Protective effects of medium-chain triglycerides on the liver and gut in rats administered endotoxin

Hiroshi Kono1, Hideki Fujii, Masami Asakawa

  • 1First Department of Surgery, Yamanashi Medical University, Yamanashi, Japan. hkouno@res.yamanashi-med.ac.jp

Annals of Surgery
|February 1, 2003
PubMed
Abstract

Insights

Medium-chain triglycerides (MCTs) protect rats from endotoxin-induced mortality and organ damage. This study shows MCTs prevent liver and gut injuries by modulating Kupffer cell activity during endotoxemia.

Area of Science:

  • Biochemistry
  • Immunology
  • Gastroenterology

Background:

  • Dietary medium-chain triglycerides (MCTs) are known to prevent alcohol-induced liver injury.
  • MCTs achieve this by inhibiting Kupffer cell activation in enteral feeding models.
  • This study investigated if MCTs could offer similar protection in endotoxemia.

Purpose of the Study:

  • To determine if medium-chain triglycerides (MCTs) prevent organ injuries and mortality in rats exposed to endotoxin.
  • To investigate the specific effects of MCTs on the gut during endotoxemia.

Main Methods:

  • Rats were gavaged daily with MCTs or corn oil for one week before intravenous lipopolysaccharide (LPS) administration.
  • Survival rates were monitored for 24 hours post-LPS.
  • Mechanisms were studied by analyzing serum, liver, gut pathology, permeability, microflora, and Kupffer cell function (CD14 expression, phagocytic index, TNF-alpha production).

Main Results:

  • MCT administration significantly prevented LPS-induced mortality in a dose-dependent manner.
  • MCTs nearly completely prevented liver injury and reduced gut injury and permeability post-LPS.
  • MCTs blunted CD14 expression and TNF-alpha production by Kupffer cells but did not affect the phagocytic index.

Conclusions:

  • Enteral feeding with medium-chain triglycerides (MCTs) offers significant protection against liver and intestinal injuries during endotoxemia.
  • MCTs represent a practical nutritional strategy for mitigating endotoxin-induced organ damage.

Related Concept Videos