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Published in: Digestive Diseases and Sciences 4/2011

01-04-2011 | Original Article

Pioglitazone: A Promising Therapeutic Tool in Sodium Taurocholate-Induced Severe Acute Pancreatitis

Authors: Ping Xu, Kai Xu, Jing Wang, Jin-Ping Jiang, Ling-Quan Chen

Published in: Digestive Diseases and Sciences | Issue 4/2011

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Abstract

Background

Studies suggest that peroxisome proliferator-activated receptor γ(PPARγ) ligands may represent a therapeutic option in acute pancreatitis, yet most of them have been prophylactic administrated.

Aims

To evaluate the therapeutic effect of pioglitazone in rats with severe acute pancreatitis induced by sodium taurocholate.

Methods

Severe acute pancreatitis (SAP) was induced in male Sprague–Dawley rats by the retrograde injection of 5% sodium taurocholate into the pancreatic duct. After SAP was induced, pioglitazone was injected intraperitoneally and its role on the severity of inflammatory response and pancreatic injury was investigated. Amylase activity, inflammatory cytokines production, pathological changes of pancreas, PPARγ mRNA expression, and the survival rate were examined.

Results

Treatment with pioglitazone decreased the level of amylase activity, proinflammatory factors IL-6 and TNF-α, ameliorated pancreatic histological score, and upregulated the expression of PPARγ mRNA. The survival rate in the early stage of severe acute pancreatitis was also improved.

