Bacterial translocation is reduced by a specific nutritional combination in mice with chemotherapy-induced neutropenia

J Nutr. 2011 Jul;141(7):1292-8. doi: 10.3945/jn.110.136986. Epub 2011 May 11.

Abstract

Immune function is compromised in many cancer patients, leading to an increased risk of (infectious) complications. Chemotherapy-induced neutropenia is a common cause of treatment-induced immune suppression. In the present study, the effect of a specific nutritional combination (SNC) on bacterial translocation was studied in a model of chemotherapy-induced neutropenia in C3H/HeN mice colonized with Pseudomonas aeruginosa PAO-1. Dietary intervention started after stable colonization with P. aeruginosa to compare the SNC containing high protein, l-leucine, fish oil, and specific oligosaccharides to an isoenergetic control diet. After 3 wk, the mice were treated with cyclophosphamide to induce neutropenia. This rendered the mice susceptible to Pseudomonas translocation, which was quantified 5 d later. Intervention with the SNC resulted in a reduced incidence and intensity of bacterial translocation to the liver (P < 0.05) and a similar trend in the lungs (P ≤ 0.057). In addition, the SNC reduced the fecal pH (P < 0.05) and decreased P. aeruginosa counts in fecal samples (P < 0.05). Moreover, plasma concentrations of proinflammatory cytokines were correlated with the reduced bacterial translocation to the liver (ρ > 0.78; P < 0.001). In conclusion, dietary intervention with the SNC significantly reduced the incidence and severity of P. aeruginosa translocation in a mouse model of chemotherapy-induced immune suppression. Several mechanisms might have played a role, including the modulation of the intestinal microbiota, an improved gut barrier function, immune function, and a reduced inflammatory state. These results suggest an opportunity to develop new applications in cancer patients, with the aim to reduce infectious and other complications.

Publication types

  • Evaluation Study

MeSH terms

  • Animals
  • Antineoplastic Agents / toxicity
  • Bacterial Translocation*
  • Cyclophosphamide / toxicity
  • Cytokines / blood
  • Dietary Proteins / administration & dosage
  • Dietary Supplements
  • Dinoprostone / blood
  • Disease Models, Animal
  • Feces / microbiology
  • Female
  • Fish Oils / administration & dosage
  • Hydrogen-Ion Concentration
  • Leucine / administration & dosage
  • Mice
  • Mice, Inbred C3H
  • Neutropenia / chemically induced
  • Neutropenia / diet therapy*
  • Neutropenia / immunology
  • Neutropenia / microbiology
  • Oligosaccharides / administration & dosage
  • Pseudomonas Infections / diet therapy
  • Pseudomonas Infections / microbiology
  • Pseudomonas Infections / prevention & control
  • Pseudomonas aeruginosa / physiology*

Substances

  • Antineoplastic Agents
  • Cytokines
  • Dietary Proteins
  • Fish Oils
  • Oligosaccharides
  • Cyclophosphamide
  • Leucine
  • Dinoprostone