大黄素对重症急性胰腺炎大鼠肠黏膜细胞凋亡和血清瘦素表达的影响

doi:10.3736/jcim20091215

Abstract

Objective

To explore the mechanisms of emodin in protecting intestinal mucosal barrier in rat with severe acute pancreatitis (SAP).
Methods

Sixty SD rats were randomly divided into three groups: sham-operation group, untreated group, and emodin group. SAP in rats of the untreated group and the emodin group was induced by retrograde pumping of 3.0% sodium cholate to the common bile duct. Specimens were obtained 24 hours after the severe acute pancreatitis was induced. Serum level of leptin, serum activity of amylase and plasma content of endotoxin were measured. Ileum mucosa from ileocecal junction was observed by light microscopy and electron microscopy to measure pathological and ultrastructural changes. Apoptosis of ileum mucosal cells was detected by terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling method, and expression of Bax in ileum mucosal cells was measured by immunohistochemical method.
Results

Compared with the sham-operation group, there was significant increase in the levels of leptin, endotoxin, the activity of amylase, apoptosis index and Bax expression in the untreated group (P<0.01). Compared with the untreated group, the level of endotoxin, apoptotic index and Bax expression level in the emodin group were significantly reduced (P<0.01) and the leptin level was increased (P<0.05). More severe pathological changes appeared in the untreated group than in the sham-operation group under the light and electron microscopes; meanwhile less severe damage was observed in the emodin group as compared with the untreated group.
Conclusion

Emodin can inhibit the apoptosis of intestinal mucosa cells and up-regulate the serum leptin content to protect the intestina1 barrier function and prevent the translocation of bacteria and endotoxin.

Key words: Pancreatitis, Emodin, Apoptosis, Bax, Leptin, Rats

Jian-wen Ning, Feng Ji, Dan-dong Luo, Chun-yan Yang, Li-jun Wang. Effects of emodin on cell apoptosis of intestinal mucosa and serum leptin in rats with severe acute pancreatitis. Journal of Chinese Integrative Medicine, 2009, 7(12): 1167-1173.

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URL: http://www.jcimjournal.com/EN/10.3736/jcim20091215

http://www.jcimjournal.com/EN/Y2009/V7/I12/1167

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References 16

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Group	n	Amylase (U/L)	Endotoxin (ng/L)	Leptin (μg/L)
Sham-operation	20	361.75±105.46	47.80±16.15	1.27±0.17
Untreated	16	3 161.50±913.77^**	170.88±19.39**	1.84±0.24^**
Edomin	18	2 420.89±559.65^**△△	104.22±23.21^**△△	2.91±0.38^**△

Group	n	Apoptosis index	Bax expression
Sham-operation	20	3.49±3.10	4.28±1.44
Untreated	16	29.64±7.21^**	55.37±14.35^**
Edomin	18	10.37±6.60^**△△	41.18±9.31^**△△

Effects of emodin on cell apoptosis of intestinal mucosa and serum leptin in rats with severe acute pancreatitis

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