The role of hypertriglyceridemia for acute kidney injury in the course of acute pancreatitis and an animal model

Abstract Objective The aim of this study was to investigate the role of hypertriglyceridemia for acute kidney injury (AKI) in the course of acute pancreatitis. Methods Patients with acute pancreatitis were retrospectively divided into four groups according to admission triglyceride: normal group, mi...

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Veröffentlicht in:Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] 2017-07, Vol.17 (4), p.561-566
Hauptverfasser: Wu, Congye, Zou, Lei, Shi, Shujing, Tong, Zhihui, Shen, Xiao, Yang, Dongliang, Ke, Lu, Li, Weiqin, Li, Jieshou
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container_title Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.]
container_volume 17
creator Wu, Congye
Zou, Lei
Shi, Shujing
Tong, Zhihui
Shen, Xiao
Yang, Dongliang
Ke, Lu
Li, Weiqin
Li, Jieshou
description Abstract Objective The aim of this study was to investigate the role of hypertriglyceridemia for acute kidney injury (AKI) in the course of acute pancreatitis. Methods Patients with acute pancreatitis were retrospectively divided into four groups according to admission triglyceride: normal group, mild HTG group, moderate HTG group and severe HTG group. Clinical characteristics were compared among these groups. Wild type (WT) mice and Human ApoC III transgenic (ApoCIIItg) mice were used in the next animal experiments. Severe acute pancreatitis (SAP) model was established by retrograde injection of 0.5% sodium taurocholate (0.1 ml/100 g) from duodenum to pancreatic duct. Histological scores, serum amylase, creatinine, usea nitrogen were compared between WT mice and ApoCIIItg mice. Results Two hundred and sixty-two patients were classified into 4 groups: normal TG (104, 39.7%), mild HTG (72, 27.5%), moderate HTG (47, 17.9%), and severe HTG (39, 14.9%) groups. The proportions of AKI were 13.5% (14/104, normal), 13.9% (10/72, mild), 21.3% (10/47, moderate), and 38.5% (15/39, severe), respectively. After establishing SAP model, the levels of serum amylase ( P  
doi_str_mv 10.1016/j.pan.2017.06.006
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Methods Patients with acute pancreatitis were retrospectively divided into four groups according to admission triglyceride: normal group, mild HTG group, moderate HTG group and severe HTG group. Clinical characteristics were compared among these groups. Wild type (WT) mice and Human ApoC III transgenic (ApoCIIItg) mice were used in the next animal experiments. Severe acute pancreatitis (SAP) model was established by retrograde injection of 0.5% sodium taurocholate (0.1 ml/100 g) from duodenum to pancreatic duct. Histological scores, serum amylase, creatinine, usea nitrogen were compared between WT mice and ApoCIIItg mice. Results Two hundred and sixty-two patients were classified into 4 groups: normal TG (104, 39.7%), mild HTG (72, 27.5%), moderate HTG (47, 17.9%), and severe HTG (39, 14.9%) groups. The proportions of AKI were 13.5% (14/104, normal), 13.9% (10/72, mild), 21.3% (10/47, moderate), and 38.5% (15/39, severe), respectively. After establishing SAP model, the levels of serum amylase ( P  &lt; 0.05) and pancreatic histological score ( P  &lt; 0.05) of ApoCIII-SAP-9h group were significantly higher than that of WT-SAP-9h group, respectively. ApoCIII-SAP-9h group had significantly higher levels of serum creatinine ( P  &lt; 0.001), usea nitrogen ( P  &lt; 0.001), and kidney histological score ( P  &lt; 0.05) than that of WT-SAP-9h group, respectively. Conclusions Mild HTG has little adverse impact on disease severity of acute pancreatitis; severe HTG can aggravate kidney injury in the course of acute pancreatitis. ApoCIII-SAP mice have more serious pancreatic damage and kidney injury than WT-SAP mice.</description><identifier>ISSN: 1424-3903</identifier><identifier>EISSN: 1424-3911</identifier><identifier>DOI: 10.1016/j.pan.2017.06.006</identifier><identifier>PMID: 28647101</identifier><language>eng</language><publisher>Switzerland: Elsevier B.V</publisher><subject>Acute kidney injury ; Acute pancreatitis ; Animal model ; Apolipoprotein C-III ; Creatinine ; Duodenum ; Endocrinology &amp; Metabolism ; Gastroenterology and Hepatology ; Hypertriglyceridemia ; Injection ; Kidneys ; Kinases ; Nitrogen ; Pancreas ; Pancreatitis ; Rodents ; SAP protein ; Sodium ; Studies ; Transgenic mice</subject><ispartof>Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.], 2017-07, Vol.17 (4), p.561-566</ispartof><rights>2017</rights><rights>Copyright © 2017. Published by Elsevier B.V.