Little is known about the immunologic events surrounding pancreatic ischemia-reperfusion injury (IRI) due to a lack of established experimental models. The purpose of the current study was to develop a mouse model for pancreatic IRI to serve as a basis for immunologic characterization of pancreatic organ damage at transplantation.
Methods
Reversible ischemia was surgically induced by vascular isolation of the distal pancreas for 0, 10, 20, or 30 minutes. Mice receiving laparotomy without clamping served as sham-operated controls. Following reperfusion, mice were serially assayed for biochemical and histologic evidence of inflammation, proinflammatory cytokine and chemokine production, and inflammatory gene up-regulation.
Results
Following induction of pancreatic IRI, serum amylase and LDH peaked at 6 hours and returned to baseline by 120 hours following injury in all groups. Mice undergoing 30 minutes of IRI demonstrated greatest biochemical evidence of inflammation. Histologic scoring similarly demonstrated marked inflammation in mice subjected to 30 minutes IRI compared to controls. Serum cytokine/chemokine analysis demonstrated significant up-regulation of G-CSF, IFN-γ, TNF-α, IL-2, IL-1β, IL-6, CCL-2, CCL-5, CXCL-1, and MIP-2. Similar up-regulation of ccl2, il1b, il6, fos, hspa1a, hspd1, and cd14 gene expression was detected by real-time PCR analysis of pancreatic tissue.
Conclusions
This novel model of distal pancreatic IRI in the mouse demonstrates time-limited pancreatic inflammation and injury by histologic and biochemical indices. Inflammation may be, in part, a result of the immunologic effects of IL-1β, IL-6, and CCL-2. This model provides a method by which immunologic mechanisms of pancreatic IRI can be elucidated.