Sağlam Kutay, Alhan Etem, Türkyılmaz Serdar, Vanizor Birgül Kural, Erçin Cengiz
Department of General Surgery, Karadeniz Technical University School of Medicine, Trabzon, Turkey.
Department of Medical Biochemistry, Karadeniz Technical University School of Medicine, Trabzon, Turkey.
Turk J Surg. 2017 Sep 1;33(3):158-163. doi: 10.5152/UCD.2017.3653. eCollection 2017.
The aim of this study was to investigate the dose-dependent anti-inflammatory effect of the Hydrogen sulfidedonor sodiumhydrosulphide on acute necrotizing pancreatitis in rats.
A total of 42 male Sprague-Dawley rats were divided into 4 groups: sham+saline (group 1), sham+NaHS (group 2), acute necrotizing pancreatitis+saline (group 3), and acute necrotizing pancreatitis+NaHS (group 4). Acute pancreatitis was induced in rats in groups 3 and 4 with the infusion of glycodeoxycholic acidinto the biliopancreatic canal and infusion of cerulein parenterally. In group 4, 10 mg/kg NaHS was administered intraperitoneally after cerulein infusion. Tests for liver and kidney function, interleukin-6, lactate dehydrogenase in bronchoalveolar lavage, and malonyaldehyde and myeloperoxidase activities in pancreas and lung tissue were performed, and histopathologic examination of pancreas was conducted.
In groups 3, a significant increase in amylase, alanine aminotransferase, urea, interleukine-6, lungmalondialdehyde and myeloperoxidase activities, pancreas myeloperoxidase activity, edema, and necrosis in pancreas tissue and a significant decrease in serum calcium levels were detected (p<0.05). In group 4, addition of NaHS resulted in a significant decrease in lactate dehydrogenase level in bronchoalveolar lavage, amount of urea, lung myeloperoxidase activity, and pancreatic edema (p<0.05).
Although not in pancreatic necrosis, hydrogen sulphide has an anti-inflammatory effect especially in the inflammatory process in lung and edema in pancreasin acute necrotizing pancreatitis at particular doses. With further studies evaluating the anti-inflammatory effects of hydrogen sulphide, we believe it can be used in the treatment of edematous acute pancreatitis and the related complications in lungs.
本研究旨在探讨硫化氢供体硫氢化钠对大鼠急性坏死性胰腺炎的剂量依赖性抗炎作用。
将42只雄性Sprague-Dawley大鼠分为4组:假手术+生理盐水组(第1组)、假手术+硫氢化钠组(第2组)、急性坏死性胰腺炎+生理盐水组(第3组)和急性坏死性胰腺炎+硫氢化钠组(第4组)。通过向胆胰管内注入甘氨脱氧胆酸并经腹腔注射蛙皮素,诱导第3组和第4组大鼠发生急性胰腺炎。在第4组中,蛙皮素注射后腹腔注射10 mg/kg硫氢化钠。检测肝功能、肾功能、白细胞介素-6、支气管肺泡灌洗中的乳酸脱氢酶以及胰腺和肺组织中的丙二醛和髓过氧化物酶活性,并对胰腺进行组织病理学检查。
在第3组中,检测到淀粉酶、丙氨酸转氨酶、尿素、白细胞介素-6、肺丙二醛和髓过氧化物酶活性、胰腺髓过氧化物酶活性、胰腺组织水肿和坏死显著增加,血清钙水平显著降低(p<0.05)。在第4组中,添加硫氢化钠导致支气管肺泡灌洗中乳酸脱氢酶水平、尿素量、肺髓过氧化物酶活性和胰腺水肿显著降低(p<0.05)。
虽然硫化氢对胰腺坏死无影响,但在特定剂量下,其对急性坏死性胰腺炎时的肺部炎症过程和胰腺水肿具有抗炎作用。随着进一步评估硫化氢抗炎作用的研究开展,我们认为它可用于治疗水肿性急性胰腺炎及相关肺部并发症。