Glutamine-supplemented total parenteral nutrition improves gut immune function

Arch Surg. 1989 Dec;124(12):1396-9. doi: 10.1001/archsurg.1989.01410120042009.

Abstract

Glutamine has been demonstrated to be an important source of fuel for the gut. The purpose of this study was to evaluate the effect of glutamine-supplemented hyperalimentation on gut immune function. Thirty-six female Fischer rats were randomized into three groups: group 1 (chow) was fed rat chow and water ad libitum, group 2 (total parenteral nutrition) received a standard hyperalimentation formula, and group 3 (total parenteral nutrition-glutamine) received a hyperalimentation solution that contained 2% glutamine. Animals were maintained on their respective diets for 2 weeks and then killed. Mesenteric lymph nodes were harvested for culture, bile was assayed for secretory IgA, and bowel was excised to assay bacterial adherence. Results indicated that glutamine-supplemented total parenteral nutrition protects against bacterial translocation from the gut seen with standard formulas. This effect may be mediated by the secretory IgA immune system.

MeSH terms

  • Animals
  • Bacteria / isolation & purification
  • Bacterial Adhesion / immunology
  • Bile / immunology
  • Cecum / immunology
  • Cecum / microbiology
  • Female
  • Glutamine / administration & dosage*
  • Ileum / immunology
  • Ileum / microbiology
  • Immunoglobulin A, Secretory / analysis*
  • Intestines / immunology*
  • Intestines / microbiology
  • Lymph Nodes / microbiology
  • Mesentery
  • Parenteral Nutrition, Total*
  • Rats
  • Rats, Inbred F344

Substances

  • Immunoglobulin A, Secretory
  • Glutamine