Department of Surgery, National Defense Medical College, Tokorozawa, Japan.
JPEN J Parenter Enteral Nutr. 2011 Sep;35(5):616-24. doi: 10.1177/0148607110395512. Epub 2011 Apr 20.
Experimental intravenous (IV) parenteral nutrition (PN) diminishes gut-associated lymphoid tissue (GALT) cell number and function. PN solution cannot maintain GALT at the same level as a normal diet, even when delivered intragastrically (IG). Previous studies demonstrated pyrroloquinoline quinone (PQQ)-deficient mice to be less immunologically responsive. Because standard (STD) PN solution lacks PQQ, PQQ supplementation may prevent PN-induced GALT changes. This study was designed to determine the influence of adding PQQ to PN on GALT.
In experiment 1, mice (n = 32) were randomized to chow, IV-STD-PN, and IV-PQQ-PN groups. The chow group was fed chow with the same caloric content as PN. The IV-STD-PN group received STD-PN solution, whereas the IV-PQQ-PN group was given PQQ (3 mcg/d)-enriched PN by the IV route. After 5 days of feeding, lymphocytes were isolated from the Peyer's patch (PPs), intraepithelial space (IE), and lamina propria (LP) of the small intestine. GALT lymphocyte number and phenotype (αβTCR+, γδTCR+, CD4+, CD8+, B220+ cells) and intestinal immunoglobulin A (IgA) level were determined. In experiment 2, mice (n = 28) were randomized to IG-STD-PN or IG-PQQ-PN group. After IG nutrition supports, GALT mass and function were determined as in experiment 1.
The IV-PQQ-PN group showed increased PP lymphocyte number and PP CD8+ cell number compared with the IV-STD PN group. The IG-PQQ-PN group had significantly greater PP lymphocyte number and PP CD4+ cell numbers than the IG-STD-PN group. Neither IV nor IG PQQ treatment raised IgA level.
PQQ added to PN partly restores GALT mass, although its effects on GALT function remain unclear.
实验性静脉内(IV)肠外营养(PN)会减少肠道相关淋巴组织(GALT)的细胞数量和功能。即使通过胃内(IG)给予 PN 溶液,它也不能将 GALT 维持在与正常饮食相同的水平。先前的研究表明吡咯喹啉醌(PQQ)缺乏的小鼠免疫反应较低。由于标准(STD)PN 溶液缺乏 PQQ,因此补充 PQQ 可能会防止 PN 引起的 GALT 变化。本研究旨在确定向 PN 添加 PQQ 对 GALT 的影响。
在实验 1 中,将小鼠(n = 32)随机分为正常饮食组、IV-STD-PN 组和 IV-PQQ-PN 组。正常饮食组给予与 PN 相同热量的正常饮食。IV-STD-PN 组给予 STD-PN 溶液,而 IV-PQQ-PN 组通过 IV 途径给予富含 PQQ(3 mcg/d)的 PN。喂养 5 天后,从小肠的派尔集合淋巴结(PPs)、上皮内空间(IE)和固有层(LP)分离淋巴细胞。测定 GALT 淋巴细胞数量和表型(αβTCR+、γδTCR+、CD4+、CD8+、B220+细胞)和肠道免疫球蛋白 A(IgA)水平。在实验 2 中,将小鼠(n = 28)随机分为 IG-STD-PN 或 IG-PQQ-PN 组。IG 营养支持后,按照实验 1 测定 GALT 质量和功能。
IV-PQQ-PN 组的 PP 淋巴细胞数量和 PP CD8+细胞数量高于 IV-STD-PN 组。IG-PQQ-PN 组的 PP 淋巴细胞数量和 PP CD4+细胞数量明显高于 IG-STD-PN 组。IV 和 IG 给予 PQQ 均未提高 IgA 水平。
PN 中添加 PQQ 部分恢复了 GALT 质量,但对 GALT 功能的影响仍不清楚。