Abstract | BACKGROUND & AIMS:
Inflammation of the intestinal muscularis following manipulation during surgery plays a crucial role in the pathogenesis of postoperative ileus. Here, we evaluate the role of mast cell activation in the recruitment of infiltrates in a murine model. METHODS: Twenty-four hours after control laparotomy or intestinal manipulation, gastric emptying was determined. Mast cell degranulation was determined by measurement of mast cell protease-I in peritoneal fluid. Intestinal inflammation was assessed by determination of tissue myeloperoxidase activity and histochemical staining. RESULTS: Intestinal manipulation elicited a significant increase in mast cell protease-I levels in peritoneal fluid and resulted in recruitment of inflammatory infiltrates to the intestinal muscularis. This infiltrate was associated with a delay in gastric emptying 24 hours after surgery. Pretreatment with mast cell stabilizers ketotifen (1 mg/kg, p.o.) or doxantrazole (5 mg/kg, i.p.) prevented both manipulation-induced inflammation and gastroparesis. Reciprocally, in vivo exposure of an ileal loop to the mast cell secretagogue compound 48/80 (0.2 mg/mL for 1 minute) induced muscular inflammation and delayed gastric emptying. The manipulation-induced inflammation was dependent on the presence of mast cells because intestinal manipulation in mast cell-deficient Kit/Kitv mice did not elicit significant leukocyte recruitment. Reconstitution of Kit/Kitv mice with cultured bone marrow-derived mast cells from congenic wild types restored the manipulation-induced inflammation. CONCLUSIONS: Our results show that degranulation of connective tissue mast cells is a key event for the establishment of the intestinal infiltrate that mediates postoperative ileus following abdominal surgery.
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Authors | Wouter J de Jonge, Frans O The, Dennis van der Coelen, Roelof J Bennink, Pieter H Reitsma, Sander J van Deventer, René M van den Wijngaard, Guy E Boeckxstaens |
Journal | Gastroenterology
(Gastroenterology)
Vol. 127
Issue 2
Pg. 535-45
(Aug 2004)
ISSN: 0016-5085 [Print] United States |
PMID | 15300586
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Proto-Oncogene Proteins c-kit
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Topics |
- Abdomen
(surgery)
- Animals
- Cell Degranulation
(immunology)
- Enteritis
(immunology, metabolism)
- Female
- Ileus
(immunology, metabolism)
- Leukocytes
(immunology)
- Mast Cells
(metabolism)
- Mice
- Mice, Inbred BALB C
- Mice, Mutant Strains
- Postoperative Complications
(immunology, metabolism)
- Proto-Oncogene Proteins c-kit
(genetics)
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