Intestinal inflammatory and redox responses to the perioperative administration of teduglutide in rats

Costa, Beatriz Pinto daGonçalves, Ana CristinaAbrantes, Ana MargaridaMatafome, PauloSeiça, RaquelSarmento-Ribeiro, Ana BelaBotelho, Maria FilomenaCastro-Sousa, Francisco

Purpose: To investigate the inflammatory and redox responses to teduglutide on an animal model of laparotomy and intestinal anastomosis. Methods: Wistar rats (n=62) were allocated into four groups: Ileal Resection and Anastomosis vs. Laparotomy, each one split into Postoperative Teduglutide Administration vs. No Treatment; and euthanized at the third or the seventh day. Ileal and blood samples were recovered at the baseline and at the euthanasia. Flow cytometry was used to study the inflammatory response (IL-1, MCP-1, TNF-, IFN- and IL-4 levels), oxidative stress (cytosolic peroxides, mitochondrial reactive species, intracellular glutathione and mitochondrial membrane potential) and cellular viability and death (annexin V/propidium iodide double staining). Results: Postoperative teduglutide treatment was associated with higher cellular viability index and lower early apoptosis ratio at the seventh day; higher cytosolic peroxides level at the third day and mitochondrial overgeneration of reactive species at the seventh day; higher tissue concentration of IL-4 and lower local pro-to-anti-inflammatory cytokines ratio at the seventh day. Conclusion: Those findings suggest an intestinal pro-oxidative and anti-inflammatory influence of teduglutide on the peri-operative context with a potential interference in the intestinal anastomotic healing.(AU)

1. Glucagon-like peptide-2
2. Surgical
3. Oxidative Stress
4. Cytokines
5. Anastomosis