Serum vitamin A and E improve neonatal necrotizing enterocolitis through activation of SOD/GPx pathway

Jing Liu1, Yanan Li2, Wen Hu1

  • 1Department of Clinical Nutrition, West China Hospital of Sichuan University, Chengdu, Sichuan, 610041, China.

Insights

Vitamins A and E may protect newborns from necrotizing enterocolitis (NEC). Supplementation reduced inflammation and intestinal damage by activating the SOD/GPx pathway, suggesting a key role in infant gut health.

Area of Science:

  • Neonatal Medicine
  • Nutritional Immunology
  • Gastroenterology

Background:

  • Necrotizing enterocolitis (NEC) is a severe gastrointestinal disease affecting newborns.
  • Vitamins A and E are recognized for their anti-inflammatory and immune-modulating properties.

Purpose of the Study:

  • To elucidate the mechanisms by which vitamins A and E impact neonatal NEC.
  • To investigate the role of these vitamins in modulating NF-κB, gut microbiota, and inflammatory cytokines.

Main Methods:

  • Serum vitamin A and E levels were quantified in healthy and NEC neonates and mice.
  • An experimental NEC model was utilized, with interventions including vitamin A/E supplementation, SOD/GPx inhibition (DDC), and SOD/GPx activation (DDW).
  • Intestinal pathology and serum inflammatory markers were assessed post-intervention.

Main Results:

  • NEC subjects exhibited significantly lower serum vitamin A and E levels, inversely correlated with disease severity.
  • Vitamin A or E supplementation ameliorated intestinal damage in NEC mice.
  • Combined vitamin A and E treatment synergistically activated the SOD/GPx pathway, enhancing anti-inflammatory effects and improving NEC symptoms.

Conclusions:

  • Vitamins A and E show potential in mitigating NEC by modulating inflammatory responses through the SOD/GPx pathway.
  • The observed correlation between vitamin levels and NEC severity highlights their importance in maintaining intestinal homeostasis.
  • Further research into the microbiota-modulating effects of vitamins A and E in NEC is warranted.
Abstract