Marks W H, Genell S, Hjelmqvist B, Ohlsson K
Scand J Gastroenterol. 1984 Jun;19(4):552-60.
This study has traced the behavior of rat anionic trypsin-like immunoreactivity and pancreatic secretory trypsin inhibitor (PSTI) immunoreactivity in the serum of rats undergoing bile-pancreatic duct infusions of buffered solutions with and without the addition of the bile salt taurocholate. Enzymatic analysis of alpha-amylase was also done. A mild pancreatic inflammation followed infusion of buffer alone, as determined by gross inspection of the pancreas and the behavior of serum levels of the above proteins. Animals infused with buffer and 4% taurocholate had major inflammatory changes, including gross hemorrhage into the gland, and marked elevations in serum levels of the three proteins studied. Graphic analysis of the serum levels revealed distinct sharp rises in the serum levels of all three proteins in the taurocholate group. In the buffered saline group only an initial sharp rise was present, followed by a prolonged decrease back towards base-line values. The immunoreactive trypsin in the taurocholate group was present in three fractions with different molecular weights: trypsin in complex with protease inhibitors, trypsinogen, and trypsinogen, and degradation products. PSTI immunoreactivity showed the molecular size of free inhibitor and that of degradation products. The presence of trypsin in complex with protease inhibitors indicates the formation of active trypsin during acute pancreatitis, which is further supported by the presence of degradation products of trypsin and PSTI.
本研究追踪了大鼠在接受胰胆管输注含或不含胆盐牛磺胆酸盐的缓冲溶液时,血清中大鼠阴离子胰蛋白酶样免疫反应性和胰腺分泌型胰蛋白酶抑制剂(PSTI)免疫反应性的变化。同时也对α-淀粉酶进行了酶学分析。通过对胰腺的大体检查以及上述蛋白质血清水平的变化,发现单独输注缓冲液后会出现轻度胰腺炎。输注缓冲液和4%牛磺胆酸盐的动物出现了严重的炎症变化,包括胰腺内大量出血,以及所研究的三种蛋白质血清水平显著升高。血清水平的图表分析显示,牛磺胆酸盐组中所有三种蛋白质的血清水平均出现明显的急剧上升。在缓冲盐水组中,仅出现了最初的急剧上升,随后又持续下降至基线值。牛磺胆酸盐组中的免疫反应性胰蛋白酶以三种不同分子量的组分存在:与蛋白酶抑制剂结合的胰蛋白酶、胰蛋白酶原以及胰蛋白酶原的降解产物。PSTI免疫反应性显示出游离抑制剂及其降解产物的分子大小。与蛋白酶抑制剂结合的胰蛋白酶的存在表明在急性胰腺炎期间形成了活性胰蛋白酶,胰蛋白酶和PSTI降解产物的存在进一步支持了这一点。