Iiboshi Y, Nezu R, Khan J, Chen K, Cui L, Yoshida H, Wasa M, Fukuzawa M, Kamata S, Takagi Y, Okada A
Department of Pediatric Surgery, Osaka University Medical School, Japan.
JPEN J Parenter Enteral Nutr. 1996 Nov-Dec;20(6):406-11. doi: 10.1177/014860719602000606.
From the developmental aspects, the distribution of fluorescein isothiocyanate dextran 70,000 (FTTC-dextran) and mucous gel across the lumen of small intestine was observed as an investigation into the role of mucous gel on intestinal permeability. Furthermore, the effect of N-acetyl cysteine (NAC), a mucolytic agent, on intestinal permeability was examined.
In suckling and weaned rats, FTTC-dextran (750 mg/kg body wt) was gavage-fed. After 3 hours, blood samples were taken by cardiac puncture to analyze plasma FTTC-dextran by fluorescence spectrometry. Samples of small intestine with luminal contents were frozen and sectioned in a cryostat for fluorescence microscopy; the same sections were placed in a 0.2% celloidin solution to preserve mucous gel and were stained by periodic acid-Schiff reaction for light microscopy. In weaned rats, intestinal permeability was examined with different concentrations of intraluminally instilled NAC.
The plasma level of FTTC-dextran showed a significant increase (p < .01) in suckling rats compared with the weaned rats. Morphologic findings were similar in both the jejunum and ileum: The spaces between villi were not entirely filled with mucus but filled with FTTC-dextran in suckling rats, whereas the spaces were filled with mucus and not filled with FTTC-dextran in weaned rats. Intestinal permeability in groups with NAC were significantly higher (p < .01) than that in group without NAC.
These results suggest that an increase in the mucous gel layer that coats the epithelial lining according to the maturation of the gastrointestinal tract is one of the most important factors for a restriction in intestinal permeability.
从发育角度出发,观察了异硫氰酸荧光素葡聚糖70000(FTTC - 葡聚糖)和黏液凝胶在小肠腔内的分布情况,以此研究黏液凝胶对肠道通透性的作用。此外,还检测了黏液溶解剂N - 乙酰半胱氨酸(NAC)对肠道通透性的影响。
对乳鼠和断奶大鼠经口灌胃给予FTTC - 葡聚糖(750 mg/kg体重)。3小时后,通过心脏穿刺采集血样,用荧光光谱法分析血浆中的FTTC - 葡聚糖。将带有肠腔内容物的小肠样本冷冻,在低温恒温器中切片用于荧光显微镜检查;将相同切片置于0.2%火棉胶溶液中以保存黏液凝胶,并用高碘酸 - 席夫反应染色用于光学显微镜检查。在断奶大鼠中,用不同浓度的腔内注入NAC检测肠道通透性。
与断奶大鼠相比,乳鼠血浆中FTTC - 葡聚糖水平显著升高(p < 0.01)。空肠和回肠的形态学结果相似:在乳鼠中,绒毛间隙未完全充满黏液,而是充满了FTTC - 葡聚糖;而在断奶大鼠中,绒毛间隙充满了黏液,未充满FTTC - 葡聚糖。NAC组的肠道通透性显著高于无NAC组(p < 0.01)。
这些结果表明,随着胃肠道成熟,覆盖上皮内衬的黏液凝胶层增加是限制肠道通透性的最重要因素之一。