Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0030305 (pancreatitis)
 16,014 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The hemorheologic alterations were studied in experimental acute hemorrhagic necrotizing pancreatitis (AHNP) which was induced by injection of 5% sodium taurocholate into the main pancreatic duct. The results showed that during the early stage of AHNP, all of hemorheologic parameters were significantly elevated, and continually increased at the rest intervals. The authors suggested that the blood viscosity and hematocrit increase, red blood cells tend to aggregate, and erythrocyte deformation decrease are the causation of pancreatic microcirculatory disturbances and promoting pancreatic progressive necrosis. After using low molecular dextran and Salvia miltiorrhizae, the hemorheologic alterations in AHNP were recovered, and the histologic observation improved. Our data indicate the hemorheologic disturbances is one of the key factors in the pathogenesis of AHNP.
Hua Xi Yi Ke Da Xue Xue Bao 1990 Mar
PMID:[The role of hemorheologic changes in the pathogenesis of acute hemorrhagic necrotizing pancreatitis]. 169 13

Acute haemorrhagic necrotizing pancreatitis was induced by injecting 5% sodium taurocholate (Na-Tc) directly into the common biliopancreatic duct in rats. In control group 0.9% NaCl was used. The activity of serum lipase and amylase distinctly increased at 3 h and went up to the maximum at 12 h after injection of Na-Tc. The pancreatic blood flow and tissue perfusion per gram increased apparently at 1 h and decreased at 12 h after injection of Na-Tc by using the fractional indicator distribution technique with 86RbCl. The results demonstrated that the early stage of acute haemorrhagic necrotizing pancreatitis induced by Na-Tc in rats was still a primary inflammatory response.
Hua Xi Yi Ke Da Xue Xue Bao 1991 Jun
PMID:[Determination of pancreatic blood flow at the early stage of acute haemorrhagic necrotizing pancreatitis induced by sodium taurocholate in rats]. 172 62

The effect and mechanism of phospholipase A2 (PLA2) on pancreatic parenchymal necrosis in acute pancreatitis (AP) in rats were studied. Normal saline (NS), PLA2, phosphatidylcholine (PC), and PLA2 mixed PC were respectively injected into the biliopancreatic duct of the rat. The mixture of PLA2 and PC was found to result in necrotizing AP in the rat in 12 hours after injection of the reagent. The lysophosphatidylcholine (LPC) percentage in the amount of PC and LPC and the extent of pancreatic necrosis in this group increased much more significantly than those in other three groups (over about 4 and 15 times). There is evidently positive correlation (r = 0.9001, P less than 0.01) between LPC percentage and necrosis extent. The intraductal injection of PLA2, as well as NS or PC, failed to induce severe morphological changes in the pancreases. These results suggest that PC in bile is necessary in the pathogenesis of biliary pancreatitis and that LPC originated from bile PC by PLA2 may be the initiator in pancreatic parenchymal necrosis in AP.
Hua Xi Yi Ke Da Xue Xue Bao 1990 Sep
PMID:[Effect of phospholipase A2 on pancreatic parenchymal necrosis in acute pancreatitis in rats]. 209 32

The role of hemorheologic disturbance in experimental acute pancreatitis was studied in Wistar male rats. It was found that pancreatic duct obstruction with secretin stimulation could induce acute interstitial pancreatitis (AIP), but when high molecular dextran intravenous injection being added, acute necrotizing pancreatitis (ANP) was induced. The authors suggest that the high molecular dextran can increase blood viscosity, aggregation of erythrocytes and decrease erythrocyte deformability, which results in pancreatic microcirculatory disturbances and promotes progressive pancreatic necrosis. Hemorheologic disturbance is one of the key factors in the pathogenesis of ANP.
Hua Xi Yi Ke Da Xue Xue Bao 1993 Mar
PMID:[The role of hemorheologic disturbance in experimental acute pancreatitis]. 768 85

