The Effect Of Enteral Glutamine To Increase The Macrophage Count In Full-Thickness Burns Infected With Acinetobacter Baumannii Bacteria In White Rats (Rattus norvegicus)

Main Article Content

Angga Putra Kusuma
Agus Santoso Budi
Iswinarno Doso Saputro

Abstract

In this study, we explore the impact of hypermetabolic conditions on the immune function of the body, with a particular focus on the role of glutamine, an amino acid involved in protein synthesis and the regulation of metabolic processes within the immune system. Macrophages and monocytes play a crucial role in responding to A.Baumanii infection, being the first line of defense. Our investigation aims to analyze the augmentation of macrophage cell count activity against A. Baumanii through the administration of glutamine. Using an experimental study design, 45 rats were randomly assigned to three groups: a control group, a Glutamine treatment group, and a Glutamine against A. Baumanii group. The rats were evaluated on days 1, 5, and 7, with enteral administration of glutamine at a dose of 1 g/kg body weight/day. Specimens were taken from the peritoneum tissue, and anatomical pathology preparations were conducted to calculate the number of macrophage cells. Data collected were then input into a table and processed using SPSS 26 for Windows. Results revealed a significant increase in macrophage cell count on day 1 in the Glutamine against A.Baumanii group compared to the control group (p < 0.05). On day 5, the macrophage cell count in both the Glutamine group and the Glutamine against A.Baumanii group was higher than in the control group, with significant differences observed between groups (p < 0.05). On day 7, a significant difference (p < 0.05) in the number of macrophage cells was noted between the Glutamine groups. In conclusion, enteral glutamine feeding led to a notable increase in the number of macrophage cells, indicating a positive impact on the immune system. This rise in macrophages correlates with enhanced phagocytic activity against A.Baumanii infection.

Downloads

Download data is not yet available.

Article Details

How to Cite
Angga Putra Kusuma, Agus Santoso Budi, & Iswinarno Doso Saputro. (2024). The Effect Of Enteral Glutamine To Increase The Macrophage Count In Full-Thickness Burns Infected With Acinetobacter Baumannii Bacteria In White Rats (Rattus norvegicus). Journal of Advanced Zoology, 45(1), 450–457. https://doi.org/10.53555/jaz.v45i1.3247
Section
Articles
Author Biographies

Angga Putra Kusuma

Resident of Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Universitas Airlangga, East Java, Surabaya, Indonesia

Agus Santoso Budi

Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Universitas Airlangga, East Java, Surabaya, Indonesia

Iswinarno Doso Saputro

Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Universitas Airlangga, East Java, Surabaya, Indonesia

References

Hasanul, A. (2009). Peran Glutamine pada Neonatus dan Bayi Sakit Kritis. Majalah Kedokteran Nusantara, 42(1), 66–71.

Rogero, M. M., Borges, M. C., de Castro, I. A., Pires, I. S. O., Borelli, P., & Tirapegui, J. (2011). Effects of dietary glutamine supplementation on the body composition and protein status of early-weaned mice inoculated with Mycobacterium bovis Bacillus Calmette-Guerin. Nutrients, 3(9), 792–804. https://doi.org/10.3390/nu3090792

Da Costa, M. A. R., Campos, A. C. L., Coelho, J. C. U., De Barros, A. M., Matsumoto, H. M., & Grossie, B. (2003). Oral glutamine and the healing of colonic anastomoses in rats. Journal of Parenteral and Enteral Nutrition, 27(3), 182–186. https://doi.org/10.1177/0148607103027003182

Oliveira, G. P., Dias, C. M., Pelosi, P., & Rocco, P. R. M. (2010). Understanding the mechanisms of glutamine action in critically ill patients. Anais Da Academia Brasileira de Ciencias, 82(2), 417–430. https://doi.org/10.1590/s0001-37652010000200018

Martins, P. (2016). Glutamine in critically ill patients: Is it a fundamental nutritional supplement? Revista Brasileira de Terapia Intensiva, 28(2), 100–103. https://doi.org/10.5935/0103-507X.20160022

Cruzat, V. F., Krause, M., & Newsholme, P. (2014). Amino acid supplementation and impact on immune function in the context of exercise. Journal of the International Society of Sports Nutrition, 11(1), 1–13. https://doi.org/10.1186/s12970-014-0061-8

Cruzat, V., Rogero, M. M., Keane, K. N., Curi, R., & Newsholme, P. (2018). Glutamine: Metabolism and immune function, supplementation and clinical translation. Nutrients, 10(11), 1–31. https://doi.org/10.3390/nu10111564

Wischmeyer, P. E., Dhaliwal, R., McCall, M., Ziegler, T. R., & Heyland, D. K. (2014). Parenteral glutamine supplementation in critical illness: A systematic review. Critical Care, 18(2). https://doi.org/10.1186/cc13836

Watford, M. (2015). Glutamine and glutamate: Nonessential or essential amino acids? Animal Nutrition, 1(3), 119–122. https://doi.org/10.1016/j.aninu.2015.08.008

Gallaher, J. R., Mjuweni, S., Shah, M., Cairns, B. A., & Charles, A. G. (2015). Timing of early excision and grafting following burn in sub-Saharan Africa. Burns, 41(6), 1353–1359. https://doi.org/10.1016/j.burns.2015.02.011

Rogero, M. M., Tirapegui, J., Vinolo, M. A. R., Borges, M. C., De Castro, I. A., De Oliveira Fires, I. S., & Borelli, P. (2008). Dietary glutamine supplementation increases the activity of peritoneal macrophages and hemopoiesis in early-weaned mice inoculated with mycobacterium bovis bacillus Calmette-Guérin. Journal of Nutrition, 138(7), 1343–1348. https://doi.org/10.1093/jn/138.7.1343

de Oliveira, D. C., da Silva Lima, F., Sartori, T., Santos, A. C. A., Rogero, M. M., & Fock, R. A. (2016). Glutamine metabolism and its effects on immune response: molecular mechanism and gene expression. Nutrire, 41(1), 1–10. https://doi.org/10.1186/s41110-016-0016-8

