Journal article
Ligation-Induced Acute Pancreatitis Increases Pancreatic and Circulating Trypsinogen Activation Peptides
The Journal of surgical research, Vol.60(2), pp.417-421
02/01/1996
DOI: 10.1006/jsre.1996.0068
PMID: 8598679
Abstract
Ligation of the common bile–pancreatic duct induces hyperamylasemia and acute pancreatitis in rats. Pancreatic morphologic changes include edema, acinar cell damage, and mild inflammation. The pathogenesis of acute pancreatitis in this model is not understood, but may involve altered secretion and intrapancreatic activation of acinar proteases. We hypothesized that trypsinogen activation, measured by the production of plasma and pancreatic trypsinogen activation peptides (TAP), occurs early in this model. We performed the following experiments: rats were prepared with (1) bile–pancreatic ducts ligated and (2) ducts dissected but not ligated (sham). Rats were killed after 6, 24, and 48 hr. Serum amylase was measured and histologic sections were analyzed for morphologic changes. TAP was measured in both serum and pancreatic tissue homogenates using a specific polyclonal anti-TAP antibody in an enzyme-linked immunosorbant assay. After 6, 24, and 48 hr of bile–pancreatic duct ligation, hyperamylasemia and acute morphologic changes of acute pancreatitis were observed. Evidence of acinar cell destruction was not evident until 48 hr after ligation. Levels of serum and pancreatic tissue TAP were significantly elevated at both 24 and 48 hr after ligation compared to those of sham. We conclude that increased intrapancreatic trypsinogen activation occurs early in this form of experimental acute pancreatitis and that it occurs prior to evidence of acinar cell destruction. These data and observations support the possibility that intrapancreatic protease activation contributes to the pathogenesis of ligation-induced acute pancreatitis.
Details
- Title: Subtitle
- Ligation-Induced Acute Pancreatitis Increases Pancreatic and Circulating Trypsinogen Activation Peptides
- Creators
- Louis T Merriam - Department of Surgery, Northwestern University Medical School, Chicago, Illinois, 60611Daniel Wilcockson - Department of Surgery, Northwestern University Medical School, Chicago, Illinois, 60611Isaac Samuel - Department of Surgery, Northwestern University Medical School, Chicago, Illinois, 60611Raymond J Joehl - Department of Surgery, Northwestern University Medical School, Chicago, Illinois, 60611
- Resource Type
- Journal article
- Publication Details
- The Journal of surgical research, Vol.60(2), pp.417-421
- Publisher
- Elsevier Inc
- DOI
- 10.1006/jsre.1996.0068
- PMID
- 8598679
- ISSN
- 0022-4804
- eISSN
- 1095-8673
- Language
- English
- Date published
- 02/01/1996
- Academic Unit
- Surgery
- Record Identifier
- 9984051731702771
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