title: Hypoxia-induced necrotizing enterocolitis in the immature rat: the role of lipid peroxidation and management by vitamin E.
abstract: The authors developed an experimental model of necrotizing enterocolitis (NEC) by hypoxia-reoxygenation, and determined the content of malondialdehyde levels as an index of lipid peroxidation, related with a free-radical reaction in the gastrointestinal tract of newborn rats. They also investigated the role of vitamin E, an antioxidant, in this free-radical injury. The study was performed on 1-day-old rats. The 30 rat pups were divided into three groups. Hypoxia was induced by placing the pups in a 100% carbon dioxide chamber for 5 minutes. The pups were reoxygenated with 100% oxygen for 5 minutes. Group 1 (n = 10) was subjected to hypoxia-reoxygenation and killed 3 days after hypoxia. Group 2 (n = 10) was subjected to hypoxia-reoxygenation and treated with vitamin E (30 IU/kg/d intraperitoneally) for the next 3 days, and killed. Group 3 (n = 10) rats served as controls. The histopathology of the intestinal lesions in group 1 animals was characteristic of ischemic injury and ranged from superficial epithelial damage with villous shortening to transmural necrosis. In the vitamin E-treated animals these lesions were milder. The malondialdehyde levels of group 1 were significantly higher than those of the other two groups (P < .001). This study shows that oxidant-mediated lipid peroxidation injury plays a central role in mediating hypoxia-induced intestinal necrosis and suggests that vitamin E may play a therapeutic role in NEC.
authors.affiliation: Department of Pediatric Surgery, Erciyes University Faculty of Medicine, Kayseri, Turkey.
authors.forename: H
authors.initials: H
authors.lastname: Okur
authors.forename: M
authors.initials: M
authors.lastname: Küçükaydin
authors.forename: K
authors.initials: K
authors.lastname: Köse
authors.forename: O
authors.initials: O
authors.lastname: Kontaş
authors.forename: P
authors.initials: P
authors.lastname: Doğam
authors.forename: A
authors.initials: A
authors.lastname: Kazez
mesh_terms: D000818:Animals; D000831:Animals, Newborn; D004195:Disease Models, Animal; D004761:Enterocolitis, Pseudomembranous / Q000188:drug therapy* / Q000209:etiology / Q000378:metabolism*; D005609:Free Radicals; D000860:Hypoxia / Q000150:complications*; D015227:Lipid Peroxidation; D008315:Malondialdehyde / Q000378:metabolism; D051381:Rats; D017208:Rats, Wistar; D014810:Vitamin E / Q000627:therapeutic use*
chemical_list: D005609:Free Radicals; D014810:Vitamin E; D008315:Malondialdehyde