Abstract
BACKGROUND--Nucleoside-nucleotide mixture has been shown to improve gut morphology and reduce the incidence of bacterial translocation in protein deficient mice. AIMS--To compare the reparative effect of nucleoside-nucleotide mixture and their individual components on maintenance of gut integrity and bacterial translocation based on their differential metabolism and utilisation. METHODS--ICR (CD-1) mice were randomised into eight groups of 10 animals each and fed 20% casein diet (control), protein free diet, or protein free diet supplemented with 3 M cytidine, uridine, thymidine, inosine, guanosine monophosphate, or nucleoside-nucleotide mixture for four weeks. On the fourth week, each mouse was injected lipopolysaccharide intraperitoneally (50 micrograms/500 microliters) and the incidence of bacterial translocation, caecal bacterial populations, and the ileal histology, noted 48 hours later. RESULTS--The death rate in the control group was 40% compared with 10% in the nucleoside-nucleotide mixture and 20% each in the individual components groups, respectively. Bacterial translocation to the mesenteric lymph node did occur in 100% of the surviving mice fed the control diet in comparison with 44% (nucleoside-nucleotide), 50% (cytidine), 75% (thymidine), 75% (uridine), 63% (inosine), and 63% (guanosine monophosphate). Histologically, the damage to the gut was more distinct in the protein free diet group. Villous height, crypt depth, and wall thickness in the nucleoside-nucleotide mixture group mean (SEM) (5.01 (0.34); 0.87 (0.14); 0.33 (0.10)), were respectively, higher compared with the protein free diet (3.34 (0.34); 0.61 (0.03); 0.18 (0.04)) group. In the cytidine group, crypt depth (0.86) (0.08)), and wall thickness (0.30 (0.002)) were higher. The same measurements in the components groups tended to be higher than the protein free diet group. Caecal bacterial populations were, however, similar in all groups. CONCLUSIONS--These results suggest that dietary nucleosides and nucleotides are essential nutrients for intestinal repair; nucleotides or cytidine provide a better response.
Full text
PDF






Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Adjei A. A., Ohshiro Y., Yamauchi K., Nakasone Y., Shimada K., Iwanaga M., Yamamoto S. Intraperitoneal administration of nucleoside-nucleotide mixture inhibits endotoxin-induced bacterial translocation in protein-deficient mice. Tohoku J Exp Med. 1994 Sep;174(1):1–10. doi: 10.1620/tjem.174.1. [DOI] [PubMed] [Google Scholar]
- Adjei A. A., Yamamoto S. A dietary nucleoside-nucleotide mixture inhibits endotoxin-induced bacterial translocation in mice fed protein-free diet. J Nutr. 1995 Jan;125(1):42–48. doi: 10.1093/jn/125.1.42. [DOI] [PubMed] [Google Scholar]
- Brunser O., Espinoza J., Araya M., Cruchet S., Gil A. Effect of dietary nucleotide supplementation on diarrhoeal disease in infants. Acta Paediatr. 1994 Feb;83(2):188–191. doi: 10.1111/j.1651-2227.1994.tb13048.x. [DOI] [PubMed] [Google Scholar]
- Bueno J., Torres M., Almendros A., Carmona R., Nuñez M. C., Rios A., Gil A. Effect of dietary nucleotides on small intestinal repair after diarrhoea. Histological and ultrastructural changes. Gut. 1994 Jul;35(7):926–933. doi: 10.1136/gut.35.7.926. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Burridge P. W., Woods R. A., Henderson J. F. Utilization of dietary nucleic acid purines for nucleotide and nucleic acid synthesis in the mouse. Can J Biochem. 1976 May;54(5):500–506. doi: 10.1139/o76-072. [DOI] [PubMed] [Google Scholar]
- Deitch E. A., Berg R. D. Endotoxin but not malnutrition promotes bacterial translocation of the gut flora in burned mice. J Trauma. 1987 Feb;27(2):161–166. doi: 10.1097/00005373-198702000-00012. [DOI] [PubMed] [Google Scholar]
- Garre M. A., Boles J. M., Youinou P. Y. Current concepts in immune derangement due to undernutrition. JPEN J Parenter Enteral Nutr. 1987 May-Jun;11(3):309–313. doi: 10.1177/0148607187011003309. [DOI] [PubMed] [Google Scholar]
- György P. The uniqueness of human milk. Biochemical aspects. Am J Clin Nutr. 1971 Aug;24(8):970–975. doi: 10.1093/ajcn/24.8.970. [DOI] [PubMed] [Google Scholar]
