Abstract
PURPOSE: This study was designed to investigate and quantify trophic alterations in the defunctioned, atrophic rat colon after short chain fatty acid (SCFA) treatment was administered in a clinically relevant way. METHODS: Diverting colostomy with exclusion of distal colon was performed on adult female rats (58), and treatment was started four weeks later. Enemas of either a SCFA solution of sodium-acetate, sodium-propionate and sodium-butyrate (concentration, 780 mM), or isotonic saline (placebo) were instilled through the anus into the defunctioned colon. This was done twice daily for 7 or 14 days before death. RESULTS: After SCFA instillation for 14 days, the colonic wet weight was 18 percent higher compared with placebo (P <0.01), and there was a similarly significant difference in dry weight (P <0.05). Using stereologic assessment to determine the histologic composition of defunctioned colon, we found significant increases among SCFA-treated rats in the weight of the mucosa (P <0.05), the submucosa (P <0.05), and the muscularis propria (P <0.05) and a 30 percent increase in the mucosal surface area compared with placebo-treated rats (P <0.05). Measurements of breaking strength and hydroxyproline content showed no differences between treatment groups. CONCLUSIONS: SCFA enemas have a transmural trophic effect and preserve mucosal surface area of defunctioned and atrophic colon in rats.
Similar content being viewed by others
References
Cummings JH. Short chain fatty acids in the human colon. Gut 1981;22:763–9.
Miller TL, Wolin MJ. Fermentations by saccharolytic intestinal bacteria. Am J Clin Nutr 1976;32:164–72.
Nyman M, Asp NG. Fermentation of dietary fibre components in rat intestinal tract. Br J Nutr 1982;47:357–66.
Bugaut M. Occurrence, absorption and metabolism of short chain fatty acids in the digestive tract of mammals. Comp Biochem Physiol [C] 1987;86B:439–72.
Sakata T, Engelhardt WV. Stimulatory effect of short chain fatty acids on the epithelial cell proliferation in rat large intestine. Comp Biochem Physiol [C] 1983;74A:459–62.
Janne P, Carpentier Y, Willems G. Colonic mucosal atrophy induced by a liquid elemental diet in rats. Dig Dis 1977;22:808–12.
Ryan GP, Dudrick SJ, Copeland EM, Johnson LR. Effects of various diets on colonic growth in rats. Gastroenterology 1979;77:658–63.
Mortensen FV, Hessov I, Birke H, Korsgaard N, Nielsen H. Microcirculatory and trophic effects of short chain fatty acids in the human rectum after Hartmann's procedure. Br J Surg 1991;78:1208–11.
Rolandelli RH, Koruda MJ, Settle RG, Rombeau JL. Effects of intraluminal infusion of short-chain fatty acids on the healing of colonic anastomosis in the rat. Surgery 1986;100:198–203.
Kissmeyer-Nielsen P, Christensen H, Laurberg S. Diverting colostomy induces mucosal and muscular atrophy in rat distal colon. Gut 1994;35:1275–81.
Kissmeyer-Nielsen P, Christensen H, Laurberg S. Decrease in collagenous proteins and mechanical strength of distal colon after diverting colostomy in rats. Int J Colorectal Dis 1993;8:120–4.
Gundersen HJ, Bendtsen TF, Korbo L,et al. Some new, simple and efficient stereological methods and their use in pathological research and diagnosis. APMIS 1988;96:379–94.
Watters DA, Smith AN, Eastwood MA, Anderson KC, Elton RA, Mugerwa JW. Mechanical properties of the colon: comparison of the features of the African and European colonin vitro. Gut 1985;26:384–92.
Woessner JF. Determination of hydroxyproline in connective tissues. In: Hall DA, ed. The methodology of connective tissue research. Oxford: Joynson-Bruvvers, 1976:227–33.
Halsted WS. Circular suture of the intestine—an experimental study. Am J Med Sci 1887;18:267–73.
Udén P, Blomquist P, Jiborn H, Zederfeldt B. Impact of long-term relative bowel rest on conditions for colonic surgery. Am J Surg 1988;156:381–5.
Kripke SA, Fox AD, Berman JM, Settle RG, Rombeau JL. Stimulation of intestinal mucosal growth with intracolonic infusion of short-chain fatty acids. JPEN 1989;13:109–16.
Roediger WE. The effect of bacterial metabolites on nutrition and function of the colonic mucosa: symbiosis between man and bacteria. In: Kasper H, Goebel H, eds. Colon and nutrition. Lancaster: Plenum Press, 1982:11–24.
Sakata T, Yajima T. Influence of short chain fatty acids on the epithelial cell division of digestive tract. Q J Exp Physiol 1984;69:639–48.
Mortensen FV, Nielsen H, Mulvany MJ, Hessov I. Short chain fatty acids dilate isolated human colonic resistance arteries. Gut 1990;31:1391–4.
Author information
Authors and Affiliations
Additional information
Supported by grants from Novo-Nordisk A/S, Gentofte, Denmark, and The Institute of Experimental Clinical Research, University of Aarhus, Denmark.
Read at the meeting of The American Society of Colon and Rectal Surgeons, Orlando, Florida, May 8 to 13, 1994.
About this article
Cite this article
Kissmeyer-Nielsen, P., Mortensen, F.V., Laurberg, S. et al. Transmural trophic effect of short chain fatty acid infusions on atrophic, defunctioned rat colon. Dis Colon Rectum 38, 946–951 (1995). https://doi.org/10.1007/BF02049730
Issue Date:
DOI: https://doi.org/10.1007/BF02049730