Celikkaya Mehmet Emin, Akcora Bulent, Hakverdi Sibel, Ozer Burcin, Ulutas Kemal Turker, Duran Nizami
Department of Pediatric Surgery, Mustafa Kemal University School of Medicine, Hatay, Turkey.
Department of Pathology, Mustafa Kemal University School of Medicine, Hatay, Turkey.
Eurasian J Med. 2019 Jun;51(2):106-111. doi: 10.5152/eurasianjmed.2019.18426.
The aim of this study was to investigate the protective effects of the combined use of probiotic strains on the development of bacterial translocation in addition to liver and intestinal tissue damage due to biliary obstruction in rats.
Here, 3 groups each consisting of 10 rats were created:group 1 (sham group), group 2 (obstructive jaundice), and group 3 (obstructive jaundice+probiotic). Groups 1 and 2 were given 1 cc physiological saline solution by oral gavage twice a day; group 3 was given a probiotic solution that included Lactobacillus acidophilus, and microorganisms by oral gavage twice a day.
Markers for liver damage were also found to be significantly improved (p0.05) in the treatment group (group 3). When compared with groups 2 and 3 in terms of liver histology, damage was found to be significantly more severe in group 2 (p<0.01). With regard to ileal villous depth and ileal inflammation, the pathology was found to be significantly more severe in group 2 than that in group 3 (p<0.05). In blood, spleen, and mesenteric lymph node cultures, group 2 showed a microbiological growth rate of 33.8-58.8%, whereas group 3 showed a microbiological growth rate of 14.3-28.6%. This reduction was evaluated to be statistically significant (p<0.05).
Our study showed that the combined use of a probiotic in bile duct obstructions reduced bacterial translocation and alleviated pathological changes arising in the liver and terminal ileum histology.
本研究旨在探讨联合使用益生菌菌株对大鼠胆汁淤积所致细菌移位以及肝脏和肠道组织损伤的保护作用。
本研究将30只大鼠分为3组,每组10只:第1组(假手术组)、第2组(梗阻性黄疸组)和第3组(梗阻性黄疸+益生菌组)。第1组和第2组每天经口灌胃给予1毫升生理盐水,第3组每天经口灌胃给予包含嗜酸乳杆菌等微生物的益生菌溶液。
治疗组(第3组)的肝损伤标志物也有显著改善(p<0.05)。在肝脏组织学方面,与第2组和第3组相比,第2组的损伤明显更严重(p<0.01)。在回肠绒毛深度和回肠炎症方面,第2组的病理变化明显比第3组更严重(p<0.05)。在血液、脾脏和肠系膜淋巴结培养中,第2组的微生物生长率为33.8%-58.8%,而第3组为14.3%-28.6%。这种降低被评估具有统计学意义(p<0.05)。
我们的研究表明,在胆管梗阻中联合使用益生菌可减少细菌移位,并减轻肝脏和回肠末端组织学中出现的病理变化。