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免疫抑制性泼尼松龙疗法对健康犬胰腺组织及犬胰脂肪酶免疫反应性浓度的影响。

Effects of immunosuppressive prednisolone therapy on pancreatic tissue and concentration of canine pancreatic lipase immunoreactivity in healthy dogs.

作者信息

Ohta Hiroshi, Kojima Kazuki, Yokoyama Nozomu, Sasaki Noboru, Kagawa Yumiko, Hanazono Kiwamu, Ishizuka Tomohito, Morishita Keitaro, Nakamura Kensuke, Takagi Satoshi, Takiguchi Mitsuyoshi

机构信息

Laboratory of Veterinary Internal Medicine (Ohta, Kojima, Yokoyama, Sasaki, Takiguchi), Diagnostic Pathology (Kagawa), and Veterinary Teaching Hospital (Hanazono, Ishizuka, Morishita, Nakamura, Takagi), Department of Veterinary Clinical Sciences, Graduate School of Veterinary Medicine, Hokkaido University, N18 W9, Sapporo, Hokkaido 060-0818, Japan.

出版信息

Can J Vet Res. 2018 Oct;82(4):278-286.

Abstract

The objective of this study was to examine the effects of immunosuppressive prednisolone therapy on pancreatic tissue and the concentration of serum canine pancreatic lipase immunoreactivity (cPLI) in healthy dogs. Six healthy beagle dogs were subcutaneously administered an immunosuppressive dose of prednisolone [4 mg/kg body weight (BW)] once daily for either 2 or 3 weeks. Serum cPLI concentration was measured before and after treatment. Ultrasonographic examination of the pancreas and laparoscopic biopsy and histopathological examination of the right pancreatic lobe and the liver were also conducted before and after treatment. The expression of pancreatic lipase messenger ribonucleic acid (mRNA) in the pancreas and liver was examined by polymerase chain reaction (PCR). Although the serum cPLI concentration was significantly higher on day 14 and on the day of the second laparoscopy than before treatment, it was classified as normal (≤ 200 μg/L) in 5 dogs and as abnormal (≥ 400 μg/L) in only 1 dog. None of the 6 dogs showed clinical signs of pancreatitis during the study period. After treatment, ultrasonographic examination of the pancreas showed no changes except for a hypoechoic pancreas in 1 dog. Histopathological examination of the right pancreatic lobe in all dogs showed no evidence of pancreatitis after treatment. Pancreatic lipase mRNA expression was detected in the pancreas, but not in the liver, before and after treatment. The administration of 4 mg/kg BW per day of prednisolone for 2 or 3 weeks increased the serum cPLI concentration without clinical signs of pancreatitis, although an abnormal cPLI concentration (≥ 400 μg/L) was observed in only 1 dog. No ultrasonographic or histological evidence of pancreatitis was observed in any of the dogs.

摘要

本研究的目的是检测免疫抑制性泼尼松龙疗法对健康犬胰腺组织及血清犬胰腺脂肪酶免疫反应性(cPLI)浓度的影响。6只健康的比格犬皮下注射免疫抑制剂量的泼尼松龙[4毫克/千克体重(BW)],每日1次,持续2或3周。在治疗前后测量血清cPLI浓度。在治疗前后还对胰腺进行超声检查,并对右胰叶和肝脏进行腹腔镜活检及组织病理学检查。通过聚合酶链反应(PCR)检测胰腺和肝脏中胰腺脂肪酶信使核糖核酸(mRNA)的表达。虽然在第14天和第二次腹腔镜检查当天血清cPLI浓度显著高于治疗前,但5只犬的cPLI浓度分类为正常(≤200微克/升),只有1只犬异常(≥400微克/升)。在研究期间,6只犬均未表现出胰腺炎的临床症状。治疗后,除1只犬胰腺呈低回声外,胰腺超声检查无变化。所有犬右胰叶的组织病理学检查显示治疗后无胰腺炎迹象。治疗前后在胰腺中均检测到胰腺脂肪酶mRNA表达,但在肝脏中未检测到。每日给予4毫克/千克体重的泼尼松龙,持续2或3周,可使血清cPLI浓度升高,且无胰腺炎临床症状,尽管仅1只犬观察到异常的cPLI浓度(≥400微克/升)。在任何一只犬中均未观察到胰腺炎的超声或组织学证据。

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