Skip to main content
Erschienen in: Digestive Diseases and Sciences 3/2009

01.03.2009 | Original Article

Partially Hydrolyzed Guar Gum Attenuates the Severity of Pouchitis in a Rat Model of Ileal J Pouch-Anal Anastomosis

verfasst von: Koray Atila, Cem Terzi, Aras Emre Canda, Serpil Tanriverdi Akhisaroglu, Hatice Sanli Avci, Sulen Sarioglu, Gulgun Oktay, Zeynep Gulay

Erschienen in: Digestive Diseases and Sciences | Ausgabe 3/2009

Einloggen, um Zugang zu erhalten

Abstract

We aimed to evaluate the efficacy of treatment with partially hydrolyzed guar gum (PHGG) using a rat model of ileal pouch-anal anastomosis and pouchitis. In the J pouch groups, tissue myeloperoxidase activities were significantly higher than native myeloperoxidase activities (P = 0.020; P = 0.015; P = 0.004, respectively). A statistically significant difference in total histological score was detected in the J pouch + 5% dextran sulfate sodium (DSS) group, compared to the J pouch control and the J pouch + 5% DSS + PHGG groups (P < 0.01 and P < 0.01, respectively). There was a significant overgrowth of aerobes and anaerobes in the J pouch + 5% DSS group. This study demonstrated that rectal administration of PHGG attenuates the severity of pouchitis in a rat model. In conclusion, PHGG may be an additional therapeutic strategy for the treatment of pouchitis.
Literatur
2.
Zurück zum Zitat Sandborn WJ (1994) Pouchitis following ileal pouch-anal anastomosis: definition, pathogenesis and treatment. Gastroenterology 107:1856–1860PubMed Sandborn WJ (1994) Pouchitis following ileal pouch-anal anastomosis: definition, pathogenesis and treatment. Gastroenterology 107:1856–1860PubMed
5.
Zurück zum Zitat Salemans JM, Nagengast FM, Lubbers EJ, Kuijpers JH (1992) Postoperative and long term results of ileal pouch-anal anastomosis for ulcerative colitis and familial polyposis coli. Dig Dis Sci 37:1882–1889. doi:10.1007/BF01308083 PubMedCrossRef Salemans JM, Nagengast FM, Lubbers EJ, Kuijpers JH (1992) Postoperative and long term results of ileal pouch-anal anastomosis for ulcerative colitis and familial polyposis coli. Dig Dis Sci 37:1882–1889. doi:10.​1007/​BF01308083 PubMedCrossRef
6.
Zurück zum Zitat Marcello PW, Roberts PL, Schoetz DJ Jr, Coller JA, Murray JJ, Veidenheimer MC (1993) Long-term results of the ileoanal pouch procedure. Arch Surg 128:500–503PubMed Marcello PW, Roberts PL, Schoetz DJ Jr, Coller JA, Murray JJ, Veidenheimer MC (1993) Long-term results of the ileoanal pouch procedure. Arch Surg 128:500–503PubMed
9.
Zurück zum Zitat Sandborn WJ (1997) Pouchitis: definition, risk factors, frequency, natural history, classification and public health perspective. In: McLeod RS (ed) Trends in inflammatory bowel disease therapy 1996. Kluwer Academic Publishers, Hingham, MA, USA Sandborn WJ (1997) Pouchitis: definition, risk factors, frequency, natural history, classification and public health perspective. In: McLeod RS (ed) Trends in inflammatory bowel disease therapy 1996. Kluwer Academic Publishers, Hingham, MA, USA
10.
Zurück zum Zitat Lohmuller JL, Pemberton JH, Dozois RR, Ilstrup D, van Heerden J (1990) Pouchitis and extra intestinal manifestations of inflammatory bowel disease after ileal pouch anal anastomosis. Ann Surg 211:622–627PubMed Lohmuller JL, Pemberton JH, Dozois RR, Ilstrup D, van Heerden J (1990) Pouchitis and extra intestinal manifestations of inflammatory bowel disease after ileal pouch anal anastomosis. Ann Surg 211:622–627PubMed
11.
Zurück zum Zitat Hurst RD, Molinari M, Chung TP, Rubin M, Michelassi F (1996) Prospective study of the incidence, timing and treatment of pouchitis in 104 consecutive patients after restorative proctocolectomy. Arch Surg 131:497–500PubMed Hurst RD, Molinari M, Chung TP, Rubin M, Michelassi F (1996) Prospective study of the incidence, timing and treatment of pouchitis in 104 consecutive patients after restorative proctocolectomy. Arch Surg 131:497–500PubMed
