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Effects of endotoxin on intestinal hemodynamics, glutamine metabolism, and function
Authors:S. M. Manzurul Haque  Kai Chen  Noriaki Usui  Yasuhiko Iiboshi  Hiroomi Okuyama  Akira Masunari  Riichiro Nezu  Yoji Takagi  Akira Okada
Affiliation:(1) Department of Pediatric Surgery, Osaka University Medical School, 2-2 Yamadaoka, 565 Suita-shi, Osaka, Japan;(2) First Department of Surgery, Osaka University Medical School, 2-2 Yamadaoka, 565 Suita-shi, Osaka, Japan
Abstract:The purpose of this study was to investigate the intestinal hemodynamics and gut glutamine metabolism during endotoxemia, and their correlation with altered intestinal absorptive capacity and permeability. Seventeen Sprague-Dawley rats were used in the study. The endotoxin group (ENDO) recieved endotoxin (10 mg/kg intraperitoneally,n=9), while the control group (CONT,n=8) received saline injection. Twelve hours later, D-xylose (0.5 g/kg) and fluorescein isothiocyanate-dextran (FITC-dextran, 750 mg/kg) were given by oral gavage. One hour later abdominal aortic (AA) blood flow, superior mesenteric venous (SMV) flow, mean arterial pressure (MAP), central venous pressure (CVP), and SMV pressure (SMVP) were also measured. The MAP, AA, and SMV blood flow decreased (P<0.05), while the CVP and SMVP increased (P<0.05) in the ENDO group as compared with the CONT group. The ENDO group showed significant decreases for both intestinal glutaminase activity and net intestinal glutamine uptake (P<0.05). The D-xylose concentration in SMV decreased significantly (P<0.05) in the ENDO group as compared with the CONT group. However, the plasma FITC-dextran concentration showed no significant difference between the groups. Endotoxin produced a hypodynamic effect in rats 12h after intraperitoneal administration in association with both a decreased intestinal glutamine metabolism and an absorptive capacity.
Keywords:endotoxin  intestinal hemodynamics  glutamine flux  gut absorptive capacity
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