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10.1097/SLA.0000000000000871

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suck abstract from ncbi


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pmid25115419
      Ann+Surg 2014 ; 260 (3 ): 432-43; discussion 443-4
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  • The enteric nervous system neuropeptide, bombesin, reverses innate immune impairments during parenteral nutrition #MMPMID25115419
  • Busch RA ; Heneghan AF ; Pierre JF ; Wang X ; Kudsk KA
  • Ann Surg 2014[Sep]; 260 (3 ): 432-43; discussion 443-4 PMID25115419 show ga
  • BACKGROUND: Lack of enteral stimulation during parenteral nutrition (PN) impairs mucosal immunity. Bombesin (BBS), a gastrin-releasing peptide analogue, reverses PN-induced defects in acquired immunity. Paneth cells produce antimicrobial peptides (AMPs) of innate immunity for release after cholinergic stimulation. OBJECTIVE: Determine if BBS restores AMPs and bactericidal function during PN. METHODS: Intravenously cannulated male ICR mice were randomized to Chow, PN, or PN+BBS (15 ?g 3 times daily, n = 7 per group) for 5 days. Ileum was analyzed for AMPs (Protein: sPLA2 by fluorescence, lysozyme and RegIII-? by western andcryptdin-4 by ELISA; mRNA: all by RT-PCR). Cholinergic stimulated (100 ?M bethanechol) ileal specimens assessed Pseudomonas bactericidal activity. Ileum (Chow: n = 7; PN: n = 9; PN+BBS: n = 8) was assessed for Escherichia coli invasion in ex-vivo culture. RESULTS: PN significantly decreased most AMPs versus Chow while BBS maintained Chow levels (sPLA2: Chow: 107 + 14*, PN: 44.6 + 7.2, PN+BBS: 78.7 + 13.4* Fl/min/?L/total protein; Lysozyme: Chow: 63.9 + 11.9*, PN: 26.8 + 6.2; PN+BBS: 64.9 + 13.8* lysozyme/total protein; RegIII-?: Chow: 51.5 + 10.0*, PN: 20.4 + 4.3, PN+BBS: 31.0 + 8.4 RegIII-?/total protein; Cryptdin-4: Chow: 18.4 + 1.5*, PN: 12.7 + 1.6, PN+BBS: 26.1 + 2.4*? pg/mg [all *P < 0.05 vs PN and ?P < 0.05 vs Chow]). Functionally, BBS prevented PN loss of bactericidal activity after cholinergic stimulation (Chow: 25.3 + 3.6*, PN: 13.0 + 3.2; PN+BBS: 27.0 + 4.7* percent bacterial killing, *P < 0.05 vs PN). BBS reduced bacterial invasion in unstimulated tissue barely missing significance (P = 0.06). CONCLUSIONS: The enteric nervous system (ENS) controls AMP levels in Paneth cells during PN but mucosal protection by innate immunity requires both ENS and parasympathetic stimulation.
  • |*Parenteral Nutrition [MESH]
  • |Animals [MESH]
  • |Bombesin/*administration & dosage [MESH]
  • |Ileum/metabolism [MESH]
  • |Immunity, Innate/*drug effects/physiology [MESH]
  • |Immunity, Mucosal/drug effects [MESH]
  • |Immunohistochemistry [MESH]
  • |Intestinal Mucosa/*immunology [MESH]
  • |Male [MESH]
  • |Mice, Inbred ICR [MESH]
  • |Muramidase/metabolism [MESH]
  • |Neurotransmitter Agents/*administration & dosage [MESH]
  • |Pancreatitis-Associated Proteins [MESH]
  • |Paneth Cells/*metabolism [MESH]
  • |Phospholipases A2, Secretory/metabolism [MESH]
  • |Proteins/metabolism [MESH]


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