Folia Medica Indonesiana
ISSN 0303-7932
Vol. 44 / No. 4 / Published : 2008-10
Order : 9, and page :269 - 273
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Original Article :
Potency of lactobacillus reuteri on reduced inflammation in septic encephalopathy
Author :
- OS Hartanto*1
- Diding HP*2
- Medical Faculty of Sebelas Maret University Surakarta-Indonesia
- Medical Faculty of Sebelas Maret University Surakarta-Indones
Abstract :
Sepsis is the leading cause of death in critically ill patients. Septic encephalopathy is a severe brain dysfunction caused by systemic inflammation in the absence of direct brain infection. Intestinal apoptosis plays a central role in the pathophysiology of sepsis and is associated with a poor outcome in sepsis. In experimental animals model of sepsis, improve intestinal inflammation lowers survival due to sepsis. Lactobacillus reuteri is recently used as immunonutrition in critically ill patients is still disputed. This study was aimed to evaluate the effect of L. reuteri on intestinal inflammation grade in mice model of sepsis. Male Balb/C mice weighing 15-23 g were used in the study. Mice models of sepsis were induced by an intraperitoneally (i.p). injection 4 mg/mice of cecal inoculum each day for 7 days. The mice were divided into three groups: control (n=6), sepsis (n=6) and sepsis plus L. reuteri (n=6). Mice were sacrificed 24 hours after the final cecal inoculation to determine intestinal inflammation grade. We used L. reuteri as probiotic. Mann-Whitney test for intestinal inflammation grade at p < 0.05 was used to determine significant differences of each group. Control group mice showed intestinal inflammation of 94,4% on grade 0; while sepsis mice group (cecal inoculum exposed) demonstrated higher grade of intestinal inflammation of 55,6% on grade 3; and sepsis plus L. reuteri mice group showed higher than control group but lower compared to sepsis without L. reuteri group, namely 50% on grade 0. It can be concluded that L. reuteri can reduced inflammation in mice model of sepsis including septic encephalopathy.
Keyword :
sepsis, probiotic , cecal inoculum,
References :
O'Connor, JJ ,(2007) Crash Course Pathology, 2nd edn St Louis : CV Mosby Co.
Brown, AC and Valiere, A,(2004) Probiotics and medical nutrition therapy - : Nutr Clin Care
Chopra, M and Sharma, AC,(2007) Distinct cardiodynamic and molecular characteristics during early and late stages of sepsis-induced myocardial dysfunction - : Life Sci
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