Department of Emergency Medicine, Gulhane Military Medical Academy (GMMA), Haydarpasa Training Hospital, Istanbul, Turkey.
Eur Rev Med Pharmacol Sci. 2013 Nov;17(22):2981-7.
Although physiopathology of acute pancreatitis (AP) is not fully understood, the roles of reactive oxygen species (ROS) and changes of cytokines have been determined.
To investigate anti-inflammatory and anti-oxidant effects of glycyrrhizin (GL) on taurocholate-induced AP in rats.
Thirty six rats were randomly divided into three groups as sham, AP and AP+GL (n=12 per group). AP was induced by 1 ml/kg body weight using 5% taurocholate injection into the biliopancreatic duct in groups II and III after clamping the hepatic duct. In groups III, GL (20 mg/kg) was given by oral gavage twice daily for 4 days. Group I and II did not receive any treatment. After the rats were killed; blood samples were taken to measure amylase, lipase, calcium, albumin, urea, glucose, AST and LDH assays before killing. Pancreatic tissue samples were also taken for biochemical analyses and histopathology.
Amylase, lipase, AST and urea levels were significantly lower in the AP+GL group than in the AP group. Cytokines including IL-6, TNF-α and MPO levels were significantly lower in the AP+GL group than in the AP group. Even so there is no statistically difference between in the AP+GL group and the AP group in terms of pancreatic tissue IL-1β, IL-6 and TNF-α levels.
GL treatment significantly decreased pancreatic tissue MPO activities and MDA levels in the AP+GL group compared with the other groups (p = 0.001 and p = 0.05, respectively). Acinar cell necrosis, hemorrhage, and edema determined that were significantly lower in the AP+GL group than in the AP group (p < 0.001).
GL treatment for acute necrotizing pancreatitis in rats suppressed the levels of pro-inflammatory cytokines, and caused a clear recovery of histological changes.
尽管急性胰腺炎(AP)的病理生理学尚未完全阐明,但已确定活性氧(ROS)和细胞因子变化的作用。
研究甘草酸(GL)对牛磺胆酸钠诱导的大鼠 AP 的抗炎和抗氧化作用。
36 只大鼠随机分为三组:假手术组、AP 组和 AP+GL 组(每组 12 只)。在 II 组和 III 组中,通过夹闭肝管后向胆胰管内注射 1ml/kg 体重的 5%牛磺胆酸钠来诱导 AP。在 III 组中,GL(20mg/kg)通过口服灌胃每天两次,共 4 天。I 组和 II 组未接受任何治疗。处死大鼠后,在处死前采集血样,以测量淀粉酶、脂肪酶、钙、白蛋白、尿素、葡萄糖、AST 和 LDH 分析。还采集胰腺组织样本进行生化分析和组织病理学检查。
AP+GL 组的淀粉酶、脂肪酶、AST 和尿素水平明显低于 AP 组。AP+GL 组的细胞因子,包括 IL-6、TNF-α和 MPO 水平明显低于 AP 组。尽管如此,AP+GL 组与 AP 组的胰腺组织中 IL-1β、IL-6 和 TNF-α水平之间仍无统计学差异。
与其他组相比,GL 治疗组在 AP+GL 组中胰腺组织 MPO 活性和 MDA 水平显著降低(p=0.001 和 p=0.05)。AP+GL 组的腺泡细胞坏死、出血和水肿明显低于 AP 组(p<0.001)。
GL 治疗大鼠急性坏死性胰腺炎可抑制促炎细胞因子水平,并明显恢复组织学变化。