Efeito da Suplementação com L-arginina em subpopulações linfocitárias de ratos submetidos a esplenectomia total isolada ou combinada com autoimplante esplênico

• Autor(a) principal: Horst, Nara Limeira
• Data de Publicação: 2011
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/12597
• topic: Spleen; Splenectomy; Infections; Immune system; Arginine; Baço; Esplenectomia; Infecções; Sistema immune; Arginina; CNPQ::CIENCIAS DA SAUDE::NUTRICAO

L-arginine is recognized as a nutrient of fundamental importance in immune response, although its effects are sometimes considered unstable. The splenic autoimplants has been proposed as an alternative to total splenectomy isolated, but there are concerns about the effectiveness of the restoration of the immune response, considering that the patient can remain at increased risk of developing overwhelming postsplenectomy infection, even after morphological regeneration of the organ. The aim of this study was to determine the role of dietary supplementation with L-arginine in lymphocyte subsets in blood, spleen, and splenic auto-transplantation in rats subjected to total splenectomy alone or in combination with splenic autotransplantation. Forty two male Sprague-Dawley rats, were randomly divided into six groups: 1 - Control sham operation, 2 total splenectomy 3 total splenectomy combined with splenic auto-implants, 4 - Control - sham operation, with L-arginine supplementation, 5 total splenectomy, supplemented with L-arginine, and 6 total splenectomy combined with splenic auto-implants, supplemented with L-arginine. Animals in groups 4, 5 and 6 were supplemented with L-arginine, once daily for 15 days before blood sample was collected immediately before the operative procedures (weeks 0 and 12). The dose was 1.0 g / kg / day administered by intragastric bolus. The laboratory evaluations were made by blood count and flow cytometry. Statistical analysis used parametric tests and nonparametric, p<0.05 was considered to reject the null hypothesis. Supplementation with L-arginine led to increase in relative and absolute count of peripheral neutrophils, 12 weeks after completion of total splenectomy combined with splenic auto-implants. Total splenectomy caused a decrease in relative count of T lymphocytes, CD4+ and CD8β in blood, but dietary supplementation with L-arginine prevented the decrease in the percentage of total T cells and CD8β in the blood of animals subjected to splenic auto-transplantation. Both the completion of splenic auto-implants and the L-arginine supplementation may prevent the decrease of the subpopulation of CD4+ T cells in peripheral blood, a fact that usually occurs after completion of total splenectomy. There was a greater proliferation of white blood cells / g of tissue in the splenic autoimplants supplemented animals, but supplementation did not influence the T lymphocyte counts, CD4+ T and B splenic marginal zone. Supplementation of Larginine after performing total splenectomy combined with splenic autotransplantation in rats was able to reverse some of the changes observed in lymphocyte subsets, caused by splenectomy.