Mariadason J M, Catto-Smith A, Gibson P R
University of Melbourne, Department of Medicine, Royal Melbourne Hospital, Victoria 3050, Australia.
Gut. 1999 Mar;44(3):394-9. doi: 10.1136/gut.44.3.394.
Dietary fibre influences the turnover and differentiation of the colonic epithelium, but its effects on barrier function are unknown.
To determine whether altering the type and amount of fibre in the diet affects paracellular permeability of intestinal epithelium, and to identify the mechanisms of action.
Rats were fed isoenergetic low fibre diets with or without supplements of wheat bran (10%) or methylcellulose (10%), for four weeks. Paracellular permeability was determined by measurement of conductance and 51Cr-EDTA flux across tissue mounted in Ussing chambers. Faecal short chain fatty acid (SCFA) concentrations were assessed by gas chromatography, epithelial kinetics stathmokinetically, and mucosal brush border hydrolase activities spectrophotometrically.
Body weight was similar across the dietary groups. Conductance and 51Cr-EDTA flux were approximately 25% higher in animals fed no fibre, compared with those fed wheat bran or methylcellulose in the distal colon, but not in the caecum or jejunum. Histologically, there was no evidence of epithelial injury or erosion associated with any diet. The fibres exerted different spectra of effects on luminal SCFA concentrations and pH, and on mucosal indexes, but both bulked the faeces, were trophic to the epithelium, and stimulated expression of a marker of epithelial differentiation.
Both a fermentable and a non-fermentable fibre reduce paracellular permeability specifically in the distal colon, possibly by promoting epithelial cell differentiation. The mechanisms by which the two fibres exert their effects are likely to be different.
膳食纤维会影响结肠上皮细胞的更新和分化,但其对屏障功能的影响尚不清楚。
确定改变饮食中纤维的类型和数量是否会影响肠上皮细胞的细胞旁通透性,并确定其作用机制。
给大鼠喂食等能量的低纤维饮食,添加或不添加麦麸(10%)或甲基纤维素(10%),持续四周。通过测量安装在尤斯灌流小室中的组织的电导和51Cr-乙二胺四乙酸通量来测定细胞旁通透性。通过气相色谱法评估粪便短链脂肪酸(SCFA)浓度,通过静止分析法评估上皮细胞动力学,通过分光光度法评估黏膜刷状缘水解酶活性。
各饮食组的体重相似。与喂食麦麸或甲基纤维素的动物相比,未喂食纤维的动物在远端结肠的电导和51Cr-乙二胺四乙酸通量高出约25%,但在盲肠或空肠中则没有这种情况。组织学检查没有发现与任何饮食相关的上皮损伤或糜烂迹象。两种纤维对肠腔SCFA浓度和pH值以及黏膜指标产生了不同的影响谱,但都使粪便体积增加,对上皮细胞有营养作用,并刺激上皮分化标志物的表达。
可发酵纤维和不可发酵纤维都能特异性地降低远端结肠的细胞旁通透性,可能是通过促进上皮细胞分化实现的。两种纤维发挥作用的机制可能不同。