Melatonin reduces bacterial translocation by preventing damage to the intestinal mucosa in an experimental severe

Xuecheng Sun1, Yingying Shao, Yin Jin

  • 1Department of Gastroenterology and Hepatology, First Affiliated Hospital of Wenzhou Medical College, Wenzhou, Zhejiang 325000, P.R. China.

Insights

Melatonin treatment significantly improved gut barrier function and reduced bacterial translocation in rats with severe acute pancreatitis (SAP). This suggests melatonin may prevent infections and lower mortality in SAP patients.

Area of Science:

  • Gastroenterology
  • Endocrinology
  • Surgical Research

Background:

  • Melatonin has shown anti-inflammatory and cytoprotective effects in acute pancreatitis.
  • The impact of melatonin on gut barrier integrity and bacterial translocation in severe acute pancreatitis (SAP) remains unclear.

Purpose of the Study:

  • To investigate the protective effects of melatonin on intestinal integrity in a rat model of SAP.
  • To determine if melatonin prevents gut barrier dysfunction and reduces bacterial translocation in SAP.

Main Methods:

  • Severe acute pancreatitis (SAP) was induced in Sprague Dawley rats using taurocholate injection.
  • Rats received melatonin treatment prior to pancreatitis induction.
  • Gut barrier integrity was assessed by measuring bacterial translocation (Escherichia coli O157 DNA) and analyzing intestinal microvilli structure.

Main Results:

  • Melatonin treatment significantly reduced Escherichia coli DNA levels in the blood compared to the SAP group.
  • Villus height and crypt depth in the ileum were significantly preserved in the melatonin-treated group compared to the SAP group.
  • No Escherichia coli DNA was detected in the sham operation group.

Conclusions:

  • Melatonin administration effectively prevents gut barrier dysfunction in a rat model of severe acute pancreatitis.
  • Melatonin treatment reduces bacterial translocation, potentially decreasing pancreatic-associated infections and early mortality.
  • Melatonin shows promise as a therapeutic agent for managing severe acute pancreatitis.

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