12.
Zurück zum Zitat Gionchetti P, Rizzello F, Venturi A, Brigidi P, Matteuzzi D, Bazzocchi G et al (2000) Oral bacteriotherapy as maintenance treatment in patients with chronic pouchitis: a double-blind, placebo-controlled trial. Gastroenterology 119:305–309. doi:10.1053/gast.2000.9370 PubMedCrossRef Gionchetti P, Rizzello F, Venturi A, Brigidi P, Matteuzzi D, Bazzocchi G et al (2000) Oral bacteriotherapy as maintenance treatment in patients with chronic pouchitis: a double-blind, placebo-controlled trial. Gastroenterology 119:305–309. doi:10.​1053/​gast.​2000.​9370 PubMedCrossRef
13.
Zurück zum Zitat Mimura T, Rizzello F, Helwig U, Poggioli G, Schreiber S, Talbot IC et al (2004) Once daily high dose probiotic therapy (VSL #3) for maintaining remission in recurrent or refractory pouchitis. Gut 53:108–114. doi:10.1136/gut.53.1.108 PubMedCrossRef Mimura T, Rizzello F, Helwig U, Poggioli G, Schreiber S, Talbot IC et al (2004) Once daily high dose probiotic therapy (VSL #3) for maintaining remission in recurrent or refractory pouchitis. Gut 53:108–114. doi:10.​1136/​gut.​53.​1.​108 PubMedCrossRef
15.
Zurück zum Zitat Wischmeyer P, Pemberton JH, Phillips SF (1993) Chronic pouchitis after ileal pouch-anal anastomosis: responses to butyrate and glutamine suppositories in a pilot study. Mayo Clin Proc 68:978–981PubMed Wischmeyer P, Pemberton JH, Phillips SF (1993) Chronic pouchitis after ileal pouch-anal anastomosis: responses to butyrate and glutamine suppositories in a pilot study. Mayo Clin Proc 68:978–981PubMed
17.
Zurück zum Zitat Breuer RI, Soergel KH, Lashner BA, Christ ML, Hanauer SB, Vanagunas A et al (1997) Short chain fatty acid rectal irrigation for left-sided ulcerative colitis: a randomised, placebo controlled trial. Gut 40:485–491PubMed Breuer RI, Soergel KH, Lashner BA, Christ ML, Hanauer SB, Vanagunas A et al (1997) Short chain fatty acid rectal irrigation for left-sided ulcerative colitis: a randomised, placebo controlled trial. Gut 40:485–491PubMed
18.
Zurück zum Zitat Breuer RI, Buto SK, Christ ML, Bean J, Vemia P, Paoluzi P et al (1991) Rectal irrigation with short-chain fatty acids for distal ulcerative colitis: preliminary report. Dig Dis Sci 36:185–187. doi:10.1007/BF01300754 PubMedCrossRef Breuer RI, Buto SK, Christ ML, Bean J, Vemia P, Paoluzi P et al (1991) Rectal irrigation with short-chain fatty acids for distal ulcerative colitis: preliminary report. Dig Dis Sci 36:185–187. doi:10.​1007/​BF01300754 PubMedCrossRef
19.
Zurück zum Zitat Roediger WEW (1982) Utilization of nutrients by isolated epithelial cells of the rat colon. Gastroenterology. 83:424–429PubMed Roediger WEW (1982) Utilization of nutrients by isolated epithelial cells of the rat colon. Gastroenterology. 83:424–429PubMed
21.
Zurück zum Zitat Roediger WEW, Duncan A, Kapaniris O, Millard S (1993) Reducing sulfur compounds of the colon impair colonocyte nutrition: implications for ulcerative colitis. Gastroenterology 104:802–829PubMed Roediger WEW, Duncan A, Kapaniris O, Millard S (1993) Reducing sulfur compounds of the colon impair colonocyte nutrition: implications for ulcerative colitis. Gastroenterology 104:802–829PubMed
22.
Zurück zum Zitat Patz J, Jacobsohn WZ, Gottschalk-Sabag S, Zeides S, Braverman DZ (1996) Treatment of refractory distal ulcerative colitis with short chain fatty acid enemas. Am J Gastroenterol 91:731–734PubMed Patz J, Jacobsohn WZ, Gottschalk-Sabag S, Zeides S, Braverman DZ (1996) Treatment of refractory distal ulcerative colitis with short chain fatty acid enemas. Am J Gastroenterol 91:731–734PubMed
23.
Zurück zum Zitat Steihart AH, Brzezinski A, Baker JP (1994) Treatment of refractory ulcerative proctosigmoiditis with butyrate enemas. Am J Gastroenterol 89:179–183 Steihart AH, Brzezinski A, Baker JP (1994) Treatment of refractory ulcerative proctosigmoiditis with butyrate enemas. Am J Gastroenterol 89:179–183