This is a study on the efficacy and mechanism of rhubarb therapy for necrotizing pancreatitis in rats induce by intraductal infusion of 2% deoxycholate 0.4 ml/kg. The rats with such pancreatitis were orally fed with 10% rhubarb decoction 1.5 ml (treatment group n = 8) or normal saline 1.5 ml (control group n = 9) per 8 hours. Sham operated rats (sham group n = 8) were given intraductal infusion of normal saline 0.4 ml/kg. 48 hours after infusion, the rats were killed for studies of intestinal motility, serum endotoxin and amylase levels as well as bacterial cultures in messentary lymph nodes (MLN) and pancreas tissues. 5 rats died in the control group (5/9) and 1 died in the treatment group (1/8). Remarkable inhibition of gut motility was observed in control group, but gut motility was significantly improved by administration of rhubarb in treatment group. No rat died in the sham group and the rate therein were all free from endotoxemia or positive cultures. Endotoxin level of control group is much higher (61.36 +/- 28.30 pg/L) than that of treatment group (5.41 +/- 3.58 pg/L), (P < 0.001). Positive cultures were noted in most of MLN (4/4) and pancreas (4/4) in control group, but only 1 in MLN and 1 in pancreas were noted in treatment group. It is concluded that in the treatment of necrotic pancreatitis in rats rhubarb decoction is effective for promoting gut motility and preventing intestinal bacterial translocation.
Hua Xi Yi Ke Da Xue Xue Bao 1996 Dec
PMID:[Rhubarb decoction prevents intestinal bacterial translocation during necrotic pancreatitis]. 938 17

The causes of death of 35 cases of pancreas hemorrhage have been analysed. The pancreas hemorrhage was seen not only in acute hemorrhagic pancreatitis, but also in poisoning, mechanical injury, mechanical asphyxia, and heart disease. The diagnosis and pathogenesis of acute hemorrhagic pancreatitis were discussed.
Hua Xi Yi Ke Da Xue Xue Bao 1996 Dec
PMID:[Causes of death of pancrease hemorrhage. Report of 35 autopsy cases]. 938 19

This study sought to determine the effect of the haemorrheological changes on the pathological damage to pancreas in acute pancreatitis. 96 Wistar rats, four months old, were allocated into three groups: group I (n = 32) received surgery for pancreatic duct obstruction (PDO) with secretion stimulation; group II (n = 32) for PDO with high molecular dextran (DX110) injection intravenously, and group III (n = 32) for PDO with secretion stimulation and DX110 injection intravenously. Ten other rats were used as controls (group IV) for laparotomy alone. The results showed that PDO with hypersecretion could induced edematous pancreastitis and PDO with DX110 injection induced only very lightly oedema in the pancreas which was similar to the result of PDO alone, although the haemorrheological changes were obvious in these rats. PDO with hypersecretion and DX110 injection induced acute necrotic pancreatitis, and the pathological lesion in the pancrease which changed gradually from edematous to necrotic could be observed. This result suggests that haemorrheological change may not be a causative factor of the acute necrotic pancreatitis, but it probably could exacerbate the damage to pancreas in acute pancreatitis and play an important role in the transformation from edematous to necrotic pancreatitis.
Hua Xi Yi Ke Da Xue Xue Bao 1997 Jun
PMID:[Effect of haemorrheological changes on acute pancreatitis]. 1068 39

It is thought that tumor necrosis factor (TNF) plays an important role in pathogenesis of acute lung injury or ARDS. So we want to get insight into the relationship between intrapulmonary expression of TNF-alpha gene and lung injury during acute necrotizing pancreatitis (ANP). In our study, acute edematous pancreatitis (AEP) and ANP were induced in rats by caerulein and sodium taurocholate respectively. After acute pancreatitis was induced, serum TNF-alpha was assessed by ELISA assay while endotoxin was assessed by limulus lysate test. Intrapulmonary expression of TNF-alpha mRNA was detected by semi-quantitative reverse transcriptase-polymerase chain reaction (RT-PCR) technique. Moreover, content of pulmonary lesion was investigated and graded with microscope. It was found that TNF-alpha concentration in blood elevated markedly after acute pancreatitis was induced, especially in ANP group. Results of RT-PCR revealed that no TNF-alpha mRNA could be detected in lung tissue from those rats undergoing sham-operation, but marked expression appeared 1 hour after AEP or ANP was induced. Upregulation of expression of TNF-alpha gene in the early 3 hours was similar in the two groups with pancreatitis, and since then expression of TNF-alpha mRNA in ANP group was stronger than that in AEP group. Serum endotoxin increased significantly 6 hours after ANP was induced, with a higher level at 12 hour. However, there was no marked change of endotoxin level in AEP group and control group. It is noted that intrapulmonary expression of TNF-alpha gene in ANP group reached its peak as soon as serum endotoxin increased markedly. Lung damage in ANP group was more serious than that in AEP group significantly. Score of lung injury correlated well with TNF-alpha concentration in blood and expression of its gene in lung tissue in either AEP group or ANP group, as well as with serum endotoxin in ANP group. So overwhelm expression of some harmful cytokines like TNF-alpha in lung tissue may be the main cause of lung injury during acute necrotizing pancreatitis, and stimulation of endotoxiemia can at least partly explain the upregulation of expression of TNF-alpha gene.
Hua Xi Yi Ke Da Xue Xue Bao 1999 Dec
PMID:[Intrapulmonary expression of tumor necrosis factor alpha mRNA and its significance in rats with acute pancreatitis]. 1138 45

