Abstract Background Short bowel syndrome (SBS) is a rare and complex condition that can occur after ileo caecal resection (ICR), which is often performed in Crohn’s disease (CD) patients. The disease outcome depends on the postsurgical anatomy as well as individual risk factors that may impede intestinal adaptation. The objective of this study was to investigate intestinal adaptation following ICR in a CD mouse model. Methods SAMP1/YitFc (SAMP1, n=37) mice with histologically manifest ileitis and parental controls (AKR, n=34) of both sexes were subjected to 40% ICR or transection (sham) at the age of 14-20 weeks. Intestinal continuity was established by end-to-end jejunocolic anastomosis. Clinical data and stool samples were collected for either 7 or 14 days. Histomorphological adaptation and intestinal inflammation were examined by histological evaluation of residual jejunal and colonic sections as well as by analysis of blood parameters and cytokine mRNA expression in mesenteric lymph nodes (MLN). Results This study was the first to examine adaptation in a CD mouse model. At the age of 14 weeks SAMP1 mice exhibited spontaneous ileitis, with characteristics similar to CD (hypertrophy of muscularis, dysplasia of paneth cells, transmural infiltration, villus blunting). Following surgery, SAMP1 mice showed higher mortality after surgery in ICR and sham groups (both 33%) compared to AKR (21% ICR, 0% sham). ICR resulted in the manifestation of SBS, displayed by body weight loss and diarrhea in both strains. SAMP1 mice exhibited a higher food intake and demonstrated less weight loss than AKR mice. However, the level of wellbeing was significantly lower in comparison to AKR after ICR (p<0.0001 d7, d14). Histomorphological adaptation of the remnant jejunum was worse in SAMP1 mice (villus height SAMP1 229 µm vs. AKR 376 µm, p<0.01). Following ICR, SAMP1 mice exhibited normalization of preoperatively increased inflammatory values in the blood (neutropenia, lymphocytosis) and a reduction of Il4 and Infγ mRNA expression in MLN after ICR (p<0.05 SAMP1 vs. AKR). Conclusion The SAMP1/YitFc mouse is a suitable model for investigating the mechanisms of intestinal adaptation under the influence of experimental chronic ileitis. Subsequent research will focus on the alteration of the inflammatory environment and mucus barrier of the remaining bowel following resection in this model.
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