Abstract
AIM: To investigate the effect of Da-Huang on intestinal motility failure in rats with severe acute pancreatitis (SAP) and the potential mechanism involved.
METHODS: Fifty-four SD rats were randomly divided into s sham operation (SO) group, a SAP group and a Da-Huang treatment group, with 18 rats in each group. Gastrointestinal motility disturbance in rats with SAP was induced by retrograde injection of sodium taurocholate (0.1 mL/100 g) into the bitiopancreatic duct. Before modeling, the rats in the treatment group received 10% Da-Huang solution (2 mL/100 g), and the rats in other two groups received 0.9% NaCl solution. The rats were sacrificed at 3, 6 and 12 h (6 rats at each time), and blood samples were taken for detecting the levels of amylase, lipase and the contents of 5-hydroxytryptamine (5-HT) by enzyme-linked immunosorbent assay. The jejunum, terminal ileum and sigmoid colon tissues 10 cm apart from the trans-ligament were collected at 6 h for examining the expressions of 5-HT1 receptor (5-HT1R) and 5-HT2 receptor (5-HT2R).
RESULTS: The levels of serum amylase, lipase and 5-HT at three time points in the SAP group (amylase: 9807 IU/L ± 698 IU/L, 15442 IU/L ± 952 IU/L, 18231 IU/L ± 869 IU/L; lipase: 94 IU/L ± 23 IU/L, 257 IU/L ± 99 IU/L, 306 IU/L ± 107 IU/L; 5-HT: 1192 ng/mL ± 142 ng/mL, 1437 ng/mL ± 114 ng/mL, 1646 ng/mL ± 163 ng/mL) and treatment group (amylase: 2238 IU/L ± 298 IU/L, 2313 IU/L ± 302 IU/L, 2289 IU/L ± 323 IU/L; lipase: 62 IU/L ± 16 IU/L, 71 IU/L ± 17 IU/L, 69 IU/L ± 15 IU/L; 5-HT: 794 ng/mL ± 86 ng/mL, 814 ng/mL ± 83 ng/mL, 798 ng/mL ± 81 ng/mL) were significantly higher than those in the SO group (amylase: 1853 IU/L ± 272 IU/L, 1959 IU/L ± 269 IU/L, 1897 IU/L ± 293 IU/L; lipase: 46 IU/L ± 9 IU/L, 54 IU/L ± 11, 52 IU/L ± 14 IU/L; 5-HT: 699 ng/mL ± 64 ng/mL, 721 ng/mL ± 76 ng/mL, 705 ng/mL ± 72 ng/mL)(all P < 0.01), but they were lower in the treatment group than in the SAP group at each time point (all P < 0.01). The expression of 5-HT1R and 5-HT2R proteins was significantly decreased in the jejunum, terminal ileum and sigmoid colon in the SAP group compared with the SO group (all P < 0.05). The areas of 5-HT1R and 5-HT2R positive cells in the jejunum, terminal ileum and sigmoid colon in the SAP group (5-HT1R positive cells: 4.58 × 104 μm2 ± 0.56 × 104 μm2、4.64 × 104 μm2 ± 0.63 × 104 μm2、4.79 × 104 μm2 ± 0.56 × 104 μm2, 5-HT2R positive cells: 4.89 × 104 μm2 ± 0.61 × 104 μm2, 4.76 × 104 μm2 ± 0.51 × 104 μm2, 5.03 × 104 μm2 ± 0.73 × 104 μm2) were significantly decreased compared with the SO group (5-HT1R positive cells: 5.63 × 104 μm2 ± 0.82 × 104 μm2, 5.94 × 104 μm2 ± 0.91 × 104 μm2, 6.37 × 104 μm2 ± 0.87 × 104 μm2, 5-HT2R positive cells: 6.02 × 104 μm2 ± 0.78 × 104 μm2, 5.98 × 104 μm2 ± 0.66 ×104 μm2, 6.49× 104 μm2 ± 0.85 × 104 μm2). The expression of 5-HT1R protein and the areas of 5-HT1 positive cells in the jejunum, terminal ileum and sigmoid colon in the treatment group (5.57 × 104 μm2 ± 0.83 × 104 μm2, 5.82 × 104 μm2 ± 0.74 × 104 μm2, 6.02 × 104 μm2 ± 0.81 × 104 μm2), but not the areas of 5-HT2 positive cells (4.94 × 104 μm2 ± 0.59 × 104 μm2, 4.81 × 104 μm2 ± 0.63 × 104 μm2, 5.16 × 104 μm2 ± 0.79 × 104 μm2), were increased in comparison with SAP group (all P < 0.05).
CONCLUSION: The level of 5-HT is significantly increased in SAP, but its receptors (5-HT1R and 5-HT2R) are decreased, which may induce intestinal motility failure. Da-Huang may improve enteric dynamic failure by activating 5-HT1R or increasing the expression of 5-HT1R, and may be a choice for treatment of SAP with intestinal motility failure.
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