Ischemia/reperfusion: a clinically relevant model of intestinal injury yielding systemic inflammation
| Autor: | Samir Latifi, Anthony Stallion, D.L. Dudgeon, Alan D. Levine, Kelly A. Miller, Beverly B. Dahms, Tzuyung D. Kou |
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| Rok vydání: | 2005 |
| Předmět: |
Pathology
medicine.medical_specialty Multiple Organ Failure Ischemia Inflammation Ileum Systemic inflammation Sepsis Mice Intestinal mucosa Mesenteric Artery Superior Intestine Small medicine Animals Intestinal Mucosa Mice Inbred BALB C business.industry General Medicine medicine.disease Constriction Systemic Inflammatory Response Syndrome Specific Pathogen-Free Organisms Mice Inbred C57BL Systemic inflammatory response syndrome Disease Models Animal Jejunum medicine.anatomical_structure Reperfusion Injury Pediatrics Perinatology and Child Health Cytokines Surgery medicine.symptom business Reperfusion injury |
| Zdroj: | Journal of Pediatric Surgery. 40:470-477 |
| ISSN: | 0022-3468 |
| DOI: | 10.1016/j.jpedsurg.2004.11.045 |
| Popis: | Background/Purpose Multisystem organ failure (MSOF) is a major cause of morbidity and mortality in the critically ill patient. Animal models of endotoxin-induced sepsis were used to develop therapeutic regimens, which thus far have failed in clinical trials. Because multiple etiologies of MSOF affect the intestine, the authors hypothesized that during sepsis the gut may act as a possible trigger of the inflammatory cascade. As ischemia and reperfusion of the small intestine disrupts gut barrier function, thereby activating systemic inflammatory responses, the authors evaluated a murine model of ischemia/reperfusion to investigate these systemic responses to local mucosal and epithelial injury. Methods C57BL/10 and Balb/c mice underwent variable amounts of gut ischemia by superior mesenteric artery occlusion. Animals were evaluated for survival as well as gross and microscopic intestinal damage. Results Maximal ischemic damage occurred in the distal jejunum and proximal ileum. More severe epithelial damage and transmural inflammation were observed in C57BL/10 mice, which correlated with a higher mortality. Conclusions This model mimics what is observed clinically with intestinal injury resulting from a progressive ischemic insult with eventual systemic manifestations. This reproducible model of systemic inflammation elicits variable responses from genetically different animals, the results of which may lead to a better understanding of MSOF. |
| Databáze: | OpenAIRE |
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