Samuel I, Toriumi Y, Yokoo H, Wilcockson D P, Trout J J, Joehl R J
Surgical Service, Veterans Affairs Lakeside Medical Center, Chicago, Illinois 60611.
J Surg Res. 1994 Aug;57(2):299-311. doi: 10.1006/jsre.1994.1149.
Bile and pancreatic duct ligation (BPDL) in rats does not induce severe acute pancreatitis but only mild inflammation, which is self-limiting and eventually leads to pancreatic atrophy. However, BPDL in opossums induces severe acute necrotizing pancreatitis which uniformly leads to death within 14 days. We compared pancreatic morphologic changes after 24 hr of BPDL in rats and opossums. Pancreatitis histology score and acinar cell ultrastructural changes were evaluated. In both species, BPDL was associated with significant increases in histology score compared to sham controls (5.0 +/- 0.3 vs 1.5 +/- 0.3 in rats, 5.3 +/- 0.4 vs 1.1 +/- 0.1 in opossums; mean +/- SEM, ANOVA, P < 0.05). However, there was no significant difference in histology score between rats and opossums following BPDL; histologic changes, such as white blood cell infiltration, acinar cell vacuolation, and focal acinar cell necrosis, were similar. Acinar cell ultrastructural changes after BPDL in both species included dilated endoplasmic reticulum and autophagic vacuole formation. These findings indicate that the early morphologic changes after BPDL in rats are quite similar to those seen early in the course of BPDL-induced acute necrotizing pancreatitis in opossums. As the rat is a more economical and convenient model to study than the opossum, this study supports the use of the rat model to conduct pilot studies of early events in the development of BPDL-induced acute pancreatitis. This study also suggests the potential for investigating mechanisms that may be present in the rat which protect against progressive and fatal acute necrotizing pancreatitis as observed in opossums after longer periods of BPDL.
大鼠胆管和胰管结扎术(BPDL)不会诱发严重的急性胰腺炎,只会引发轻度炎症,这种炎症具有自限性,最终会导致胰腺萎缩。然而,负鼠的BPDL会诱发严重的急性坏死性胰腺炎,所有负鼠均会在14天内死亡。我们比较了大鼠和负鼠在BPDL 24小时后的胰腺形态学变化。评估了胰腺炎组织学评分和腺泡细胞超微结构变化。与假手术对照组相比,在两个物种中,BPDL均与组织学评分显著增加相关(大鼠为5.0±0.3对1.5±0.3,负鼠为5.3±0.4对1.1±0.1;均值±标准误,方差分析,P<0.05)。然而,BPDL后大鼠和负鼠的组织学评分没有显著差异;组织学变化,如白细胞浸润、腺泡细胞空泡化和局灶性腺泡细胞坏死,是相似的。两个物种在BPDL后的腺泡细胞超微结构变化包括内质网扩张和自噬空泡形成。这些发现表明,大鼠在BPDL后的早期形态学变化与负鼠在BPDL诱导的急性坏死性胰腺炎病程早期所见的变化非常相似。由于大鼠是比负鼠更经济、更方便的研究模型,本研究支持使用大鼠模型对BPDL诱导的急性胰腺炎发展过程中的早期事件进行初步研究。本研究还表明,有可能研究大鼠体内可能存在的保护机制,以防止出现负鼠在较长时间BPDL后所观察到的进行性和致命性急性坏死性胰腺炎。