Department of Surgery, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
HPB (Oxford). 2011 May;13(5):332-41. doi: 10.1111/j.1477-2574.2010.00290.x. Epub 2011 Mar 29.
Multiple organ dysfunction is the main cause of death in severe acute pancreatitis. Primary mitochondrial dysfunction plays a central role in the development and progression of organ failure in critical illness. The present study investigated mitochondrial function in seven tissues during early experimental acute pancreatitis.
Twenty-eight male Wistar rats (463 ± 2 g; mean ± SEM) were studied. Group 1 (n= 8), saline control; Group 2 (n= 6), caerulein-induced mild acute pancreatitis; Group 3 (n= 7) sham surgical controls; and Group 4 (n= 7), taurocholate-induced severe acute pancreatitis. Animals were euthanased at 6 h from the induction of acute pancreatitis and mitochondrial function was assessed in the heart, lung, liver, kidney, pancreas, duodenum and jejunum by mitochondrial respirometry.
Significant early mitochondrial dysfunction was present in the pancreas, lung and jejunum in both models of acute pancreatitis, however, the Heart, liver, kidney and duodenal mitochondria were unaffected.
The present study provides the first description of early organ-selective mitochondrial dysfunction in the lung and jejunum during acute pancreatitis. Research is now needed to identify the underlying pathophysiology behind the organ selective mitochondrial dysfunction, and the potential benefits of early mitochondrial-specific therapies in acute pancreatitis.
多器官功能障碍是重症急性胰腺炎死亡的主要原因。原发性线粒体功能障碍在危重病器官衰竭的发生和发展中起核心作用。本研究探讨了早期实验性急性胰腺炎时 7 种组织中的线粒体功能。
研究了 28 只雄性 Wistar 大鼠(463±2g;均值±SEM)。第 1 组(n=8),生理盐水对照;第 2 组(n=6),胆酸钠诱导的轻度急性胰腺炎;第 3 组(n=7),假手术对照;第 4 组(n=7),牛磺胆酸钠诱导的重症急性胰腺炎。在诱导急性胰腺炎后 6 小时处死动物,并通过线粒体呼吸测定法评估心脏、肺、肝、肾、胰腺、十二指肠和空肠中的线粒体功能。
在两种急性胰腺炎模型中,胰腺、肺和空肠均存在早期明显的线粒体功能障碍,而心脏、肝脏、肾脏和十二指肠的线粒体不受影响。
本研究首次描述了急性胰腺炎时肺和空肠早期的器官选择性线粒体功能障碍。目前需要研究确定器官选择性线粒体功能障碍背后的潜在病理生理学机制,以及急性胰腺炎早期线粒体特异性治疗的潜在益处。