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Testing Epithelial Permeability in Fetal Tissue-Derived Enteroids
Published on: June 16, 2022
Does intestinal permeability lead to organ failure in experimental necrotizing enterocolitis?
Augusto Zani1, Marco Ghionzoli, Giuseppe Lauriti
1Surgery Unit, Department of Surgery, Institute of Child Health, 30 Guilford Street, London, WC1N 1EH, UK.
Pediatric Surgery International
|October 27, 2009
Summary
Necrotizing enterocolitis (NEC) in rats increases intestinal permeability, leading to cardiac and renal failure. This suggests cardiac failure, secondary to inflammation from increased gut permeability, may cause mortality in NEC.
Area of Science:
- Neonatal research
- Gastroenterology
- Pathophysiology
Background:
- The rat gavage model is crucial for studying necrotizing enterocolitis (NEC) pathogenesis and treatment.
- While NEC models show intestinal damage, they rarely exhibit intestinal perforation or organ failure.
- The occurrence of organ failure in experimental NEC models remains largely uncharacterized.
Purpose of the Study:
- To investigate the hypothesis that increased intestinal permeability contributes to organ failure in experimental NEC.
- To assess cardiac and renal function in a rat model of NEC.
Main Methods:
- NEC was induced in neonatal rats using hypertonic formula, hypoxia, and lipopolysaccharide.
- Intestinal permeability was measured using the lactulose/mannitol ratio via gas chromatography-mass spectrometry.
- Cardiac damage and renal failure were assessed by measuring plasma cardiac troponin-I and creatinine levels, respectively.
Main Results:
- Experimental NEC significantly increased intestinal permeability (P = 0.0002).
- Increased intestinal permeability was strongly associated with cardiac damage (P < 0.0001) and renal failure (P = 0.004).
Conclusions:
- Experimental NEC leads to increased intestinal permeability, correlating with cardiac and renal damage.
- Rat mortality in NEC models may result from cardiac failure, potentially triggered by inflammation stemming from heightened intestinal permeability.
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