Protective effect of glutamine on the main and adjacent organs damaged by ischemia-reperfusion in rats

Renata Minuzzo Hartmann1,2,3, Francielli Licks4,2,3, Elizângela Gonçalves Schemitt1,2,3

  • 1Graduate Program in Medicine: Medical Sciences, Universidade Federal do Rio Grande do Sul - UFRGS, Porto Alegre, Rio Grande do Sul, Brazil.

Protoplasma
|April 7, 2017
PubMed

Insights

Glutamine supplementation protected rats against intestinal ischemia and reperfusion (I/R) injury. It reduced tissue damage and oxidative stress markers in the intestine and liver, highlighting glutamine

Area of Science:

  • Gastroenterology
  • Cellular and Molecular Medicine
  • Surgical Research

Background:

  • Intestinal ischemia and reperfusion (I/R) causes significant tissue damage to the intestine and remote organs like the liver.
  • Oxidative stress, involving reactive oxygen species (ROS) and nitric oxide, along with altered cytoprotective enzyme activity, contributes to I/R injury.
  • Understanding protective mechanisms is crucial for mitigating I/R-induced organ damage.

Purpose of the Study:

  • To investigate the protective effects of glutamine pre-treatment on intestinal and liver tissues subjected to I/R injury in a rat model.
  • To evaluate the impact of glutamine on oxidative stress markers, inflammatory responses, and key protein expressions related to cellular protection.

Main Methods:

  • Twenty male Wistar rats were divided into four groups: sham-operated (SO), glutamine + SO (G+SO), I/R, and glutamine + I/R (G+I/R).
  • Intestinal I/R was induced by 30 minutes of superior mesenteric artery (SMA) occlusion followed by 15 minutes of reperfusion.
  • Glutamine (25 mg/kg/day) was administered 24 and 48 hours pre-injury. Blood and tissue samples were analyzed for biochemical markers, histopathology, and protein expression (e.g., IL-1β, TNF-α, Nrf2, SOD, HSP70) via Western blot.

Main Results:

  • Glutamine pre-treatment significantly reduced tissue damage, aspartate aminotransferase (AST), alanine aminotransferase (ALT), and markers of oxidative stress (TBARS, nitric oxide) in the G+I/R group compared to the I/R group.
  • Expression of pro-inflammatory cytokines (IL-1β, TNF-α) and endoplasmic reticulum stress markers (GRP78, ATF-6) were significantly lower in the G+I/R group.
  • Conversely, the expression of the antioxidant transcription factor Nrf2 and cytoprotective enzymes (SOD, NQO1) and heat shock protein (HSP70) was significantly upregulated in the G+I/R group.

Conclusions:

  • Pre-treatment with glutamine demonstrates significant protective effects against intestinal and liver injury induced by I/R in rats.
  • Glutamine mitigates I/R-induced damage by reducing oxidative stress, inflammation, and endoplasmic reticulum stress, while enhancing the Nrf2-mediated antioxidant response.
  • These findings suggest glutamine as a potential therapeutic agent for preventing or treating I/R injury in clinical settings.

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