasculature post-hemorrhage requires further investigation.

Purpose of the Study:

  • To investigate the effect of oral interleukin-6 (IL-6) on intestinal microvasculature integrity following hemorrhage.
  • To determine if IL-6 administration prevents increased intestinal permeability and bacterial translocation.

Main Methods:

  • Mice underwent hemorrhage and received either IL-6 or vehicle orally.
  • Intestinal microvasculature was examined using horseradish peroxidase (HRP) as an electron-dense tracer.
  • Intestinal permeability was assessed by intralumenal HRP administration and bacterial cultures from liver tissue.

Main Results:

  • Intravenous HRP reached intestinal capillaries and epithelial cells in normal and IL-6 treated mice, indicating patent microvasculature.
  • Hemorrhaged mice receiving vehicle showed no HRP in the gut, suggesting compromised microcirculation.
  • Intralumenal HRP penetrated epithelial cells only in vehicle-treated hemorrhaged mice, indicating a leaky gut.
  • Bacteria were cultured from livers of vehicle-treated mice but not IL-6 treated mice.

Conclusions:

  • Hemorrhage and resuscitation can impair intestinal microvasculature function.
  • Oral IL-6 administration restores intestinal microcirculation and barrier integrity.
  • IL-6 treatment effectively prevents bacterial translocation from the gut after hemorrhage.

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