Raguso C A, Leverve X, Pichard C
Division of Clinical Nutrition, University Hospital, Geneva, Switzerland.
Clin Nutr. 2002 Dec;21(6):487-90. doi: 10.1054/clnu.2002.0579.
Radiation injury to the gut induces nutrient losses that compromise the body ability to adequately fight infection, heal wounds and recover from illness. Recombinant growth hormone (rhGH), is known to enhance anabolism, therefore, we tested the hypothesis that rhGH preserves whole body growth and trophism of the jejunum and ileum of irradiated rats.
After acclimatization period, the rats were divided in three groups: (1). control rats (C), (2). rats irradiated with a single dose of 10 Gy (group A); (3). rats irradiated with a single dose of 5 Gy (Group B); after irradiation, rats were given subcutaneously (sc) saline or 0.25 or 0.50 mg rhGH/kg BW/d for the following 6 days. Body weight changes were recorded during this time. On day 6 post-radiation, rats were killed and small intestine mucosa dry and wet weights were measured, as well as mucosa protein content.
Group A rats lost body weight during the 6-day post-radiation period, regardless of rhGH treatment and dosage. rhGH was effective in preventing weight loss and normalizing growth in group B rats (saline 23.1+/-11.1, vs. controls P<0.05; rhGH: 35.0+/-10.0 g BW/d, vs. controls P = ns). Trophic effect of rhGH was observed on mucosa weight and mucosa protein content in rats irradiated with 5 Gy, but not in those receiving 10 Gy.
rhGH seems to normalize growth and mucosa protein content in irradiated rats. However, rhGH beneficial effects were observed only in rats receiving the lower dose of radiation.
肠道辐射损伤会导致营养物质流失,进而损害身体充分抵抗感染、愈合伤口和从疾病中恢复的能力。已知重组生长激素(rhGH)可增强合成代谢,因此,我们检验了rhGH能维持受辐照大鼠全身生长以及空肠和回肠营养状态的假说。
在适应期后,将大鼠分为三组:(1)对照大鼠(C组);(2)接受单次10 Gy照射的大鼠(A组);(3)接受单次5 Gy照射的大鼠(B组);照射后,在接下来的6天里给大鼠皮下注射生理盐水或0.25或0.50 mg rhGH/kg体重/天。在此期间记录体重变化。在辐射后第6天,处死大鼠并测量小肠黏膜的干重和湿重以及黏膜蛋白含量。
A组大鼠在辐射后的6天内体重下降,无论rhGH治疗和剂量如何。rhGH有效预防了B组大鼠体重减轻并使其生长恢复正常(生理盐水组23.1±11.1,与对照组相比P<0.05;rhGH组:35.0±10.0 g体重/天,与对照组相比P =无显著差异)。在接受5 Gy照射的大鼠中观察到rhGH对黏膜重量和黏膜蛋白含量有营养作用,但在接受10 Gy照射的大鼠中未观察到。
rhGH似乎能使受辐照大鼠的生长和黏膜蛋白含量恢复正常。然而,仅在接受较低辐射剂量的大鼠中观察到rhGH的有益作用。