</rights><rights>Copyright Elsevier Limited Jul-Aug 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c436t-5e4557fbffe2995d6b48494e2df9f0a106b68e2858a06d136f69a822158590c03</citedby><cites>FETCH-LOGICAL-c436t-5e4557fbffe2995d6b48494e2df9f0a106b68e2858a06d136f69a822158590c03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28647101$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wu, Congye</creatorcontrib><creatorcontrib>Zou, Lei</creatorcontrib><creatorcontrib>Shi, Shujing</creatorcontrib><creatorcontrib>Tong, Zhihui</creatorcontrib><creatorcontrib>Shen, Xiao</creatorcontrib><creatorcontrib>Yang, Dongliang</creatorcontrib><creatorcontrib>Ke, Lu</creatorcontrib><creatorcontrib>Li, Weiqin</creatorcontrib><creatorcontrib>Li, Jieshou</creatorcontrib><title>The role of hypertriglyceridemia for acute kidney injury in the course of acute pancreatitis and an animal model</title><title>Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.]</title><addtitle>Pancreatology</addtitle><description>Abstract Objective The aim of this study was to investigate the role of hypertriglyceridemia for acute kidney injury (AKI) in the course of acute pancreatitis. Methods Patients with acute pancreatitis were retrospectively divided into four groups according to admission triglyceride: normal group, mild HTG group, moderate HTG group and severe HTG group. Clinical characteristics were compared among these groups. Wild type (WT) mice and Human ApoC III transgenic (ApoCIIItg) mice were used in the next animal experiments. Severe acute pancreatitis (SAP) model was established by retrograde injection of 0.5% sodium taurocholate (0.1 ml/100 g) from duodenum to pancreatic duct. Histological scores, serum amylase, creatinine, usea nitrogen were compared between WT mice and ApoCIIItg mice. Results Two hundred and sixty-two patients were classified into 4 groups: normal TG (104, 39.7%), mild HTG (72, 27.5%), moderate HTG (47, 17.9%), and severe HTG (39, 14.9%) groups. The proportions of AKI were 13.5% (14/104, normal), 13.9% (10/72, mild), 21.3% (10/47, moderate), and 38.5% (15/39, severe), respectively. After establishing SAP model, the levels of serum amylase ( P  &lt; 0.05) and pancreatic histological score ( P  &lt; 0.05) of ApoCIII-SAP-9h group were significantly higher than that of WT-SAP-9h group, respectively. ApoCIII-SAP-9h group had significantly higher levels of serum creatinine ( P  &lt; 0.001), usea nitrogen ( P  &lt; 0.001), and kidney histological score ( P  &lt; 0.05) than that of WT-SAP-9h group, respectively. Conclusions Mild HTG has little adverse impact on disease severity of acute pancreatitis; severe HTG can aggravate kidney injury in the course of acute pancreatitis. ApoCIII-SAP mice have more serious pancreatic damage and kidney injury than WT-SAP mice.</description><subject>Acute kidney injury</subject><subject>Acute pancreatitis</subject><subject>Animal model</subject><subject>Apolipoprotein C-III</subject><subject>Creatinine</subject><subject>Duodenum</subject><subject>Endocrinology &amp; Metabolism</subject><subject>Gastroenterology and Hepatology</subject><subject>Hypertriglyceridemia</subject><subject>Injection</subject><subject>Kidneys</subject><subject>Kinases</subject><subject>Nitrogen</subject><subject>Pancreas</subject><subject>Pancreatitis</subject><subject>Rodents</subject><subject>SAP protein</subject><subject>Sodium</subject><subject>Studies</subject><subject>Transgenic mice</subject><issn>1424-3903</issn><issn>1424-3911</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp9kk1rFjEQx4Mo9kU_gBcJePHyrJOXze4iCKVYLRR6aD2HPMnEZrtvJrvCfnuzPrVCD4WEyeH3n8x_Zgh5x6BgwNSntpjMUHBgVQGqAFAvyDGTXO5Ew9jLxzeII3KSUgvAOWPNa3LEayWrnOKYTLd3SOPYIR09vVsnjHMMP7vVYgwO-2CoHyM1dpmR3gc34ErD0C5xC3TOWjsuMf1VH6BckY1o5jCHRM3g8s0n9Kaj_eiwe0NeedMlfPsQT8mPi6-35993V9ffLs_PrnZWCjXvSpRlWfm998ibpnRqL2vZSOTONx4MA7VXNfK6rA0ox4TyqjF19lfWZQMWxCn5eMg7xfHXgmnWfUgWu84MOC5Js4aJWnBeqYx-eIK22dSQq8sUz38owWWm2IGycUwpotdTzLbiqhnobRy61dm83sahQek8jqx5_5B52ffoHhX_-p-BzwcAcyt-B4w62YCDRRci2lm7MTyb_ssTte3CEKzp7nHF9N-FTlyDvtn2YVsHVgkoQQjxBzi0rvo</recordid><startdate>20170701</startdate><enddate>20170701</enddate><creator>Wu, Congye</creator><creator>Zou, Lei</creator><creator>Shi, Shujing</creator><creator>Tong, Zhihui</creator><creator>Shen, Xiao</creator><creator>Yang, Dongliang</creator><creator>Ke, Lu</creator><creator>Li, Weiqin</creator><creator>Li, Jieshou</creator><general>Elsevier B.V</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20170701</creationdate><title>The