Mayer Jens M, Laine V Jukka O, Kolodziej Susanne, Nevalainen Timo J, Beger Hans G
Department of General Surgery, University of Ulm, Germany.
Pancreas. 2002 Aug;25(2):188-91. doi: 10.1097/00006676-200208000-00013.
There is circumstantial and contradictory evidence of the role of group IIA phospholipase A2 (PLA2) in acute pancreatitis.
To examine the severity of acute experimental pancreatitis in transgenic mice expressing human PLA2 compared with mice not expressing PLA2.
The study involved 12 young female CB57/bl mice not expressing group IIA PLA2 (wild-type mice) and 12 transgenic female CB57/bl mice expressing human group IIA PLA2 (transgenic mice). A choline-deficient, 0.5% ethionine-supplemented diet induced acute pancreatitis for 72 hours after 12 hours of fasting. Mice were killed 4 and 10 days after induction of acute pancreatitis. Pancreas, lung, kidney, and liver were examined histologically, and apoptosis in pancreas and liver was evaluated by DNA nick-end labeling (TUNEL).
On day 4, there were no significant differences in pancreatic apoptosis or total pancreatitis score. Liver damage was similar in both groups. On day 10, pancreatic damage was less but apoptosis more severe than on day 4, and neither hepatic damage nor apoptosis was seen. All mice expressing human group IIA PLA2 but none of the mice not expressing human group IIA PLA2 had marked pancreatic fibrosis. No significant pulmonary or renal damage was found at any time.
Pancreatitis in mice expressing human group IIA PLA2 is not more severe than in normal mice. Expression of group IIA PLA2 per se is not a major determinant of severity in experimental acute pancreatitis.
关于IIA组磷脂酶A2(PLA2)在急性胰腺炎中的作用,存在间接且相互矛盾的证据。
比较表达人PLA2的转基因小鼠与未表达PLA2的小鼠实验性急性胰腺炎的严重程度。
本研究纳入12只未表达IIA组PLA2的年轻雌性CB57/bl小鼠(野生型小鼠)和12只表达人IIA组PLA2的转基因雌性CB57/bl小鼠(转基因小鼠)。禁食12小时后,给予胆碱缺乏、补充0.5%乙硫氨酸的饮食诱导急性胰腺炎72小时。在诱导急性胰腺炎后4天和10天处死小鼠。对胰腺、肺、肾和肝脏进行组织学检查,并通过DNA缺口末端标记法(TUNEL)评估胰腺和肝脏中的细胞凋亡情况。
在第4天,胰腺细胞凋亡或胰腺炎总评分无显著差异。两组的肝损伤相似。在第10天,胰腺损伤减轻,但细胞凋亡比第4天更严重,且未观察到肝损伤或细胞凋亡。所有表达人IIA组PLA2的小鼠均有明显的胰腺纤维化,而未表达人IIA组PLA2的小鼠均无此现象。在任何时间均未发现明显的肺或肾损伤。
表达人IIA组PLA2的小鼠胰腺炎并不比正常小鼠更严重。IIA组PLA2本身的表达不是实验性急性胰腺炎严重程度的主要决定因素。