Abstract

The aim of the present study was to detect the expression of resistin in rats with acute pancreatitis (AP) and investigate its significance in the pathogenesis of AP. In total, 40 Sprague-Dawley rats were randomly divided into four groups (n=10), including the normal control, sham-operated, acute edematous pancreatitis (AEP) and acute necrotizing pancreatitis (ANP) groups. Following the establishment of animal models, the levels of serum resistin, C-reactive protein (CRP), tumor necrosis factor-α (TNF-α) and interleukin (IL)-1β were measured using ELISA. Resistin expression in the pancreatic tissues was detected using an immunohistochemical method. In addition, the mRNA expression of resistin in the pancreatic tissues was analyzed with quantitative polymerase chain reaction. The levels of serum amylase, serum resistin, TNF-α, IL-1β and CRP were all significantly higher in the AEP and ANP groups when compared with the control and sham-operated groups (P<0.01), as were the pancreas/body weight ratios and pathological scores of the pancreas. These increases were more significant in the ANP group than in the AEP group (P<0.05). The mRNA expression levels of resistin in the pancreatic tissues were markedly higher in the AEP and ANP groups when compared with the control and sham-operated groups (P<0.01), particularly in the pancreatic tissues of the ANP group, which exhibited notably higher levels compared with the AEP group. The serum resistin level was found to positively correlate with the serum levels of CRP, TNF-α and IL-1β, and the pathological scores of the pancreatic tissues. In conclusion, the results indicated that resistin may be associated with the occurrence and development of AP; thus, the protein may be a valuable indicator for assessing the severity of AP.

Highlights

  • The incidence of pancreatitis is markedly increased with the improvement of living conditions, acute pancreatitis (AP)

  • The present study revealed that serum resistin levels, as well as resistin mRNA and protein expression, in the pancreatic tissues increased significantly in the acute edematous pancreatitis (AEP) and acute necrotizing pancreatitis (ANP) groups, as compared with those in the normal control rats (P

  • The mRNA and protein expression levels of resistin increased more notably in the ANP group compared with the AEP group, indicating that resistin is activated in the pathogenesis of AP and is involved in pancreatic tissue damage

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Summary

Introduction

The incidence of pancreatitis is markedly increased with the improvement of living conditions, acute pancreatitis (AP). AP is a common clinical disease, and one of the main causes of it is hypertriglyceridemia [1]. The prognosis of the majority of cases of AP is good; some types, severe AP, may lead to multiple organ failure, resulting in serious adverse consequences for the patient [2]. The cause and mechanisms of AP are not completely clear, and there is no specific drug used to treat AP. AP includes acute edematous pancreatitis (AEP) and acute necrotizing pancreatitis (ANP). AEP has moderate clinical symptoms, and often doesn't require treatment; whereas ANP has severe clinical symptoms. ANP causes complications and sequelae, and may be life‐threatening [6]

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