Abstract | BACKGROUND: The nervous system interacts dynamically with the immune system to modulate inflammation through humoral and neural pathways. However, the influence of visceral nerve (VN) on acute necrotizing pancreatitis ( ANP) has drawn little attention. AIM: To investigate the influence of VN on the pathophysiological process of ANP in dogs. METHODS: The dogs were divided into a sham operation (SO) group, ANP group, ANP + vagal nerve trunk transection (VNTT) group, and ANP + greater splanchnic nerve transection (GSNT) group. The VNTT and GSNT groups underwent VNTT and GSNT respectively immediately after ANP induction. The levels of serum pancreatic amylase (AMY), calcium, high-sensitivity C-reactive protein (HCRP), tumor necrosis factor-α (TNF-α), interleukin-1β (IL-1β), and interleukin-10 (IL-10) were monitored dynamically and the pathological examinations of the pancreas was performed at postoperative day 7. RESULTS: All serum parameters among the four groups showed no differences before the experiment (p > 0.05). At different postoperative times, the serum TNF-α, IL-1β, HCRP, and AMY were significantly increased, however, the serum calcium and IL-10 had dropped in the ANP group versus SO group (p < 0.05); an alike variation trend occurred between the VNTT group and ANP group (p < 0.05); an opposite variation trend occurred between the GSNT group and the ANP group (p < 0.05). The pancreas pathological scoring of VNTT group was highest in the four groups (p < 0.05) and GSNT group was lower versus ANP group (p < 0.05). CONCLUSIONS: The GSNT has been shown to alleviate development of ANP, however, VNTT may exacerbate the ANP.
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Authors | Jun-Jun Sun, Zhi-Jie Chu, Yu-Ming Zhang, Shi-Fang Qi, Yong-Chao Chang, Shi-Yong Xin, Wei-Feng Liu, Yan-Hui Yang, Xiao-Hui Zhang, Cheng Yang, Tian-Bao Yang |
Journal | Digestive diseases and sciences
(Dig Dis Sci)
Vol. 60
Issue 1
Pg. 118-26
(Jan 2015)
ISSN: 1573-2568 [Electronic] United States |
PMID | 25159609
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Interleukin-1beta
- Tumor Necrosis Factor-alpha
- Interleukin-10
- C-Reactive Protein
- Amylases
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Topics |
- Amylases
(blood)
- Animals
- C-Reactive Protein
(analysis)
- Dogs
- Interleukin-10
(blood)
- Interleukin-1beta
(blood)
- Male
- Pancreatitis, Acute Necrotizing
(blood, physiopathology, surgery)
- Splanchnic Nerves
(physiopathology, surgery)
- Tumor Necrosis Factor-alpha
(blood)
- Vagotomy
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