Pathophysiological disturbances in complicated pancreatic pseudocysts

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Abstract

Aim. To determine profibrogenic mediators, markers of endothelial dysfunction and hemostasis in patients with different types of complicated pancreatic pseudocysts.

Methods. The study included 47 patients aged 43.58±7.38 years: 42 males and 5 females. The patients were allocated to three groups based on the classification of pancreatic pseudocysts by A. D’Egidio and М. Schein (1991). All patients underwent surgery. Serum levels of vascular endothelial growth factor, matrix metalloproteinase-9, matrix metalloproteinase-2 tissue inhibitor, the complex of metalloproteinase-9 and inhibitor, plasma levels of interleukin-6, -8, -18 and -10 were determined by ELISA method. Blood glutathione peroxidase activity and malondialdehyde serum level were determined by spectrophotometry.

Results.Levels of Interleukin-6, -8 and -18 was higher in patients with type I of pseudocysts compared to control (p

Conclusion. Increased concentration of matrix metalloproteinase-2 tissue inhibitor and increased inhibition coefficient in patients with chronic pancreatitis may reflect favorable conditions for pancreatic remodeling and fibrosis.

About the authors

O Yu Gerbali

Medical academy named after S.I. Georgievskiy of the Federal State Autonomous Educational Institution of Higher Education «Crimean Federal University named after V.I. Vernadskiy», Simferopol, Russia

Author for correspondence.
Email: oksana.gerbali@mail.ru

I A Krivoruchko

Kharkiv National Medical University, Kharkiv, Ukraine

Email: oksana.gerbali@mail.ru

N N Goncharova

Kharkiv National Medical University, Kharkiv, Ukraine

Email: oksana.gerbali@mail.ru

References

  1. Лазебник Л.Б., Винокурова Л.В., Дубцова Е.А. и др. Обоснование новых подходов и комплексной патогенетической терапии больных хроническим панкреатитом // Эксперим. и клин. гастроэнтерол. - 2011. - №7. - С. 3-6.
  2. Ничитайло М.Е., Кравченко Д.А., Медвецкий Е.Б. и др. Ингибирование активированных панкреатических звёздчатых клеток (витаминами A и E) для предупреждения фиброза поджелудочной железы в модели хронического алкогольного панкреатита // Морфологiя. - 2012. - Т. 6, №2. - С. 34-42.
  3. Bister V., Skoog Т., Virolainen S. Increased expression of matrix metalloproteinases-21 and -26 and TIMP-4 in pancreatic adenocarcinoma // Mod. Pathol. - 2007. - Vol. 20, N 11. - P. 1128-1140.
  4. Buchler M., Malfertheiner Р., Martignoni М. A proposal for a new clinical сlassification of chronic pancreatitis // BMC. Gastroenterol. - 2009. - Vol. 9. - P. 93-101.
  5. D’Egidio A., Schein М. Pancreatic pseudocysts: a proposed classification and its management implications // Br. J. Surg. - 1991. - Vol. 78, N 8. - Р. 981-984.
  6. Edderkaoui М., Gukovskaya А., Pandol S. Epidemiology, risk factors, and the promotion of pancreatic cancer: role of the stellate cell // J. Gastroenterol. Hepatol. - 2012. - Vol. 27, suppl. 2. - P. 127-134.
  7. Eriksson Р., Hamsten А., Mälarstig A. Raised interleukin-10 is an indicator of poor outcome and enhanced systemic inflammation in patients with acute coronary syndrome // Heart. - 2008. - Vol. 94. - P. 724-729.
  8. Hemmi Н., Kuroda S., Suda K. An IFN-gamma-IL-18 signaling loop accelerates memory CD8+ T cell proliferation // PLoS One. - 2009. - Vol. 3, N 6. - P. 2404.
  9. Lowe А.W., Lugea А., Omary M.B. The pancreatic stellate cell: a star on the rise in pancreatic diseases // J. Clin. Invest. - 2010. - Vol. 117, N 1. - P. 50-59.
  10. Shimizu K. Mechanisms of pancreatic fibrosis and applications to the treatment of chronic pancreatitis // J. Gastroenterol. - 2008. - Vol. 43, N 11. - P. 823-832. http://dx.doi.org/10.1007/s00535-008-2249-7
  11. Stetter-Stevenson W.G. Matrix melalloproteinases in angiogenesis: a moving terget for therapeutic intervention // J. Clin. Invest. - 2008. - Vol. 103, N 9. - P. 1237-1241. http://dx.doi.org/10.1172/JCI6870

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© 2015 Gerbali O.Y., Krivoruchko I.A., Goncharova N.N.

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