Essential role of monocytes and macrophages in the progression of acute pancreatitis

查看全文 作　　者：Pratima [1]Shrivastava;Madhav [2]Bhatia 机构地区：[1]Department of Pharmacology,National University of Singapore,Singapore 117597,Singapore;[2]Department of Pathology,University of Otago,Christchurch 8140,New Zealand 出　　处：《World Journal of Gastroenterology》索引2010年第16卷第32期,共8页 摘　　要：Acute pancreatitis(AP) is an inflammatory condition of the pancreas caused by an imbalance in factors involved in maintaining cellular homeostasis.Earliest events in AP occur within acinar cells accompanied by other principal contributors to the inflammatory response i.e.the endothelial cells,immunocytes(granulocytes,monocytes/macrophages,lymphocytes) and neutrophils.Monocytes/macrophages are important inflammatory mediators,involved in the pathophysiology of AP,known to reside in the peritoneal cavity(in the vicinity of the pancreas) and in peripancreatic tissue.Recent studies suggested that impaired clearance of injured acini by macrophages is associated with an altered cytokine reaction which may constitute a basis for progression of AP.This review focuses on the role of monocytes/macrophages in progression of AP and discusses f indings on the inflammatory process involved. 关 键 词：Acute pancreatitis MONOCYTES Peritoneal macrophages Alveolar macrophages Kupffer cells