28.
Zurück zum Zitat Onderdonk AB, Richardson JA, Hammer RE, Taurog JD (1998) Correlation of cecal microflora of HLA-B27 transgenic rats with inflammatory bowel disease. Infect Immun 66:6022–6023PubMed Onderdonk AB, Richardson JA, Hammer RE, Taurog JD (1998) Correlation of cecal microflora of HLA-B27 transgenic rats with inflammatory bowel disease. Infect Immun 66:6022–6023PubMed
31.
Zurück zum Zitat Merrett MN, Owen RW, Jewell DP (1997) Ileal pouch dialysate is cytotoxic to epithelial cell lines, but not to CaCo-2 monolayer. Eur J Gastroenterol Hepatol 9:1219–1226PubMed Merrett MN, Owen RW, Jewell DP (1997) Ileal pouch dialysate is cytotoxic to epithelial cell lines, but not to CaCo-2 monolayer. Eur J Gastroenterol Hepatol 9:1219–1226PubMed
32.
33.
Zurück zum Zitat Breider MA, Eppinger M, Gough A (1997) Intercellular adhesion molecule-1 expression in dextran sodium sulfate-induced colitis in rats. Vet Pathol 34:598–604PubMedCrossRef Breider MA, Eppinger M, Gough A (1997) Intercellular adhesion molecule-1 expression in dextran sodium sulfate-induced colitis in rats. Vet Pathol 34:598–604PubMedCrossRef
36.
Zurück zum Zitat Loria V, Dato I, Graziani F, Biasucci LM (2008) Myeloperoxidase: a new biomarker of inflammation in ischemic heart disease and acute coronary syndromes. Mediators Inflamm 135625 (in process citation). doi:10.1155/2008/135625 Loria V, Dato I, Graziani F, Biasucci LM (2008) Myeloperoxidase: a new biomarker of inflammation in ischemic heart disease and acute coronary syndromes. Mediators Inflamm 135625 (in process citation). doi:10.​1155/​2008/​135625
37.
Zurück zum Zitat Bulois P, Tremaine WJ, Maunoury V, Gambiez L, Hafraouri S, Leteurtre Cortot A et al (2000) Pouchitis is associated with mucosal imbalance between interleukin-8 and interleukin-10. Inflamm Bowel Dis 6:157–164PubMed Bulois P, Tremaine WJ, Maunoury V, Gambiez L, Hafraouri S, Leteurtre Cortot A et al (2000) Pouchitis is associated with mucosal imbalance between interleukin-8 and interleukin-10. Inflamm Bowel Dis 6:157–164PubMed
38.
Zurück zum Zitat Mazzucchelli L, Hauser C, Zgraggen K, Wagner H, Hess M, Laissue JA et al (1994) Expression of interleukin-8 gene in inflammatory bowel disease is related to the histological grade of active inflammation. Am J Pathol 144:997–1007PubMed Mazzucchelli L, Hauser C, Zgraggen K, Wagner H, Hess M, Laissue JA et al (1994) Expression of interleukin-8 gene in inflammatory bowel disease is related to the histological grade of active inflammation. Am J Pathol 144:997–1007PubMed
40.
Zurück zum Zitat Kanauchi O, Iwanaga T, Andoh A, Araki Y, Nakamura T, Mitsuyama K et al (2001) Dietary fiber fraction of germinated barley foodstuff attenuated mucosal damage and diarrhea, and accelerated the repair of the colonic mucosa in an experimental colitis. J Gastroenterol Hepatol 16:160–168. doi:10.1046/j.1440-1746.2001.02427.x PubMedCrossRef Kanauchi O, Iwanaga T, Andoh A, Araki Y, Nakamura T, Mitsuyama K et al (2001) Dietary fiber fraction of germinated barley foodstuff attenuated mucosal damage and diarrhea, and accelerated the repair of the colonic mucosa in an experimental colitis. J Gastroenterol Hepatol 16:160–168. doi:10.​1046/​j.​1440-1746.​2001.​02427.​x PubMedCrossRef
Metadaten
Titel
Partially Hydrolyzed Guar Gum Attenuates the Severity of Pouchitis in a Rat Model of Ileal J Pouch-Anal Anastomosis
verfasst von
Koray Atila
Cem Terzi
Aras Emre Canda
Serpil Tanriverdi Akhisaroglu
Hatice Sanli Avci
Sulen Sarioglu
Gulgun Oktay
Zeynep Gulay
Publikationsdatum
01.03.2009
Verlag
Springer US
Erschienen in
Digestive Diseases and Sciences / Ausgabe 3/2009
Print ISSN: 0163-2116
Elektronische ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-008-0377-9

