Department of Gastrointestinal Surgery, the Sixth Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong Province, China.
World J Gastroenterol. 2009 Dec 7;15(45):5732-9. doi: 10.3748/wjg.15.5732.
To investigate gut barrier damage and intestinal bacteria translocation in severe acute pancreatitis (SAP), a simple rat model of SAP was induced and studied.
Pancreatitis was induced by uniformly distributed injection of 3.8% Na taurocholate (1 mL/kg) beneath the pancreatic capsule. Rats in the control group were injected with normal saline in the identical location.
Serum amylase, plasma endotoxin, intestinal permeability, and pancreatitis pathology scores were all markedly higher in the pancreatitis group than in the control group (P < 0.01). The bacterial infection rate was significantly higher in the SAP group than in the control group (P < 0.01), observed in parallel by both bacterial culture and real-time polymerase chain reaction. Acute damage of the pancreas was observed histologically in SAP rats, showing interstitial edema, leukocyte infiltration, acinar cell necrosis and hemorrhage. The microstructure of the intestinal mucosa of SAP rats appeared to be destroyed with loose, shortened microvilli and rupture of the intercellular junction, as shown by electron microscopy.
Significant gut barrier damage and intestinal bacterial translocation were definitely observed with few potential study confounders in this SAP rat model, suggesting that it may be an appropriate animal model for study of gut barrier damage and bacterial translocation in SAP.
研究重症急性胰腺炎(SAP)时肠道屏障损伤和肠道细菌易位的情况,建立了一个简单的 SAP 大鼠模型并进行了研究。
通过在胰腺包膜下均匀注射 3.8%牛磺胆酸钠(1 mL/kg)来诱导胰腺炎。对照组大鼠在相同位置注射生理盐水。
与对照组相比,胰腺炎组大鼠血清淀粉酶、血浆内毒素、肠道通透性和胰腺炎病理评分均显著升高(P<0.01)。SAP 组的细菌感染率明显高于对照组(P<0.01),细菌培养和实时聚合酶链反应均观察到这一结果。SAP 大鼠的胰腺组织学急性损伤表现为间质水肿、白细胞浸润、腺泡细胞坏死和出血。电镜下可见 SAP 大鼠的肠黏膜微观结构遭到破坏,微绒毛疏松、缩短,细胞间连接破裂。
该 SAP 大鼠模型中观察到明显的肠道屏障损伤和肠道细菌易位,且潜在的研究混杂因素较少,提示其可能是研究 SAP 时肠道屏障损伤和细菌易位的合适动物模型。