Zhang Xi-Ping, Ye Qian, Jiang Xin-Ge, Ma Mei-Li, Zhu Fei-Bo, Zhang Rui-Ping, Cheng Qi-Hui
Department of General Surgery, Hangzhou First People's Hospital, Hangzhou, Zhejiang Province, China.
World J Gastroenterol. 2007 Sep 14;13(34):4566-73. doi: 10.3748/wjg.v13.i34.4566.
To establish an ideal model of multiple organ injury of rats with severe acute pancreatitis (SAP).
SAP models were induced by retrograde injection of 0.1 mL/100 g 3.5% sodium taurocholate into the biliopancreatic duct of Sprague-Dawley rats. The plasma and samples of multiple organ tissues of rats were collected at 3, 6 and 12 h after modeling. The ascites volume, ascites/body weight ratio, and contents of amylase, endotoxin, endothelin-1 (ET-1), nitrogen monoxidum (NO), phospholipase A(2) (PLA(2)), tumor necrosis factor-alpha (TNF-alpha), interleukin-6 (IL-6) in plasma were determined. The histological changes of multiple organs were observed under light microscope.
The ascites volume, ascites/body weight ratio, and contents of various inflammatory mediators in blood were higher in the model group than in the sham operation group at all time points [2.38 (1.10), 2.58 (0.70), 2.54 (0.71) vs 0.20 (0.04), 0.30 (0.30), 0.22 (0.10) at 3, 6 and 12 h in ascites/body weight ratio; 1582 (284), 1769 (362), 1618 (302) (U/L) vs 5303 (1373), 6276 (1029), 7538 (2934) (U/L) at 3, 6 and 12 h in Amylase; 0.016 (0.005), 0.016 (0.010), 0.014 (0.015) (EU/mL) vs 0.053 (0.029), 0.059 (0.037), 0.060 (0.022) (EU/mL) at 3, 6 and 12 h in Endotoxin; 3.900 (3.200), 4.000 (1.700), 5.300 (3.000) (ng/L) vs 41.438 (37.721), 92.151 (23.119), 65.016 (26.806) (ng/L) at 3, 6 and 12 h in TNF-alpha, all P < 0.01]. Visible congestion, edema and lamellar necrosis and massive leukocytic infiltration were found in the pancreas of rats of model group. There were also pathological changes of lung, liver, kidney, spleen, ileum, lymphonode, thymus, myocardium and brain.
This rat model features reliability, convenience and a high achievement ratio. Complicated with multiple organ injury, it is an ideal animal model of SAP.
建立理想的重症急性胰腺炎(SAP)大鼠多器官损伤模型。
通过向Sprague-Dawley大鼠胆胰管逆行注射0.1 mL/100 g 3.5%牛磺胆酸钠诱导建立SAP模型。建模后3、6和12 h收集大鼠血浆及多器官组织样本。测定腹水体积、腹水/体重比以及血浆中淀粉酶、内毒素、内皮素-1(ET-1)、一氧化氮(NO)、磷脂酶A2(PLA2)、肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)的含量。在光学显微镜下观察多器官的组织学变化。
模型组在各时间点的腹水体积、腹水/体重比以及血液中各种炎症介质的含量均高于假手术组[腹水/体重比在3、6和12 h分别为2.38(1.10)、2.58(0.70)、2.54(0.71),假手术组分别为0.20(0.04)、0.30(0.30)、0.22(0.10);淀粉酶在3、6和12 h分别为1582(284)、1769(362)、1618(302)(U/L),假手术组分别为5303(1373)、6276(1029)、7538(2934)(U/L);内毒素在3、6和12 h分别为0.016(0.005)、0.016(0.010)、0.014(0.015)(EU/mL),假手术组分别为)0.053(0.029)、0.059(0.037)、0.060(0.022)(EU/mL);TNF-α在3、6和12 h分别为3.900(3.200)、4.000(1.700)、5.300(3.000)(ng/L),假手术组分别为41.438(37.721)、92.151(23.119)、65.016(26.806)(ng/L),所有P<0.01]。模型组大鼠胰腺可见充血、水肿、片状坏死及大量白细胞浸润。肺、肝、肾、脾、回肠、淋巴结、胸腺、心肌和脑也有病理改变。
该大鼠模型具有可靠性、便利性和高成功率。并发多器官损伤,是理想的SAP动物模型。