Sartori, T., Galvão dos Santos, G., Nogueira-Pedro, A., Makiyama, E., Rogero, M. M., Borelli, P., & Fock, R. A. (2018). Effects of glutamine, taurine and their association on inflammatory pathway markers in macrophages. Inflammopharmacology, 26(3), 829–838. https://doi.org/10.1007/s10787-017-0406-4

Ezraty, B., Gennaris, A., Barras, F., & Collet, J. F. (2017). Oxidative stress, protein damage and repair in bacteria. Nature Reviews Microbiology, 15(7), 385–396. https://doi.org/10.1038/nrmicro.2017.26

Wiwanitkit, V. (2014). Multidrug-resistant acinetobacter baumannii infection in the intensive care unit. Korean Journal of Anesthesiology, 67(2), 153. https://doi.org/10.4097/kjae.2014.67.2.153

Wanarska, E., Mielko, K. A., Maliszewska, I., & Młynarz, P. (2022). The oxidative stress and metabolic response of Acinetobacter baumannii for aPDT multiple photosensitization. Scientific Reports, 12(1), 1–13. https://doi.org/10.1038/s41598-022-05650-9

Swe Swe-Han, K., Mlisana, K. P., & Pillay, M. (2017). Analysis of clinical and microbiological data on Acinetobacter baumannii strains assist the preauthorization of antibiotics at the patient level for an effective antibiotic stewardship program. Journal of Infection and Public Health, 10(5), 608–616. https://doi.org/10.1016/j.jiph.2017.01.014

Lee, K., Yong, D., Jeong, S. H., & Chong, Y. (2011). Multidrug-resistant Acinetobacter spp.: Increasingly problematic nosocomial pathogens. Yonsei Medical Journal, 52(6), 879–891. https://doi.org/10.3349/ymj.2011.52.6.879

Gustawan, I. W., Satari, H. I., Amir, I., & Astrawinata, D. A. (2016). Gambaran Infeksi Acinetobacter baumannii dan Pola Sensitifitasnya terhadap Antibiotik. Sari Pediatri, 16(1), 35. https://doi.org/10.14238/sp16.1.2014.35-40

Ñamendys-Silva, S. A., Correa-García, P., García-Guillén, F. J., González-Herrera, M. O., Pérez-Alonso, A., Texcocano-Becerra, J., Herrera-Gómez, A., Cornejo-Juárez, P., & Meneses-García, A. (2015). Outcomes of critically ill cancer patients with Acinetobacter baumannii infection . World Journal of Critical Care Medicine, 4(3), 258. https://doi.org/10.5492/wjccm.v4.i3.258

Vijey Aanandhi, M., & John, M. R. (2017). Enteral/oral glutamine supplementation in patients following surgery and accidental injury. Asian Journal of Pharmaceutical and Clinical Research, 10(3), 477–479. https://doi.org/10.22159/ajpcr.2017.v10i3.16569

Stehle, P., & Kuhn, K. S. (2015). Glutamine: An Obligatory Parenteral Nutrition Substrate in Critical Care Therapy. BioMed Research International, 2015. https://doi.org/10.1155/2015/545467

O’Neill, L. A. J., Kishton, R. J., & Rathmell, J. (2016). A guide to immunometabolism for immunologists. Nature Reviews Immunology, 16(9), 553–565. https://doi.org/10.1038/nri.2016.70

Cabrera, R. A., Usry, J. L., Arrellano, C., Nogueira, E. T., Kutschenko, M., Moeser, A. J., & Odle, J. (2013). Effects of creep feeding and supplemental glutamine or glutamine plus glutamate (Aminogut) on pre- and post-weaning growth performance and intestinal health of piglets. Journal of Animal Science and Biotechnology, 4(1), 1. https://doi.org/10.1186/2049-1891-4-29

Rajendram, R., Preedy, V. R., & Patel, V. B. (2015). Glutamine in clinical nutrition. Glutamine in Clinical Nutrition, 1–551. https://doi.org/10.1007/978-1-4939-1932-1

Newsholme, P. (2001). Glutamine Metabolism: Nutritional and Clinical Significance Why Is L-Glutamine Metabolism Important to Cells of the Immune System in Health, Postinjury, Surgery or Infection? J. Nutr, 131(January), 2515–2522.

Kesici, U., Kesici, S., Ulusoy, H., Yucesan, F., Turkmen, A. U., Besir, A., & Tuna, V. (2015). Effects of glutamine on wound healing. International Wound Journal, 12(3), 280–284. https://doi.org/10.1111/iwj.12098

Goswami, P., Sahu, S., Singodia, P., Kumar, M., Tudu, T., Kumar, A., & Sinha, P. K. (2019). Early Excision and Grafting in Burns: An Experience in a Tertiary Care Industrial Hospital of Eastern India. Indian Journal of Plastic Surgery, 52(3), 337–342. https://doi.org/10.1055/s-0039-3402707

Wischmeyer, P. E. (2019). Glutamine in Burn Injury. Nutrition in Clinical Practice, 34(5), 681–687. https://doi.org/10.1002/ncp.10362

Goswami, S., Kandhare, A., Zanwar, A. A., Hegde, M. V., Bodhankar, S. L., Shinde, S., Deshmukh, S., & Kharat, R. (2016). Oral L-glutamine administration attenuated cutaneous wound healing in Wistar rats. International Wound Journal, 13(1), 116–124. https://doi.org/10.1111/iwj.12246