K. Fukatsu et al., Increased expression of intestinal P-selectin and pulmonary E-selectin during intravenous total parenteral nutrition, ARCH SURG, 135(10), 2000, pp. 1177-1182
Hypothesis: Intravenous total parenteral nutrition (TPN) induces intestinal
polymorphonuclear neutrophil recruitment with increased intestinal interce
llular adhesion molecule-1 expression. While intercellular adhesion molecul
e-1 causes firm adhesion of leukocytes to the endothelial cells, P- and E-s
electin mediate leukocyte recruitment via rolling. Therefore, manipulation
of nutrition may also affect P- and E-selectin expression in organs.
Design: Prospective randomized experimental trials.
Setting: Laboratory.
Materials: Male mice.
Interventions: Fifty-three mice were randomized to chow, intravenous TPN, o
r intragastric TPN.
Main Outcome Measures: After 5 days of diet, mice were administered iodine
125-labeled anti-P-selectin antibody (or iodine 125-labeled anti-E-selectin
antibody) and iodine 131-labeled nonbinding antibody to quantify P-selecti
n (or E-selectin) expression in organs(lung, liver, kidney, small intestine
, colon, stomach, pancreas, mesentery, heart, and skeletal muscle).
Results: P-selectin in small intestine, colon, stomach, and pancreas in the
intravenous TPN group increased significantly as compared with the chow an
d the intragastric TPN groups. E-selectin expression was upregulated after
intravenous TPN in the lung but not in other sites.
Conclusions: In a time frame (5 days) when intercellular adhesion molecule-
1 expression and neutrophil recruitment are increased, intestinal expressio
n of P-selectin remains up-regulated. Early lung inflammatory changes are r
eflected by increases in E-selectin. This change may reflect early pulmonar
y dysfunction with intravenous TPN, but its significance requires further s
tudy.