Bacterial Translocation Relationship with Enteral L-Glutamine and L-Alanine in Experimental Rat Burn Model

Objective:The aim of this experimental study is to research the effects of L-alanine and L-glutamine, which are being widely used on intensive care patients, on the liver, structural changes in the small intestine, wound healing, and bacterial translocation.Method:Twenty male Sprague Dawley rats whi...

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Main Authors: Semih Günay, Perçin Karakol, Mehmet Bozkurt, Mustafa Durgun
Format: Article
Language:English
Published: Galenos Yayinevi 2021-03-01
Series:Bagcilar Medical Bulletin
Subjects:
Online Access: http://behmedicalbulletin.org/archives/archive-detail/article-preview/bacterial-translocation-relationship-with-enteral-/43930
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author Semih Günay
Perçin Karakol
Mehmet Bozkurt
Mustafa Durgun
author_facet Semih Günay
Perçin Karakol
Mehmet Bozkurt
Mustafa Durgun
author_sort Semih Günay
collection DOAJ
description Objective:The aim of this experimental study is to research the effects of L-alanine and L-glutamine, which are being widely used on intensive care patients, on the liver, structural changes in the small intestine, wound healing, and bacterial translocation.Method:Twenty male Sprague Dawley rats which weighe 190-230 gr were used in this study. Rats were separated into two randomized groups. In accordance with experimental rat burn model, skin burn was created in every rat and both groups were fed equally for 21 days. The experimental group was administered L-glutamine + L-alanine containing product (Dipeptiven®, Fresenius Kabi BadHamborg, Germany) for 5 mL/kg/day orally. At the end of the 21st day, all rats were sacrificed. Biopsy materials were obtained from the liver, small intestine, and burn wound, and blood culture was taken under sterile conditions. In pathologic examination, structural changes in tissues and wound healing were evaluated. In microbiologic examination, the effects of L-glutamine and L-alanine on bacterial translocation were evaluated by comparing small intestine and blood cultures.Results:No structural difference was seen among small intestine biopsies between two groups. No liver damage was seen in the experimental group while live biopsies showed grade 1 damage in the control group. Epithelization and granulation were detected as better in the pathologic examination of skin biopsies obtained from burn wound in the experimental group. Microbiologic examination showed bacterial replication in a total of 4 rats from the control group, two rats showed replication of S. aures in the small intestine and blood culture and two rats showed replication of S. epidermidis in the small intestine and blood culture. No replication was determined in any rats from the experimental group.Conclusion:In the light of findings acquired from this study done with experimental rat burn model, we think that the use of L-glutamine + L-alanine will have positive effects on wound healing and help preventing the bacterial translocation in burn patients as a supporting product.
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spelling doaj.art-d4dc632977b642c1890e1b572445bf792023-02-15T16:19:30ZengGalenos YayineviBagcilar Medical Bulletin2547-94312021-03-0161798710.4274/BMB.galenos.2020.09.06113049054Bacterial Translocation Relationship with Enteral L-Glutamine and L-Alanine in Experimental Rat Burn ModelSemih Günay0Perçin Karakol1Mehmet Bozkurt2Mustafa Durgun3 Private Clinic Doctor, Plastic, Reconstructive and Aesthetic Surgery, İstanbul, Turkey University of Health Sciences Turkey, Bağcılar Training and Research Hospital, Clinic of Plastic, Reconstructive and Aesthetic Surgery, İstanbul, Turkey University of Health Sciences Turkey, Bağcılar Training and Research Hospital, Clinic of Plastic, Reconstructive and Aesthetic Surgery, İstanbul, Turkey Private Clinic Doctor, Plastic, Reconstructive and Aesthetic Surgery, İzmir, Turkey Objective:The aim of this experimental study is to research the effects of L-alanine and L-glutamine, which are being widely used on intensive care patients, on the liver, structural changes in the small intestine, wound healing, and bacterial translocation.Method:Twenty male Sprague Dawley rats which weighe 190-230 gr were used in this study. Rats were separated into two randomized groups. In accordance with experimental rat burn model, skin burn was created in every rat and both groups were fed equally for 21 days. The experimental group was administered L-glutamine + L-alanine containing product (Dipeptiven®, Fresenius Kabi BadHamborg, Germany) for 5 mL/kg/day orally. At the end of the 21st day, all rats were sacrificed. Biopsy materials were obtained from the liver, small intestine, and burn wound, and blood culture was taken under sterile conditions. In pathologic examination, structural changes in tissues and wound healing were evaluated. In microbiologic examination, the effects of L-glutamine and L-alanine on bacterial translocation were evaluated by comparing small intestine and blood cultures.Results:No structural difference was seen among small intestine biopsies between two groups. No liver damage was seen in the experimental group while live biopsies showed grade 1 damage in the control group. Epithelization and granulation were detected as better in the pathologic examination of skin biopsies obtained from burn wound in the experimental group. Microbiologic examination showed bacterial replication in a total of 4 rats from the control group, two rats showed replication of S. aures in the small intestine and blood culture and two rats showed replication of S. epidermidis in the small intestine and blood culture. No replication was determined in any rats from the experimental group.Conclusion:In the light of findings acquired from this study done with experimental rat burn model, we think that the use of L-glutamine + L-alanine will have positive effects on wound healing and help preventing the bacterial translocation in burn patients as a supporting product. http://behmedicalbulletin.org/archives/archive-detail/article-preview/bacterial-translocation-relationship-with-enteral-/43930 bacterial translocationburnl-alaninel-glutamine
spellingShingle Semih Günay
Perçin Karakol
Mehmet Bozkurt
Mustafa Durgun
Bacterial Translocation Relationship with Enteral L-Glutamine and L-Alanine in Experimental Rat Burn Model
Bagcilar Medical Bulletin
bacterial translocation
burn
l-alanine
l-glutamine
title Bacterial Translocation Relationship with Enteral L-Glutamine and L-Alanine in Experimental Rat Burn Model
title_full Bacterial Translocation Relationship with Enteral L-Glutamine and L-Alanine in Experimental Rat Burn Model
title_fullStr Bacterial Translocation Relationship with Enteral L-Glutamine and L-Alanine in Experimental Rat Burn Model
title_full_unstemmed Bacterial Translocation Relationship with Enteral L-Glutamine and L-Alanine in Experimental Rat Burn Model
title_short Bacterial Translocation Relationship with Enteral L-Glutamine and L-Alanine in Experimental Rat Burn Model
title_sort bacterial translocation relationship with enteral l glutamine and l alanine in experimental rat burn model
topic bacterial translocation
burn
l-alanine
l-glutamine
url http://behmedicalbulletin.org/archives/archive-detail/article-preview/bacterial-translocation-relationship-with-enteral-/43930
work_keys_str_mv AT semihgunay bacterialtranslocationrelationshipwithenterallglutamineandlalanineinexperimentalratburnmodel
AT percinkarakol bacterialtranslocationrelationshipwithenterallglutamineandlalanineinexperimentalratburnmodel
AT mehmetbozkurt bacterialtranslocationrelationshipwithenterallglutamineandlalanineinexperimentalratburnmodel
AT mustafadurgun bacterialtranslocationrelationshipwithenterallglutamineandlalanineinexperimentalratburnmodel