Dietary lipids alter the effect of steroids on the transport of glucose after intestinal resection: Part I. Phenotypic changes and expression of transporters

• Published in: Journal of pediatric surgery 2003-02, Vol.38 (2), p.150-160
• Main Authors: Thiesen, Aducio L., Tappenden, Kelly A., McBurney, Mike I., Clandinin, M.Thomas, Keelan, Monika, Thomson, Ben K., Wild, Gary E., Thomson, Alan B.
• Format: Article
• Language: English
• Subjects: Adaptation; Animals; Biological and medical sciences; Blotting, Northern; Blotting, Western; budesonide; Budesonide - pharmacology; dexamethasone; Dexamethasone - pharmacology; diet; Dietary Fats - administration & dosage; Dietary Fats, Unsaturated - administration & dosage; Fatty Acids, Unsaturated - administration & dosage; Gene Expression Regulation - drug effects; Glucocorticoids - pharmacology; Glucose - pharmacokinetics; Ileum - drug effects; Ileum - physiology; Ileum - surgery; Intestinal Absorption - drug effects; Jejunum - drug effects; Jejunum - physiology; Jejunum - surgery; Male; Medical sciences; Membrane Glycoproteins - genetics; Membrane Glycoproteins - metabolism; Monosaccharide Transport Proteins - genetics; Monosaccharide Transport Proteins - metabolism; Phenotype; prednisone; Prednisone - pharmacology; Rats; Rats, Sprague-Dawley; resection; RNA, Messenger - analysis; RNA, Messenger - metabolism; SGLT1; Sodium-Glucose Transporter 1; Sodium-Potassium-Exchanging ATPase - genetics; Sodium-Potassium-Exchanging ATPase - metabolism; Stomach, duodenum, intestine, rectum, anus; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the digestive system; Weight Gain - drug effects
• ISSN: 0022-3468; 1531-5037
• DOI: 10.1053/jpsu.2003.50034

Background/Purpose: Glucocorticosteroids alter the function of the intestine. This study was undertaken to assess the effect on D-glucose uptake of budesonide (Bud), prednisone (Pred), or dexamethasone (Dex) in animals with a 50% intestinal resection and fed chow or a diet enriched with saturated (SFA) or polyunsaturated fatty acids (PUFA). Methods: In vitro ring uptake technique, Western blots, and Northern blots were performed. Results: Bud increased the jejunal D-glucose uptake, and this effect was prevented by feeding PUFA. SGLT1 and Na+/K+ ATPase protein and mRNA abundance did not correlate with the change in the rate of uptake of glucose. Conclusions: (1) Bud increased the jejunal glucose uptake, (2) the activity of the sugar transporter does not correlate with the abundance of protein or their respective mRNAs, (3) th Bud effect on glucose uptake is prevented by feeding PUFA. Thus, the desired intestinal adaptive response after intestinal resection may be enhenced further by the administration of the locally acting steroid budesonide and by feeding a saturated compared with a polyunsaturated fatty acid diet. J Pediatr Surg 38:150-160. Copyright 2003, Elsevier Science (USA). All rights reserved.