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Inflammatory Bowel Diseases:
doi: 10.1097/01.MIB.0000435849.17263.c5
Original Basic Science Articles

Beneficial Effects of an Amino Acid Mixture on Colonic Mucosal Healing in Rats

Liu, Xinxin MS*; Beaumont, Martin MS*; Walker, Francine MD, PhD†,‡; Chaumontet, Catherine MS*; Andriamihaja, Mireille PhD*; Matsumoto, Hideki PhD§; Khodorova, Nadezda PhD*; Lan, Annaïg PhD*; Gaudichon, Claire PhD*; Benamouzig, Robert MD, PhD; Tomé, Daniel PhD*; Davila, Anne-Marie PhD*; Marie, Jean-Claude PhD; Blachier, François PhD*

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Abstract

Background:

Mucosal healing (MH) decreases the relapse risk in patients with inflammatory bowel disease, but the role of dietary supplementation in this process has been poorly investigated. Here, we investigated the effect of an amino acid mixture supplement on rat MH.

Methods:

Colitis was induced using 5% of dextran sodium sulfate for 6 days. Then, rats received a mixture of threonine (0.50 g/d), methionine (0.31 g/d), and monosodium glutamate (0.57 g/d) or an isonitrogenous amount of alanine (control group). Colons were recovered after colitis induction and after dietary supplementation for measuring colon characteristics, myeloperoxidase, cytokine gene expression, glutathione content, protein synthesis rate, and for histological analysis. Short-chain fatty acids were measured in the colonic content.

Results:

Colitis induction resulted in anorexia, thickening and shortening of the colon, and ulceration. Colonic cytokine expression and neutrophil infiltration were increased. An increased amount of water and a decreased amount of butyrate, propionate, and acetate were measured in the colonic content. Supplementation with the amino acid mixture coincided with a reduced protein synthesis rate in the colon compatible with the observed increased colonic MH. Mucosal regeneration/re-epithelialization was visible within 3 days after colitis induction at a time when mucosal inflammation was severe. Histological analysis revealed an increased regeneration/re-epithelialization after 10-day supplementation. In contrast, the spontaneous resolution of inflammation was not affected by the supplementation.

Conclusions:

Amino acid supplementation ameliorates colonic MH but not mucosal inflammatory status. Our data sustain the use of adjuvant dietary intervention on initiated intestinal MH.

Copyright © 2013 Crohn's & Colitis Foundation of America, Inc.

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