Department of Pediatric Surgery, Medical Faculty of Dicle University, Diyarbakir, Turkey.
Department of Pediatric Surgery, Medical Faculty of Dicle University, Diyarbakir, Turkey.
Int J Surg. 2015 Nov;23(Pt A):160-4. doi: 10.1016/j.ijsu.2015.09.067. Epub 2015 Oct 22.
We originally aimed to determine the beneficial effects of Ecballium Elaterium (EE) on acute pancreatitis; however, we observed negative effects of EE on the pancreas. Thus, we used EE in rats to generate a new model of pancreatitis, which we compared with other established pancreatitis models.
A total of 32 Wistar albino rats were used. Rats were divided into 4 groups, each of which contained 8 rats. Group 1 (Control), Group 2 (L-Arginine (LA), Group 3 (LA + EE), Group 4 (EE): Twenty-four hours after that serum parameters were analyzed in the collected blood. Blood samples were transported on mice to the Biochemistry Laboratory following cardiac puncture. The levels of amylase, interleukin (IL)-6, interleukin (IL) 1-β (IL-1β), malondialdhyde (MDA), tumor necrosis factor (TNF)-α, total antioxidant status (TAS), and total oxidant status (TOS) were analyzed. Histopathological analysis: The pancreas and lung tissue samples obtained from the rats. Edema, inflammation, vacuolization, and necrosis of the pancreas were assessed using a scoring system ranging from 0 to 4. Edema, hemorrhage and inflammation of the lung tissue were evaluated using a scoring system ranging from 0 to 3.
Histopathological analysis revealed that edema, inflammation, necrosis, and hemorrhage were significantly higher in the LA + EE group than in the control group. Moreover, necrosis was higher in the rats that received LA and EE compared to the rats that received only LA or EE. Increases in inflammatory mediator levels, including IL-6, IL-1β, TNF-α, MDA, and TOS, were observed in all groups as compared to the control group. Moreover, lower TAS levels were detected in all groups but the control group. The increase in IL-1β and TNF-α levels and the decrease in TAS were statistically significant in all groups (P < 0.05).
EE may be used to create a successful acute pancreatitis (AP) model, resulting in edema, necrosis, hemorrhage, and inflammation of the pancreas. The major advantage of this model is that it does not require laparotomy, and can be implemented with only an intraperitoneal injection (IP). Moreover, EE may be combined with other agents, such as LA, to create severe pancreatitis. Further molecular studies are warranted to determine the underlying effects of EE on the pancreas.
我们最初的目的是确定苦瓜对急性胰腺炎的有益作用;然而,我们观察到苦瓜对胰腺有负面影响。因此,我们在大鼠中使用苦瓜来建立一种新的胰腺炎模型,并将其与其他已建立的胰腺炎模型进行比较。
共使用 32 只 Wistar 白化大鼠。将大鼠分为 4 组,每组 8 只。第 1 组(对照组)、第 2 组(L-精氨酸(LA))、第 3 组(LA + EE)、第 4 组(EE):在收集血液后 24 小时分析血清参数。用心脏穿刺将血液样本转移到生化实验室。分析淀粉酶、白细胞介素 (IL)-6、白细胞介素 (IL)-1β (IL-1β)、丙二醛 (MDA)、肿瘤坏死因子 (TNF)-α、总抗氧化状态 (TAS) 和总氧化状态 (TOS) 的水平。组织病理学分析:从大鼠中获取胰腺和肺组织样本。使用评分系统(范围为 0 到 4)评估胰腺的水肿、炎症、空泡化和坏死程度。使用评分系统(范围为 0 到 3)评估肺组织的水肿、出血和炎症程度。
组织病理学分析显示,LA + EE 组的水肿、炎症、坏死和出血明显高于对照组。此外,与仅接受 LA 或 EE 的大鼠相比,接受 LA 和 EE 的大鼠的坏死程度更高。与对照组相比,所有组的炎症介质水平(包括 IL-6、IL-1β、TNF-α、MDA 和 TOS)均升高。此外,除对照组外,所有组的 TAS 水平均降低。所有组(P < 0.05)的 IL-1β 和 TNF-α 水平升高和 TAS 降低均具有统计学意义。
EE 可用于成功建立急性胰腺炎 (AP) 模型,导致胰腺水肿、坏死、出血和炎症。该模型的主要优点是不需要剖腹术,仅通过腹腔内注射(IP)即可实施。此外,EE 可以与其他药物(如 LA)联合使用来建立重症胰腺炎。需要进一步的分子研究来确定 EE 对胰腺的潜在影响。