Diamine oxidase as a marker of intestinal mucosal injury and the effect of soluble dietary fiber on gastrointestinal tract toxicity after intravenous 5-fluorouracil treatment in rats

被引:175
作者
Fukudome, Ian [1 ]
Kobayashi, Michiya [1 ,2 ]
Dabanaka, Ken [1 ]
Maeda, Hiromichi [1 ,2 ]
Okamoto, Ken [1 ,2 ]
Okabayashi, Takehiro [1 ]
Baba, Ryoko [3 ]
Kumagai, Nana [3 ]
Oba, Koji [4 ]
Fujita, Mamoru [5 ]
Hanazaki, Kazuhiro [1 ]
机构
[1] Kochi Med Sch, Dept Surg, Kochi 7838505, Japan
[2] Kochi Med Sch, Dept Human Hlth & Med Sci, Kochi 7838505, Japan
[3] Univ Occupat & Environm Hlth, Sch Med, Dept Anat, Kitakyushu, Fukuoka 807, Japan
[4] Hokkaido Univ Hosp, Translat Res & Clin Trial Ctr, Sapporo, Hokkaido 060, Japan
[5] Nakamura Gakuen, Grad Sch Hlth & Nutr Sci, Fukuoka, Japan
关键词
Diarrhea; DAO; Chemotherapy; Side effect; Histaminase; SDF; CELL-PROLIFERATION; HISTAMINASE; DIARRHEA;
D O I
10.1007/s00795-013-0055-7
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
The level of plasma diamine oxidase (DAO) activity is associated with the maturation and integrity of small intestinal mucosa. This study in rats investigated whether a decreased level of plasma DAO could reflect the severity of mucosal injury due to intravenous 5-fluorouracil (5-FU) treatment. The beneficial effect of soluble dietary fiber (SDF) on preventing diarrhea after 5-FU treatment was also examined. To induce diarrhea, 5-FU (50 mg/kg/day for four days) was administered via the tail vein with or without SDF supplementation. After 5-FU treatment, the majority of rats developed moderate to severe diarrhea, and levels of plasma DAO activity significantly decreased compared to those of control group (P < 0.05). Scanning electron microscopy revealed disarrangement of the small intestinal villi. Contrarily, the rats supplemented with SDF had diarrhea less frequently (50.0 vs. 91.7 %, P = 0.025) on day five, and DAO activity levels were significantly higher than in those rats administered 5-FU alone (8.25 +/- A 5.34 vs. 5.50 +/- A 4.32, P = 0.023). In conclusion, plasma DAO activity decreases in response to severe intestinal mucosal injury after 5-FU treatment, and SDF supplementation might be a practical and useful treatment for reducing the intestinal toxicity of 5-FU.
引用
收藏
页码:100 / 107
页数:8
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