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Role of metabolic changes of mucosal layer in the intestinal barrier dysfunction following trauma/hemorrhagic shock
Authors:Ran Zhu  Xiao-chun Ma
Affiliation:Department of Critical Care Medicine, the First Hospital of China Medical University, Shenyang, Liaoning 110001, China
Abstract:

Background

The mucosal layer plays an important role in regulating the intestinal barrier function. However, the underlying mechanisms of intestinal barrier dysfunction caused by trauma-hemorrhagic shock (THS) are still unknown.

Methods

In this study, we examined the barrier damages, inflammatory responses as well as the metabolic changes of the mucosal layer of the colon in a THS rat model.

Results

The results showed that compared to the rats treated with trauma only, THS induced marked failure of intestinal barrier characterized by increased intestinal permeability, inflammatory cell infiltration and decreased expression of genes involved in epithelial integrity. Moreover, decreased colonic mucus content and goblet cell numbers indicated that the mucosal layer was also impaired in response to THS. This was companied by the anomalous inflammatory responses in the tissue. Finally, microdialysis catheter examination showed that metabolites including glycerol, glucose, lactate and pyruvate, glutamate and glutamine were also altered by THS.

Conclusion

Our results provide evidence that mucus layer-associated metabolic changes may contribute to the THS-induced intestinal barrier dysfunction.
Keywords:THS  trauma-hemorrhagic shock  MODS  multiorgan dysfunction syndrome  TSS  trauma-sham shock  PBS  phosphate buffered saline  H&E  hematoxylin and eosin  AB  alcian blue  ELISA  enzyme-linked immunosorbent assay  qRT-PCR  quantitative real-time PCR  Trauma-hemorrhagic shock  THS  Mucosal layer  Intestinal barrier dysfunction  Trauma/hemorrhagic shock  Multiorgan dysfunction syndrome
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