Effect of total parenteral nutrition, systemic sepsis, and glutamine on gut mucosa in rats

S. Yoshida, M. J. Leskiw, M. D. Schluter, K. T. Bush, R. G. Nagele, S. Lanza-Jacoby, T. P. Stein

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    84 Scopus citations

    Abstract

    The effect of the combination of total parenteral nutrition (TPN) and systemic sepsis on mucosal morphology and protein synthesis was investigated. Rats were given a standard TPN mixture consisting of glucose (216 kcal · kg-1 · day-1), lipid (24 kcal · kg-1 · day-1), and amino acids (1.5 g N · kg-1 · day-1) for 5 days. On the 5th day the rats (n = 37) were randomized into four groups according to diet as follows: 1) control nonseptic on standard TPN, 2) control nonseptic on TPN with glutamine, 3) septic on standard TPN, and 4) septic with the TPN supplemented with glutamine. Twenty hours after the injection of Escherichia coli, the rats were given a 4-h constant infusion of [U-14C]leucine to determine the mucosal fractional protein synthesis rates. The following results were obtained. 1) Histological examination showed that systemic sepsis caused tissue damage to the ileum and jejunum. 2) Glutamine supplementation attenuated these changes. 3) There were no visible changes to the colon either from glutamine supplementation or sepsis. 4) Sepsis was associated with an increase in mucosal protein synthesis and decreased muscle synthesis. 5) Addition of glutamine to the TPN mix further increased protein synthesis in the intestinal mucosa of septic rats.

    Original languageEnglish (US)
    Pages (from-to)E368-E373
    JournalAmerican Journal of Physiology - Endocrinology and Metabolism
    Volume263
    Issue number2 26-2
    DOIs
    StatePublished - 1992

    All Science Journal Classification (ASJC) codes

    • Endocrinology, Diabetes and Metabolism
    • Physiology
    • Physiology (medical)

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