The Effect of Glutamine Supplementation to Fecal Calprotectin and Tumor Necrosis Factor-α Levels in the Fecal of Rats with Acute-Induced Diarrhea

Authors

  • Deddy Satriya Putra Doctoral Student of Postgraduate Biomedical Science, Faculty of Medicine, Andalas University, Padang, Indonesia
  • Fadil Oenzil Department of Nutritional Science, Faculty of Medicine, Andalas University, Padang, Indonesia
  • Eryati Darwin Department of Histological Science, Faculty of Medicine, Andalas University, Padang, Indonesia
  • Hafni Bachtiar Department of Public Health, Faculty of Medicine, Andalas University, Padang, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2020.4046

Keywords:

Glutamine, Fecal calprotectin, TNF-α

Abstract

BACKGROUND: Glutamine is a non-essential amino acid as the main fuel in the gastrointestinal mucosa. By its various gastrointestinal functions, glutamine is thought to increase the protection of the intestinal mucosa against local or systemic injury from diarrhea.

AIM: This study aimed to determine the relationship between glutamine supplementation and fecal calprotectin and tumor necrosis factor-α (TNF-α) in the fecal of rats with acute and chronic diarrhea induced by EPEC.

MATERIALS AND METHODS: The research was conducted in an experimental laboratory with a randomized post-test only control group design. A total of 30 Rattus norvegicus strain Wistar were divided into five groups. The treatment group was induced to have diarrhea using EPEC at a dose of 108 CFU/ml, after each group diagnosed by acute and chronic diarrhea, followed by glutamine supplementation at a dose of 810 mg/200 g for 14 days. The inflammatory cytoknies which is fecal calprotectin and TNF-α, of each group was assessed and the p value was measured by one-way ANOVA and post hoc Bonferroni test to find out the relationship between these variables.

RESULT: Supplementation of glutamine for 14 days can reduce fecal calprotectin levels in chronic diarrhea and reduce TNF-α level in rats with acute and chronic diarrhea.

CONCLUSION: Glutamine supplementation has an effect on the fecal calprotectin and TNF-α of rats with acute and chronic diarrhea.

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References

Sumarso P. Buku Ajar Ilmu Kesehatan Anak: Infeksi Dan Penyakit Tropis. Indonesia, Jakarta: Ikatan Dokter Anak; 2003.

Randy PP, Russell WS. Pediatric Gastroenteritis. Pediatric: General Medicine, Medscape; 2016.

Komarulzaman A, Smits J, de Jong E. Clean water, sanitation and diarrhoea in Indonesia: Effects of household and community factors. Glob Public Health 2017;12(9):1141-55. https://doi.org/ 10.1080/17441692.2015.1127985

PMid:26758565

Profil Kesehatan Provinsi Riau. Dinas Kesehatan Provinsi Riau; 2012. https://doi.org/10.31227/osf.io/bja4k

Duggan C, Gannon J, Walker WA. Protective nutrients and functional foods for the gastrointestinal tract. Am J Clin Nutr. 2002;75(5):789-808. https://doi.org/10.1093/ajcn/75.5.789 PMid:11976152

Radha R, Samak G. Role of glutamine in protection of intestinal epithelial tight junctions. J Epithelial Biol Pharmacol. 2012;5(Suppl):47-54. https://doi. org/10.2174/1875044301205010047 PMid:25810794

Vicario M, Amat C, Rivero M, Moretó M, Pelegrí C. Dietary glutamine affects mucosal functions in rats with mild DSS-induced colitis. J Nutr. 2007;137(8):1931-7. https://doi. org/10.1093/jn/137.8.1931 PMid:17634266

Carneiro-Filho BA, Bushen OY, Brito GA, Lima AA, Guerrant RL. Glutamine analogues as adjunctive therapy for infectious diarrhea. Curr Infect Dis Rep. 2003;5(2):114-9. https://doi. org/10.1007/s11908-003-0046-2 PMid:12641996

Xue H, Sawyer B, Field C, Dieleman LA, Murray D, Baracos VE. Bolus oral glutamine protects rats against CPT-11-induced diarrhea and differentially activates cytoprotective mechanisms in host intestine but not tumor. J Nutr. 2008;138(4):740-6. https://doi.org/10.1093/jn/138.4.740 PMid:18356329

Kim MH, Kim H. The roles of glutamine in the intestine and its implication in intestinal diseases. Int J Mol Sci. 2017;18(5):18051051. PMid:28498331

Irawan R, Subijanto MS, Putra S, Soetjipto S. Efek pemberian glutamin terhadap aktivitas sucrase, maltase, lactase dan ekspresi spectrin, clathrin dalam perbaikan mikrovili ileum pada tikus malnutrisi. JBP. 2012;14(1):568.

Huang ZX, Ye LY, Zheng ZY, Chen XM, Ren RN, Tong GY. Effect of glutamine on small intestinal repair in weanling rats after chronic diarrhea. Zhonghua Er Ke Za Zhi. 2005;43(5):368-72. PMid:15924756

Kamuchaki J, Wobodeya E, Kiguli S, Bortolussi R. Efficacy of glutamine supplementation on the outcome of children admitted with persistent diarrhea in Uganda: A randomized controlled study. Paediatr Child Health. 2013;18(1):e1. https:// doi.org/10.1093/pch/18.1.e1

Chen CC, Huang JL, Chang CJ, Kong MS. Fecal calprotectin as a correlative marker in clinical severity of infectious diarrhea and usefulness in evaluating bacterial or viral pathogens in children. J Pediatr Gastroenterol. Nutr. vol. 55, no. 2012;5:541-7. https:// doi.org/10.1097/mpg.0b013e318262a718 PMid:22699836

Vidal-Casariego A, Calleja-Fernandez A, de Urbina-Gonzales JJ, Cano-Rodríguez I, Cordido F, Ballesteros-Pomar MD. Efficacy of glutamine in the prevention of acute radiation enteritis: A randomized controlled trial. J Parenteran Enteral Nutr. 2014;38(2):205-13. https://doi.org/10.1177/0148607113478191 PMid:23471208

Striz I, Trebichavsky I. Calprotectin-a pleiotropic molecule in acute and chronic inflammation. Physiol Res Acad Sci Bohemoslovaca. 2004;53(3):245-53. PMid:15209531

Gupta R. Biomarkers in Toxicology. San Diego, CA: Academic Press; 2014. p. 272-3.

Ameho CK, Adjei A, Harrison E, Takeshita K, Morioka T, Arakaki Y, et al. Prophylactic effect of dietary glutamine supplementation on interleukin 8 and tumour necrosis factor α production in trinitrobenzenesulphonic acid induced colitis. Gut. 1997;41(4):487-93. https://doi.org/10.1136/gut.41.4.487 PMid:9391247

Yalçin SS, Yurdakok K, Tezcan I, Öner L. Effect of glutamine supplementation on diarrhea, interleukin-8 and secretory immunoglobulin a in children with acute diarrhea. J Pediatr Gastroenterol Nutr. 2004;38:494-501. https://doi. org/10.1097/00005176-200405000-00007 PMid:15097437

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Published

2020-06-20

How to Cite

1.
Putra DS, Oenzil F, Darwin E, Bachtiar H. The Effect of Glutamine Supplementation to Fecal Calprotectin and Tumor Necrosis Factor-α Levels in the Fecal of Rats with Acute-Induced Diarrhea. Open Access Maced J Med Sci [Internet]. 2020 Jun. 20 [cited 2024 Nov. 21];8(A):512-6. Available from: https://oamjms.eu/index.php/mjms/article/view/4046