Nakamura Hayato, Honda Hidekazu, Tashiro Mitsuo, Taguchi Masashi, Yoshikawa Hiroyuki, Otsuki Makoto
Third Department of Internal Medicine, University of Occupational and Environmental Health, Japan, School of Medicine, Yahatanashi, Kitakyushu, Japan.
Crit Care Med. 2003 Oct;31(10):2527-34. doi: 10.1097/01.CCM.0000090006.49055.6D.
The aim of the present study was to determine the underlying cellular mechanisms in the pancreas after acute pancreatitis and to study the pathogenesis of pancreatitis-associated lung injury. We applied a differential display analysis to normal pancreas and to the pancreas with acute pancreatitis in rats, and we examined the expression of the identified gene in the lung as well as the pancreas after acute pancreatitis.
Controlled animal study.
Research laboratory of an academic institution.
Ninety male Wistar rats.
Pancreatitis was induced by retrograde intraductal infusion of 4% sodium taurocholate (100 microL/100 g of body weight). Data were compared with data from controls (sham).
We cloned some expressed sequence tags and identified one complementary DNA fragment. The deduced protein was a polypeptide of 218 amino acids, which was almost identical to human 19-kD interacting protein-3-like (NIP3L) protein. The expression of rat NIP3L identified in this study increased slightly in the pancreas after induction of acute pancreatitis but showed a marked increase in the lung by both Northern and Western blot analysis. NIP3L immunoreactivity was noted in alveolar and epithelial cells of the control (sham) lung, and the immunoreactivity in these cells was elevated after induction of acute pancreatitis. Moreover, acute pancreatitis increased terminal deoxynucleotidyl transferase-mediated dUTP-biotin nick end labeling-positive alveolar and bronchiolar cells in the lung.
NIP3L may be involved in lung injury, which is one of the major causes of death in cases of severe acute pancreatitis.
本研究旨在确定急性胰腺炎后胰腺潜在的细胞机制,并研究胰腺炎相关肺损伤的发病机制。我们对正常胰腺和大鼠急性胰腺炎胰腺进行了差异显示分析,并检测了急性胰腺炎后该基因在肺和胰腺中的表达。
对照动物研究。
一所学术机构的研究实验室。
90只雄性Wistar大鼠。
通过逆行胰管内注入4%牛磺胆酸钠(100微升/100克体重)诱导胰腺炎。将数据与对照组(假手术组)的数据进行比较。
我们克隆了一些表达序列标签并鉴定出一个互补DNA片段。推导的蛋白质是一种218个氨基酸的多肽,与人类19-kD相互作用蛋白-3样(NIP3L)蛋白几乎相同。本研究鉴定的大鼠NIP3L在急性胰腺炎诱导后在胰腺中略有增加,但通过Northern和Western印迹分析显示在肺中显著增加。在对照(假手术)肺的肺泡和上皮细胞中观察到NIP3L免疫反应性,急性胰腺炎诱导后这些细胞中的免疫反应性升高。此外,急性胰腺炎增加了肺中末端脱氧核苷酸转移酶介导的dUTP-生物素缺口末端标记阳性的肺泡和细支气管细胞。
NIP3L可能参与肺损伤,而肺损伤是重症急性胰腺炎患者死亡的主要原因之一。