PMID- 15573249 OWN - NLM STAT- MEDLINE DCOM- 20050208 LR - 20181113 IS - 0364-2313 (Print) IS - 0364-2313 (Linking) VI - 28 IP - 10 DP - 2004 Oct TI - Altered serum transforming growth factor-beta1 and monocyte chemoattractant protein-1 levels in obstructive jaundice. PG - 967-70 AB - Impaired immune function has long been documented in patients with obstructive jaundice, and those with jaundice due to extrahepatic biliary obstruction still experience a high rate of postoperative complications and death. Transforming growth factor-beta1 (TGFbeta1) appears to be an important regulator of both normal and pathologic conditions in the liver. Monocyte chemoattractant protein-1 (MCP-1) is an important mediator of monocyte recruitment to inflammatory sites. We hypothesize that obstructive jaundice may alter serum TGFbeta1 and MCP-1 expressions in the rat and that oral bile acid or glutamine (or both) can restore the altered serum TGFbeta1 and MCP-1 expression in rats with obstructive jaundice. Male Sprague-Dawley rats weighing 250 to 300 g were randomized to four groups (n = 10 in each group). Group 1 underwent a sham operation with oral normal saline administration. Group 2 underwent common bile duct ligation (CBDL) with oral normal saline administration. Group 3 underwent CBDL with oral bile acid replacement. Group 4 underwent CBDL with oral glutamine administration. Animals were sacrificed after 3 days (n = 5) and 7 days (n = 5), and blood samples were collected. Serum was obtained after centrifugation for measurement of TGFbeta1 and MCP-1 levels by an enzyme-linked immunosorbent assay. The serum TGFbeta1 level was significantly elevated (p = 0.006) 3 days after CBDL. Oral glutamine administration prevented this elevation, but oral bile acid replacement did not. The serum MCP-1 level showed similar changes. After 3 days of obstructive jaundice, the TGFbeta1 and MCP-1 levels were altered in the rat. Oral glutamine administration, not oral bile acid replacement, was able to prevent these alterations. FAU - Sheen-Chen, Shyr-Ming AU - Sheen-Chen SM AD - Department of Surgery, College of Medicine, Chang Gung University, Chang Gung Memorial Hospital, Kaohsiung, 123 Ta-Pei Road, Niao-Sung Hsiang, Kaohsiung Hsien, Taiwan. smsheen@yahoo.com FAU - Eng, Hock-Liew AU - Eng HL FAU - Hung, Kuo-Sheng AU - Hung KS LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20040929 PL - United States TA - World J Surg JT - World journal of surgery JID - 7704052 RN - 0 (Chemokine CCL2) RN - 0 (Tgfb1 protein, rat) RN - 0 (Transforming Growth Factor beta) RN - 0 (Transforming Growth Factor beta1) SB - IM MH - Animals MH - Chemokine CCL2/*blood MH - Jaundice, Obstructive/*blood MH - Male MH - Rats MH - Rats, Sprague-Dawley MH - Transforming Growth Factor beta/*blood MH - Transforming Growth Factor beta1 EDAT- 2004/12/02 09:00 MHDA- 2005/02/09 09:00 CRDT- 2004/12/02 09:00 PHST- 2004/12/02 09:00 [pubmed] PHST- 2005/02/09 09:00 [medline] PHST- 2004/12/02 09:00 [entrez] AID - 10.1007/s00268-004-7354-z [doi] PST - ppublish SO - World J Surg. 2004 Oct;28(10):967-70. doi: 10.1007/s00268-004-7354-z. Epub 2004 Sep 29.