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R J Playford
a University Division
of Gastroenterology, Leicester General Hospital, Gwendolen Road,
Leicester LE5 4PW, UK, b Histopathology Unit, Imperial Cancer Research
Fund, 35 Correspondence to: Professor
Playford. Accepted for publication 13 January 1999
BACKGROUND Keywords:
gastrointestinal tract;
intestinal injury;
repair;
nutrition
43 Lincoln's Inn Fields, London WC1A 3PN, UK, c Scientific Hospital
Supplies International Ltd, 100 Wavertree Boulevard, Liverpool L7 9PT,
UK
Non-steroidal
anti-inflammatory drugs (NSAIDs) are effective for arthritis but
cause gastrointestinal injury. Bovine colostrum is a rich source of
growth factors and is marketed as a health food supplement.
AIMS
To examine whether spray
dried, defatted colostrum or milk preparations could reduce
gastrointestinal injury caused by indomethacin.
METHODS
Effects of test solutions,
administered orally, were examined using an indomethacin restraint rat
model of gastric damage and an indomethacin mouse model of small
intestinal injury. Effects on migration of the human colonic carcinoma
cell line HT-29 and rat small intestinal cell line RIE-1 were assessed
using a wounded monolayer assay system (used as an in vitro model of wound repair) and effects on proliferation determined using
[3H]thymidine incorporation.
RESULTS
Pretreatment with 0.5 or 1 ml colostral preparation reduced gastric injury by 30% and 60%
respectively in rats. A milk preparation was much less efficacious.
Recombinant transforming growth factor
added at a dose similar to
that found in the colostrum preparation (12.5 ng/rat), reduced injury
by about 60%. Addition of colostrum to drinking water (10% vol/vol)
prevented villus shortening in the mouse model of small intestinal
injury. Addition of milk preparation was ineffective. Colostrum
increased proliferation and cell migration of RIE-1 and HT-29 cells.
These effects were mainly due to constituents of the colostrum with
molecular weights greater than 30 kDa.
CONCLUSIONS
Bovine colostrum could
provide a novel, inexpensive approach for the prevention and treatment
of the injurious effects of NSAIDs on the gut and may also be of value
for the treatment of other ulcerative conditions of the bowel.
(Gut 1999;44:653-658)
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