title: The effects of nitric oxide supplementation and inhibition on bacterial translocation in bile duct ligated rats.
abstract: Obstructive jaundice promotes bacterial translocation from the gut, but the role of nitric oxide is controversial in this process. We studied the effects of nitric oxide synthase substrate, L-arginine, and nitric oxide synthase inhibitor, N(G)-nitro-L-arginine methyl ester, on bacterial translocation in bile duct ligated rats. The animals were randomized into five groups; control, sham, common bile duct ligation alone, nitric oxide inhibition, and nitric oxide supplementation. Obstructive jaundice was performed with common bile duct ligation. L-arginine or N(G)-nitro-L-arginine methyl ester was injected once daily for 14 days. Blood bilirubin level, liver histology, and bacterial translocation to the mesenteric lymph nodes as well as to the liver were assessed. The L-arginine supplemented group had the lowest bacterial translocation rate, but the most prominent hepatic fibrosis. Nitric oxide inhibition increased bacterial translocation to the mesenteric lymph nodes. Therefore, the administration of nitric oxide donor or inhibitor acts as a significant regulatory factor for bacterial translocation in obstructive jaundice.
authors.affiliation: Department of Surgery, Adnan Menderes University, Faculty of Medicine, Istanbul, Turkey. aedemirkiran@yahoo.com
authors.forename: A E
authors.initials: AE
authors.lastname: Demirkiran
authors.forename: M
authors.initials: M
authors.lastname: Balkaya
authors.forename: P
authors.initials: P
authors.lastname: Tuncyurek
authors.forename: M H
authors.initials: MH
authors.lastname: Cevikel
authors.forename: N
authors.initials: N
authors.lastname: Culhaci
authors.forename: M
authors.initials: M
authors.lastname: Iyigor
authors.forename: H
authors.initials: H
authors.lastname: Ozgun
authors.forename: N
authors.initials: N
authors.lastname: Aydin
authors.forename: S
authors.initials: S
authors.lastname: Boylu
mesh_terms: D000704:Analysis of Variance; D000818:Animals; D001120:Arginine / Q000494:pharmacology*; D018988:Bacterial Translocation / Q000187:drug effects*; D005260:Female; D041781:Jaundice, Obstructive / Q000382:microbiology* / Q000473:pathology; D008099:Liver / Q000473:pathology; D019331:NG-Nitroarginine Methyl Ester / Q000494:pharmacology*; D009569:Nitric Oxide / Q000378:metabolism*; D011897:Random Allocation; D051381:Rats; D017207:Rats, Sprague-Dawley
chemical_list: D009569:Nitric Oxide; D001120:Arginine; D019331:NG-Nitroarginine Methyl Ester