Effects of diazoxide in experimental acute necrotizing pancreatitis

OBJECTIVE: We aimed to assess the effects of diazoxide on the mortality, pancreatic injury, and inflammatory response in an experimental model of acute pancreatitis. METHODS: Male Wistar rats (200-400 g) were divided randomly into two groups. Fifteen minutes before surgery, animals received physiol...

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Main Authors: Roberta de Oliveira Andrade, Tiago Kunitake, Marcia Kiyomi Koike, Marcel C.C. Machado, Heraldo Possolo Souza
Format: Article
Language:English
Published: Elsevier España
Series:Clinics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322017000200125&lng=en&tlng=en
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author Roberta de Oliveira Andrade
Tiago Kunitake
Marcia Kiyomi Koike
Marcel C.C. Machado
Heraldo Possolo Souza
author_facet Roberta de Oliveira Andrade
Tiago Kunitake
Marcia Kiyomi Koike
Marcel C.C. Machado
Heraldo Possolo Souza
author_sort Roberta de Oliveira Andrade
collection DOAJ
description OBJECTIVE: We aimed to assess the effects of diazoxide on the mortality, pancreatic injury, and inflammatory response in an experimental model of acute pancreatitis. METHODS: Male Wistar rats (200-400 g) were divided randomly into two groups. Fifteen minutes before surgery, animals received physiological (0.9%) saline (3 mL/kg) (control group) or 45 mg/kg diazoxide (treatment group) via the intravenous route. Acute pancreatitis was induced by injection of 2.5% sodium taurocholate via the biliopancreatic duct. Mortality (n=38) was observed for 72 h and analyzed by the Mantel-Cox Log-rank test. To study pancreatic lesions and systemic inflammation, rats (10 from each group) were killed 3 h after acute pancreatitis induction; ascites volume was measured and blood as well as pancreases were collected. Pancreatic injury was assessed according to Schmidt’s scale. Cytokine expression in plasma was evaluated by the multiplex method. RESULTS: Mortality at 72 h was 33% in the control group and 60% in the treatment group (p=0.07). Ascites volumes and plasma levels of cytokines between groups were similar. No difference was observed in edema or infiltration of inflammatory cells in pancreatic tissues from either group. However, necrosis of acinar cells was lower in the treatment group compared to the control group (3.5 vs. 3.75, p=0.015). CONCLUSIONS: Treatment with diazoxide can reduce necrosis of acinar cells in an experimental model of acute pancreatitis, but does not affect the inflammatory response or mortality after 72 h.
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spelling doaj.art-2c38448f7bfa4db582d9fb94732123ae2022-12-22T02:47:46ZengElsevier EspañaClinics1807-59321980-532272212512910.6061/clinics/2017(02)10S1807-59322017000200125Effects of diazoxide in experimental acute necrotizing pancreatitisRoberta de Oliveira AndradeTiago KunitakeMarcia Kiyomi KoikeMarcel C.C. MachadoHeraldo Possolo SouzaOBJECTIVE: We aimed to assess the effects of diazoxide on the mortality, pancreatic injury, and inflammatory response in an experimental model of acute pancreatitis. METHODS: Male Wistar rats (200-400 g) were divided randomly into two groups. Fifteen minutes before surgery, animals received physiological (0.9%) saline (3 mL/kg) (control group) or 45 mg/kg diazoxide (treatment group) via the intravenous route. Acute pancreatitis was induced by injection of 2.5% sodium taurocholate via the biliopancreatic duct. Mortality (n=38) was observed for 72 h and analyzed by the Mantel-Cox Log-rank test. To study pancreatic lesions and systemic inflammation, rats (10 from each group) were killed 3 h after acute pancreatitis induction; ascites volume was measured and blood as well as pancreases were collected. Pancreatic injury was assessed according to Schmidt’s scale. Cytokine expression in plasma was evaluated by the multiplex method. RESULTS: Mortality at 72 h was 33% in the control group and 60% in the treatment group (p=0.07). Ascites volumes and plasma levels of cytokines between groups were similar. No difference was observed in edema or infiltration of inflammatory cells in pancreatic tissues from either group. However, necrosis of acinar cells was lower in the treatment group compared to the control group (3.5 vs. 3.75, p=0.015). CONCLUSIONS: Treatment with diazoxide can reduce necrosis of acinar cells in an experimental model of acute pancreatitis, but does not affect the inflammatory response or mortality after 72 h.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322017000200125&lng=en&tlng=enpancreatitisdiazoxiderats
spellingShingle Roberta de Oliveira Andrade
Tiago Kunitake
Marcia Kiyomi Koike
Marcel C.C. Machado
Heraldo Possolo Souza
Effects of diazoxide in experimental acute necrotizing pancreatitis
Clinics
pancreatitis
diazoxide
rats
title Effects of diazoxide in experimental acute necrotizing pancreatitis
title_full Effects of diazoxide in experimental acute necrotizing pancreatitis
title_fullStr Effects of diazoxide in experimental acute necrotizing pancreatitis
title_full_unstemmed Effects of diazoxide in experimental acute necrotizing pancreatitis
title_short Effects of diazoxide in experimental acute necrotizing pancreatitis
title_sort effects of diazoxide in experimental acute necrotizing pancreatitis
topic pancreatitis
diazoxide
rats
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322017000200125&lng=en&tlng=en
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