Effects of supplemental dietary arginine, canola oil, and trace elements on cellular immune function in critically injured patients.
Dietary nutrients may have pharmacological value in modulating the immune system. We studied the effects of two enteral diets, which differed in their content of arginine, fat source, and select trace elements, on immune function in critically injured patients. Leukocytes were isolated from healthy volunteers and severely injured (ISS > 13) patients on the first, sixth, and tenth day of receiving either a standard diet or experimental diet. Monocytes were assayed for tumor necrosis factor, procoagulant activity, and prostaglandin E2 following endotoxin exposure. Neutrophil oxidant production and lymphocyte blastogenesis was assessed. Leukocyte function was uniformly depressed compared to normal patients on day 1. The response of leukocytes from patients receiving experimental diet improved or "normalized" by day 6, while remaining depressed in patients receiving standard diet. Dietary nutrient modification can effect cellular immune responses to inflammatory stimuli in severely injured patients.
Mendez
C
C
Department of Surgery, University of Washington, Harborview Medical Center, Seattle 98104, USA.
Jurkovich
G J
GJ
Wener
M H
MH
Garcia
I
I
Mays
M
M
Maier
R V
RV
D000293:Adolescent; D000328:Adult; D001120:Arginine; D016638:Critical Illness / Q000628:therapy*; D015232:Dinoprostone / Q000097:blood; D004731:Endotoxins; D004750:Enteral Nutrition; D005169:Factor VIII / Q000032:analysis; D005229:Fatty Acids, Monounsaturated; D005527:Food, Fortified; D006801:Humans; D066298:In Vitro Techniques; D008070:Lipopolysaccharides / Q000494:pharmacology; D008213:Lymphocyte Activation; D008875:Middle Aged; D009000:Monocytes / Q000187:drug effects / Q000276:immunology; D009504:Neutrophils / Q000502:physiology; D011446:Prospective Studies; D000074262:Rapeseed Oil; D012016:Reference Values; D012720:Severity of Illness Index; D013997:Time Factors; D014131:Trace Elements; D014193:Trauma Centers; D014409:Tumor Necrosis Factor-alpha / Q000032:analysis; D014947:Wounds and Injuries / Q000601:surgery
D004731:Endotoxins; D005229:Fatty Acids, Monounsaturated; D008070:Lipopolysaccharides; D000074262:Rapeseed Oil; D014131:Trace Elements; D014409:Tumor Necrosis Factor-alpha; D005169:Factor VIII; D001120:Arginine; D015232:Dinoprostone