role of hypertriglyceridemia for acute kidney injury in the course of acute pancreatitis and an animal model</title><author>Wu, Congye ; Zou, Lei ; Shi, Shujing ; Tong, Zhihui ; Shen, Xiao ; Yang, Dongliang ; Ke, Lu ; Li, Weiqin ; Li, Jieshou</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c436t-5e4557fbffe2995d6b48494e2df9f0a106b68e2858a06d136f69a822158590c03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Acute kidney injury</topic><topic>Acute pancreatitis</topic><topic>Animal model</topic><topic>Apolipoprotein C-III</topic><topic>Creatinine</topic><topic>Duodenum</topic><topic>Endocrinology &amp; Metabolism</topic><topic>Gastroenterology and Hepatology</topic><topic>Hypertriglyceridemia</topic><topic>Injection</topic><topic>Kidneys</topic><topic>Kinases</topic><topic>Nitrogen</topic><topic>Pancreas</topic><topic>Pancreatitis</topic><topic>Rodents</topic><topic>SAP protein</topic><topic>Sodium</topic><topic>Studies</topic><topic>Transgenic mice</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wu, Congye</creatorcontrib><creatorcontrib>Zou, Lei</creatorcontrib><creatorcontrib>Shi, Shujing</creatorcontrib><creatorcontrib>Tong, Zhihui</creatorcontrib><creatorcontrib>Shen, Xiao</creatorcontrib><creatorcontrib>Yang, Dongliang</creatorcontrib><creatorcontrib>Ke, Lu</creatorcontrib><creatorcontrib>Li, Weiqin</creatorcontrib><creatorcontrib>Li, Jieshou</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.]</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, Congye</au><au>Zou, Lei</au><au>Shi, Shujing</au><au>Tong, Zhihui</au><au>Shen, Xiao</au><au>Yang, Dongliang</au><au>Ke, Lu</au><au>Li, Weiqin</au><au>Li, Jieshou</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of hypertriglyceridemia for acute kidney injury in the course of acute pancreatitis and an animal model</atitle><jtitle>Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.]</jtitle><addtitle>Pancreatology</addtitle><date>2017-07-01</date><risdate>2017</risdate><volume>17</volume><issue>4</issue><spage>561</spage><epage>566</epage><pages>561-566</pages><issn>1424-3903</issn><eissn>1424-3911</eissn><abstract>Abstract Objective The aim of this study was to investigate the role of hypertriglyceridemia for acute kidney injury (AKI) in the course of acute pancreatitis. Methods Patients with acute pancreatitis were retrospectively divided into four groups according to admission triglyceride: normal group, mild HTG group, moderate HTG group and severe HTG group. Clinical characteristics were compared among these groups. Wild type (WT) mice and Human ApoC III transgenic (ApoCIIItg) mice were used in the next animal experiments. Severe acute pancreatitis (SAP) model was established by retrograde injection of 0.5% sodium taurocholate (0.1 ml/100 g) from duodenum to pancreatic duct. Histological scores, serum amylase, creatinine, usea nitrogen were compared between WT mice and ApoCIIItg mice. Results Two hundred and sixty-two patients were classified into 4 groups: normal TG (104, 39.7%), mild HTG (72, 27.5%), moderate HTG (47, 17.9%), and severe HTG (39, 14.9%) groups. The proportions of AKI were 13.5% (14/104, normal), 13.9% (10/72, mild), 21.3% (10/47, moderate), and 38.5% (15/39, severe), respectively. After establishing SAP model, the levels of serum amylase ( P  &lt; 0.05) and pancreatic histological score ( P  &lt; 0.05) of ApoCIII-SAP-9h group were significantly higher than that of WT-SAP-9h group, respectively. ApoCIII-SAP-9h group had significantly higher levels of serum creatinine ( P  &lt; 0.001), usea nitrogen ( P  &lt; 0.001), and kidney histological score ( P  &lt; 0.05) than that of WT-SAP-9h group, respectively. Conclusions Mild HTG has little adverse impact on disease severity of acute pancreatitis; severe HTG can aggravate kidney injury in the course of acute pancreatitis. ApoCIII-SAP mice have more serious pancreatic damage and kidney injury than WT-SAP mice.</abstract><cop>Switzerland</cop><pub>Elsevier B.V</pub><pmid>28647101</pmid><doi>10.1016/j.pan.2017.06.006</doi><tpages>6</tpages></addata></record>
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subjects Acute kidney injury
Acute pancreatitis
Animal model
Apolipoprotein C-III
Creatinine
Duodenum
Endocrinology & Metabolism
Gastroenterology and Hepatology
Hypertriglyceridemia
Injection
Kidneys
Kinases
Nitrogen
Pancreas
Pancreatitis
Rodents
SAP protein
Sodium
Studies
Transgenic mice
title The role of hypertriglyceridemia for acute kidney injury in the course of acute pancreatitis and an animal model
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