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Nucleotides and Intestine

Department of Surgery , Osaka University Medical School

Masamori Kishibuchi, MD

Department of Surgery, Kaizuka Municipal Hospital

Shohei Iijima, MD

Department of Surgery, Shitennoji Hospital, Osaka, Japan

Masahiko Yano, MD

Department of Surgery , Osaka University Medical School

Morito Monden, MD

Department of Surgery , Osaka University Medical School

Background: Dietary nucleotides play an important role in the growth and development of the intestine. Parenteral supplementation of nucleic acids may be necessary to maintain the mucosal proliferation and barrier functions during parenteral nutrition (PN). Methods: Male Wistar rats were divided into 3 groups: FED (food ad libitum with saline infusion); PN (a standard PN solution); and OG (OG-6, a mixture of nucleotide and nucleosides, in addition to the PN solution). The mucosal wet weight, protein, and DNA contents, villous height and crypt depth, electronmicroscopic examination of the intercellular junctions, proliferating activity of the mucosal cells, mucosal permeability, bacterial translocation, and mucosal cathepsin activities were examined. Results: The wet weight, protein, and DNA contents of the jejunal mucosa were significantly increased in the OG group, compared with those in the PN group. The morphometric examination revealed a significant increase in the villous height but not in the crypt depth in the OG group. The widths of both the tight and intermediate junctions were narrower in the OG group than those in the PN group. The activity of diamine oxidase was increased in the OG group, compared with that in the PN group. The ratio of proliferating cell nuclear antigen positive cells and the index of bromodeoxy uridine labeling index in the OG group were as high as in the FED group, and significantly higher than those in the PN group. The portal concentration of fluorescein isothiocyanate-dextran 70,000 after intragastric loading was significantly higher in the PN group than that in OG group. Likewise, the rate of urinary lactulose excretion after intragastric loading was higher in the PN group. The positive rate of bacteria cultured in mesenteric lymph nodes was higher in the PN group than in the OG group although the difference was not significant. The activities of mucosal cathepsins (B, H, and L), markers for phagocytic degradation of extrinsic substances and organisms, were higher in the PN group than those in the OG and FED groups. Conclusions: Parenteral supplementation of nucleic acids supports the mucosal cell proliferation and functions. (Journal of Parenteral and Enteral Nutrition 23:S74-S77, 1999)

Journal of Parenteral and Enteral Nutrition, Vol. 23, No. 5 Suppl, S74-S77 (1999)
DOI: 10.1177/014860719902300519


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