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Asphyxia-Induced Bacterial Translocation in an Animal Experimental Model in Neonatal Piglets

Background: The term “bacterial translocation” (BT) refers to the migration of bacteria or their products from the gastrointestinal tract to tissues located outside it, and may occur after intestinal ischemia-reperfusion injury. The term “endotoxin” is synonymous, and is used interchangeably with th...

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Autores principales: Matara, Dimitra-Ifigeneia, Sokou, Rozeta, Xanthos, Theodoros, Pouliakis, Abraham, Sarantaki, Antigoni, Boutsikou, Theodora, Iliodromiti, Zoi, Salakos, Christos, Gazouli, Maria, Iacovidou, Nicoletta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9776828/
https://www.ncbi.nlm.nih.gov/pubmed/36553109
http://dx.doi.org/10.3390/diagnostics12123103
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author Matara, Dimitra-Ifigeneia
Sokou, Rozeta
Xanthos, Theodoros
Pouliakis, Abraham
Sarantaki, Antigoni
Boutsikou, Theodora
Iliodromiti, Zoi
Salakos, Christos
Gazouli, Maria
Iacovidou, Nicoletta
author_facet Matara, Dimitra-Ifigeneia
Sokou, Rozeta
Xanthos, Theodoros
Pouliakis, Abraham
Sarantaki, Antigoni
Boutsikou, Theodora
Iliodromiti, Zoi
Salakos, Christos
Gazouli, Maria
Iacovidou, Nicoletta
author_sort Matara, Dimitra-Ifigeneia
collection PubMed
description Background: The term “bacterial translocation” (BT) refers to the migration of bacteria or their products from the gastrointestinal tract to tissues located outside it, and may occur after intestinal ischemia-reperfusion injury. The term “endotoxin” is synonymous, and is used interchangeably with the term lipopolysaccharide (LPS). LPS, a component of Gram-negative gut bacteria, is a potent microbial virulence factor, that can trigger production of pro-inflammatory mediators, causing localized and systemic inflammation. The aim of this study is to investigate if neonatal asphyxia provokes BT and an increased concentration of LPS in an animal model of asphyxia in piglets. Methods: Twenty-one (21) newborn male Landrace/Large White piglets, 1–4 days old, were randomly allocated into three groups, Control (A), Asphyxia (B) and Asphyxia-Cardiopulmonary Resuscitation (CPR) (C). All animals were instrumented, anesthetized and underwent hemodynamic monitoring. In Group A, the animals were euthanized. In Group B, the endotracheal tube was occluded to cause asphyxia leading to cardiopulmonary arrest. In Group C, the animals were resuscitated after asphyxia and further monitored for 30′. Bacterial translocation was assessed by the measurement of endotoxin in blood from the portal vein and the aorta, and also by the measurement of endotoxin in mesenteric lymph nodes (MLNs) at euthanasia. The results are given as median (IQR) with LPS concentration in EU/mL. Results: BT was observed in all groups with minimum LPS concentration in the MLN and maximum concentration in the portal vein. LPS levels in the MLNs were higher in the Group B: 6.38 EU/mL (2.69–9.34) compared to the other groups (Group A: 2.1 EU/mL (1.08–2.52), Group C: 1.66 EU/mL (1.51–2.48), p = 0.012). The aorta to MLNs LPS difference (%) was lower in Group B: 0.13% (0.04–1.17), compared to Group A: 5.08% (2.2–10.7), and Group C: 3.42% (1.5–5.1)) (p = 0.042). The same was detected for portal to MLNs LPS difference (%) which was lower in Group B: 0.94% (0.5–3) compared to Group A: 4.9% (4–15), and Group C: 3.85% (1.5–5.1)) (p = 0.044). Conclusions: Neonatal asphyxia can provoke ΒΤ and increased LPS concentration in blood and tissue located outside the gastrointestinal system.
