Wang X, Wang B, Wu J
Department of Gastroenterology, Shanghai First People's Hospital, People's Republic of China.
J Gastroenterol Hepatol. 2001 Jan;16(1):79-86. doi: 10.1046/j.1440-1746.2001.02389.x.
It is well known that endotoxemia, which is caused by a bacterial infection, can exacerbate acute pancreatitis, whereas pancreatitis-associated protein (PAP) has the ability to induce bacterial aggregation. Pancreatitis-associated protein is supposed to protect the tissue from infection during inflammation. In order to clarify the relationship between PAP mRNA expression and endotoxemia during acute pancreatitis, the kinetic patterns of PAP-I mRNA in mouse pancreas treated with either cerulein or lipopolysaccharide (LPS) or both were investigated in this study.
The administration of LPS (5 mg/kg) intraperitoneally resulted in a dramatic upregulation of PAP-I mRNA expression, increasing 18.61-fold to a maximum at 12 h, then decreasing, but still sustaining at a high level and reaching baseline on day five. These changes were accompanied by the upregulation of tumor necrosis factor (TNF)-alpha, interleukin-1beta (IL-1beta), interleukin 6 (IL-6) and interferon gamma (IFNgamma) mRNA expressions in the pancreas, but not by marked alterations of serum amylase, lactic dehydrogenase (LDH) and histology. Cerulein also increased PAP-I mRNA expression. However, the combination of cerulein and LPS was not able to enhance PAP-I mRNA expression further, although more prominent pancreatitis based on significant changes of serum amylase, LDH and histology were observed.
These results suggest that PAP-I mRNA might be modulated by endotoxemia, independent of cerulein-pancreatitis. There were no strong correlations between PAP-I mRNA expression and the severity of pancreatitis.
众所周知,由细菌感染引起的内毒素血症可加重急性胰腺炎,而胰腺炎相关蛋白(PAP)具有诱导细菌聚集的能力。胰腺炎相关蛋白被认为在炎症期间可保护组织免受感染。为了阐明急性胰腺炎期间PAP mRNA表达与内毒素血症之间的关系,本研究调查了用蛙皮素或脂多糖(LPS)或两者处理的小鼠胰腺中PAP-I mRNA的动力学模式。
腹腔注射LPS(5 mg/kg)导致PAP-I mRNA表达显著上调,在12小时时增加18.61倍达到最大值,然后下降,但仍维持在高水平,并在第五天恢复到基线。这些变化伴随着胰腺中肿瘤坏死因子(TNF)-α、白细胞介素-1β(IL-1β)、白细胞介素6(IL-6)和干扰素γ(IFNγ)mRNA表达的上调,但血清淀粉酶、乳酸脱氢酶(LDH)和组织学无明显改变。蛙皮素也增加了PAP-I mRNA的表达。然而,尽管观察到基于血清淀粉酶、LDH和组织学显著变化的更明显的胰腺炎,但蛙皮素和LPS的联合使用并不能进一步增强PAP-I mRNA的表达。
这些结果表明,PAP-I mRNA可能受内毒素血症调节,独立于蛙皮素诱导的胰腺炎。PAP-I mRNA表达与胰腺炎严重程度之间无强相关性。