The objectives of the study were to investigate the changes of leukocyte adhesiveness and tumor necrosis factor (TNF) in the early stage of acute necrotizing pancreatitis (ANP), to go further into the relation of those changes to lung injury of ANP, and to evaluate the prohibitive effect of ta chengchi tang Decoction on leukocyte adhesion and TNF secretion. 14 canines were randomly divided into 3 groups. The treatment group (n = 5): experimental ANP model treated with ta chengchi tang Decoction; the saline control group (n = 5): experimental ANP model treated with normal saline; and the sham operative group (n = 4). The adhesion of leukocytes to vascular endothelial cells and TNF activities in serum and in bronchi-alveolar lavage fluid (BALF) were observed and measured, and the degrees of lung injury were assessed. The results showed that the adhesiveness of leukocytes was markedly increased and the activities of TNF were elevated in peripheral blood and BALF during ANP; that the leukocyte adhesiveness in the treatment group was weaker than that in the saline group (P < 0.05) and the serum and BALF TNF activities were also significantly lower than those in the saline group (P < 0.01); and that the degrees of lung injury in the treatment group were significantly milder than those in the saline group. These indicate that the increased leukocyte adhesiveness and hypersecretion of TNF take part in the pathogenesis of lung injury in ANP, and ta chengchi tang Decoction is demonstrated an efficacious medicine for alleviating the degree of lung injury mediated by both the leukocyte adhesion and TNF in ANP.
Hua Xi Yi Ke Da Xue Xue Bao 1999 Dec
PMID:[Experimental study of ta chengchi tang decoction for relieving lung injury during acute necrotizing pancreatitis]. 1138 50

This study was designed to evaluate the efficacy of traditional Chinese Medicine-X in preventing the necrotic infection of the pancreas in severe acute pancreatitis (SAP). Sixty rats were randomly divided into five groups with 12 rats in each one: (1) normal control, (2) SAP + 0.9% normal saline (1 ml x 100 g-1 x 24 h-1), (3) SAP + gentamycin (2000 u x 100 g-1 x 24 h-1), (4) SAP + TCM-X (1.0 g x 100 g-1 x 24 h-1), and (5) SAP + gentamycin (2000 u x 100 g-1 x 24 h-1) + TCM-X (1.0 g x 100 g-1 x 24 h-1). The medicines were given by way of gastrotube, once every 24 hours, twice in all. Pancreatitis was induced by a single intraperitoneal injection of 500 mg.100 g-1 of L-arginine. Serum endotoxin were observed and the clone forming units from mesenteric lymphnode and pancreas were obtained after 48 hours treatment. 96 hours after the experiment, the bacteria found in the mesenteric lymphnodes and pancreas in groups three, four and five were reduced as compared to that in group two; the levels of serum endotoxin were reduced, too. These data indicate that TCM-X and gentamycin in decontamination by way of gastrotube are effective in preventing bacterial translocation complicated by SAP, and the effect of TCM-X is stronger than that of gentamycin.
Hua Xi Yi Ke Da Xue Xue Bao 2000 Sep
PMID:[Value of intestinal decontamination by traditional Chinese medicine-X in the prevention of bacterial translocation complicated by severe acute pancreatitis in rats]. 1254 46


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