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spelling pubmed-97768282022-12-23 Asphyxia-Induced Bacterial Translocation in an Animal Experimental Model in Neonatal Piglets Matara, Dimitra-Ifigeneia Sokou, Rozeta Xanthos, Theodoros Pouliakis, Abraham Sarantaki, Antigoni Boutsikou, Theodora Iliodromiti, Zoi Salakos, Christos Gazouli, Maria Iacovidou, Nicoletta Diagnostics (Basel) Article Background: The term “bacterial translocation” (BT) refers to the migration of bacteria or their products from the gastrointestinal tract to tissues located outside it, and may occur after intestinal ischemia-reperfusion injury. The term “endotoxin” is synonymous, and is used interchangeably with the term lipopolysaccharide (LPS). LPS, a component of Gram-negative gut bacteria, is a potent microbial virulence factor, that can trigger production of pro-inflammatory mediators, causing localized and systemic inflammation. The aim of this study is to investigate if neonatal asphyxia provokes BT and an increased concentration of LPS in an animal model of asphyxia in piglets. Methods: Twenty-one (21) newborn male Landrace/Large White piglets, 1–4 days old, were randomly allocated into three groups, Control (A), Asphyxia (B) and Asphyxia-Cardiopulmonary Resuscitation (CPR) (C). All animals were instrumented, anesthetized and underwent hemodynamic monitoring. In Group A, the animals were euthanized. In Group B, the endotracheal tube was occluded to cause asphyxia leading to cardiopulmonary arrest. In Group C, the animals were resuscitated after asphyxia and further monitored for 30′. Bacterial translocation was assessed by the measurement of endotoxin in blood from the portal vein and the aorta, and also by the measurement of endotoxin in mesenteric lymph nodes (MLNs) at euthanasia. The results are given as median (IQR) with LPS concentration in EU/mL. Results: BT was observed in all groups with minimum LPS concentration in the MLN and maximum concentration in the portal vein. LPS levels in the MLNs were higher in the Group B: 6.38 EU/mL (2.69–9.34) compared to the other groups (Group A: 2.1 EU/mL (1.08–2.52), Group C: 1.66 EU/mL (1.51–2.48), p = 0.012). The aorta to MLNs LPS difference (%) was lower in Group B: 0.13% (0.04–1.17), compared to Group A: 5.08% (2.2–10.7), and Group C: 3.42% (1.5–5.1)) (p = 0.042). The same was detected for portal to MLNs LPS difference (%) which was lower in Group B: 0.94% (0.5–3) compared to Group A: 4.9% (4–15), and Group C: 3.85% (1.5–5.1)) (p = 0.044). Conclusions: Neonatal asphyxia can provoke ΒΤ and increased LPS concentration in blood and tissue located outside the gastrointestinal system. MDPI 2022-12-09 /pmc/articles/PMC9776828/ /pubmed/36553109 http://dx.doi.org/10.3390/diagnostics12123103 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Matara, Dimitra-Ifigeneia
Sokou, Rozeta
Xanthos, Theodoros
Pouliakis, Abraham
Sarantaki, Antigoni
Boutsikou, Theodora
Iliodromiti, Zoi
Salakos, Christos
Gazouli, Maria
Iacovidou, Nicoletta
Asphyxia-Induced Bacterial Translocation in an Animal Experimental Model in Neonatal Piglets
title Asphyxia-Induced Bacterial Translocation in an Animal Experimental Model in Neonatal Piglets
title_full Asphyxia-Induced Bacterial Translocation in an Animal Experimental Model in Neonatal Piglets
title_fullStr Asphyxia-Induced Bacterial Translocation in an Animal Experimental Model in Neonatal Piglets
title_full_unstemmed Asphyxia-Induced Bacterial Translocation in an Animal Experimental Model in Neonatal Piglets
title_short Asphyxia-Induced Bacterial Translocation in an Animal Experimental Model in Neonatal Piglets
title_sort asphyxia-induced bacterial translocation in an animal experimental model in neonatal piglets
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9776828/
https://www.ncbi.nlm.nih.gov/pubmed/36553109
http://dx.doi.org/10.3390/diagnostics12123103
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