Conclusions

Pioglitazone can be used as a therapeutic drug and relieve the damages caused by SAP, which suggests PPARγ ligand-pioglitazone offers a potent approach for the treatment of severe acute pancreatitis.
Literature
1.
go back to reference Chiang DT, Anozie A, Fleming WR, et al. Comparative study on acute pancreatitis management. ANZ J Surg. 2004;74(4):218–221.PubMedCrossRef Chiang DT, Anozie A, Fleming WR, et al. Comparative study on acute pancreatitis management. ANZ J Surg. 2004;74(4):218–221.PubMedCrossRef
2.
go back to reference Vamecq J, Latruffe N. Medical significance of peroxisome proliferators-activated receptors. Lancet. 1999;354(9173):141–148.PubMedCrossRef Vamecq J, Latruffe N. Medical significance of peroxisome proliferators-activated receptors. Lancet. 1999;354(9173):141–148.PubMedCrossRef
3.
go back to reference Rahimian R, Masih-Khan E, Lo M, et al. Hepatic over-expression of peroxisome proliferator activated receptor gamma2 in the ob/ob mouse model of non-insulin dependent diabetes mellitus. Mol Cell Biochem. 2001;224(1–2):29–37.PubMedCrossRef Rahimian R, Masih-Khan E, Lo M, et al. Hepatic over-expression of peroxisome proliferator activated receptor gamma2 in the ob/ob mouse model of non-insulin dependent diabetes mellitus. Mol Cell Biochem. 2001;224(1–2):29–37.PubMedCrossRef
4.
go back to reference Yin R, Dong YG, Li HL. PPAR gamma phosphorylation mediated by JNK MAPK: a potential role in macrophage-derived foam cell formation. Acta Pharmacol Sin. 2006;27(9):1146–1152.PubMedCrossRef Yin R, Dong YG, Li HL. PPAR gamma phosphorylation mediated by JNK MAPK: a potential role in macrophage-derived foam cell formation. Acta Pharmacol Sin. 2006;27(9):1146–1152.PubMedCrossRef
5.
go back to reference Wang AC, Dai X, Luu B, et al. Peroxisome proliferator-activated receptor-gamma regulates airway epithelial cell activation. Am J Respir Cell Mol Biol. 2001;24(6):688–693.PubMed Wang AC, Dai X, Luu B, et al. Peroxisome proliferator-activated receptor-gamma regulates airway epithelial cell activation. Am J Respir Cell Mol Biol. 2001;24(6):688–693.PubMed
6.
go back to reference Katayama K, Wada K, Nakajima A, et al. A novel PPAR gamma gene therapy to control inflammation associated with inflammatory bowel disease in a murine model. Gastroenterology. 2003;124(5):1315–1324.PubMedCrossRef Katayama K, Wada K, Nakajima A, et al. A novel PPAR gamma gene therapy to control inflammation associated with inflammatory bowel disease in a murine model. Gastroenterology. 2003;124(5):1315–1324.PubMedCrossRef
7.
go back to reference Jiang C, Ting AT, Seed B. PPAR-gamma agonists inhibit production of monocyte inflammatory cytokines. Nature. 1998;391(6662):82–86.PubMedCrossRef Jiang C, Ting AT, Seed B. PPAR-gamma agonists inhibit production of monocyte inflammatory cytokines. Nature. 1998;391(6662):82–86.PubMedCrossRef
8.
go back to reference Ricote M, Li AC, Willson TM, et al. The peroxisome proliferator-activated receptor-gamma is a negative regulator of macrophage activation. Nature. 1998;391(6662):79–82.PubMedCrossRef Ricote M, Li AC, Willson TM, et al. The peroxisome proliferator-activated receptor-gamma is a negative regulator of macrophage activation. Nature. 1998;391(6662):79–82.PubMedCrossRef
9.
go back to reference Zingarelli B, Sheehan M, Hake PW, et al. Peroxisome proliferator activated receptor-gamma ligands, 15-deoxy-Delta(12, 14)-prostaglandin J2 and ciglitazone, reduce systemic inflammation in polymicrobial sepsis by modulation of signal transduction pathways. J Immunol. 2003;171(12):6827–6837.PubMed Zingarelli B, Sheehan M, Hake PW, et al. Peroxisome proliferator activated receptor-gamma ligands, 15-deoxy-Delta(12, 14)-prostaglandin J2 and ciglitazone, reduce systemic inflammation in polymicrobial sepsis by modulation of signal transduction pathways. J Immunol. 2003;171(12):6827–6837.PubMed
10.
go back to reference Enomoto N, Takei Y, Hirose M, et al. Prevention of ethanol-induced liver injury in rats by an agonist of peroxisome proliferator-activated receptor-gamma, pioglitazone. J Pharmacol Exp Ther. 2003;306(3):846–854.PubMedCrossRef Enomoto N, Takei Y, Hirose M, et al. Prevention of ethanol-induced liver injury in rats by an agonist of peroxisome proliferator-activated receptor-gamma, pioglitazone. J Pharmacol Exp Ther. 2003;306(3):846–854.PubMedCrossRef
11.
