Ding Shi-Ping, Li Ji-Cheng, Jin Chang
Department of Lymphology, Department of Histology and Embryology, Medical College of Zhejiang University, Hangzhou 310031, Zhejiang Province, China.
World J Gastroenterol. 2003 Mar;9(3):584-9. doi: 10.3748/wjg.v9.i3.584.
To establish a non-traumatic, easy to induce and reproducible mouse model of severe acute pancreatitis (SAP) induced with caerulein and lipopolyasccharide (LPS).
Thirty-two healthy mature NIH female mice were selected and divided at random into four groups (each of 8 mice), i.e., the control group (NS group), the caerulein group (Cn group), the lipopolysaccharide group (LPS group), and the caerulein+LPS group (Cn+LPS group). Mice were injected intraperitoneally with caerulein only, or LPS only, and caerulein and LPS in combination. All the animals were then killed by neck dislocation three hours after the last intraperitoneal injection. The pancreas and exo-pancreatic organs were then carefully removed for microscopic examination. And the pancreatic acinus was further observed under transmission electron microscope (TEM). Pancreatic weight, serum amylase, serum nitric oxide (NO) concentration, superoxide dismutase (SOD) and malondialdehyde (MDA) concentration of the pancreas were assayed respectively.
(1) NS animals displayed normal pancreatic structure both in the exocrine and endocrine. In the LPS group, the pancreas was slightly edematous, with the infiltration of a few inflammatory cells and the necrosis of the adjacent fat tissues. All the animals of the Cn group showed distinct signs of a mild edematous pancreatitis characterized by interstitial edema, infiltration of neutrophil and mononuclear cells, but without obvious parenchyma necrosis and hemorrhage. In contrast, the Cn+LPS group showed more diffuse focal areas of nonviable pancreatic and hemorrhage as well as systemic organ dysfunction. According to Schmidt's criteria, the pancreatic histologic score showed that there existed significant difference in the Cn+LPS group in the interstitial edema, inflammatory infiltration, parenchyma necrosis and parenchyma homorrhage in comparison with those of the Cn group, LPS group and NS group (P<0.01 or P<0.05). (2) The ultrasturcture of acinar cells was seriously damaged in the Cn+LPS group. Chromatin margination of nuclei was present, the number and volume of vacuoles greatly increased. Zymogen granules (ZGs) were greatly decreased in number and endoplasmic reticulum exhibited whorls. The swollen mitochondria appeared, the crista of which was decreased in number or disappeared. (3) Pancreatic weight and serum amylase levels in the Cn +LPS was significantly higher than those of the NS group and the LPS group respectively (P<0.01 or P<0.05). However, the pancreatic wet weight and serum amylase concentration showed no significant difference between the Cn+LPS group and the Cn group. (4) NO concentration in the Cn+LPS group was significantly higher than that of NS group, LPS group and Cn group(P<0.05 or P<0.01). (5) The SOD and MDA concentration of the pancreas in the Cn+LPS group were significantly higher than those of NS, LPS and Cn groups (P<0.05 or P<0.01).
The mouse model of severe acute pancreatitis could be induced with caerulein and LPS, which could be non-traumatic and easy to induce, reproducible with the same pathological characteristics as those of SAP in human, and could be used in the research on the mechanism of human SAP.
建立一种用蛙皮素和脂多糖(LPS)诱导的非创伤性、易于诱导且可重复的重症急性胰腺炎(SAP)小鼠模型。
选取32只健康成熟的NIH雌性小鼠,随机分为四组(每组8只),即对照组(NS组)、蛙皮素组(Cn组)、脂多糖组(LPS组)和蛙皮素+LPS组(Cn+LPS组)。小鼠分别腹腔注射单纯蛙皮素、单纯LPS或蛙皮素与LPS联合注射。在最后一次腹腔注射后3小时,所有动物均通过颈椎脱臼处死。然后小心取出胰腺和胰腺外器官进行显微镜检查。并在透射电子显微镜(TEM)下进一步观察胰腺腺泡。分别测定胰腺重量、血清淀粉酶、血清一氧化氮(NO)浓度、超氧化物歧化酶(SOD)和丙二醛(MDA)浓度。
(1)NS组动物的胰腺外分泌和内分泌结构均正常。LPS组胰腺轻度水肿,有少量炎性细胞浸润及相邻脂肪组织坏死。Cn组所有动物均表现出明显的轻度水肿性胰腺炎体征,其特征为间质水肿、中性粒细胞和单核细胞浸润,但无明显实质坏死和出血。相比之下,Cn+LPS组胰腺出现更弥漫的局灶性坏死和出血区域以及全身器官功能障碍。根据施密特标准,胰腺组织学评分显示,Cn+LPS组在间质水肿、炎性浸润、实质坏死和实质出血方面与Cn组、LPS组和NS组相比存在显著差异(P<0.01或P<0.05)。(2)Cn+LPS组腺泡细胞超微结构严重受损。细胞核染色质边集,空泡数量和体积大幅增加。酶原颗粒(ZGs)数量大幅减少,内质网呈漩涡状。线粒体肿胀,其嵴数量减少或消失。(3)Cn +LPS组的胰腺重量和血清淀粉酶水平分别显著高于NS组和LPS组(P<0.01或P<0.05)。然而,Cn+LPS组与Cn组之间的胰腺湿重和血清淀粉酶浓度无显著差异。(4)Cn+LPS组的NO浓度显著高于NS组、LPS组和Cn组(P<0.05或P<0.01)。(5)Cn+LPS组胰腺的SOD和MDA浓度显著高于NS组、LPS组和Cn组(P<0.05或P<0.01)。
用蛙皮素和LPS可诱导出重症急性胰腺炎小鼠模型,该模型非创伤性、易于诱导、可重复,具有与人类SAP相同的病理特征,可用于人类SAP发病机制的研究。