- Ho C. Y., Miller K. V., Savaiano D. A., Crane R. T., Ericson K. A., Clifford A. J. Absorption and metabolism of orally administered purines in fed and fasted rats. J Nutr. 1979 Aug;109(8):1377–1382. doi: 10.1093/jn/109.8.1377. [DOI] [PubMed] [Google Scholar]
- Iijima S., Tsujinaka T., Kido Y., Hayashida Y., Ishida H., Homma T., Yokoyama H., Mori T. Intravenous administration of nucleosides and a nucleotide mixture diminishes intestinal mucosal atrophy induced by total parenteral nutrition. JPEN J Parenter Enteral Nutr. 1993 May-Jun;17(3):265–270. doi: 10.1177/0148607193017003265. [DOI] [PubMed] [Google Scholar]
- Leleiko N. S., Martin B. A., Walsh M., Kazlow P., Rabinowitz S., Sterling K. Tissue-specific gene expression results from a purine- and pyrimidine-free diet and 6-mercaptopurine in the rat small intestine and colon. Gastroenterology. 1987 Nov;93(5):1014–1020. doi: 10.1016/0016-5085(87)90564-6. [DOI] [PubMed] [Google Scholar]
- Nuñez M. C., Ayudarte M. V., Morales D., Suarez M. D., Gil A. Effect of dietary nucleotides on intestinal repair in rats with experimental chronic diarrhea. JPEN J Parenter Enteral Nutr. 1990 Nov-Dec;14(6):598–604. doi: 10.1177/0148607190014006598. [DOI] [PubMed] [Google Scholar]
- Ogoshi S., Iwasa M., Yonezawa T., Tamiya T. Effect of nucleotide and nucleoside mixture on rats given total parenteral nutrition after 70% hepatectomy. JPEN J Parenter Enteral Nutr. 1985 May-Jun;9(3):339–342. doi: 10.1177/0148607185009003339. [DOI] [PubMed] [Google Scholar]
- Rudolph F. B., Kulkarni A. D., Fanslow W. C., Pizzini R. P., Kumar S., Van Buren C. T. Role of RNA as a dietary source of pyrimidines and purines in immune function. Nutrition. 1990 Jan-Feb;6(1):45–62. [PubMed] [Google Scholar]
- Saadia R., Schein M., MacFarlane C., Boffard K. D. Gut barrier function and the surgeon. Br J Surg. 1990 May;77(5):487–492. doi: 10.1002/bjs.1800770505. [DOI] [PubMed] [Google Scholar]
- Savaiano D. A., Clifford A. J. Adenine, the precursor of nucleic acids in intestinal cells unable to synthesize purines de novo. J Nutr. 1981 Oct;111(10):1816–1822. doi: 10.1093/jn/111.10.1816. [DOI] [PubMed] [Google Scholar]
- Savaiano D. A., Ho C. Y., Chu V., Clifford A. J. Metabolism of orally and intravenously administered purines in rats. J Nutr. 1980 Sep;110(9):1793–1804. doi: 10.1093/jn/110.9.1793. [DOI] [PubMed] [Google Scholar]
- Shiner M., Nichols V. N., Barrish J. P., Nichols B. L. Pathogenesis of small-intestinal mucosal lesions in chronic diarrhea of infancy: II. An electron microscopic study. J Pediatr Gastroenterol Nutr. 1990 Nov;11(4):464–480. doi: 10.1097/00005176-199011000-00006. [DOI] [PubMed] [Google Scholar]
- Sonoda T., Tatibana M. Metabolic fate of pyrimidines and purines in dietary nucleic acids ingested by mice. Biochim Biophys Acta. 1978 Nov 21;521(1):55–66. doi: 10.1016/0005-2787(78)90248-4. [DOI] [PubMed] [Google Scholar]
- Sori A. J., Rush B. F., Jr, Lysz T. W., Smith S., Machiedo G. W. The gut as source of sepsis after hemorrhagic shock. Am J Surg. 1988 Feb;155(2):187–192. doi: 10.1016/s0002-9610(88)80691-3. [DOI] [PubMed] [Google Scholar]
- Souba W. W., Wilmore D. W. Postoperative alteration of arteriovenous exchange of amino acids across the gastrointestinal tract. Surgery. 1983 Aug;94(2):342–350. [PubMed] [Google Scholar]
- Tanaka R., Mutai M. Improved medium for selective isolation and enumeration of Bifidobacterium. Appl Environ Microbiol. 1980 Nov;40(5):866–869. doi: 10.1128/aem.40.5.866-869.1980. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Uauy R., Stringel G., Thomas R., Quan R. Effect of dietary nucleosides on growth and maturation of the developing gut in the rat. J Pediatr Gastroenterol Nutr. 1990 May;10(4):497–503. doi: 10.1097/00005176-199005000-00014. [DOI] [PubMed] [Google Scholar]
- WILSON D. W., WILSON H. C. Studies in vitro of the digestion and absorption of purine ribonucleotides by the intestine. J Biol Chem. 1962 May;237:1643–1647. [PubMed] [Google Scholar]
- Wilmore D. W., Smith R. J., O'Dwyer S. T., Jacobs D. O., Ziegler T. R., Wang X. D. The gut: a central organ after surgical stress. Surgery. 1988 Nov;104(5):917–923. [PubMed] [Google Scholar]