go back to reference Konturek PC, Dembinski A, Warzecha Z, et al. Pioglitazone, a specific ligand of peroxisome proliferator-activated receptor-gamma, protects pancreas against acute cerulean-induced pancreatitis. World J Gastroenterol. 2005;11(40):6322–6329.PubMed Konturek PC, Dembinski A, Warzecha Z, et al. Pioglitazone, a specific ligand of peroxisome proliferator-activated receptor-gamma, protects pancreas against acute cerulean-induced pancreatitis. World J Gastroenterol. 2005;11(40):6322–6329.PubMed
12.
go back to reference Hughes CB, Grewal HP, Gaber LW, et al. Anti-TNF alpha therapy improves survival and ameliorates the pathophysiologic saquelae in acute pancreatitis in the rat. Am J Surg. 1996;171(2):274–280.PubMedCrossRef Hughes CB, Grewal HP, Gaber LW, et al. Anti-TNF alpha therapy improves survival and ameliorates the pathophysiologic saquelae in acute pancreatitis in the rat. Am J Surg. 1996;171(2):274–280.PubMedCrossRef
13.
go back to reference Schmidt J, Rattner DW, Lewandrowski K, et al. A better model of acute pancreatitis for evaluating therapy. Ann Surg. 1992;215(1):44–56.PubMedCrossRef Schmidt J, Rattner DW, Lewandrowski K, et al. A better model of acute pancreatitis for evaluating therapy. Ann Surg. 1992;215(1):44–56.PubMedCrossRef
14.
go back to reference Xu P, Zhou XJ, Chen LQ, et al. Pioglitazone attenuates the severity of sodium taurocholate-induced severe acute pancreatitis. World J Gastroenterol. 2007;13(13):1983–1988.PubMed Xu P, Zhou XJ, Chen LQ, et al. Pioglitazone attenuates the severity of sodium taurocholate-induced severe acute pancreatitis. World J Gastroenterol. 2007;13(13):1983–1988.PubMed
15.
go back to reference Folch-Puy E, Granell S, Iovanna JL, et al. Peroxisome proliferator-activated receptor gamma agonist reduces the severity of post-ERCP pancreatitis in rats. World J Gastroenterol. 2006;12(40):6458–6463.PubMed Folch-Puy E, Granell S, Iovanna JL, et al. Peroxisome proliferator-activated receptor gamma agonist reduces the severity of post-ERCP pancreatitis in rats. World J Gastroenterol. 2006;12(40):6458–6463.PubMed
16.
go back to reference Hashimoto K, Ethridge RT, Saito H, et al. The PPARgamma ligand, 15d-PGJ2, attenuates the severity of cerulein-induced acute pancreatitis. Pancreas. 2003;27(1):58–66.PubMedCrossRef Hashimoto K, Ethridge RT, Saito H, et al. The PPARgamma ligand, 15d-PGJ2, attenuates the severity of cerulein-induced acute pancreatitis. Pancreas. 2003;27(1):58–66.PubMedCrossRef
17.
go back to reference Cuzzocrea S, Pisano B, Dugo L, et al. Rosiglitazone, a ligand of the peroxisome proliferator-activated receptor-gamma, reduces acute pancreatitis induced by cerulein. Intensive Care Med. 2004;30(5):951–956.PubMedCrossRef Cuzzocrea S, Pisano B, Dugo L, et al. Rosiglitazone, a ligand of the peroxisome proliferator-activated receptor-gamma, reduces acute pancreatitis induced by cerulein. Intensive Care Med. 2004;30(5):951–956.PubMedCrossRef
18.
go back to reference Chen C, Xu S, Wang WX, et al. Rosiglitazone attenuates the severity of sodium taurocholate-induced acute pancreatitis and pancreatitis-associated lung injury. Arch Med Res. 2009;40(2):79–88.PubMedCrossRef Chen C, Xu S, Wang WX, et al. Rosiglitazone attenuates the severity of sodium taurocholate-induced acute pancreatitis and pancreatitis-associated lung injury. Arch Med Res. 2009;40(2):79–88.PubMedCrossRef
19.
go back to reference De Beaux AC, Fearon KC. Circulating endotoxin, tumor necrosis factor-alpha, and their natural antagonists in the pathophysiology of acute pancreatitis. Scand J Gastroenterol. 1996;31(219):43–46.CrossRef De Beaux AC, Fearon KC. Circulating endotoxin, tumor necrosis factor-alpha, and their natural antagonists in the pathophysiology of acute pancreatitis. Scand J Gastroenterol. 1996;31(219):43–46.CrossRef
20.
go back to reference De Beaux AC, Goldie AS, Ross JA, et al. Serum concentrations of inflammatory mediators related to organ failure in patients with acute pancreatitis. Br J Surg. 1996;83(3):349–353.PubMedCrossRef De Beaux AC, Goldie AS, Ross JA, et al. Serum concentrations of inflammatory mediators related to organ failure in patients with acute pancreatitis. Br J Surg. 1996;83(3):349–353.PubMedCrossRef
21.
go back to reference Denham W, Yang J, Fink G, et al. Gene targeting demonstrates additive detrimental effects of interleukin 1 and tumor necrosis factor during pancreatitis. Gastroenterology. 1997;113(5):1741–1746.PubMedCrossRef Denham W, Yang J, Fink G, et al. Gene targeting demonstrates additive detrimental effects of interleukin 1 and tumor necrosis factor during pancreatitis. Gastroenterology. 1997;113(5):1741–1746.PubMedCrossRef
