Decreased neutrophil counts prolong inflammation in acute pancreatitis and cause inflammation spillover to distant organs

中性粒细胞计数减少会延长急性胰腺炎的炎症,并导致炎症蔓延至远处器官

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作者:Yohei Fukuda, Kosuke Mori, Hideshi Okada, Hiroyuki Tomita, Kodai Suzuki, Chihiro Takada, Ryo Kamidani, Yuki Kawasaki, Hirotsugu Fukuda, Toru Minamiyama, Ayane Nishio, Takuto Shimada, Ayumi Kuroda, Akihiro Uchida, Yuichiro Kitagawa, Tetsuya Fukuta, Takahito Miyake, Takahiro Yoshida, Akio Suzuki, Nobu

Conclusion

Prolonged inflammation was observed in the G-CSF-KO mice. Tissue cleanup by neutrophils during the acute phase of inflammation may influence healing through the chronic phase.

Methods

We created a model of caerulein-induced pancreatitis in 12-week-old male granulocyte colony-stimulating factor knockout mice (G-CSF-KO) and wild-type littermate control mice (six intraperitoneal injections of caerulein [80 μg/kg body weight] at hourly intervals for 2 days). Mice were sacrificed 0, 3, 6, 12, 24, 36, 48, 72, and 168 h after caerulein administration and examined histologically.

Objective

Acute pancreatitis is an aseptic inflammation caused by pathologically activated pancreatic enzymes and inflammatory mediators produced secondarily by neutrophils and other inflammatory cells and is one of the most difficult diseases to treat. This study aimed to investigate the role of neutrophils in pancreatitis by examining tissue dynamics.

Results

The survival rate after one week of caerulein administration was 100 % in the control mice, whereas it was significantly lower (10 %) in the G-CSF-KO mice. Histological examination revealed significant hemorrhage and inflammatory cell migration in the G-CSF-KO mice, indicating prolonged inflammation.

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