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褪黑素治疗猪急性胰腺炎可减轻胰腺组织炎症反应,提高猪的适应评分:实验研究。

Melatonin treatment of pigs with acute pancreatitis reduces inflammatory reaction of pancreatic tissue and enhances fitness score of pigs: experimental research.

机构信息

1Department of General, Visceral and Thoracic Surgery, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.

2Centre of Anesthesiology and Intensive Care Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.

出版信息

World J Emerg Surg. 2019 Apr 11;14:18. doi: 10.1186/s13017-019-0237-2. eCollection 2019.

Abstract

BACKGROUND

Severe acute pancreatitis is associated with high morbidity and mortality. Melatonin is known as the activator of antioxidant enzymes. The main purpose of this study was to evaluate the clinical effect of melatonin treatment in a pig model with induced acute pancreatitis.

METHODS

In this study, acute pancreatitis was induced in 38 German domestic pigs (German Hybrid). After induction of acute pancreatitis, 18 animals were treated with melatonin. Intraoperative clinical data, postoperative blood parameters, fitness, and Porcine Well-being (PWB) score, and post-mortal histopathological data were analyzed in both study groups.

RESULTS

The matching procedure created two groups (melatonin group and control group) which were very similar. The fitness and PWB score were postoperative significantly enhanced in the melatonin group as compared to the control group ( = 0.005 and  = 0.003). Additionally, histological analysis revealed that acinar necrosis, fat tissue necrosis, and edema were significantly reduced in the melatonin group as compared to the non-melatonin group ( = 0.025,  = 0.003, and  = 0.028).

CONCLUSIONS

Pigs, which were treated with melatonin, were characterized by higher fitness and PWB scores than those of the control group. Moreover, melatonin treatment reduces the acinar necrosis, fat tissue necrosis, and edema of pancreatic tissue. Thus, melatonin might be a useful therapeutic option in severe acute pancreatitis.

摘要

背景

急性重症胰腺炎与高发病率和死亡率相关。褪黑素被认为是抗氧化酶的激活剂。本研究的主要目的是评估褪黑素治疗在诱导急性胰腺炎的猪模型中的临床效果。

方法

在这项研究中,38 头德国本地猪(德系杂交猪)被诱导发生急性胰腺炎。在急性胰腺炎诱导后,18 头动物接受褪黑素治疗。对两组的术中临床数据、术后血液参数、健康状况和猪福利(PWB)评分以及死后组织病理学数据进行分析。

结果

匹配程序创建了两组(褪黑素组和对照组),它们非常相似。与对照组相比,褪黑素组的健康状况和 PWB 评分在术后显著提高(=0.005 和=0.003)。此外,组织学分析显示,褪黑素组的腺泡坏死、脂肪组织坏死和水肿明显少于对照组(=0.025、=0.003 和=0.028)。

结论

接受褪黑素治疗的猪的健康状况和 PWB 评分高于对照组。此外,褪黑素治疗可减少胰腺组织的腺泡坏死、脂肪组织坏死和水肿。因此,褪黑素可能是治疗急性重症胰腺炎的一种有效治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37ec/6458612/36ccbef6e5e3/13017_2019_237_Fig1_HTML.jpg

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