22.
go back to reference Rongione AJ, Kusske AM, Kwan K, et al. Interleukin 10 reduces the severity of acute pancreatitis in rats. Gastroenterology. 1997;112(3):960–967.PubMedCrossRef Rongione AJ, Kusske AM, Kwan K, et al. Interleukin 10 reduces the severity of acute pancreatitis in rats. Gastroenterology. 1997;112(3):960–967.PubMedCrossRef
23.
go back to reference Laveda R, Martinez J, Munoz C, et al. Different profile of cytokine synthesis according to the severity of acute pancreatitis. World J Gastroenterol. 2005;11(34):5309–5313.PubMed Laveda R, Martinez J, Munoz C, et al. Different profile of cytokine synthesis according to the severity of acute pancreatitis. World J Gastroenterol. 2005;11(34):5309–5313.PubMed
24.
go back to reference Van Laethem JL, Eskinazi R, Louis H, et al. Multisystemic production of interleukin 10 limits the severity of acute pancreatitis in mice. Gut. 1998;43(3):408–413.PubMedCrossRef Van Laethem JL, Eskinazi R, Louis H, et al. Multisystemic production of interleukin 10 limits the severity of acute pancreatitis in mice. Gut. 1998;43(3):408–413.PubMedCrossRef
25.
go back to reference Giri S, Rattan R, Singh AK, et al. The 15-deoxy-delta 12, 14-prostaglandin J2 inhibits the inflammatory response in primary rat astrocytes via down-regulating multiple steps in phosphatidylinositol 3-kinase-Akt-NF-kappaB-p300 pathway independent of peroxisome proliferator-activated receptor gamma. J Immunol. 2004;173(8):5196–5208.PubMed Giri S, Rattan R, Singh AK, et al. The 15-deoxy-delta 12, 14-prostaglandin J2 inhibits the inflammatory response in primary rat astrocytes via down-regulating multiple steps in phosphatidylinositol 3-kinase-Akt-NF-kappaB-p300 pathway independent of peroxisome proliferator-activated receptor gamma. J Immunol. 2004;173(8):5196–5208.PubMed
26.
go back to reference Li M, Pascual G, Glass CK. Peroxisome proliferator-activated receptor gamma-dependent repression of the inducible nitric oxide synthase gene. Mol Cell Biol. 2000;20(13):4699–4707.PubMedCrossRef Li M, Pascual G, Glass CK. Peroxisome proliferator-activated receptor gamma-dependent repression of the inducible nitric oxide synthase gene. Mol Cell Biol. 2000;20(13):4699–4707.PubMedCrossRef
27.
go back to reference Feingold K, Kim MS, Shigenaga J, et al. Altered expression of nuclear hormone receptors and coactivators in mouse heart during the acute-phase response. Am J Physiol Endocrinol Metab. 2004;286(2):E201–E207.PubMedCrossRef Feingold K, Kim MS, Shigenaga J, et al. Altered expression of nuclear hormone receptors and coactivators in mouse heart during the acute-phase response. Am J Physiol Endocrinol Metab. 2004;286(2):E201–E207.PubMedCrossRef
28.
go back to reference Hill MR, Young MD, McCurdy CM, et al. Decreased expression of murine PPARgamma in adipose tissue during endotoxemia. Endocrinology. 1997;138(7):3073–3076.PubMedCrossRef Hill MR, Young MD, McCurdy CM, et al. Decreased expression of murine PPARgamma in adipose tissue during endotoxemia. Endocrinology. 1997;138(7):3073–3076.PubMedCrossRef
29.
go back to reference Tanaka T, Itoh H, Doi K, et al. Down regulation of peroxisome proliferator-activated receptorgamma expression by inflammatory cytokines and its reversal by thiazolidinediones. Diabetologia. 1999;42(6):702–710.PubMedCrossRef Tanaka T, Itoh H, Doi K, et al. Down regulation of peroxisome proliferator-activated receptorgamma expression by inflammatory cytokines and its reversal by thiazolidinediones. Diabetologia. 1999;42(6):702–710.PubMedCrossRef
30.
go back to reference Rollins MD, Sudarshan S, Firpo MA, et al. Anti-inflammatory effects of PPAR-gamma agonists directly correlate with PPAR-gamma expression during acute pancreatitis. J Gastrointest Surg. 2006;10(8):1120–1130.PubMedCrossRef Rollins MD, Sudarshan S, Firpo MA, et al. Anti-inflammatory effects of PPAR-gamma agonists directly correlate with PPAR-gamma expression during acute pancreatitis. J Gastrointest Surg. 2006;10(8):1120–1130.PubMedCrossRef
Metadata
Title
Pioglitazone: A Promising Therapeutic Tool in Sodium Taurocholate-Induced Severe Acute Pancreatitis
Authors
Ping Xu
Kai Xu
Jing Wang
Jin-Ping Jiang
Ling-Quan Chen
Publication date
01-04-2011
Publisher
Springer US
Published in
Digestive Diseases and Sciences / Issue 4/2011
Print ISSN: 0163-2116
Electronic ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-010-1393-0

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