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1 Imperial College School of
Medicine,
Total parenteral nutrition (TPN) causes
atrophy of gastrointestinal epithelia, so we asked whether lectins that
stimulate epithelial proliferation can reverse this effect of TPN. Two
lectins stimulate pancreatic proliferation by releasing CCK, so we
asked whether lectins that stimulate gastrointestinal proliferation also release hormones that might mediate their effects. Six rats per
group received continuous infusion of TPN and a once daily bolus dose
of purified lectin (25 mg · rat
1 · day
1)
or vehicle alone (control group) for 4 days via an intragastric cannula. Proliferation rates were estimated by metaphase arrest, and
hormones were measured by RIAs. Phytohemagglutinin (PHA) increased proliferation by 90% in the gastric fundus
(P < 0.05), doubled proliferation in
the small intestine (P < 0.001), and
had a small effect in the midcolon (P < 0.05). Peanut agglutinin (PNA) had a minor trophic effect in the
proximal small intestine (P < 0.05) and increased proliferation by 166% in the proximal colon
(P < 0.001) and by 40% in the
midcolon (P < 0.001). PNA elevated
circulating gastrin and CCK by 97 (P < 0.05) and 81% (P < 0.01),
respectively, and PHA elevated plasma enteroglucagon by 69% and CCK by
60% (both P < 0.05). Only wheat
germ agglutinin increased the release of glucagon-like peptide-1 by
100% (P < 0.05). PHA and PNA
consistently reverse the fall in gastrointestinal and pancreatic growth
associated with TPN in rats. Both lectins stimulated the release of
specific hormones that may have been responsible for the trophic
effects. It is suggested that lectins could be used to prevent
gastrointestinal atrophy during TPN. Their hormone-releasing effects
might be involved.
stomach; small intestine; colon; pancreas; hormones
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