Pediatric Surgery International

, Volume 35, Issue 12, pp 1413–1420 | Cite as

Accelerated cell turnover 48 h after intestinal ischemia is NOTCH independent

  • Y. Ben-ShaharEmail author
  • Z. Abassi
  • Y. Pollak
  • A. Bitterman
  • H. Kreizman-Shefer
  • T. Koppelman
  • A. E. Fuhrer
  • L. Hayari
  • I. Sukhotnik
Original Article


Aim of the study

Notch signaling plays important roles in maintaining intestinal epithelial homeostasis. When Notch signaling is blocked, proliferation ceases and epithelial cells become secretory. The purpose of the present study was to evaluate the role of Notch signaling pathway following intestinal ischemia–reperfusion (IR) injury in a rat model.

Materials and methods

Male Sprague–Dawley rats were randomly divided into four experimental groups: Sham-24 and Sham-48 rats underwent laparotomy and were killed 24 or 48 h later, respectively; IR-24 and IR-48 rats underwent occlusion of SMA and portal vein for 30 min followed by 24 or 48 h of reperfusion, respectively. Enterocyte proliferation and enterocyte apoptosis were determined at killing. Notch-related gene and protein expression were determined using Real Time PCR, Western blotting and immunohistochemistry 48 h followed IR.

Main results

IR-48 rats demonstrated significantly increased rates of cell proliferation and increased cell apoptosis in both jejunum and ileum compared to Sham rats. IR-48 rats exhibited a significant decrease in Notch-1 protein expression (Western blot) that was coincided with a significant decrease in the number of Notch-1 positive cells (immunohistochemistry) in jejunum (35% decrease, p < 0.05) and ileum (twofold decrease, p < 0.05) as well as Hes-1 positive cells in jejunum (28% decrease, p < 0.05) and ileum (31% decrease, p < 0.05) compared to Sham-48 rats.


Forty-eight hours following intestinal IR in rats, accelerated cell turnover was associated by inhibited Notch signaling pathway. Intestinal stem cells differentiation toward secretory progenitors rather than differentiation toward absorptive cells is important at this phase of intestinal recovery.


Intestine Ischemia–reperfusion Notch Stem cells 



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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Y. Ben-Shahar
    • 2
    • 3
    Email author
  • Z. Abassi
    • 3
  • Y. Pollak
    • 1
  • A. Bitterman
    • 3
  • H. Kreizman-Shefer
    • 3
  • T. Koppelman
    • 2
  • A. E. Fuhrer
    • 2
  • L. Hayari
    • 3
  • I. Sukhotnik
    • 1
    • 2
  1. 1.Sackler Faculty of MedicineTel Aviv UniversityTel AvivIsrael
  2. 2.Department of Pediatric Surgery B, Dana-Dwek Children’s HospitalTel Aviv Sourasky Medical CenterTel AvivIsrael
  3. 3.Department of Physiology, The Bruce Rappaport Faculty of MedicineTechnion-Israel Institute of TechnologyHaifaIsrael

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