Beneficial effects of intra-arterial and intravenous prostaglandin E1 in intestinal ischaemia-reperfusion injury

• Published in: Interactive cardiovascular and thoracic surgery 2014-04, Vol.18 (4), p.466-474
• Main Authors: San Norberto García, Enrique María, Taylor, James Henry, Cenizo, Noelia, Vaquero, Carlos
• Format: Article
• Language: English
• Subjects: Alprostadil - administration & dosage; Animals; Cytoprotection; Disease Models, Animal; Ileal Diseases - immunology; Ileal Diseases - pathology; Ileal Diseases - prevention & control; Ileum - blood supply; Ileum - drug effects; Ileum - immunology; Ileum - pathology; Infusions, Intravenous; Injections, Intra-Arterial; Mesenteric Vascular Occlusion - drug therapy; Mesenteric Vascular Occlusion - immunology; Mesenteric Vascular Occlusion - pathology; Neutrophil Infiltration - drug effects; Neutrophils - drug effects; Neutrophils - immunology; Original; Peroxidase - metabolism; Protective Agents - administration & dosage; Rats; Rats, Wistar; Reperfusion Injury - immunology; Reperfusion Injury - pathology; Reperfusion Injury - prevention & control; Time Factors
• ISSN: 1569-9293; 1569-9285
• DOI: 10.1093/icvts/ivt552

OBJECTIVES Ischaemia-reperfusion (I/R) injury is encountered in conditions that diminish intestinal blood flow. There is no clinically feasible technique available for mucosal preservation. METHODS One hundred Wistar rats were subjected to intestinal ischaemia for 15 and 60 min (I15′, I60′), followed by 1 and 7 days of reperfusion (R1d, R7d). Rats were subjected to ischaemia by clamping the superior mesenteric artery. Prostaglandin E1 (PGE1) (2.500 ng/kg intra-arterial bolus or 20 ng/kg intravenous infusion) was administered immediately prior to the commencement of the experimental period. Animals were divided into 20 groups: sham (laparotomy alone), sacrificed at 1 or 7 days; saline administration, 15 or 60 min of ischaemia, 1 or 7 days of reperfusion; prostaglandin E1 administration, 15 or 60 min of ischaemia, 1 or 7 days of reperfusion, each one for intra-arterial or intravenous administration. Ileal segments were excised and assessed for histopathological score, polymorphonuclear (PMN) leucocytes encountered and myeloperoxidase (MPO) activity measurement. RESULTS I/R caused deterioration of histological characteristics. Prophylactic administration of PGE1 resulted in a significant decrease in the histological score compared with the respective saline group (analysis of variance, P < 0.005). In groups treated with PGE1, PMN leucocyte infiltration was lower for the 60 min of ischaemia group (I60′/R1d *P = 0.026; I60′/R7d P = 0.015). I15′/R7d did not lead to a significant reduction in PMN infiltration (P = 0.061). Pretreatment with PGE1 attenuates MPO levels after intestinal I/R injury (P < 0.05). No differences were encountered between types of administration. CONCLUSIONS Results of this study showed that administration of prostaglandin E1 prevents I/R injury by diminishing histological damage parameters, inhibiting PMN leucocyte infiltration and attenuating MPO activity.