Satake K, Kimura K, Saito T
First Department of Surgery, Osaka City University Medical School, Osaka, Japan.
Digestion. 1999;60 Suppl 1:64-8. doi: 10.1159/000051457.
We investigated the therapeutic effects of a cholecystokinin A (CCK-A) receptor antagonist, loxiglumide, on various models of experimental pancreatitis. This study shows that loxiglumide ameliorated caerulein-induced acute pancreatitis in mice as previously reported. The effects of loxiglumide on hemorrhagic and necrotizing acute pancreatitis is controversial. This study, however, shows that loxiglumide improves the survival rates in necrotizing acute pancreatitis induced by intraductal injection of taurocholate, followed by caerulein injection. In addition, the administration of loxiglumide improved both the biochemical and pathological changes of edematous acute pancreatitis induced by a closed duodenal loop in rats. It is concluded that the CCK-A receptor antagonist, loxiglumide, has therapeutic and/or prophylactic effects on acute pancreatitis in various models of experimental acute pancreatitis.
我们研究了胆囊收缩素A(CCK-A)受体拮抗剂洛西肽对各种实验性胰腺炎模型的治疗效果。本研究表明,洛西肽如先前报道的那样改善了小鼠中蛙皮素诱导的急性胰腺炎。洛西肽对出血性和坏死性急性胰腺炎的作用存在争议。然而,本研究表明,洛西肽可提高经导管注射牛磺胆酸盐后再注射蛙皮素诱导的坏死性急性胰腺炎的存活率。此外,给予洛西肽改善了大鼠闭合十二指肠环诱导的水肿性急性胰腺炎的生化和病理变化。得出的结论是,CCK-A受体拮抗剂洛西肽对各种实验性急性胰腺炎模型中的急性胰腺炎具有治疗和/或预防作用。