K. Sakamoto et al., Quantitative study of changes in intestinal morphology and mucus gel on total parenteral nutrition in rats, J SURG RES, 94(2), 2000, pp. 99-106
Quantification of changes in gastrointestinal morphology and mucus gel has
been difficult to study. In the present study, we investigated changes in r
at intestine under total parenteral nutrition (TPN) using fluoresceinated l
ectin staining and image analysis. Wistar rats (n = 34) were divided into t
wo groups: one group received TPN for 2 weeks, and a control group received
standard rat chow and water ad libitum for the same period. A l-cm segment
of distal ileum was removed and cut into cross sections. Sections were sta
ined with hematoxylin and eosin, and to stain the mucus, periodic acid-Schi
ff (PAS), alcian blue (AB), and fluoresceinated lectin, that is, FITC-label
ed Ulex europaeus agglutinin I (FITC-UEA-I), were used. Light microscope im
ages were stored in a personal computer and analyzed using image analysis.
We measured perimeter length, mucosal thickness, villus area, villus surfac
e area index, mucus stain-positive area, mucosal area ratio, and mucosal su
rface area ratio. Perimeter length, mucosal thickness, villus area, and vil
lus surface area index in the TPN group were significantly less than those
in the control group (P < 0.001 for each parameter). In all mucus stainings
, the stain-positive area in the TPN group was significantly less than that
in the control group. However, there were no significant differences in mu
cosal area or mucosal surface area ratios between the two groups. The FITC-
UEA-I-positive area was significantly greater than the PAS- or and AB-posit
ive area. There were significant positive correlations between the FITC-UEA
-I-positive area and both the PAS positive and AB-positive areas. TPN for 2
weeks promoted intestinal atrophy and decreased absolute quantity of mucus
gel. We successfully introduced the FITC-UEA-I staining method to evaluate
changes in mucus gel. (C) 2000 Academic Press.