Abstract:Acute pancreatitis is a potentially severe inflammatory disease that may be associated with a substantial morbidity and mortality. Currently there is no specific treatment for the disease, which indicates an ongoing demand for research into its pathogenesis and development of new therapeutic strategies. Due to the unpredictable course of acute pancreatitis and relatively concealed anatomical site in the retro-peritoneum, research on the human pancreas remains challenging. As a result, for over the last 100 yea… Show more
“…To further confirm the role of dietary ketone body in the prevention of AP, the CER/LPS-SAP model mimicking septic necrotising AP was employed. 31 Similarly, 1,3-butanediol pretreatment was able to reduce the overall pancreas histopathology score ( Figure 4 e), lung alveolar membrane thickening ( Figure 4 f) and the TNFα levels of monocytes/macrophages in the pancreas, spleen, and mesenteric lymph nodes ( Figure 4 g). …”
Section: Resultsmentioning
confidence: 74%
“…Mouse models included ( 1 ) hourly intraperitoneal injections of 50 or 100 μg/kg caerulein (Yeasen Biotech) dissolved in normal saline for 7 times to induce necrotising AP (CER-AP [Cer*7]) without marked systemic inflammation 29 ; ( 2 ) hourly intraperitoneal injections of 100 μg/kg caerulein 12 times to induce more severe necrotising AP (CER-AP [Cer*12]) with overt lung and liver injuries 29 , 30 ; ( 3 ) and LPS (10 mg/kg; Sigma Aldrich) superimposed on a Cer*7 regimen right after the last injection of caerulein to induce necrotising SAP (CER/LPS-SAP) mimicking septic conditions with multiple organ failure. 31 Control mice received saline injections following the respective regimens. All animals were sacrificed at 24 h after first caerulein or saline injection unless otherwise mentioned.…”
“…To further confirm the role of dietary ketone body in the prevention of AP, the CER/LPS-SAP model mimicking septic necrotising AP was employed. 31 Similarly, 1,3-butanediol pretreatment was able to reduce the overall pancreas histopathology score ( Figure 4 e), lung alveolar membrane thickening ( Figure 4 f) and the TNFα levels of monocytes/macrophages in the pancreas, spleen, and mesenteric lymph nodes ( Figure 4 g). …”
Section: Resultsmentioning
confidence: 74%
“…Mouse models included ( 1 ) hourly intraperitoneal injections of 50 or 100 μg/kg caerulein (Yeasen Biotech) dissolved in normal saline for 7 times to induce necrotising AP (CER-AP [Cer*7]) without marked systemic inflammation 29 ; ( 2 ) hourly intraperitoneal injections of 100 μg/kg caerulein 12 times to induce more severe necrotising AP (CER-AP [Cer*12]) with overt lung and liver injuries 29 , 30 ; ( 3 ) and LPS (10 mg/kg; Sigma Aldrich) superimposed on a Cer*7 regimen right after the last injection of caerulein to induce necrotising SAP (CER/LPS-SAP) mimicking septic conditions with multiple organ failure. 31 Control mice received saline injections following the respective regimens. All animals were sacrificed at 24 h after first caerulein or saline injection unless otherwise mentioned.…”
“…Что касается инфильтрации воспалительных клеток при COVID-19 [4,26], гепарин может напрямую взаимодействовать с эндотелиальными клетками сосудов, что приводит к снижению рекрутинга нейтрофилов и прямому ингибированию их активации [22]. Доказано, что гепарин и его производные ослабляют воспаление и в других моделях, характеризующихся сильным иммунным ответом, включая панкреатит [27] и сепсис [28]. Клиническое использование гепарина в качестве противовоспалительного агента продемонстрировало его ограниченную эффективность при заболеваниях человека, включая воспалительные заболевания кишечника, астму, реактивное заболевание дыхательных путей и острый коронарный синдром [22,29].…”
Section: противовоспалительное действие гепарина и гепариноподобных препаратов при Covid-19unclassified
Background. The coronavirus disease 2019 (COVID-19) caused by the SARS-CoV-2 virus has swept across countries worldwide. Despite an unprecedented volume of research, few drug therapies have been proved effective. The lack of evidence-based strategies entailed many practical treatments. Hypercoagulability observed in COVID-19 patients has sparked a debate in the medical community on therapeutic value of anticoagulants.Objectives. A review of up-to-date evidence supporting the therapeutic effect of unfractionated and low molecular-weight heparin as anticoagulant in treatment for COVID-19. Methods. Russian-language and foreign literature was mined in the RSCI, Scopus, PubMed, medRxiv and eLibrary databases for the years 2020–2021, with considering selected impactive publications within 1991–2019 as well. The query keywords were COVID-19, heparin [гепарин], hemostasis [гемостаз], thromboembolism [тромбоэмболия]. Peer-reviewed scientific journals received priority. Content and descriptive analytics were used as research tools.Results. The review surveyed 84 literature sources, with 51 articles selected for downstream analysis. We highlight usage of heparin and its fractions in treatment for COVID-19 and preclinical evidence verifying the antiviral and anti-inflammatory properties of heparin and synthetic heparin-like drugs in COVID-19. The known and plausible side effects demanding additional prospective randomised controlled trials on anticoagulant application in COVID-19 are reviewed, with an assessment of oral direct-acting anticoagulant drug efficiency.Conclusion. Drug-based therapies for haemostasis correction in COVID-19 are currently limited. The paucity of evidence warrants heparin usage as a safer therapy in acute COVID-19 compared to oral anticoagulants. However, the balance of its potential benefits vs. risks must be observed. The benefits and risk uncertainty in heparin treatment require randomised clinical trials and further studies to evaluate safety of direct-acting oral anticoagulants after the patient’s discharge in COVID-19.
“…In the current study, we aimed to determine if a pancreas-specific transgenic reduction in OGT in an in vivo mouse model affects the severity of cerulein-induced AP [25]. Our findings suggest that the partial loss of OGT in pancreatic tissue reduces the severity of AP induced by cerulein, highlighting OGT as a potential molecular target to ameliorate AP in patients.…”
Acute pancreatitis (AP) involves premature trypsinogen activation, which mediates a cascade of pro-inflammatory signaling that causes early stages of pancreatic injury. Activation of the transcription factor κB (NF-κB) and secretion of pro-inflammatory mediators are major events in AP. O-GlcNAc transferase (OGT), a stress-sensitive enzyme, was recently implicated to regulate NF-κB activation and inflammation in AP in vitro. This study aims to determine whether a pancreas-specific transgenic reduction in OGT in a mouse model affects the severity of AP in vivo. Mice with reduced pancreatic OGT (OGTPanc+/−) at 8 weeks of age were randomized to cerulein, which induces pancreatitis, or saline injections. AP was confirmed by elevated amylase levels and on histological analysis. The histological scoring demonstrated that OGTPanc+/− mice had decreased severity of AP. Additionally, serum lipase, LDH, and TNF-α in OGTPanc+/− did not significantly increase in response to cerulein treatment as compared to controls, suggesting attenuated AP induction in this model. Our study reveals the effect of reducing pancreatic OGT levels on the severity of pancreatitis, warranting further investigation on the role of OGT in the pathology of AP.
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