Weitere Artikel der Ausgabe 3/2009

Digestive Diseases and Sciences 3/2009 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Erhebliches Risiko für Kehlkopfkrebs bei mäßiger Dysplasie

29.05.2024 Larynxkarzinom Nachrichten

Fast ein Viertel der Personen mit mäßig dysplastischen Stimmlippenläsionen entwickelt einen Kehlkopftumor. Solche Personen benötigen daher eine besonders enge ärztliche Überwachung.

Nach Herzinfarkt mit Typ-1-Diabetes schlechtere Karten als mit Typ 2?

29.05.2024 Herzinfarkt Nachrichten

Bei Menschen mit Typ-2-Diabetes sind die Chancen, einen Myokardinfarkt zu überleben, in den letzten 15 Jahren deutlich gestiegen – nicht jedoch bei Betroffenen mit Typ 1.

15% bedauern gewählte Blasenkrebs-Therapie

29.05.2024 Urothelkarzinom Nachrichten

Ob Patienten und Patientinnen mit neu diagnostiziertem Blasenkrebs ein Jahr später Bedauern über die Therapieentscheidung empfinden, wird einer Studie aus England zufolge von der Radikalität und dem Erfolg des Eingriffs beeinflusst.

Costims – das nächste heiße Ding in der Krebstherapie?

28.05.2024 Onkologische Immuntherapie Nachrichten

„Kalte“ Tumoren werden heiß – CD28-kostimulatorische Antikörper sollen dies ermöglichen. Am besten könnten diese in Kombination mit BiTEs und Checkpointhemmern wirken. Erste klinische Studien laufen bereits.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.