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GUT 1997;41:487-493 ( October )

Prophylactic effect of dietary glutamine supplementation on interleukin 8 and tumour necrosis factor alpha  production in trinitrobenzene sulphonic acid induced colitis

C K Ameho,a A A Adjei,b E K Harrison,c K Takeshita,a T Morioka,d Y Arakaki,d E Ito,d I Suzuki,g A D Kulkarni,e A Kawajiri,f S Yamamotoh

a Department of Nutrition, University of the Ryukyus, Nishihara, Okinawa 903-01, Japan, b Department of Bacteriology, c Department of Adult Health, d First Department of Pathology, University of the Ryukyus, e Department of Surgery, St Louis Medical Center, St Louis, USA, f Daidochuo Hospital, Naha, Okinawa, Japan, g Department of Nutrition, Kumamoto Prefectural University, Kumamoto, Japan, h Department of Nutrition, Facultyof Medicine, University of Tokushima, 3 Kuramoto, Tokushima 770, Japan

Correspondence to: Professor S Yamamoto.

Accepted for publication 25 March 1997

Background---It is well established that glutamine supplemented elemental diets result in less severe intestinal damage in experimental colitis. However, few studies have examined the mode of action of glutamine in reducing intestinal damage.
Aims---To examine the effects of glutamine supplemented elemental diets on the potent inflammatory cytokines interleukin 8 (IL-8) and tumour necrosis factor alpha  (TNF-alpha ) in trinitrobenzene sulphonic acid (TNBS) induced colitis which presents with both acute and chronic features of ulcerative colitis.
Methods---Sprague-Dawley rats were randomised into three dietary groups and fed 20% casein (controls), or 20% casein supplemented with either 2% glutamine (2% Gln) or 4% glutamine (4% Gln). After two weeks they received intracolonic TNBS to induce colitis.
Results---Both Gln groups of rats gained more weight than the control group (p<0.05) which had progressive weight loss. Colon weight, macroscopic, and microscopic damage scores for the Gln groups were lower than in the control group (p<0.05). IL-8 and TNF-alpha concentrations in inflamed colonic tissues were lower in the Gln groups than in the control group (p<0.05), and correlated well with disease severity. Bacterial translocation was lower both in incidence (p<0.05) and in the number of colony forming units (p<0.05) for the Gln groups, than in the control group. With respect to all indices studied, the 4% Gln group performed better than did the 2% Gln group.
Conclusion---Prophylactic glutamine supplementation modulates the inflammatory activities of IL-8 and TNF-alpha in TNBS induced colitis.
(GUT 1997;41:487-493)

Keywords: glutamine;  trinitrobenzene sulphonic acid;  inflammatory bowel disease;  rats;  interleukin 8;  tumour necrosis factor alpha


© 1997 by Gut



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