Diestel Cristina F, Marques Ruy G, Lopes-Paulo Francisco, Paiva Daurita, Horst Nara L, Caetano Carlos Eduardo R, Portela Margareth C
Laboratory of Experimental Surgery, Department of General Surgery, Rio de Janeiro State University, Rio de Janeiro, Brazil.
Int J Colorectal Dis. 2007 Dec;22(12):1523-9. doi: 10.1007/s00384-007-0341-8. Epub 2007 Aug 10.
Radiotherapy is frequently used for cancer treatment, but it may be associated with several complications. Thus, this study aimed to evaluate the role of L-glutamine and/or glycine supplementation on the colonic wall in rats submitted to abdominal radiation.
Sixty adult Wistar rats were randomly divided into six groups: I-healthy, II (control)-irradiated rats without amino acid supplementation, III-irradiated rats with glycine supplementation, IV-irradiated rats with L-glutamine supplementation, V-irradiated rats with glycine supplementation 7 days before irradiation and with L-glutamine supplementation 7 days after irradiation, and VI-irradiated rats with L-glutamine supplementation 7 days before irradiation and with glycine supplementation 7 days after irradiation. Abdominal irradiation was employed with a dose of 1,000 cGy on the eighth day of the experiment. All animals underwent laparotomy on the 15th day for resection of a colonic segment for stereologic analysis. Parametric and nonparametric tests were used for statistical analysis, with the level of significance set at p<or=0.05.
Control animals (group II) presented a significantly smaller total volume of colonic wall when compared to animals of groups I, III, IV, V, and VI. There was a significant increase in mucosal layer volume in the animals of group IV compared to animals of groups I, II, and III.
Our findings suggest that L-glutamine and/or glycine supplementation is beneficial for the repair of the colonic wall of rats, but L-glutamine, with its trophic effects on the colonic mucosa, seems to exhibit better results.
放射疗法常用于癌症治疗,但可能会引发多种并发症。因此,本研究旨在评估补充L-谷氨酰胺和/或甘氨酸对接受腹部放疗的大鼠结肠壁的作用。
60只成年Wistar大鼠随机分为六组:I组为健康组,II组(对照组)为接受放疗但未补充氨基酸的大鼠,III组为接受放疗并补充甘氨酸的大鼠,IV组为接受放疗并补充L-谷氨酰胺的大鼠,V组为在放疗前7天补充甘氨酸且在放疗后7天补充L-谷氨酰胺的大鼠,VI组为在放疗前7天补充L-谷氨酰胺且在放疗后7天补充甘氨酸的大鼠。在实验的第八天进行腹部放疗,剂量为1000 cGy。所有动物在第15天接受剖腹手术,切除一段结肠进行体视学分析。采用参数检验和非参数检验进行统计分析,显著性水平设定为p≤0.05。
与I组、III组、IV组、V组和VI组的动物相比,对照组动物(II组)的结肠壁总体积明显较小。与I组、II组和III组的动物相比,IV组动物的黏膜层体积显著增加。
我们的研究结果表明,补充L-谷氨酰胺和/或甘氨酸对大鼠结肠壁的修复有益,但L-谷氨酰胺对结肠黏膜具有营养作用,似乎表现出更好的效果。