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Efficacy and Mechanism of Salvia Miltiorrhizae Injection in the Treatment of Rats with Severe Acute Pancreatitis

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To study the efficacy and mechanism of Salvia miltiorrhizae injection in the treatment of severe acute pancreatitis. SAP rat models were prepared and randomly divided into model control group and treated group. The sham-operated group was also set. At 3, 6 and 12 h after operation, the mortality rate, ascitic volumes, pathological changes in the pancreas, contents of amylase and endotoxin in plasma as well as IL-6, IL-18, ET-1 and NO in serum, the staining intensity of Bax and NF-κB p56 proteins, and the changes in apoptosis index of pancreatic cells in rats in each group were observed. The pathological severity scores (at 3, 6 and 12 h after operation), contents of plasma endotoxin (at 6 and 12 h after operation) and serum IL-6 (at 6 and 12 h after operation) were significantly lower than those in model control group (P < 0.05, P < 0.01 and P < 0.01, respectively); the staining intensity and the product of the staining intensity and positive staining rate of Bax protein in the pancreas were significanly higher than those in model control group (P < 0.01). Salvia miltiorrhizae is able to reduce the contents of plasma endotoxin and serum IL-6, promote the expression of Bax protein in pancreas, improve the pathological changes in the pancreas, and decrease the mortality rate of rats, thereby showing therapeutic effect on rats with SAP.

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References

  1. Zhang, Q., Q. Ni, D. Cai, Y. Zhang, N. Zhang, and L. Hou. 2001. Mechanisms of multiple organ damages in acute necrotizing pancreatitis. Chin. Med. J. (Engl) 114(7):738–742. PMID:11780340.

    CAS  Google Scholar 

  2. Morel, D. R., J. L. Frossard, B. Cikirikciog lu, M. Tapponnier, and C. M. Pastor. 2006. Time course of lung injury in rat acute pancreatitis. Intensive Care Med. 32(11):1872–1880. PMID:16845510. doi:10.1007/s00134-006-0264-9.

    Article  PubMed  Google Scholar 

  3. Rau, B. M., A. Bothe, M. Kron, and H. G. Beger. 2006. Role of early multisystem organ failure as major risk factor for pancreatic infections and death in severe acute pancreatitis. Clin. Gastroenterol. Hepatol. 4(8):1053–1061. PMID:16843734. doi:10.1016/j.cgh.2006.05.030.

    Article  PubMed  Google Scholar 

  4. Hartwig, W., J. Werner, C. A. Muller, W. Uhl, and M. W. Buchler. 2002. Surgical management of severe pancreatitis including sterile necrosis. Hepatobil. Pancreat. Surg. 9(4):429–435. PMID:12483264. doi:10.1007/s005340200053.

    Article  Google Scholar 

  5. Yousaf, M., K. McCallion, and T. Diamond. 2003. Management of severe acute pancreatitis. Br. J. Surg. 90(4):407–420. PMID:12673741. doi:10.1002/bjs.4179.

    Article  PubMed  CAS  Google Scholar 

  6. Han, M. 1999. Clinical evaluation of compound salviae miltiorrhizae injection in improving the prognosis of acute pancreatitis. Chin. J. Gastroenterol. Hepatol. 12(2):166. in Chinese.

    Google Scholar 

  7. Zhang, X. P., Z. J. Li, and D. R. Liu. 2006. Progress in research into the mechanism of Radix salviae miltiorrhizae in treatment of acute pancreatitis. Hepatobiliary Pancreat. Dis. Int. 5(4):501–504. Review. PMID: 17085332.

    PubMed  Google Scholar 

  8. Yang, C. X. 1997. Advances in pharmacological research of tanshinol. Chin. Pharmacol. Bull. 13:298. in Chinese.

    Google Scholar 

  9. Zhang, Y., C. X. Shi, P. Huang, J. J. Ren, and Y. X. Li. 2006. Effect of Salviae Miltiorrhizaeon expression of endothelin-1 mRNA in rats with severe acute pancreatitis. World Chin. J. Digestology 14(1):35–38. in Chinese.

    Google Scholar 

  10. Zheng, S. S. 1989. Protective effects of Salviae miltiorrhizae and anisodamine (654-2) against early lung injury in acute hemorrhagic necrotizing pancreatitis in the dog. Zhong Xi Yi Jie He Za Zhi 9(3):158–160. Chinese. [PMID: 2736701].

