Effect of Previous High Glutamine Infusion on Inflammatory Mediators and Mortality in an Acute Pancreatitis Model

Mediators Inflamm. 2016:2016:4261419. doi: 10.1155/2016/4261419. Epub 2016 Dec 14.

Abstract

Parenteral glutamine supplementation in acute inflammatory conditions is controversial. We evaluated the inflammatory and survival responses after parenteral glutamine infusion in sodium taurocholate-induced acute pancreatitis (AP) model. Lewis rats received 1 g/kg parenteral glutamine (n = 42), saline (n = 44), or no treatment (n = 45) for 48 h before AP induction. Blood, lung, and liver samples were collected 2, 12, and 24 h after AP to measure serum cytokines levels and tissue heat shock protein (HSP) expression. From each group, 20 animals were not sacrificed after AP for a 7-day mortality study. Serum cytokine levels did not differ among groups at any time point, but the intragroup analysis over time showed higher interferon-γ only in the nontreatment and saline groups at 2 h (versus 12 and 24 h; both p ≤ 0.05). The glutamine group exhibited greater lung and liver HSP90 expression than did the nontreatment group at 2 and 12 h, respectively; greater liver HSP90 and HSP70 expression than did the saline group at 12 h; and smaller lung HSP70 and liver HSP90 expression than did the nontreatment group at 24 h (all p ≤ 0.019). The 7-day mortality rate did not differ among groups. In experimental AP, pretreatment with parenteral glutamine was safe and improved early inflammatory mediator profiles without affecting mortality.

MeSH terms

  • Acute Disease
  • Animals
  • Cytokines / blood
  • Cytokines / metabolism
  • Disease Models, Animal
  • Glutamine / administration & dosage*
  • HSP70 Heat-Shock Proteins / metabolism
  • HSP90 Heat-Shock Proteins / metabolism
  • Heat-Shock Proteins / metabolism
  • Inflammation / drug therapy*
  • Infusions, Intravenous
  • Interferon-gamma / metabolism
  • Liver / metabolism
  • Lung / metabolism
  • Male
  • Pancreatitis / drug therapy*
  • Rats
  • Rats, Inbred Lew
  • Taurocholic Acid / metabolism
  • Time Factors

Substances

  • Cytokines
  • HSP70 Heat-Shock Proteins
  • HSP90 Heat-Shock Proteins
  • Heat-Shock Proteins
  • Glutamine
  • Taurocholic Acid
  • Interferon-gamma