Kaplan Mustafa, Yazgan Yusuf, Tanoglu Alpaslan, Berber Ufuk, Oncu Kemal, Kara Muammer, Demirel Dilaver, Kucuk Irfan, Ozari Halil Onur, Ipcioglu Osman Metin
Department of Gastroenterology, GATA Haydarpasa Training Hospital , Uskudar-Istanbul , Turkey.
Scand J Gastroenterol. 2014 Sep;49(9):1124-30. doi: 10.3109/00365521.2014.926983. Epub 2014 Jun 10.
Acute pancreatitis (AP) is defined as an inflammatory disease of the pancreas. The purpose of this study was to examine the effectiveness of Anakinra on cerulein-induced experimental pancreatitis rat model by using the results of biochemical and histopathological findings.
Cerulein was administered to induce AP in rats. Group 1 was the sham group. Subcutancerulein was injected to the rats in group 2 for experimental pancreatitis group. In groups 3 and 4, 100 and 50 mg/kg intraperitoneal Anakinra were injected after the induction of experimental pancreatitis by subcutaneous cerulein in rats, respectively. Lastly, in group 5, rats were injected with intraperitoneal saline and subcutan cerulean for placebo group. The following parameters were evaluated: histopathological score of pancreatitis, apoptotic index, amylase, lipase, TNF-α levels, IL-1β and the leukocyte count.
When the results of serum amylase, lipase, TNF-α and IL-1β levels, the leukocyte count, histopathologic scores and apoptotic indices of control group compared to the results of other groups, the differences exhibited statistical significance (all p < 0.05). On the other hand, when the results of fourth group compared with the results of third group, the data demonstrated statistical insignificance (p > 0.05). However, no any significant differences were found between the results of fourth and fifth groups (p > 0.05).
In the light of these results, cerulein is an appropriate agent for experimental AP rat model and Anakinra has a favorable therapeutic effect on acute experimental pancreatitis model. Moreover, Anakinra significantly decreases cerulein-related pancreatic tissue injury and pancreatic apoptosis.
急性胰腺炎(AP)被定义为胰腺的炎症性疾病。本研究的目的是通过生化和组织病理学检查结果,探讨阿那白滞素对雨蛙肽诱导的实验性胰腺炎大鼠模型的疗效作用。
给予雨蛙肽诱导大鼠发生急性胰腺炎。第1组为假手术组。第2组大鼠皮下注射雨蛙肽作为实验性胰腺炎组。第3组和第4组大鼠皮下注射雨蛙肽诱导实验性胰腺炎后,分别腹腔注射100和50mg/kg阿那白滞素。最后,第5组大鼠腹腔注射生理盐水并皮下注射雨蛙肽作为安慰剂组。评估以下参数:胰腺炎的组织病理学评分、凋亡指数、淀粉酶、脂肪酶、肿瘤坏死因子-α(TNF-α)水平、白细胞介素-1β(IL-1β)和白细胞计数。
与其他组结果相比,对照组血清淀粉酶、脂肪酶、TNF-α和IL-1β水平、白细胞计数、组织病理学评分和凋亡指数的差异具有统计学意义(均p<0.05)。另一方面,第4组与第3组结果相比,差异无统计学意义(p>0.05)。然而,第4组和第5组结果之间未发现任何显著差异(p>0.05)。
根据这些结果,雨蛙肽是实验性急性胰腺炎大鼠模型的合适诱导剂,阿那白滞素对急性实验性胰腺炎模型具有良好的治疗作用。此外,阿那白滞素可显著减轻雨蛙肽相关的胰腺组织损伤和胰腺细胞凋亡。