From the General Surgery Center (D.R.-W., C.G.-Y., H.Z., Y.H.-T., L.H.-Y., W.T., L.N., T.L.-J.), and Cadre's Ward (H.F.-Q.), Chengdu Military General Hospital, Chengdu; and Institute of Organ Transplantation (C.L.-P.), The 309th Hospital of Chinese People's Liberation Army, Beijing, China.
J Trauma Acute Care Surg. 2014 Mar;76(3):784-90. doi: 10.1097/TA.0000000000000116.
In our previous study, we established a small animal model that mimicked the pathophysiology of isolated pancreatic trauma. To gain further insights into the relationships between tissue damage and the ability of the pancreatic cells to regenerate, we induced pancreatic trauma in rats maintained over 7 days and analyzed both the alteration of the cell death and the cell cycle distribution of the pancreatic cells in this study.
The rats were divided into two groups as follows: impact and control. The pancreas in the impact group was injured by a BIM-III biotical impact machine. Pancreatic enzyme activity, the level of Ca in the serum, pancreatic cell death, and cell cycle characteristics were examined after the trauma.
In the impact groups, lipase was activated later than amylase and lasted persistently. The levels of serum Ca decreased at 6 hours after injury, sharply declined at 24 hours and 72 hours compared with the control groups, and returned to normal levels at 7 days. The pancreatic trauma also induced the compensatory proliferation of pancreatic cells. The results from a TUNEL stain, flow cytometry, Western blot, and immunohistochemistry indicated that pancreatic trauma induces cell death and the compensatory proliferation of pancreatic cells.
Detecting amylase and lipase at the same time can help us determine the exocrine function of pancreas. Serum Ca can be used as an indicator for estimating the severity of pancreatic trauma. The cell cycle characteristics of the pancreas in the animal model of isolated pancreatic trauma indicate that the proper remedial time is in the first 24 hours after the pancreatic trauma.
在我们之前的研究中,我们建立了一个模拟孤立性胰腺创伤病理生理学的小动物模型。为了更深入地了解组织损伤与胰腺细胞再生能力之间的关系,我们在维持 7 天的大鼠中诱导胰腺创伤,并在这项研究中分析胰腺细胞的细胞死亡和细胞周期分布的变化。
大鼠分为冲击组和对照组。冲击组的胰腺通过 BIM-III 生物冲击机受伤。创伤后检查胰腺酶活性、血清钙水平、胰腺细胞死亡和细胞周期特征。
在冲击组中,脂肪酶的激活晚于淀粉酶,并且持续存在。损伤后 6 小时血清钙水平下降,与对照组相比,24 小时和 72 小时急剧下降,7 天恢复正常水平。胰腺创伤还诱导了胰腺细胞的代偿性增殖。TUNEL 染色、流式细胞术、Western blot 和免疫组织化学的结果表明,胰腺创伤诱导细胞死亡和胰腺细胞的代偿性增殖。
同时检测淀粉酶和脂肪酶有助于我们确定胰腺的外分泌功能。血清钙可作为评估胰腺创伤严重程度的指标。孤立性胰腺创伤动物模型的胰腺细胞周期特征表明,适当的补救时间是在胰腺创伤后 24 小时内。