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Gut 1999;45:89-96 ( July )

Article

Saccharomyces boulardii upgrades cellular adaptation after proximal enterectomy in rats J-P Butsa, N De Keysera, S Marandia, D Hermansa, E M Sokala, Y-H E Chaeb, L Lambotteb, H Chanteuxc, P M Tulkensc

a Laboratory of Paediatric Gastroenterology and Nutrition, Faculty of Medicine, Catholic University of Louvain, Brussels, Belgium, b Laboratory of Experimental Surgery, Faculty of Medicine, Catholic University of Louvain, Brussels, Belgium , c Unit of Cellular and Molecular Pharmacology, Faculty of Medicine, Catholic University of Louvain, Brussels, Belgium

Correspondence to: Dr J-P Buts, Department of Pediatrics, Cliniques Universitaires St-Luc, 10 Avenue Hippocrate, B-1200 Brussels, Belgium.

Accepted for publication 2 February 1999

BACKGROUND---Saccharomyces boulardii is a non-pathogenic yeast which exerts trophic effects on human and rat small intestinal mucosa.
AIMS---To examine the effects of S boulardii on ileal adaptation after proximal enterectomy in rats.
METHODS---Wistar rats, aged eight weeks, underwent 60% proximal resection or transection and received by orogastric intubation either 1 mg/g body wt per day lyophilised S boulardii or the vehicle for seven days. The effects on ileal mucosal adaptation were assessed eight days after surgery.
RESULTS---Compared with transection, resection resulted in mucosal hyperplasia with significant decreases in the specific and total activities of sucrase, lactase, and maltase. Treatment of resected animals with S boulardii had no effect on mucosal hyperplasia but did upgrade disaccharidase activities to the levels of the transected group. Enzyme stimulation by S boulardii was associated with significant increases in diamine oxidase activity and mucosal polyamine concentrations. Likewise, sodium dependent D-glucose uptake by brush border membrane vesicles, measured as a function of time and glucose concentration in the incubation medium, was significantly (p<0.05) increased by 81% and three times respectively in the resected group treated with S boulardii. In agreement with this, expression of the sodium/glucose cotransporter-1 in brush border membranes of resected rats treated with S boulardii was enhanced twofold compared with resected controls.
CONCLUSION---Oral administration of S boulardii soon after proximal enterectomy improves functional adaptation of the remnant ileum.


Keywords: Saccharomyces boulardii; intestine; adaptation; polyamines; brush border membrane enzymes; glucose uptake


© 1999 by Gut



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