    PubMed  CAS  Google Scholar 

  11. Xie, M., Z. Y. Jin, and G. H. Ye. 1995. Clinical research of compound salviae miltiorrhizae injection for severe pancreatitis. Zhongguo Zhong Xi Yi Jie He Za Zhi 15(5):269–270. Chinese.

    PubMed  CAS  Google Scholar 

  12. Qin, R. Y., S. Q. Zhou, Z. D. Wu, and F. Z. Qiu. 2000. Prevention and treatment of biliary pancreatitis by salviae miltiorrhizae. Chin. J. Exp. Surg. 38(4):365–366. in Chinese.

    Google Scholar 

  13. Sha, J. P., B. D. Zhu, Y. Zhao, X. Chen, X. Liu, Y. Xun, D. R. Lu, and Z. Liu. 2004. Effect of salvia miltiorrhiza on inhibiting polymorphonuclear leukocyte and endothelial cells adhesion in rabbits with severe acute pancreatitis of early stage. Chin. J. Integr. Tradit. West. Med. On Gastro-spleen 12(1):3–5. in Chinese.

    Google Scholar 

  14. Zhou, X. N., and J. Hu. 2007. Influence of Salvia miltiorrhiza on the changes of plasma endothelin and P-selectin in patients with acute pancreatitis. World Chin. J. Digestology 15(1):72–74. in Chinese.

    Google Scholar 

  15. Zheng, B. R., W. L. Shen, J. Wen, S. H. Yang, and S. Y. Chen. 2007. Influence of radix salviae miltiorrhizae injection upon NF-κB in rat with severe acute pancreatitis. Chin. J. Bases Clin. Gen. Surg. 14(4):392–395. in Chinese.

    CAS  Google Scholar 

  16. Yang, X. J., J. Liang, S. Z. Tian, and S. Y. Xu. 2005. Experimental study on effect of salvia militiorrhiza injection on intestinal mucosa blood flow and bacterial translocation in rats with acute pancreatitis. Chin. J. Integr. Tradit. West. Med. Intensive Crit. Care 12(4):245–247. in Chinese.

    Google Scholar 

  17. Zhang, X. P., L. Zhang, J. X. He, R. P. Zhang, Q. H. Cheng, Y. F. Zhou, and B. Lu. 2007. Experimental study of therapeutic efficacy of Baicalin in rats with severe acute pancreatitis. World J. Gastroenterol. 13(5):717–724. PMID:17278194.

    PubMed  CAS  Google Scholar 

  18. Zhang, M. J., G. L. Zhang, W. B. Yuan, J. Ni, and L. F. Huang. 2008. Treatment of abdominal compartment syndrome in severe acute pancreatitis patients with traditional Chinese medicine. World J. Gastroenterol. 14(22):3574–3578. PMID: 18567089. doi:10.3748/wjg.14.3574.

    Article  PubMed  Google Scholar 

  19. Zhang, X. P., Y. Shi, and L. Zhang. 2007. Progress in the study of therapeutic effects of traditional Chinese medicine and extracts in treating severe acute pancreatitis. JOP 8(6):704–714. Review. PMID: 17993723.

    PubMed  Google Scholar 

  20. Zhang, X. P., H. M. Xu, Y. Y. Jiang, S. Yu, Y. Cai, B. Lu, Q. Xie, and T. F. Ju. 2008. Influence of dexamethasone on mesenteric lymph node of rats with severe acute pancreatitis. World J. Gastroenterol. 14(22):3511–3517. PMID: 18567079. doi:10.3748/wjg.14.3511.

    Article  PubMed  CAS  Google Scholar 

  21. Zhang, X. P., L. Zhang, P. Yang, R. P. Zhang, and Q. H. Cheng. 2008. Protective effects of baicalin and octreotide on multiple organ injury in severe acute pancreatitis. Dig. Dis. Sci. 53(2):581–591. PMID: 17549629. doi:10.1007/s10620-007-9868-3.

    Article  PubMed  CAS  Google Scholar 

  22. Zhang, X. P., and D. R. Liu. 2006. Advances in research on the mechanism of Salvia miltiorrhizae in the treatment of obstructive jaundice. Chin. J. Surg. Integr. Tradit. West Med. 12(1):69–70. in Chinese.

