Abstract | BACKGROUND: Currently, little evidence exists to support whether the therapeutic approaches for treating ordinary acute pancreatitis (AP) are effective in trauma-induced pancreatitis. Hydrogen-rich (H2) saline is an antioxidant treatment capable of ameliorating the severity of L-arginine-induced AP. In this study, we attempted to validate its protective role against traumatic pancreatitis (TP). METHODS: A previously established experimental rat model of TP was generated by controlled delivery of high pressure air impact. The protective effects of H2 saline against TP were evaluated in this model system by measuring survival rate and determining changes in histopathology, plasma enzymes, cytokines, and oxidative stress-associated molecules. RESULTS: Intraperitoneal administration of H2-rich saline produced a pronounced protection against TP in rats. Significant improvements were observed in survival rate and histopathological findings. In addition, plasma cytokines concentrations were reduced in H2 saline-treated TP rats. Although no marked inhibitory effect on plasma amylase and lipase activities was observed, H2 saline caused considerable suppression of pancreatic malondialdehyde level and recruitment of endogenous pancreatic antioxidants, such as glutathione and superoxide dismutase. CONCLUSIONS: H2-rich saline has beneficial effects on TP, presumably because of its detoxification activities against excessive reactive oxygen species. Our findings highlight the potential of H2-rich saline as a therapeutic agent of trauma-induced AP.
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Authors | Jiandong Ren, Zhulin Luo, Fuzhou Tian, Qian Wang, Kun Li, Chao Wang |
Journal | The journal of trauma and acute care surgery
(J Trauma Acute Care Surg)
Vol. 72
Issue 6
Pg. 1555-61
(Jun 2012)
ISSN: 2163-0763 [Electronic] United States |
PMID | 22695421
(Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2012 by Lippincott Williams & Wilkins. |
Chemical References |
- Cytokines
- Sodium Chloride
- Hydrogen
- Superoxide Dismutase
- Lipase
- Amylases
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Topics |
- Amylases
(blood, metabolism)
- Animals
- Chi-Square Distribution
- Cytokines
(blood, metabolism)
- Disease Models, Animal
- Hydrogen
(therapeutic use)
- Injections, Intraperitoneal
- Laparotomy
(adverse effects)
- Lipase
(blood, metabolism)
- Male
- Oxidative Stress
(drug effects)
- Pancreatic Function Tests
- Pancreatitis, Acute Necrotizing
(drug therapy, etiology, prevention & control)
- Random Allocation
- Rats
- Rats, Wistar
- Reference Values
- Sodium Chloride
(therapeutic use)
- Superoxide Dismutase
(blood, metabolism)
- Survival Rate
- Treatment Outcome
- Wounds and Injuries
(complications)
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