PMID- 27798536 OWN - NLM STAT- MEDLINE DCOM- 20170627 LR - 20181202 IS - 1540-0514 (Electronic) IS - 1073-2322 (Linking) VI - 47 IP - 5 DP - 2017 May TI - Influences of Vagotomy on Gut Ischemia-Reperfusion Injury in Mice. PG - 646-652 LID - 10.1097/SHK.0000000000000783 [doi] AB - BACKGROUND: How vagotomy affects host responses to gut ischemia-reperfusion (I/R) is unclear. MATERIALS AND METHODS: Experiment 1: male Institute of Cancer Research mice (n = 22) were assigned to the I/R or the vago-I/R group. The I/R mice underwent 45-min superior mesenteric artery (SMA) occlusion. The vago-I/R mice received vagotomy before SMA occlusion. Survival was observed for 48 h.Experiment 2: mice (n = 55) were divided into four groups (Sham, vago, I/R, vago-I/R). Sham and vago groups did not undergo gut I/R. Mice were killed at 3 or 6 h after reperfusion, and cytokine levels in the plasma, jejunum, and ileum were evaluated. In addition, gut histology at 6 h was examined.Experiment 3: mice (n = 24) were divided into four groups as in Experiment 2. The small intestine was harvested at 3 h after reperfusion and the tissue was cultured ex vivo for 3 h. Cytokine levels of the culture supernatant were then measured. RESULTS: Experiment 1: survival was significantly worse with vago-I/R than I/R.Experiment 2: along with severe gut injury, vago-I/R increased IL-6 and monocyte chemoattractant protein-1 (MCP-1) in plasma, IFN-gamma in the jejunum and MCP-1 in the ileum, as compared with I/R. Significant positive correlations were noted between plasma and intestinal levels of pro-inflammatory cytokines (IL-6, MCP-1, and TNF-alpha).Experiment 3: MCP-1 in the jejunal culture medium was higher in the vago-I/R than in the I/R group. CONCLUSIONS: Vagotomy worsens survival after gut I/R, together with increases in pro-inflammatory cytokines in both plasma and the gut in association with severe intestinal tissue damage. FAU - Ri, Motonari AU - Ri M AD - *Department of Gastrointestinal Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan daggerDepartment of Surgical Center, The University of Tokyo, Tokyo, Japan double daggerDepartment of Digestive Surgery, Nihon University School of Medicine, Tokyo, Japan section signDepartment of Laboratory of Veterinary Surgery, The University of Tokyo, Tokyo, Japan. FAU - Fukatsu, Kazuhiko AU - Fukatsu K FAU - Miyakuni, Taiki AU - Miyakuni T FAU - Yanagawa, Masashi AU - Yanagawa M FAU - Murakoshi, Satoshi AU - Murakoshi S FAU - Yasuhara, Hiroshi AU - Yasuhara H FAU - Seto, Yasuyuki AU - Seto Y LA - eng PT - Journal Article PL - United States TA - Shock JT - Shock (Augusta, Ga.) JID - 9421564 RN - 0 (Ccl2 protein, mouse) RN - 0 (Chemokine CCL2) RN - 0 (Cytokines) RN - 0 (Interleukin-6) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Animals MH - Chemokine CCL2/blood/metabolism MH - Cytokines/blood/metabolism MH - Ileum/metabolism MH - Interleukin-6/blood/metabolism MH - Intestinal Mucosa/*metabolism MH - Intestine, Small/metabolism MH - Intestines/injuries MH - Ischemia/*immunology/mortality MH - Male MH - Mice MH - Reperfusion Injury/*immunology/mortality MH - Tumor Necrosis Factor-alpha/blood/metabolism MH - Vagotomy/*adverse effects MH - Vagus Nerve/metabolism/surgery EDAT- 2016/11/01 06:00 MHDA- 2017/06/28 06:00 CRDT- 2016/11/01 06:00 PHST- 2016/11/01 06:00 [pubmed] PHST- 2017/06/28 06:00 [medline] PHST- 2016/11/01 06:00 [entrez] AID - 10.1097/SHK.0000000000000783 [doi] PST - ppublish SO - Shock. 2017 May;47(5):646-652. doi: 10.1097/SHK.0000000000000783.