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Effects of dexamethasone and Salvia miltiorrhiza on multiple organs in rats with severe acute pancreatitis

查看全文 作  者:Jing-min [1]OU;Xi-ping [2]ZHANG;Cheng-jun [3]WU;Di-jiong [4]WU;Ping [4]YAN 高影响力作者 机构地区:[1]Department of General Surgery, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200092, China;[2]Department of Breast Surgery, Zhejiang Cancer Hospital, Hangzhou 310022, China;[3]Department of Orthopaedics, Jiaxing Hospital of Traditional Chinese Medicine, Jiaxing 314001, China;[4]Zhejiang Chinese Medical University, Hangzhou 310053, China高影响力机构 出  处:《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》索引2012年第13卷第11期,共13页高影响力期刊 基  金:Project (No. 2010382) supported by the Foundation for the Excellent Middle-Aged and Talented Young Persons of Zhejiang Province'151', China 摘  要:Objective:To investigate the protective effects and mechanisms of action of dexamethasone and Salvia miltiorrhiza on multiple organs in rats with severe acute pancreatitis (SAP). Methods:The rats were divided into sham-operated, model control, dexamethasone treated, and Salvia miltiorrhiza treated groups. At 3, 6, and 12 h after operation, the mortality rate of different groups, pathological changes, Bcl-2-associated X protein (Bax) and nuclear factor-κB (NF-κB) protein expression levels in multiple organs (the pancreas, liver, kidneys, and lungs), toll-like receptor 4 (TLR-4) protein levels (only in the liver), intercellular adhesion molecule 1 (ICAM-1) protein levels (only in the lung), and terminal deoxynucleotidy transferase mediated deoxyuridine triphosphate (dUTP) nick end labeling (TUNEL) staining expression levels, as well as the serum contents of amylase, glutamate-pyruvate transaminase (GPT), glutamic-oxaloacetic transaminase (GOT), blood urea nitrogen (BUN), and creatinine (CREA) were observed. Results:The mortality rate of the dexamethasone treated group was significantly lower than that of the model control group (P<0.05). The pathological changes in multiple organs in the two treated groups were relieved to different degrees (P<0.05 and P<0.01, respectively), the expression levels of Bax and NF-κB proteins, and apoptotic indexes of multiple organs were reduced (P<0.05 and P<0.01, respectively). The contents of amylase, GPT, GOT, BUN, and CREA in the two treated groups were significantly lower than those in model control groups (P<0.05 and P<0.01, respectively). The expression level of ICAM-1 protein in the lungs (at 3 and 12 h) in the dexamethasone treated group was significantly lower than that in the Salvia miltiorrhiza treated group (P<0.05). The serum contents of CREA (at 12 h) and BUN (at 6 h) of the Salvia miltiorrhiza treated group were significantly lower than those in the dexamethasone treated group (P<0.05). Conclusions:Both dexamethasone and Salvia miltiorrhiza can reduce the inflammatory reaction, regulate apoptosis, and thus protect multiple organs of rats with SAP. 关 键 词:DEXAMETHASONE Salvia miltiorrhiza PANCREATITIS Multiple organs RATS Apoptosis NF-κB TLR-4 ICAM-1 Tissue microarrays
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