Effect of probiotics enteral nutrition on the inflammatory response and immune function in rats with acute necrotizing pancreatitis
10.3760/cma.j.issn.1674-1935.2010.01.013
- VernacularTitle:益生菌型肠内营养对急性坏死性胰腺炎大鼠炎症反应和免疫功能的影响
- Author:
Xiaoliang WANG
;
Zhigang TANG
;
Haiyan WENG
;
Qiang HUANG
;
Jiong CHEN
;
Ye HU
- Publication Type:Journal Article
- Keywords:
Pancreatitis,acute necrotizing;
Enteral nutrition;
Problotics
- From:
Chinese Journal of Pancreatology
2010;10(1):40-43
- CountryChina
- Language:Chinese
-
Abstract:
Objectives To evaluate the effect of probiotics enteral nutrition therapy on the inflammatory reaction and immune function in acute necrotizing pancreatits(ANP)in rats.Methods 100 SD rats were divided randomly into control group(C group,n=20),ANP gruop,enteral nutrition group (EN group,n=20),probiotics group(P group,n=20)and enteral nutrition plus probiotics group(PEN group,n=20),ANP were induced by retrograde injection of 5% sodium tautocholate(1.5ml/kg)into the biliary and pancreatic duct.The nasojejunal tube was placed via gastric route.The rats were sacrificed at 12h,24h,48h and 72h after ANP modeling.Serum MIF and amylase levels,as well as CD_3~+,CD_4~+,CD_8~+were measured and MIF was determined by immunohistochemistry and the histopathological changes in pancreatic tissue were observed.Results Serum MIF and amvlase levels were all increase when compared with that in C group.72h after ANP modeling,srum MIF leves in EN,P,PEN groups were(117.59±1.86)μg/L,(108.39±1.99) μg/L and (95.33±1.96) μg/L,respectivdy;serum amylase levels were (2799±161)U/L,(2482±140)U/L and (2146±572 )U/L,respectively;the values in P and PEN groups were significantly lower than that of EN group(P<0.05),the values in PEN groups were significantly lower than that of P group (P<0.05 ).After ANP induction,CD_4~+/CD_8~+ values in EN,P and PEN groups were 0.93±0.12,1.31±0.13,1.51±0.10,respectively;the values in P and PEN groups were significantly higher than that of EN group(P<0.05 ),the values in PEN groups were significantly higher than that of P group (P<0.05 ).MIF positive rates in C,ANP,EN,P and PEN group were 45%,96%,95%,65% and 60% ,respectively;the values in P and PEN groups were significantly lower than those of ANP and EN group (P<0.05 ).At 72 h,the damage of pancreatic tissue was more severe in EN and P groups than that in PEN group.Conclusions Probioties enteral nutrition could effectively regulate inflammation mediator and cytokines in rats with ANP,and enhance immune function.