    Google Scholar 

  23. Han, M. 1999. Clinical evaluation of compound Salvia miltiorrhizae injection in improving the prognosis of acute pancreatitis. Chin. J. Gastroenterol. Hepatol. 12(2):166. in Chinese.

    Google Scholar 

  24. Yang, C. X. 1997. Advances in pharmacological research of tanshinol. Chin. Pharmacol. Bull. 13(3):298. in Chinese.

    Google Scholar 

  25. Weng, Z. X., and A. H. Gan. 2006. The value of S-Amy and U-Amy levels in diagnosing acute pancreatitis and their affected factors. Hainan Med. J. 17(10):18–19. in Chinese.

    CAS  Google Scholar 

  26. Li, Z. S., X. D. Qian, G. M. Xu, Z. X. Sun, X. P. Zou, and S. Q. Xie. 1998. Preventive effect of octreotide on hyperamylasemia and pancreatitis after ERCP. World Chin. J. Digestology 6(7):617–618. in Chinese.

    CAS  Google Scholar 

  27. Li, Q. Y., J. L. Qian, W. Q. Xu, C. Wang, and Z. H. Hu. 2005. Studies on the relationship between the levels of pancreatic amylase in the ascitic fluid and the severity of acute pancreatitis. Sichuan Med. J. 26(12):1424–1425. in Chinese.

    Google Scholar 

  28. Skipworth, J. R., and S. P. Pereira. 2008. Acute pancreatitis. Curr. Opin. Crit. Care 14(2):172–178. Review. PMID: 18388680.

    Article  PubMed  Google Scholar 

  29. Yuan, B. S., R. M. Zhu, M. Braddock, X. H. Zhang, W. Shi, and M. H. Zheng. 2007. Interleukin-18: a pro-inflammatory cytokine that plays an important role in acute pancreatitis. Expert Opin. Ther. Targets 11(10):1261–1271. Review. PMID: 17907957. doi:10.1517/14728222.11.10.1261.

    Article  PubMed  CAS  Google Scholar 

  30. Ueda, T., Y. Takeyama, T. Yasuda, N. Matsumura, H. Sawa, T. Nakajima, T. Ajiki, Y. Fujino, Y. Suzuki, and Y. Kuroda. 2006. Significant elevation of serum interleukin-18 levels in patients with acute pancreatitis. J. Gastroenterol. 41(2):158–165. PMID: 16568375. doi:10.1007/s00535-005-1735-4.

    Article  PubMed  CAS  Google Scholar 

  31. Masamune, A., T. Shimosegawa, M. Fujita, A. Satoh, M. Koizumi, and T. Toyota. 2000. Ascites of severe acute pancreatitis in rats transcriptionally up-regulates expression of interleukin-6 and -8 in vascular endothelium and mononuclear leukocytes. Dig. Dis. Sci. 45(2):429–437. PMID: 10711463. doi:10.1023/A:1005449601925.

    Article  PubMed  CAS  Google Scholar 

  32. von Dobschuetz, E., S. Pahernik, T. Hoffmann, R. Kiefmann, K. Heckel, K. Messmer, J. Mueller-Hoecker, and M. Dellian. 2004. Dynamic intravital fluorescence microscopy—a novel method for the assessment of microvascular permeability in acute pancreatitis. Microvasc. Res. 67(1):55–63. PMID: 14709403. doi:10.1016/j.mvr.2003.09.006.

    Article  CAS  Google Scholar 

  33. Strate, T., O. Mann, H. Kleinhans, C. Schneider, W. T. Knoefel, E. Yekebas, T. Standl, C. Bloechle, and J. R. Izbicki. 2003. Systemic intravenous infusion of bovine hemoglobin significantly reduces microcirculatory dysfunction in experimentally induced pancreatitis in the rat. Ann. Surg. 238(5):765–771. PMID: 14578741. doi:10.1097/01.sla.0000094442.12395.98.

    Article  PubMed  Google Scholar 

  34. Foitzik, T., G. Eibl, H. G. Hotz, J. Faulhaber, M. Kirchengast, and H. J. Buhr. 2000. Endothelin receptor blockade in severe acute pancreatitis leads to systemic enhancement of microcirculation, stabilization of capillary permeability, and improved survival rates. Surgery 128(3):399–407. PMID: 10965310. doi:10.1067/msy.2000.107104.

