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大鼠实验性轻度和重度胰腺炎中降钙素原、白细胞介素-6、氧化应激指数(OSI)的血浆及组织水平研究

Investigation of procalcitonin, IL-6, oxidative stress index (OSI) plasma and tissue levels in experimental mild and severe pancreatitis in rats.

作者信息

Soyalp M, Yalcin M, Oter V, Ozgonul A

出版信息

Bratisl Lek Listy. 2017;118(3):137-141. doi: 10.4149/BLL_2017_027.

Abstract

AIM

This study was planned to evaluate blood and tissue levels of procalcitonin, IL-6 and Oxidative Stress Index (OSI), which have a role in the pathophysiology of inflammation, in rats with experimental mild and severe pancreatitis.

MATERIAL AND METHODS

Thirty male Wistar Albino rats were included in the study and the rats were equally divided into the three groups. After 1, 5 and 24 hours, blood was obtained from the tail of all rats and samples were taken from pancreas tissue after 24 hours. Amylase, lipase, AST, ALT, WBC, LDH, glucose, total bilirubin, direct bilirubin, GGT, ALP and TNF-α, Procalcitonin and IL-6 levels were evaluated from blood and tissue specimens.

RESULTS

The mild pancreatitis group (group 1) and the severe pancreatitis group (group 3) were compared according to the OSI, Amylase, Lipase, Pct, IL-6, AST, ALT, Glucose, WBC, LDH and Tnf-α levels. In the severe pancreatitis group, a statistically significant increase was detected compared to the mild pancreatitis group (p < 0.05). There was no statistically significant difference in TOS, T.Bil, D.Bil, GGT and ALP values (p > 0.05). Statistically significant increase was observed in severe pancreatitis group according to OSI, Amylase, Lipase, Pct, IL-6, LDH, WBC and TNF-α levels samples obtained from pancreatic tissues, compared to mild pancreatitis group (p < 0.05).

CONCLUSION

In conclusion, our study showed that OSI, TNF-α, IL-6 and procalcitonin levels increases proportionally with the severity of pancreatitis. This also suggests that OSI, TNF-α, IL-6 and procalcitonin are the guiding substances in acute pancreatitis, and that this damage increases as the duration and severity of the pathological process increase. However, this result must be confirmed with more detailed and broadly planned future studies (Fig. 3, Ref. 25).

摘要

目的

本研究旨在评估降钙素原、白细胞介素-6和氧化应激指数(OSI)在实验性轻度和重度胰腺炎大鼠血液和组织中的水平,这些指标在炎症的病理生理学中发挥作用。

材料与方法

30只雄性Wistar白化大鼠纳入本研究,并将大鼠平均分为三组。在1、5和24小时后,从所有大鼠尾部取血,24小时后从胰腺组织取样。从血液和组织样本中评估淀粉酶、脂肪酶、谷草转氨酶、谷丙转氨酶、白细胞、乳酸脱氢酶、葡萄糖、总胆红素、直接胆红素、γ-谷氨酰转肽酶、碱性磷酸酶以及肿瘤坏死因子-α、降钙素原和白细胞介素-6的水平。

结果

根据OSI、淀粉酶、脂肪酶、降钙素原、白细胞介素-6、谷草转氨酶、谷丙转氨酶、葡萄糖、白细胞、乳酸脱氢酶和肿瘤坏死因子-α水平,对轻度胰腺炎组(第1组)和重度胰腺炎组(第3组)进行比较。与轻度胰腺炎组相比,重度胰腺炎组检测到有统计学意义的升高(p < 0.05)。总氧化应激(TOS)、总胆红素、直接胆红素、γ-谷氨酰转肽酶和碱性磷酸酶值无统计学意义差异(p > 0.05)。与轻度胰腺炎组相比,重度胰腺炎组从胰腺组织获得的样本在OSI、淀粉酶、脂肪酶、降钙素原、白细胞介素-6、乳酸脱氢酶、白细胞和肿瘤坏死因子-α水平上观察到有统计学意义的升高(p < 0.05)。

结论

总之,我们的研究表明OSI、肿瘤坏死因子-α、白细胞介素-6和降钙素原水平与胰腺炎的严重程度成比例增加。这也表明OSI、肿瘤坏死因子-α、白细胞介素-6和降钙素原是急性胰腺炎中的指导性物质,并且随着病理过程的持续时间和严重程度增加,这种损伤也会增加。然而,这一结果必须通过更详细、规划更广泛的未来研究来证实(图3,参考文献25)。

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