PANCREATIC PHOSPHOLIPASE-A2 IN PROXIMAL TUBULES OF RAT-KIDNEY IN EXPERIMENTAL ACUTE-PANCREATITIS AND AFTER INTRAVENOUS-INJECTION OF THE ENZYME

被引:15
作者
HIETARANTA, AJ [1 ]
AHO, HJ [1 ]
GRONROOS, JM [1 ]
HUA, ZY [1 ]
NEVALAINEN, TJ [1 ]
机构
[1] UNIV TURKU,DEPT PATHOL,KIINAMYLLYNKATU 10,SF-20520 TURKU 52,FINLAND
关键词
ACUTE PANCREATITIS; IMMUNOHISTOCHEMISTRY; KIDNEY; PANCREAS; PHOSPHOLIPASE-A2; PROXIMAL TUBULE;
D O I
10.1097/00006676-199205000-00009
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Kinetics and distribution of i.v. human pancreatic phospholipase A2 (h-PLA2) were determined in intact and nephrectomized rats, and tissue localization of rat pancreatic PLA2 (r-PLA2) was studied by immunohistochemistry in experimental acute pancreatitis. The concentration of h-PLA2 and the catalytic activity of phospholipase A2 in plasma decreased exponentially in intact and nephrectomized animals after the injection. The initial 15-min half-life was considerably longer in nephrectomized animals, and higher h-PLA2 concentrations and PLA2 catalytic activities were found in plasma. h-PLA2 was localized in endocytotic vesicles and apical cytoplasmic vacuoles in proximal tubule cells of the kidney. The intensity of the immunoreaction decreased considerably between 15 and 50 min in these cells. No signs of tubular damage were seen by light microscopy. Neither immunoreactive h-PLA2 nor PLA2 catalytic activity was found in urine. r-PLA2 was observed in proximal tubule cells 15 min after an injection of sodium taurocholate (necrotizing pancreatitis group) or saline (edematous pancreatitis group) into the pancreatic duct. Signs of tubular damage were present in necrotizing pancreatitis, but tubular morphology was normal in the animals with edematous pancreatitis. We conclude that the proximal tubule cells of the kidney participate in the metabolism of circulating pancreatic PLA2, and considerably higher PLA2 levels persist in plasma in nephrectomized animals. Endogenous pancreatic PLA2 is detected in kidneys in acute pancreatitis.
引用
收藏
页码:326 / 333
页数:8
相关论文
共 39 条
[1]  
Jacobs M.L., Daggett W.M., Civetta J.M., Et al., Acute pancreatitis: Analysis of factors influencing survival, Ann Surg, 185, pp. 43-51, (1976)
[2]  
Pitchumoni C.S., Agarwal N., Jain N.K., Systemic complications of acute pancreatitis, Am J Gastroenterol, 83, pp. 597-606, (1988)
[3]  
Renner I.G., Savage W.T., Pantoja J.L., Renner V.J., Death due to acute pancreatitis. A retrospective analysis of 405 autopsy cases, Dig Dis Sci, 30, pp. 1005-1018, (1985)
[4]  
Rothman S.S., Grendell J.H., The case of the disappearing pancreatic digestive enzymes, Gastroenterology, 85, pp. 1438-1442, (1983)
[5]  
Goldstein D.A., Llach F., Massry S.G., Acute renal failure in patients with acute pancreatitis, Arch Intern Med, 136, pp. 1363-1365, (1976)
[6]  
Lankisch P.G., Wolfrum D.I., Koop H., Winkler K., Amy-lase/creatinine clearance ratio and tubular proteinuria in acute pancreatitis, Digestion, 19, pp. 375-379, (1979)
[7]  
Maciver A.G., Metcalfe I.L., Possmayer F., Harding P., Passi R.B., Alteration of surfactant chemistry in experimental hemorrhagic pancreatitis, J Surg Res, 23, pp. 311-314, (1977)
[8]  
Meier P.B., Levitt M.D., Urine protein excretion in acute pan-creatitis, J Lab Clin Med, 108, pp. 628-634, (1986)
[9]  
Warshaw A.L., Lesser P.B., Rie M., Cullen D.J., The pathogenesis of pulmonary edema in acute pancreatitis, Ann Surg, 182, pp. 505-510, (1975)
[10]  
Mayer A.D., Airey M., Hodgson J., McMahon M.J., Enzyme transfer from pancreas to plasma during acute pancreatitis. The contribution of ascitic fluid and lymphatic drainage of the pancreas, Gut, 26, pp. 876-881, (1985)