Wu X, Li J, Li N
Institute of General Surgery, Nanjing General Hospital, People's Liberation Army, Nanjing 210002.
Zhonghua Wai Ke Za Zhi. 1999 Jun;37(6):375-8, 23.
To evaluate the effects of n-3 fatty acid (n-3 FA), fructose-1, 6-diphosphate (FDP) and glutamine (GLN) on mucosal cell proliferation and apoptosis of small bowel graft.
196 inbred strain Wistar rats underwent heterotopic small bowel transplantation (SBT) as donors and recipients respectively. n-3FA, FDP and GLN were given via gastrolavage as well as venous infusion within total parenteral nutrition (TPN) solution for 10 days before and after surgery. Flow cytometry and in situ cell death detection were used for analysing the changes of mucosal cell proliferation and apoptosis.
Fewer proliferation and more apoptosis took place in mucosal cells of small bowel graft after transplantation. A higher mucosal cell proliferative index and lower apoptotic index were found in all small bowel graft after supplying with n-3FA, FDP and GLN.
n-3FA, FDP and GLN specific nutritional support significantly promoted mucosal cell proliferation, and on the other hand inhibited mucosal cell from undergoing apoptosis with different degrees. The effects of regulation help improve the structure and absorption function of transplanted small bowel.
评估n-3脂肪酸(n-3 FA)、果糖-1,6-二磷酸(FDP)和谷氨酰胺(GLN)对小肠移植物黏膜细胞增殖和凋亡的影响。
196只近交系Wistar大鼠分别作为供体和受体进行异位小肠移植(SBT)。在手术前后10天,通过胃灌洗以及在全胃肠外营养(TPN)溶液中静脉输注给予n-3FA、FDP和GLN。采用流式细胞术和原位细胞死亡检测分析黏膜细胞增殖和凋亡的变化。
移植后小肠移植物的黏膜细胞增殖减少,凋亡增多。给予n-3FA、FDP和GLN后,所有小肠移植物的黏膜细胞增殖指数升高,凋亡指数降低。
n-3FA、FDP和GLN特定营养支持显著促进黏膜细胞增殖,另一方面不同程度地抑制黏膜细胞凋亡。这种调节作用有助于改善移植小肠的结构和吸收功能。