Original Article
Copyright ©2014 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Mar 14, 2014; 20(10): 2641-2652
Published online Mar 14, 2014. doi: 10.3748/wjg.v20.i10.2641
Sodium alginate ameliorates indomethacin-induced gastrointestinal mucosal injury via inhibiting translocation in rats
Atsuki Yamamoto, Tomokazu Itoh, Reishi Nasu, Ryuichi Nishida
Atsuki Yamamoto, Tomokazu Itoh, Reishi Nasu, Ryuichi Nishida, Pharmaceutical research laboratories, Sakai Chemical Industry Co., Ltd., Kawachinagano, Osaka 586-0006, Japan
Atsuki Yamamoto, KATAYAMA SEIYAKUSYO Co., Ltd., Hirakata, Osaka 573-1132, Japan
Tomokazu Itoh, Ryuichi Nishida, Kaigen Pharma Co., Ltd., Doshomachi, Chuo-ku, Osaka 541-0045, Japan
Author contributions: Yamamoto A, Itoh T, Nasu R and Nishida R performed experiments; Yamamoto A designed the study and wrote the manuscript.
Correspondence to: Mr. Atsuki Yamamoto, Pharmaceutical Research Laboratories, Sakai Chemical Industry Co., Ltd., Matsugaoka-nakamachi 1330-1, Kawachinagano, Osaka 586-0006, Japan. yamamoto-at@sakai-chem.co.jp
Telephone: +81-721-535400 Fax: +81-721-540797
Received: August 21, 2013
Revised: November 28, 2013
Accepted: January 2, 2014
Published online: March 14, 2014
Abstract

AIM: To investigate the effects of sodium alginate (AL-Na) on indomethacin-induced small intestinal lesions in rats.

METHODS: Gastric injury was assessed by measuring ulcerated legions 4 h after indomethacin (25 mg/kg) administration. Small intestinal injury was assessed by measuring ulcerated legions 24 h after indomethacin (10 mg/kg) administration. AL-Na and rebamipide were orally administered. Myeloperoxidase activity in the stomach and intestine were measured. Microvascular permeability, superoxide dismutase content, glutathione peroxidase activity, catalase activity, red blood cell count, white blood cell count, mucin content and enterobacterial count in the small intestine were measured.

RESULTS: AL-Na significantly reduced indomethacin-induced ulcer size and myeloperoxidase activity in the stomach and small intestine. AL-Na prevented increases in microvascular permeability, superoxide dismutase content, glutathione peroxidase activity and catalase activity in small intestinal injury induced by indomethacin. AL-Na also prevented decreases in red blood cells and white blood cells in small intestinal injury induced by indomethacin. Moreover, AL-Na suppressed mucin depletion by indomethacin and inhibited infiltration of enterobacteria into the small intestine.

CONCLUSION: These results indicate that AL-Na ameliorates non-steroidal anti-inflammatory drug-induced small intestinal enteritis via bacterial translocation.

Keywords: Sodium alginate, Non-steroidal anti-inflammatory drugs, Gastrointestinal mucosal injury, Mucin, Bacterial translocation

Core tip: Sodium alginate ameliorates small intestinal enteritis via bacterial translocation.