The possibility to application of method chemiluminescence in estimation of functional state polymorphonuclear leukocytes of blood from patients with different current of acute destructive pancreatitis
E.A.Usanova1, S.V.Chausova1, E.E. Arutyunova1, O.Yu.Filatov2, Yu.V.Balyakin1
1 The Russian National Research Medical University, Russia, Moskow
2 Moscow State Medical and Dental University, Russia, Moscow
Brief summary
In this article estimated were the fagocitic, NADPH-oxidase activity and priming effect at the polymorphonuclear leukocytes of blood under the effect of Klebsiella pneumoniae, Staphylococcus aureus complex antigen preparations with the patients having aseptic or infected pancreonecrosis. The taking away of patient\\\'s blood was performed on 1-st, 3-rd, 7-th, 14-th day of a stationary treatment by the methods of luminol and lucigenin amplified chemiluminescence. On the basic of the obtained results it has been found out that under infection of a pancreonecrosis the infringement of oxidation metabolism at polymorphonuclear leukocytes has been observed even in the early periods of disease, which is manifested in the lowering of fagocitic and NADPH-oxidase activity of polymorphonuclear leukocytes as compared to the patients with aseptic pancreonecrosis. The ability of polymorphonuclear leukocytes for primining by the complex antigen preparations of bacteria, participant in bacterial translocation under pancreonecrosis, is also reduced with these patients.
1. Bagnenko S.F., Tolstoi A.D., Golcov V.R. Sovremennie predstavleniya o taktike lecheniya ostrogo pankreatita. //Aktyalnie voprosi diagnostiki i hiryrgicheskogo lecheniya zabolevanii organov brushnoi polosti: sb.statei. –SPb.- 2005. – S. 127-129.
2. Shelest P.V., Mironov V.I. Diagnostika i prognozirovanie kliniko- morfologicheskih form ostrogo destryktivnogo pankreatita.//Sibirskii medicinskii jyrnal.-2007.- №6.- S.5-9.
3. Beger H.G., Rau B., Isenmann R. Natural history of necrotizing pancreatitis. //Pancreatology. - 2003. – Vol.3. - P.93-101.
4. Dambrauskas Z., Pundzius J., Barauskas G. Predicting development of infected necrosis in acute necrotizing pancreatitis.//Medicina (Kaunas). – 2006. - Vol.42.- №6.- P.441-449.
5. Sandoval D., Gukovskaya A., Reavey P., Gukovsky S., Sisk A., Braquet P.,Pandol S.J., Poucell-Hatton S. The role of neutrophils and platelet-activating factor in mediating experimental pancreatitis. //Gastroenterology. - 1996. Vol.111 - R.1081–1091.
6. Fujimoto K., Hosotani R., Doi R., Wada M., Lee J.U., Koshiba T., Miyamoto Y., Imamura M. Role of neutrophils in cerulein- induced pancreatitis in rats: possible involment of apoptosis.//Pancreatology.- 1997.- №58. – P.421-430.
7. Poch B., Gansauge F., Rau B., Wittel U., Gansauge S., Nüssler A.K., Schoenberg M. H., Beger H.G. The role of polymorphonuclear leukocytes and oxygen-derived free radicals in experimental acute pancreatitis: mediators of local destruction and activators of inflammation. //FEBS Letters. – 1999. – Vol.461. –P.268-272.
8. Dabrowski A., Konturek P.C., Konturek S.J., Gabryelewicz A. Role of reactive oxygen species in the pathogenesis of caerulein-induced acute pancreatitis; in Büchler MW, Uhl W, Friess H, Malfertheiner P (eds): Acute Pancreatitis. Novel Concepts in Biology and Therapy. Berlin. Blackwell. - 1999. - P. 77–87.
9. Schoenberg M.H, Büchler M., Beger H.G. Oxygen radicals in experimental acute pancreatitis. //Hepatogastroenterology. - 1994. – Vol.41. – R.313–319.
10. Shi C., Andersson R., Zhao X., Wang X. Potential role of reactive oxygen species in pancreatitis-associated multiple organ dysfunction.//Pancreatology.- 2005. - Vol.5, №4 – P.492-500.
11. Nesterova I.V., Kolesnikova N.V., Evglevskii A.A., Fomicheva E.V., Kovaleva S.V., Lompatidze L.V. Spontannaya i indycirovannaya restryktyrizaciya hromatina yader neitrofilnih granylocitov pri ostrom destryktivnom pankreatite v stadii gnoinih oslojnenii. //Citokini i vospalenie. – 2010. –T.9. - №2. –S.13-17.
12. Beger H.G., Bittner R., Block S., Buchler M. Bacterial contamination of pancreatic necrosis. A prospective clinical study. //Gastroenterology. – 1986. - Vol.91. - №2. - P.433–438.
13. Schwarz M., Thomsen J., Meyer H., Buchier M.W., Beger H.G. Frequency and time course of pancreatic and extrapancreatic bacterial infection in experimental acute pancreatitis in rats. //Surgery. - 2000. - Vol.127. - №4. – P.427-432.
14. Beger HG, Rau BM. Severe acute pancreatitis: Clinical course and management. //World Journal Gastroenterology.- 2007.-Vol.13.- №38.- P.5043-5051.
15. Mihailysov S.V., Moiseenkova E.V., Chernyakov A.V. i dr. Ostrie skopleniya jidkosti, oslojnyaushie techenie pankreonekroza. Priemlem li vijidatelnii podhod?//Vestnik RGMY.- M. – 2009.- №2.- S.30-33.
16. McNaught C.E., Woodcock N.P., Mitchell C.J. at all. Gastric colonization, intestinal permeability and septic morbility in acute pancreatitis. //Pancreatology.- 2002.- №2. – P.463-468.