Fulminant hepatitis remains a critical health problem owing to its high mortality rate and the lack of effective
therapies. An increasing number of studies have shown that
glutamine supplementation provides protective benefits in
inflammation-related disorders, but the pharmacological significance of
glutamine in
lipopolysaccharide (LPS)/D-
galactosamine (D-Gal)-induced
fulminant hepatitis remains unclear. In the present study, the potential effects of
glutamine on LPS/D-Gal-induced
fulminant hepatitis were investigated. Pretreatment with
glutamine decreased plasma activities of
alanine and
aspartate aminotransferases, and ameliorated hepatic morphological abnormalities in LPS/D-Gal-exposed mice.
Glutamine pretreatment also inhibited LPS/D-Gal-induced
tumor necrosis factor alpha (TNF-α) and
interleukin-6 (IL-6) production. In addition,
glutamine pretreatment decreased the level of cleaved cysteinyl
aspartate-specific
proteinase 3 (caspase-3), suppressed the activities of
caspase-3,
caspase-8, and
caspase-9, and reduced the number of cells positive for TdT-mediated dUTP nick-end labeling in LPS/D-Gal-challenged mice. Interestingly, post-treatment with
glutamine also provided protective benefits against LPS/D-Gal-induced acute liver injury, although these effects were less robust than those of
glutamine pre-treatment. Thus,
glutamine may have potential value as a pharmacological intervention in
fulminant hepatitis.