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10.1097/MPG.0000000000000678

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suck abstract from ncbi


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pmid25539191
      J+Pediatr+Gastroenterol+Nutr 2015 ; 60 (5 ): 613-20
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  • Oral administration of surfactant protein-a reduces pathology in an experimental model of necrotizing enterocolitis #MMPMID25539191
  • Quintanilla HD ; Liu Y ; Fatheree NY ; Atkins CL ; Hashmi SS ; Floros J ; McCormack FX ; Rhoads JM ; Alcorn JL
  • J Pediatr Gastroenterol Nutr 2015[May]; 60 (5 ): 613-20 PMID25539191 show ga
  • OBJECTIVES: Necrotizing enterocolitis (NEC) frequently results in significant morbidity and mortality in premature infants. Others reported that mice deficient in pulmonary surfactant protein-A (SP-A) born and raised in a nonhygienic environment succumb to significant gastrointestinal tract pathology, and enteral administration of purified SP-A significantly reduced mortality. We hypothesized that oral administration of purified SP-A can ameliorate pathology in an experimental model of neonatal NEC. METHODS: Experimental NEC was induced in newborn Sprague-Dawley rat pups by daily formula gavage and intermittent exposure to hypoxia. Purified human SP-A (5 ?g/day) was administered by oral gavage. After 4 days, surviving pups were sacrificed, and intestinal pathology was assessed by histological examination of distal terminal ileal sections. Intestinal levels of inflammatory cytokines (IL-1?, IFN-?, and TNF-?) were assessed by enzyme-linked immunosorbent assay and levels of Toll-like receptor 4 (TLR4) by Western analysis. RESULTS: Sixty-one percent of the gavaged rat pups that survived to day 4 met the criteria for experimental NEC after hypoxia, whereas treatment with SP-A significantly reduced mortality and assessment of NEC. Intestinal levels of proinflammatory cytokines were significantly increased in pups exposed to hypoxia. Administration of SP-A to pups exposed to hypoxia significantly reduced IL-1? and TNF-? levels, but had little effect on elevated levels of IFN-?. SP-A treatment of hypoxia-exposed pups significantly reduced expression of intestinal TLR4, key in NEC pathogenesis. CONCLUSIONS: In a rat model of experimental neonatal NEC, oral administration of SP-A reduces intestinal levels of proinflammatory cytokines and TLR4 protein and ameliorates adverse outcomes associated with gastrointestinal pathologies.
  • |Administration, Oral [MESH]
  • |Animals [MESH]
  • |Cytokines/*metabolism [MESH]
  • |Disease Models, Animal [MESH]
  • |Enterocolitis, Necrotizing/*drug therapy/metabolism/pathology [MESH]
  • |Ileum/metabolism [MESH]
  • |Interferon-gamma/metabolism [MESH]
  • |Interleukin-1beta/metabolism [MESH]
  • |Pulmonary Surfactant-Associated Protein A/*administration & dosage [MESH]
  • |Pulmonary Surfactants/*administration & dosage [MESH]
  • |Rats [MESH]
  • |Rats, Sprague-Dawley [MESH]
  • |Toll-Like Receptor 4/metabolism [MESH]


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