Zhang XP, Zhang L, He JX, Zhang RP, Cheng QH, Zhou YF, Lu B. Experimental study of therapeutic efficacy of Baicalin in rats with severe acute pancreatitis. World J Gastroenterol 2007; 13(5): 717-724 [PMID: 17278194 DOI: 10.3748/wjg.v13.i5.717]
Corresponding Author of This Article
Xi-Ping Zhang, MD, Department of General Surgery, Hangzhou First People’s Hospital, 261 Huansha Road, Hangzhou 310006, Zhejiang Province, China. zxp99688@vip.163.com
Article-Type of This Article
Basic Research
Open-Access Policy of This Article
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World J Gastroenterol. Feb 7, 2007; 13(5): 717-724 Published online Feb 7, 2007. doi: 10.3748/wjg.v13.i5.717
Table 1 Improved Schmidt score of pathological changes of the pancreas
Edema
Acinar necrosis(necrotic cells/HPF)
Inflammation and perivascular infiltrate(intralobular or perivascular leukocytes/HPF)
Hemorrhage and fatnecross (focus)
Absent
0
Absent
0
0-1
0
Absent
Focal expansion of interlobular septae
1
1-4
1
2-10
1
1-2
Same as 1 + diffuse expansion of interlobar; Septae/diffuse expansion of interlobar septae
2
5-10
2
11-20
2
3-4
Same as 2 + expansion of interacinar septae
3
11-16
3
21-30
3
5-6
Same as 3 + expansion of intercellular spaces
4
> 16
4
> 30/microabscesses
4
> 7
Table 2 Comparison of ascites/body weight ratio [M (QR)]
Groups
3 h
6 h
12 h
Sham operation
0.28 (0.23)
0.44 (0.15)
0.39 (0.22)
Model control
2.02 (0.89)
2.62 (0.97)
2.70 (0.80)
Baicalin treatment
1.00 (1.30)
1.16 (0.73)
2.29 (1.21)
Octreotide treatment
1.43 (0.62)
2.15 (0.88)
2.08 (2.21)
Table 3 Comparison of different indexes of blood [M (QR)]
Indexes
Sham operation
Model control
Baicalin treatment
Octreotide treatment
3 h
6 h
12 h
3 h
6 h
12 h
3 h
6 h
12 h
3 h
6 h
12 h
Amylase
1582
1769
1618
5303
6276
7538
4342
5130
5571
5419
5058
6531
(U/L)
(284)
(362)
(302)
(1373)
(1029)
(2934)
(1496)
(1591)
(2307)
(1670)
(1314)
(2280)
TNF-α
3.90
4.00
5.30
41.44
92.15
65.02
44.93
65.10
47.65
39.30
47.60
54.50
(ng/L)
(3.20)
(1.70)
(3.00)
(37.72)
(23.12)
(26.81)
(45.84)
(27.51)
(25.52)
(30.60)
(16.50)
(41.40)
IL-6
1.8460
1.74
2.04
5.44
6.82
5.36
3.03
2.88
2.83
2.65
3.08
2.46
(ng/L)
(0.35)
(0.84)
(0.82)
(1.03)
(0.81)
(0.75)
(0.87)
(1.39)
(0.60)
(1.37)
(1.210)
(1.35)
MDA
9.90
16.50
16.50
36.30
39.70
54.35
21.90
23.80
36.00
29.60
33.00
40.30
(nmol/mL)
(9.90)
(13.20)
(13.20)
(13.40)
(9.90)
(19.00)
(13.45)
(14.60)
(11.60)
(18.60)
(9.90)
(16.80)
Table 4 Comparison of serum PLA2 content (mean ± SD)
Groups
3 h
6 h
12 h
Sham operation
14.62 ± 3.02
17.49 ± 3.82
19.02 ± 5.07
Model control
76.10 ± 16.70
101.46 ± 14.67
105.33 ± 18.10
Baicalin treatment
56.25 ± 22.43
67.91 ± 20.61
66.86 ± 22.10
Octreotide treatment
74.37 ± 19.94
63.13 ± 26.31
53.63 ± 12.28
Table 5 Comparison of pathological lesion score for pancreas (M (QR))
Groups
3 h
6 h
12 h
Sham operation
0.00 (1.00)
0.00 (1.00)
0.00 (1.00)
Model control
8.00 (2.00)
9.00 (3.00)
10.50 (1.50)
Baicalin treatment
7.00 (1.50)
7.00 (3.00)
9.00 (4.00)
Octreotide treatment
7.00 (2.00)
6.00 (2.00)
8.00 (2.00)
Table 6 Comparison of therapeutic efficacy of octreotide and Baicalin
Therapeutic efficacy
Curative
Baicalin
Octreotide
Improve survival rate
++
++
Decrease ascites volume
++
+
Decrease amylase
+
+
Decrease TNF-α
+
++
Decrease IL-6
++
+
Decrease MDA
+
++
Decrease PLA2
++
+
Protect pancreatic tissue
++
++
Citation: Zhang XP, Zhang L, He JX, Zhang RP, Cheng QH, Zhou YF, Lu B. Experimental study of therapeutic efficacy of Baicalin in rats with severe acute pancreatitis. World J Gastroenterol 2007; 13(5): 717-724