    Article  PubMed  CAS  Google Scholar 

  35. Qu, J. G., J. X. Zhang, and G. Z. Cheng. 2003. Effect of urinastatin on microcirculation of extrapancreatic organs in rats with acute necrotizing pancreatitis. Chin. J. Bases Clin. Gen. Surg. 10(3):234–235. in Chinese.

    Google Scholar 

  36. Zhang, X. P., Q. Lin, and Y. F. Zhou. 2007. Progress of study on the relationship between mediators of inflammation and apoptosis in acute pancreatitis. Dig. Dis. Sci. 52(5):1199–11205. Review. PMID: 17372825. doi:10.1007/s10620-006-9388-6.

    Article  PubMed  CAS  Google Scholar 

  37. Gu, J. C., Y. Wang, Z. T. Zhang, J. G. Xue, J. S. Li, and Y. Z. Zhou. 2005. Effects of human interleukin 10 gene transfer on the expression of Bcl-2 Bax and apoptosis of hepatocyte in rats with acute hemorrhagic necrotizing pancreatitis. Chin. Med. J. (Engl) 118(19):1658–1660. PMID: 16232353.

    CAS  Google Scholar 

  38. Evans, J. D., P. A. Cornford, A. Dodson, W. Greenhalf, C. S. Foster, and J. P. Neoptolemos. 2001. Detailed tissue expression of bcl-2, bax, bak and bcl-x in the normal human pancreas and in chronic pancreatitis, ampullary and pancreatic ductal adenocarcinomas. Pancreatology 1(3):254–262. PMID: 12120204. doi:10.1159/000055820.

    Article  PubMed  CAS  Google Scholar 

  39. Li, Y. H., Z. W. Huang, P. Xue, J. Guo, F. Q. He, Z. You, and Z. R. Wang. 2008. Effects of Chaiqin Chengqi Decoction on activation of nuclear factor-kappaB in pancreas of rats with acute necrotizing pancreatitis. Zhong Xi Yi Jie He Xue Bao 6(2):180–184. Chinese. doi:10.3736/jcim20080215.

    Article  PubMed  CAS  Google Scholar 

  40. Rakonczay, Z. Jr., P. Hegyi, T. Takács, J. McCarroll, and A. K. Saluja. 2008. The role of NF-kappaB activation in the pathogenesis of acute pancreatitis. Gut 57(2):259–267. Review. PMID: 17675325. doi:10.1136/gut.2007.124115.

    Article  PubMed  CAS  Google Scholar 

  41. Satoh, A., T. Shimosegawa, M. Fujita, K. Kimura, A. Masamune, M. Koizumi, and T. Toyota. 1999. Inhibition of nuclear factor-kappaB activation improves the survival of rats with taurocholate pancreatitis. Gut 44(2):253–258. PMID: 9895386.

    Article  PubMed  CAS  Google Scholar 

  42. Xia, S. H., D. C. Fang, C. X. Hu, H. Y. Bi, Y. Z. Yang, and Y. Di. 2007. Effect of BN52021 on NFkappa-Bp65 expression in pancreatic tissues of rats with severe acute pancreatitis. World J. Gastroenterol. 13(6):882–888. PMID: 17352017.

    PubMed  CAS  Google Scholar 

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Correspondence to Zhang Ruiping.

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Supported by technological foundation project of Traditional Chinese Medicine Science of Zhejiang province (no. 2003C130; no. 2004C142), foundation project for medical science and technology of Zhejiang province (no. 2003B134), grave foundation project for technological and development of Hangzhou (no. 2003123B19), intensive foundation project for technology of Hangzhou (no. 2004Z006), foundation project for medical science and technology of Hangzhou (no. 2003A004) and foundation project for technology of Hangzhou (no. 2005224)

We claimed that this paper was original and would not have any financial interest in a company or its competitor, and that all authors meet standard for authorship. We abided the ethics in this animal experiment study. The ethics committee approval of our hospital was secured for the animal study reported, and all rats have not been abused and executive mercy killing when the observing time in this study was over.

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Ruiping, Z., Xiping, Z., Jie, Z. et al. Efficacy and Mechanism of Salvia Miltiorrhizae Injection in the Treatment of Rats with Severe Acute Pancreatitis. Inflammation 32, 109–119 (2009). https://doi.org/10.1007/s10753-009-9109-3

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