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产后奶牛静脉输注氨基酸后脂多糖激发试验:II. 临床及炎症反应

Lipopolysaccharide challenge following intravenous amino acid infusion in postpartum dairy cows: II. Clinical and inflammatory responses.

作者信息

Chandler T L, Westhoff T A, Sipka A S, Overton T R, Mann S

机构信息

Department of Population Medicine and Diagnostic Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853.

Department of Animal Science, College of Agriculture and Life Sciences, Cornell University, Ithaca, NY 14853.

出版信息

J Dairy Sci. 2022 May;105(5):4611-4623. doi: 10.3168/jds.2021-21227. Epub 2022 Mar 10.

Abstract

Amino acids (AA) are integral nutrients for a functioning immune system. Postpartum cows experience AA deficits early postpartum that may influence the response to immune activation. This study investigated the clinical and inflammatory responses to a systemic inflammatory stimulus after a 4-d intravenous (IV) AA infusion with a mix of essential and nonessential AA designed to ameliorate the estimated metabolizable protein deficit in early postpartum cows. Our objectives were (1) to describe the clinical and inflammatory response to an acute IV lipopolysaccharide (LPS) challenge in early postpartum cows, and (2) to compare these clinical and inflammatory responses between IV AA-treated and control cows. Cows (n = 14, 4 ± 1 d in milk) were continuously infused IV for 4 d in a matched-pair randomized controlled design and received 0.9% NaCl (CTRL) or IV AA (IVAA) to supply 1 g/kg of BW per day of combined essential and nonessential AA. After infusion ended, cows were challenged with IV LPS (0.0625 µg/kg of BW over 1 h), and serial blood samples were collected for complete blood cell counts and to quantify plasma cytokines and acute-phase proteins. Body temperature, heart rate, and respiratory rate were monitored for 24 h during challenge. During challenge, maximum body temperature was greater in IVAA (41.3 ± 0.20°C) than in CTRL (40.6 ± 0.19°C). In both groups, respiratory rate increased during the first 2 h following challenge, whereas heart rate first decreased over the first 2 h and then increased to reach a maximum at 4 h. Acute leucopenia occurred within 1 h of challenge in both groups before leukocytosis was observed at 24 h, with white blood cell counts returning to baseline values within 72 h. Plasma haptoglobin and serum amyloid A concentrations increased 3-fold and 4-fold in both groups and peaked at 48 and 24 h following challenge, respectively. Plasma concentrations of TNF-α and IL-10 increased within 1 h and peaked at 2 h following the start of challenge. Plasma IL-10 concentrations increased to a greater extent in CTRL compared with IVAA during challenge. Despite differences in IL-10 concentration, previous AA infusion did not alter the acute-phase protein response to LPS challenge. We conclude that AA infusion before systemic inflammatory challenge decreased the anti-inflammatory response but did not alter concentrations of other systemic markers of inflammation.

摘要

氨基酸(AA)是正常运转的免疫系统不可或缺的营养物质。产后母牛在产后早期会出现氨基酸缺乏,这可能会影响其对免疫激活的反应。本研究调查了在产后早期母牛中,通过静脉输注4天的必需氨基酸和非必需氨基酸混合物以改善估计的可代谢蛋白质缺乏后,对全身炎症刺激的临床和炎症反应。我们的目标是:(1)描述产后早期母牛对急性静脉注射脂多糖(LPS)刺激的临床和炎症反应;(2)比较静脉注射氨基酸治疗组和对照组母牛的这些临床和炎症反应。采用配对随机对照设计,对14头处于产奶期4±1天的母牛连续静脉输注4天,一组接受0.9%氯化钠溶液(对照组),另一组接受静脉注射氨基酸(IVAA),以每天每千克体重1克的量提供必需氨基酸和非必需氨基酸的混合物。输注结束后,给母牛静脉注射LPS(1小时内每千克体重0.0625微克)进行刺激,并采集系列血样进行全血细胞计数,以及定量血浆细胞因子和急性期蛋白。在刺激过程中监测体温、心率和呼吸频率24小时。在刺激过程中,IVAA组的最高体温(41.3±0.20℃)高于对照组(40.6±0.19℃)。两组在刺激后的前2小时内呼吸频率均增加,而心率在最初2小时先下降,然后在4小时时升至最高。两组在刺激后1小时内均出现急性白细胞减少,随后在24小时观察到白细胞增多,白细胞计数在72小时内恢复至基线值。两组血浆触珠蛋白和血清淀粉样蛋白A浓度分别增加3倍和4倍,分别在刺激后48小时和24小时达到峰值。血浆TNF-α和IL-10浓度在刺激开始后1小时内升高,并在2小时时达到峰值。在刺激过程中,对照组血浆IL-10浓度相比IVAA组升高幅度更大。尽管IL-10浓度存在差异,但先前的氨基酸输注并未改变对LPS刺激的急性期蛋白反应。我们得出结论,在全身炎症刺激前输注氨基酸会降低抗炎反应,但不会改变其他全身炎症标志物的浓度。

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