Dietary modulation of methotrexate-induced enteritis in cats

Research output: Contribution to journalArticle

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Abstract

Objective-To determine effects of purified and dry expanded (complex) diets on intestinal structure and function in healthy cats and in feline model of methotrexate-induced enteritis. Animals-19 adults specific-pathogen- free cats. Procedure-Cats were randomized in groups to receive a purified diet intragastrically or a complex diet orally to meet their daily metabolizable energy requirements. After 21 days, cats received either methotrexate (MTX; 10 mg/kg of body weight, IV, n = 12) or saline solution IV (n = 7), and were anesthetized 72 hours later. Celiotomy was performed for aseptic removal of mesenteric lymph nodes, full-thickness biopsy of the gastrointestinal tract, and collection of aortic and portal venous blood samples for determination of arteriovenous amino acid concentrations across the intestine. Results-MTX was associated with severe enterotoxicosis in cats receiving the purified diet, as manifested by diarrhea (4 of 6 cats) and vomiting (2 of 6 cats). One cat receiving the complex diet developed mild diarrhea, and none of these cats vomited. The purified diet was associated with marked villus blunting in the proximal and distal portions of the duodenum and increased bacterial translocation (3 of 6 cats), whereas none of the cats in the complex diet group developed bacterial translocation after MTX administration. For the cats given saline solution, bacterial translocation, occurred in 1 of 4 cats receiving the complex diet versus 2 of 3 cats receiving the purified diet. Conclusions-Feeding of a complex diet containing intact protein as the nitrogen source abrogated the proximal small intestinal atrophy and bacterial translocation associated with feeding an amino acid-based purified diet. Clinical Relevance-Use of purified diets containing free amino acids as the only nitrogen source cannot be endorsed in human and animal cancer patients receiving systemic chemotherapy.

Original languageEnglish (US)
Pages (from-to)989-996
Number of pages8
JournalAmerican Journal of Veterinary Research
Volume58
Issue number9
StatePublished - Sep 1997

Fingerprint

methotrexate
Enteritis
enteritis
Methotrexate
Cats
cats
Diet
diet
Bacterial Translocation
Amino Acids
Sodium Chloride
sodium chloride
Diarrhea
Nitrogen
diarrhea
Specific Pathogen-Free Organisms
amino acids
Felidae
nitrogen
Duodenum

ASJC Scopus subject areas

  • veterinary(all)

Cite this

Dietary modulation of methotrexate-induced enteritis in cats. / Marks, Stanley L; Cook, Audrey K.; Griffey, Stephen M; Kass, Philip H; Rogers, Quinton.

In: American Journal of Veterinary Research, Vol. 58, No. 9, 09.1997, p. 989-996.

Research output: Contribution to journalArticle

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abstract = "Objective-To determine effects of purified and dry expanded (complex) diets on intestinal structure and function in healthy cats and in feline model of methotrexate-induced enteritis. Animals-19 adults specific-pathogen- free cats. Procedure-Cats were randomized in groups to receive a purified diet intragastrically or a complex diet orally to meet their daily metabolizable energy requirements. After 21 days, cats received either methotrexate (MTX; 10 mg/kg of body weight, IV, n = 12) or saline solution IV (n = 7), and were anesthetized 72 hours later. Celiotomy was performed for aseptic removal of mesenteric lymph nodes, full-thickness biopsy of the gastrointestinal tract, and collection of aortic and portal venous blood samples for determination of arteriovenous amino acid concentrations across the intestine. Results-MTX was associated with severe enterotoxicosis in cats receiving the purified diet, as manifested by diarrhea (4 of 6 cats) and vomiting (2 of 6 cats). One cat receiving the complex diet developed mild diarrhea, and none of these cats vomited. The purified diet was associated with marked villus blunting in the proximal and distal portions of the duodenum and increased bacterial translocation (3 of 6 cats), whereas none of the cats in the complex diet group developed bacterial translocation after MTX administration. For the cats given saline solution, bacterial translocation, occurred in 1 of 4 cats receiving the complex diet versus 2 of 3 cats receiving the purified diet. Conclusions-Feeding of a complex diet containing intact protein as the nitrogen source abrogated the proximal small intestinal atrophy and bacterial translocation associated with feeding an amino acid-based purified diet. Clinical Relevance-Use of purified diets containing free amino acids as the only nitrogen source cannot be endorsed in human and animal cancer patients receiving systemic chemotherapy.",
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