Rohweder J, Runkel N, Fromm M, Schulzke J D, Buhr H J
Chirurgische Klinik I, Allgemeine, Viszerale und Thoraxchirurgie, Universitätsklinikum Benjamin Franklin, Freie Universität Berlin, D-12200 Berlin.
Langenbecks Arch Chir Suppl Kongressbd. 1998;115(Suppl I):223-7.
The aim of this study was to analyze the effect of enterally given zinc on the impaired epithelial barrier function in experimental TNBS colitis in rats. Rats in therapy group were zinc-fed in therapeutic dose. 48 hours after induction of TNBS colitis the rats were killed, the distal colon was resected and mounted into an Ussing chamber. The following electrophysiological measurements were carried out: 1. Flux measurements for Na+ and mannitol as a parameter of paracellular permeability, 2. Resistance measurements of the colon, distinguishing between pure epithelial resistance and resistance of the subepithelial tissue. In TNBS colitis we found a marked increase of both fluxes as a parameter of enhanced paracellular permeability (factor 3). Further there was a drastic reduction of total resistance, and especially of pure epithelial resistance indicating a massive epithelial barrier defect. In rats treated by zinc the increase of paracellular permeability was increased only by a factor of 2, and there was only a moderate decrease of resistance. For the first time we demonstrated zinc to have a protective effect on damaged mucosal barrier function in TNBS colitis. These results confirm the data collected in guinea pigs with malnutrition, whose intestinal integrity could be improved by zinc. Further studies are necessary in order to test whether this protective effect of zinc on mucosa barrier in experimental colitis may be relevant also in human ulcerative colitis.
本研究旨在分析经肠道给予锌对实验性三硝基苯磺酸(TNBS)诱导的大鼠结肠炎中受损上皮屏障功能的影响。治疗组大鼠以治疗剂量喂食锌。在诱导TNBS结肠炎48小时后处死大鼠,切除远端结肠并安装到尤斯灌流小室中。进行了以下电生理测量:1. 测量Na+和甘露醇的通量作为细胞旁通透性的参数;2. 测量结肠的电阻,区分纯上皮电阻和上皮下组织的电阻。在TNBS结肠炎中,我们发现作为细胞旁通透性增强参数的两种通量均显著增加(增加了3倍)。此外,总电阻,尤其是纯上皮电阻急剧降低,表明存在大量上皮屏障缺陷。在锌治疗的大鼠中,细胞旁通透性仅增加了2倍,电阻仅适度降低。我们首次证明锌对TNBS结肠炎中受损的黏膜屏障功能具有保护作用。这些结果证实了在营养不良豚鼠中收集的数据,其肠道完整性可通过锌得到改善。有必要进行进一步研究,以测试锌在实验性结肠炎中对黏膜屏障的这种保护作用是否也与人类溃疡性结肠炎相关。