Turkyilmaz Serdar, Cekic Arif Burak, Usta Arif, Alhan Etem, Kural Birgül Vanizor, Ercin Cengiz, Sağlam Kutay
Department of General Surgery, Karadeniz Technical University, Trabzon, Turkey.
Department of Biochemistry, Karadeniz Technical University, Trabzon, Turkey.
Arch Med Sci. 2019 Jan;15(1):232-239. doi: 10.5114/aoms.2017.65231. Epub 2017 Jan 23.
Ethyl pyruvate (EP), a natural flavoring and fragrance agent, has been shown to exert anti-inflammatory and antioxidant actions. We tested the potential beneficial effects of EP in a rat model of acute necrotizing pancreatitis (ANP), a serious condition with a significant inflammatory explosion and oxidative stress.
Fifty-two adult male Sprague-Dawley rats were divided into four groups: sham + saline, sham + EP, ANP + saline, and ANP + EP. The ANP was induced by glycodeoxycholic acid and cerulein. Animals were sacrificed at 48 h and biochemical, hematological, and histological markers of ANP and inflammation were assessed. The extent of mortality, systemic cardiorespiratory variables, pancreatic microcirculation, renal/hepatic functions, acinar cell injury and enzyme markers for pancreas and lung tissues were investigated.
The EP-treated ANP group presented significantly lower mortality than the untreated ANP group (44% (7/16) vs. 19% (3/16), respectively, < 0.05). Administration of EP resulted in significantly lower levels of IL-6 (ANP + saline: 5470 ±280 vs. ANP + EP: 2250 ±180 pg/ml, < 0.05). Compared with the ANP group, the ANP + EP group had a lower pancreatic necrosis score (1.45 ±0.2 vs. 0.96 ±0.2, < 0.05). Moreover, intraperitoneal EP administration had a positive effect on most indices of pancreatitis (amylase and alanine transaminase levels) and lung damage (except lung malondialdehyde levels) as they decreased towards baseline values.
The results from this experimental study indicate that EP, a nontoxic chemical approved by the Food and Drug Administration as a food additive, provides positive effects on the course of pancreatitis, suggesting potential usefulness in management of ANP.
丙酮酸乙酯(EP)是一种天然调味剂和香料,已被证明具有抗炎和抗氧化作用。我们在急性坏死性胰腺炎(ANP)大鼠模型中测试了EP的潜在有益作用,ANP是一种伴有严重炎症爆发和氧化应激的严重病症。
52只成年雄性Sprague-Dawley大鼠分为四组:假手术+生理盐水组、假手术+EP组、ANP+生理盐水组和ANP+EP组。通过甘氨胆酸和雨蛙素诱导ANP。在48小时处死动物,并评估ANP和炎症的生化、血液学和组织学指标。研究了死亡率、全身心肺变量、胰腺微循环、肾/肝功能、腺泡细胞损伤以及胰腺和肺组织的酶标志物。
EP治疗的ANP组死亡率显著低于未治疗的ANP组(分别为44%(7/16)和19%(3/16),<0.05)。给予EP导致IL-6水平显著降低(ANP+生理盐水组:5470±280 vs. ANP+EP组:2250±180 pg/ml,<0.05)。与ANP组相比,ANP+EP组的胰腺坏死评分更低(1.45±0.2 vs. 0.96±0.2,<0.05)。此外,腹腔内给予EP对大多数胰腺炎指标(淀粉酶和丙氨酸转氨酶水平)和肺损伤指标(除肺丙二醛水平外)有积极影响,因为它们向基线值下降。
本实验研究结果表明,EP是一种被美国食品药品监督管理局批准为食品添加剂的无毒化学品,对胰腺炎病程有积极影响,提示其在ANP治疗中可能有用。