Influences of Vagotomy on Gut Ischemia-Reperfusion Injury in Mice

Motonari Ri1, Kazuhiko Fukatsu, Taiki Miyakuni

  • 1*Department of Gastrointestinal Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan †Department of Surgical Center, The University of Tokyo, Tokyo, Japan ‡Department of Digestive Surgery, Nihon University School of Medicine, Tokyo, Japan §Department of Laboratory of Veterinary Surgery, The University of Tokyo, Tokyo, Japan.

Shock (Augusta, Ga.)
|November 1, 2016
PubMed
Abstract

Insights

Vagotomy significantly worsens survival and increases inflammatory cytokines in the gut after ischemia-reperfusion injury. This study highlights the negative impact of vagotomy on host responses to gut I/R.

Area of Science:

  • Gastroenterology
  • Surgical Research
  • Immunology

Background:

  • The impact of vagotomy on host responses to gut ischemia-reperfusion (I/R) remains largely unexplored.
  • Gut I/R is a critical condition with significant morbidity and mortality.

Purpose of the Study:

  • To investigate how vagotomy influences the host's response to gut ischemia-reperfusion (I/R).
  • To assess the effects of vagotomy on survival, cytokine profiles, and intestinal tissue damage following gut I/R.

Main Methods:

  • Three experiments were conducted using male Institute of Cancer Research mice.
  • Experiment 1 assessed survival in I/R versus vagotomy-I/R groups over 48 hours.
  • Experiments 2 and 3 evaluated plasma and tissue cytokine levels (IL-6, MCP-1, IFN-γ, TNF-α) and gut histology at various time points post-reperfusion, including ex vivo tissue culture.

Main Results:

  • Vagotomy significantly worsened survival rates in mice subjected to gut I/R compared to controls.
  • Vagotomy led to increased levels of pro-inflammatory cytokines, including IL-6 and MCP-1 in plasma and jejunum, and IFN-γ in the jejunum.
  • Severe intestinal injury was observed in the vagotomy-I/R group, with correlations between plasma and intestinal cytokine levels.

Conclusions:

  • Vagotomy exacerbates the negative outcomes of gut ischemia-reperfusion.
  • The combined effect of vagotomy and I/R results in heightened systemic and local inflammation and increased tissue damage.
  • These findings suggest that vagotomy may compromise the host's ability to manage gut I/R injury.

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