Dexamethasone mediates protection against acute pancreatitis via upregulation of pancreatitis-associated proteins

• Published in: World journal of gastroenterology : WJG 2006-11, Vol.12 (42), p.6806-6811
• Main Authors: Kandil, Emad, Lin, Yin-Yao, Bluth, Martin-H, Zhang, Hong, Levi, Gabriel, Zenilman, Michael-E
• Format: Article
• Language: English
• Subjects: Acute Disease; Animals; Anti-Inflammatory Agents - pharmacology; Antigens, Neoplasm - genetics; Antigens, Neoplasm - metabolism; Basic Research; Biomarkers, Tumor - genetics; Biomarkers, Tumor - metabolism; Cells, Cultured; Cholagogues and Choleretics; Dexamethasone - pharmacology; Lectins, C-Type - genetics; Lectins, C-Type - metabolism; Pancreas - metabolism; Pancreas - pathology; Pancreatitis - chemically induced; Pancreatitis - metabolism; Pancreatitis - pathology; Pancreatitis - prevention & control; Pancreatitis-Associated Proteins; Rats; Rats, Sprague-Dawley; Taurocholic Acid; Up-Regulation - drug effects; 保护作用; 地塞米松; 病理机制; 胰腺炎
• ISSN: 1007-9327; 2219-2840
• DOI: 10.3748/wjg.v12.i42.6806

AIM： To examine the influence of dexamethasone on pancreatitis-associated protein （PAP） gene expression using both in vitro and in vivo models of acute pancreatitis and to study how PAP gene expression correlates with severity of pancreatitis. METHODS： In vitro, IL-6 stimulated pancreas acinar AR42J cells were cultured with increasing concentrations of dexamethasone and assayed for PAP expression （RT-PCR）. In vivo, pancreatitis was induced in rats by retrograde injection of 40 g/L taurocholate into the pancreatic duct. Animals were pretreated with dexamethasone （2 mg/kg） daily or saline for 4 d. Pancreata and serum were harvested after 24 h and gene expression levels of PAP Ⅰ, Ⅱ and Ⅲ were measured by RT-PCR. Severity of pancreatitis was based on serum amylase, pancreatic wet weight, and histopathological score. RESULTS： In vitro, dexamethasone and IL-6 induced a marked transcription of PAP Ⅰ, Ⅱ and Ⅲ genes in AR42J cells at 24 h （P 〈 0.05 for all comparisons）. In vivo, pancreas mRNA levels of PAP Ⅰ, Ⅱ or Ⅲ increased by 2.6-fold, 1.9-fold, and 1.3-fold respectively after dexamethasone treatment, compared with saline treated animals. Serum amylase levels and edema were significantly lower in the dexamethasone group compared with the saline group. Histopathologic evaluation revealed less inflammation and necrosis in pancreata obtained from dexamethasone treated animals （P 〈 0.05）. CONCLUSION： Dexamethasone significantly decreases the severity of pancreatitis. The protective mechanism of dexamethasone may be via upregulating PAP gene expression during injury.