Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2001-4-30
pubmed:abstractText
This study was performed to compare the effects of recombinant human growth hormone (rhGH), glutamine (Gln) and simultaneous treatment with rhGH and Gln in rats subjected to 75% intestinal resection and maintained with parenteral nutrition (PN) for 6 days. Morphological changes including mucosal thickness, villus height, crypt depths and villus surface area of the residue jejunum were measured under a light microscope; expression of PCNA as an index of cell proliferation and apoptotic cells were observed using immunohistochemical staining; Ileal IGF-1 mRNA was determined by Northern blot analysis. The morphological parameters of the jejunal mucosa in rats treated with PN alone were only about 52-62% of those in reference group (P<0.01), this atrophy of the jejunal mucosa was accompanied by a 2.5-fold decrease in absolute counts of PCNA and a 10-fold increase in apoptotic index (P<0.01), IGF-1 mRNA transcript in residue ileum was decreased significantly (P<0.01). However, with rhGH or Gln, the mucosal architecture was improved significantly and was further improved when rhGH and Gln were given together, the morphological values in rats treated with Gln+rhGH was 79% higher than those with PN alone, and was associated with a 2-fold increase in PCNA counts and a 4-fold decrease in apoptotic index (P<0.01), IGF-1 mRNA expression was 78% higher than those with PN alone (P<0.01). We conclude that rhGH and Gln have synergistic effects on adaptation of the intestinal remnant in parenterally fed, short-bowel rats. The underlying mechanisms are associated with increased proliferation and decreased apoptosis in the intestinal epithelial cells. Local intestinal production of IGF-1 plays an important role in adaptation of the small intestine. Our findings support the concept that specific gut-trophic nutrients and growth factors may be combined to enhance the intestinal adaptation.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0261-5614
pubmed:author
pubmed:copyrightInfo
Copyright 2001 Harcourt Publishers Ltd.
pubmed:issnType
Print
pubmed:volume
20
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
159-66
pubmed:dateRevised
2003-11-14
pubmed:meshHeading
pubmed-meshheading:11327744-Adaptation, Biological, pubmed-meshheading:11327744-Animals, pubmed-meshheading:11327744-Apoptosis, pubmed-meshheading:11327744-Atrophy, pubmed-meshheading:11327744-Dietary Supplements, pubmed-meshheading:11327744-Drug Synergism, pubmed-meshheading:11327744-Glutamine, pubmed-meshheading:11327744-Growth Hormone, pubmed-meshheading:11327744-Immunohistochemistry, pubmed-meshheading:11327744-Insulin-Like Growth Factor I, pubmed-meshheading:11327744-Intestinal Mucosa, pubmed-meshheading:11327744-Intestines, pubmed-meshheading:11327744-Male, pubmed-meshheading:11327744-Parenteral Nutrition, pubmed-meshheading:11327744-RNA, Messenger, pubmed-meshheading:11327744-Random Allocation, pubmed-meshheading:11327744-Rats, pubmed-meshheading:11327744-Rats, Sprague-Dawley, pubmed-meshheading:11327744-Short Bowel Syndrome
pubmed:year
2001
pubmed:articleTitle
Effects of growth hormone (rhGH) and glutamine supplemented parenteral nutrition on intestinal adaptation in short bowel rats.
pubmed:affiliation
Department of Surgery, Zhongshan Hospital, Shanghai, 200032, PR China.
pubmed:publicationType
Journal Article