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BPC 157 治疗会损害大鼠和急性胰腺炎患者的括约肌功能障碍-食管炎-胰腺炎,导致括约肌压力降低。

BPC 157 therapy to detriment sphincters failure-esophagitis-pancreatitis in rat and acute pancreatitis patients low sphincters pressure.

机构信息

Department of Pharmacology, Medical Faculty, University of Zagreb, Zagreb, Croatia.

出版信息

J Physiol Pharmacol. 2011 Oct;62(5):527-34.

Abstract

Possibly, acute esophagitis and pancreatitis cause each other, and we focused on sphincteric failure as the common causative key able to induce either esophagitis and acute pancreatitis or both of them, and thereby investigate the presence of a common therapy nominator. This may be an anti-ulcer pentadecapeptide BPC 157 (tested for inflammatory bowel disease, wound treatment) affecting esophagitis, lower esophageal and pyloric sphincters failure and acute pancreatitis (10 μg/kg, 10 ng/kg intraperitoneally or in drinking water). The esophagitis-sphincter failure procedure (i.e., insertion of the tubes into the sphincters, lower esophageal and pyloric) and acute pancreatitis procedure (i.e., bile duct ligation) were combined in rats. Esophageal manometry was done in acute pancreatitis patients. In rats acute pancreatitis procedure produced also esophagitis and both sphincter failure, decreased pressure 24 h post-surgery. Furthermore, bile duct ligation alone immediately declines the pressure in both sphincters. Vice versa, the esophagitis-sphincter failure procedure alone produced acute pancreatitis. What's more, these lesions (esophagitis, sphincter failure, acute pancreatitis when combined) aggravate each other (tubes into sphincters and ligated bile duct). Counteraction occurred by BPC 157 therapies. In acute pancreatitis patients lower pressure at rest was in both esophageal sphincters in acute pancreatitis patients. We conclude that BPC 157 could cure esophagitis/sphincter/acute pancreatitis healing failure.

摘要

可能是急性食管炎和胰腺炎相互作用,我们专注于括约肌功能障碍作为共同的致病关键,能够诱导食管炎和急性胰腺炎,或两者都发生,并因此研究共同治疗的存在。这可能是一种抗溃疡十五肽 BPC 157(用于治疗炎症性肠病、伤口处理),它可以影响食管炎、食管下括约肌和幽门括约肌功能障碍和急性胰腺炎(10μg/kg、10ng/kg 腹腔内或饮用水)。食管炎-括约肌功能障碍程序(即,将管子插入括约肌、食管下括约肌和幽门)和急性胰腺炎程序(即胆管结扎)在大鼠中结合进行。在急性胰腺炎患者中进行食管测压。在大鼠中,急性胰腺炎程序也会导致食管炎和两个括约肌功能障碍,手术后 24 小时压力下降。此外,单独的胆管结扎术会立即降低两个括约肌的压力。反之,单独的食管炎-括约肌功能障碍程序会导致急性胰腺炎。更重要的是,这些病变(食管炎、括约肌功能障碍、联合时的急性胰腺炎)相互加重(将管子插入括约肌和结扎胆管)。BPC 157 治疗可产生对抗作用。在急性胰腺炎患者中,休息时的下食管括约肌压力在急性胰腺炎患者中较低。我们得出结论,BPC 157 可以治愈食管炎/括约肌/急性胰腺炎愈合失败。

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