Literature DB >> 19556609

Parenteral feeding depletes pulmonary lymphocyte populations.

Joshua L Hermsen1, F Enrique Gomez, Yoshifumi Sano, Woodae Kang, Yoshinori Maeshima, Kenneth A Kudsk.   

Abstract

BACKGROUND: The effect of parenteral nutrition (PN) on lymphocyte mass in the lung is unknown, but reduced mucosal lymphocytes are hypothesized to play a role in the reduced immunoglobulin A-mediated immunity in both gut and lung. The ability to transfer and track cells between mice may allow study of diet-induced mucosal immune function. The objectives of this study are to characterize lung T-cell populations following parenteral feeding and to study distribution patterns of transferred donor lung T cells in recipient mice.
METHODS: In experiment 1, cannulated male Balb/c mice are randomized to receive chow or PN for 5 days. Lung lymphocytes are obtained via collagenase digestion, and flow cytometric analysis is used to identify total T (CD3+) and B (CD45/B220+) cells. In experiment 2, isolated lung T cells from chow-fed male Balb/c mice are pooled and labeled in vitro with a fluorescent dye (carboxyfluorescein diacetate succinimidyl ester [CFSE]), and 1.1 x 10(8) CFSE+ cells (3.1 x 10(6) T cells) are transferred to chow-fed Balb/c recipients. Cells recovered from recipient lungs and intestinal lamina propria (LP) are analyzed by flow cytometry to determine CFSE/CD3+ T cells at 1, 2, and 7 days. In experiment 3, cells are transferred to PN-fed recipients.
RESULTS: In experiment 1, PN significantly decreases lung T- and B-cell populations compared with chow feeding. In experiment 2, CFSE+ T-cell retention is highest on day 1 in lung and LP, and decreases on day 2. Cells are gone by day 7; 98.1% of retained donor lung T cells migrate to recipient lungs and 1.9% to the intestine on day 1. Similar results are seen in experiment 3 after transfer of cells to PN-fed recipients.
CONCLUSIONS: PN reduces pulmonary lymphocyte populations consistent with impaired respiratory immunity. Transferred lung T cells preferentially localize to recipient lungs rather than intestine with maximal accumulation at 24 hours. Limited cross-talk of transferred lung T cells to the intestine indicates that mucosal lymphocyte traffic might be programmed to localize to specific effector sites.

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Year:  2009        PMID: 19556609      PMCID: PMC2771722          DOI: 10.1177/0148607109332909

Source DB:  PubMed          Journal:  JPEN J Parenter Enteral Nutr        ISSN: 0148-6071            Impact factor:   4.016


  24 in total

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2.  Benefits of immediate jejunostomy feeding after major abdominal trauma--a prospective, randomized study.

Authors:  E E Moore; T N Jones
Journal:  J Trauma       Date:  1986-10

3.  Effects of parenteral and enteral nutrition on gut-associated lymphoid tissue.

Authors:  J Li; K A Kudsk; B Gocinski; D Dent; J Glezer; B Langkamp-Henken
Journal:  J Trauma       Date:  1995-07

4.  Enteral and parenteral feeding influences mortality after hemoglobin-E. coli peritonitis in normal rats.

Authors:  K A Kudsk; J M Stone; G Carpenter; G F Sheldon
Journal:  J Trauma       Date:  1983-07

5.  Effect of enteral and parenteral feeding in malnourished rats with E. coli-hemoglobin adjuvant peritonitis.

Authors:  K A Kudsk; G Carpenter; S Petersen; G F Sheldon
Journal:  J Surg Res       Date:  1981-08       Impact factor: 2.192

6.  TEN versus TPN following major abdominal trauma--reduced septic morbidity.

Authors:  F A Moore; E E Moore; T N Jones; B L McCroskey; V M Peterson
Journal:  J Trauma       Date:  1989-07

7.  Enteral versus parenteral feeding. Effects on septic morbidity after blunt and penetrating abdominal trauma.

Authors:  K A Kudsk; M A Croce; T C Fabian; G Minard; E A Tolley; H A Poret; M R Kuhl; R O Brown
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8.  A rapid method for isolating murine intestine intraepithelial lymphocytes with high yield and purity.

Authors:  R L Mosley; J R Klein
Journal:  J Immunol Methods       Date:  1992-11-25       Impact factor: 2.303

9.  CC chemokine ligands 25 and 28 play essential roles in intestinal extravasation of IgA antibody-secreting cells.

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Journal:  J Immunol       Date:  2004-09-15       Impact factor: 5.422

10.  Early enteral feeding, compared with parenteral, reduces postoperative septic complications. The results of a meta-analysis.

Authors:  F A Moore; D V Feliciano; R J Andrassy; A H McArdle; F V Booth; T B Morgenstein-Wagner; J M Kellum; R E Welling; E E Moore
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  10 in total

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2.  The enteric nervous system neuropeptide, bombesin, reverses innate immune impairments during parenteral nutrition.

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3.  IL-25 improves IgA levels during parenteral nutrition through the JAK-STAT pathway.

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Journal:  Am J Physiol Gastrointest Liver Physiol       Date:  2015-07-16       Impact factor: 4.052

5.  Changes in morphology and function in small intestinal mucosa after Roux-en-Y surgery in a rat model.

Authors:  Pavlo L Kovalenko; Marc D Basson
Journal:  J Surg Res       Date:  2012-03-30       Impact factor: 2.192

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7.  Cranberry proanthocyanidins improve the gut mucous layer morphology and function in mice receiving elemental enteral nutrition.

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Review 9.  Impact of Cranberries on Gut Microbiota and Cardiometabolic Health: Proceedings of the Cranberry Health Research Conference 2015.

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10.  Nutritional parameters affecting severity of pneumonia and length of hospital stay in patients with pneumococcal pneumonia: a retrospective cross-sectional study.

Authors:  Nobuhiro Akuzawa; Hiroshi Naito
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  10 in total

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