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Enteral glutamine pretreatment does not decrease plasma endotoxin level induced by ischemia-reperfusion injury in

Arda Demirkan1, Erkin Orazakunov, Berna Savaş

  • 1Ankara University, School of Medicine, Ibni Sina Hospital, Department of Emergency Medicine, Sihhiye, Ankara, Turkey. ardademirkan@superonline.com

World Journal of Gastroenterology
|January 18, 2008
PubMed
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Oral glutamine pretreatment appears to protect intestinal integrity against ischemia-reperfusion (I/R) injury in rats. However, it did not significantly alter histopathological damage or plasma endotoxin levels post-I/R.

Area of Science:

  • Gastroenterology
  • Surgical Research
  • Nutritional Science

Background:

  • Intestinal ischemia-reperfusion (I/R) injury compromises mucosal integrity.
  • Maintaining intestinal barrier function is crucial during I/R events.
  • Nutritional interventions are explored to mitigate I/R-induced damage.

Purpose of the Study:

  • To evaluate the protective effect of oral glutamine pretreatment on intestinal mucosal integrity in a rat model of I/R.
  • To assess if glutamine supplementation can prevent I/R-induced increases in intestinal permeability, histopathological damage, and endotoxemia.

Main Methods:

  • A rat model of intestinal ischemia-reperfusion (I/R) was utilized.
  • Animals received either oral glutamine (1 g/kg for 4 days) or a normal diet prior to I/R.

Related Experiment Videos

  • Intestinal permeability, histopathological changes, and plasma endotoxin levels were measured.
  • Main Results:

    • Intestinal I/R significantly increased intestinal permeability, plasma endotoxin, and histopathological damage.
    • Glutamine pretreatment significantly reduced intestinal permeability following I/R.
    • No significant differences were observed in plasma endotoxin levels or histopathological findings between glutamine-treated and control groups post-I/R.

    Conclusions:

    • Oral glutamine pretreatment demonstrates a protective effect on intestinal mucosal permeability during I/R injury in rats.
    • The protective effect of glutamine did not translate to significant improvements in histopathological outcomes or plasma endotoxin levels.
    • Further research may be needed to elucidate the mechanisms and optimal conditions for glutamine's role in I/R injury.