Bernardshaw Soosaipillai, Hetland Geir, Grinde Bjørn, Johnson Egil
Department of Gastroenterological Surgery, Ulleval University Hospital, Oslo, Norway.
Shock. 2006 Apr;25(4):420-5. doi: 10.1097/01.shk.0000209526.58614.92.
Bacterial septicemia is frequently occurring during gastroenterological surgery. Because of increasing problems in hospitals with bacteria developing multiresistance against antibiotics, prophylactic treatment using immunomodulators is interesting. We have examined the putatively anti-infective immunomodulatory action of the edible mushroom, Agaricus blazei Murill (AbM), in an experimental peritonitis model in BALB/c mice. The mice were orally given an extract of AbM or phosphate-buffered saline 1 day before the induction of peritonitis with various concentrations of feces from the mice. The state of septicemia, as measured by the number of colony-forming units of bacteria in blood, and the survival rate of the animals were compared between the groups. Mice that were orally treated with AbM extract before bacterial challenge showed significantly lower levels of septicemia and improved survival rates. Our findings suggest that the AbM extract, when given prophylactically, may improve health. Further studies are needed on humans when considering whether AbM could be used as an alternative treatment modality for patients at risk of contracting serious bacterial peritonitis.
细菌性败血症在胃肠外科手术期间经常发生。由于医院中细菌对抗生素产生多重耐药性的问题日益严重,使用免疫调节剂进行预防性治疗备受关注。我们在BALB/c小鼠的实验性腹膜炎模型中研究了食用蘑菇姬松茸(AbM)假定的抗感染免疫调节作用。在用来自小鼠的不同浓度粪便诱导腹膜炎前1天,给小鼠口服AbM提取物或磷酸盐缓冲盐水。比较各组之间通过血液中细菌菌落形成单位数量衡量的败血症状态以及动物的存活率。在细菌攻击前口服AbM提取物治疗的小鼠败血症水平显著降低,存活率提高。我们的研究结果表明,预防性给予AbM提取物可能改善健康状况。在考虑AbM是否可作为有发生严重细菌性腹膜炎风险患者的替代治疗方式时,还需要对人类进行进一步研究。