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CN113424795B - Construction method and use of an acute pancreatitis animal model - Google Patents

Construction method and use of an acute pancreatitis animal model Download PDF

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CN113424795B
CN113424795B CN202110567952.1A CN202110567952A CN113424795B CN 113424795 B CN113424795 B CN 113424795B CN 202110567952 A CN202110567952 A CN 202110567952A CN 113424795 B CN113424795 B CN 113424795B
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acute pancreatitis
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ethanol solution
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CN113424795A (en
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杨鑫敏
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West China Hospital of Sichuan University
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    • A01AGRICULTURE; FORESTRY; ANIMAL HUSBANDRY; HUNTING; TRAPPING; FISHING
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Abstract

The invention provides a construction method of an animal model of acute pancreatitis, which induces animals to form acute pancreatitis by using high-fat feed and alcohol together. Obesity and alcohol caused by high-fat feed can synergistically cause pathological damage to the pancreas of a mouse, local inflammation reaction of the pancreas is caused, and lung and general inflammation reaction can be caused. The animal model is closer to human morbidity due to large amount of drinking in the basic obesity state, has obvious pancreatic injury and is accompanied with the expression of multi-organ dysfunction syndrome, and accords with the clinical characteristic that the obese acute pancreatitis patient is easy to become severe. The animal model has the advantages of simple modeling method, good repeatability and strong clinical relevance, can be used for researching pathogenesis of obesity and alcohol-related acute pancreatitis, and provides an important basis for screening of treatment targets and research of medical transformation.

Description

一种急性胰腺炎动物模型的构建方法和用途Construction method and application of an acute pancreatitis animal model

技术领域technical field

本发明属于生物技术领域,具体涉及一种急性胰腺炎动物模型的构建方法和用途。The invention belongs to the field of biotechnology, and in particular relates to a construction method and application of an acute pancreatitis animal model.

背景技术Background technique

急性胰腺炎(acute pancreatitis,AP)是由多种病因导致胰腺组织自身消化所致的胰腺水肿、出血及坏死等炎性损伤。随着人们生活方式的改变,AP的发病率逐年升高。AP作为一种消化内科的常见病,主要表现为急性、持续的中上腹疼痛,伴有恶心、呕吐等,血淀粉酶或脂肪酶升高超过正常值上限的3倍,同时伴有典型影像学改变,重症患者炎症波及全身,常常合并全身或局部并发症,预后较差。Acute pancreatitis (AP) is an inflammatory injury such as pancreatic edema, hemorrhage, and necrosis caused by the self-digestion of pancreatic tissue due to various etiologies. With the change of people's lifestyle, the incidence of AP is increasing year by year. As a common disease in gastroenterology, AP is mainly manifested as acute and persistent middle and upper abdominal pain, accompanied by nausea, vomiting, etc., blood amylase or lipase increase more than 3 times the upper limit of normal, accompanied by typical images In severe cases, inflammation spreads to the whole body, often combined with systemic or local complications, and the prognosis is poor.

研究AP的发病机制、药物治疗极其重要,而临床研究尚存在伦理争议,动物模型则可以很好地模拟AP的发病过程,为研究其发病机制、药物治疗、预防护理等提供很好的研究工具。It is extremely important to study the pathogenesis and drug treatment of AP, but there are still ethical disputes in clinical research. Animal models can well simulate the pathogenesis of AP and provide a good research tool for studying its pathogenesis, drug treatment, and preventive care. .

目前的AP动物模型主要采取的方法是通过物理、化学、生物以及复合的致病因素作用于动物,造成动物胰腺局部损伤伴或不伴全身其他器官功能的损伤,出现一些类似人类AP发生时的特点。例如,其中最为常用的是雨蛙素(化学药物)腹腔注射诱导,虽简单易重复,但其无临床相关性;其次,胰胆管逆行注射胆汁酸盐(物理联合化学药物)也较为常见,该模型与胆源性AP有一定的临床相关性,但操作复杂,不易重复;其余AP模型基本无临床相关性,故目前研究使用较少,也难以为实际临床所面临的对AP的治疗手段提供较好的参考。The current AP animal models mainly use physical, chemical, biological and complex pathogenic factors to act on animals, causing local damage to the animal's pancreas with or without damage to other organs in the body. Features. For example, the most commonly used method is intraperitoneal injection of cerulein (chemical drugs), which is simple and easy to repeat, but has no clinical relevance; secondly, retrograde injection of bile salts (physics combined with chemical drugs) into the pancreaticobiliary duct is also common. This model There is a certain clinical correlation with biliary AP, but the operation is complicated and difficult to repeat; the other AP models have basically no clinical correlation, so the current research is seldom used, and it is difficult to provide a comparison for the actual clinical treatment of AP. good reference.

多年来,对AP的大量研究显示其致病的原因包括胆道疾病、酒精、高脂血症等,肥胖、脂肪肝也被归为AP预后的危险因素。然而,上述多种因素与AP的具体关联机制的研究仍不清楚,因此难以有效指导临床相关性高的动物模型的建立以及新的治疗胰腺炎的药物的开发。Over the years, a large number of studies on AP have shown that its pathogenic causes include biliary tract disease, alcohol, hyperlipidemia, etc. Obesity and fatty liver have also been classified as risk factors for the prognosis of AP. However, the research on the specific association mechanism between the above-mentioned various factors and AP is still unclear, so it is difficult to effectively guide the establishment of animal models with high clinical relevance and the development of new drugs for the treatment of pancreatitis.

因此,目前亟需研发一种基于AP发生危险因素的,临床相关性强且表现显著AP特征的AP动物模型。Therefore, there is an urgent need to develop an AP animal model with strong clinical relevance and significant AP characteristics based on AP risk factors.

发明内容SUMMARY OF THE INVENTION

本发明的目的在于提供一种急性胰腺炎动物模型及其构建方法和用途。The purpose of the present invention is to provide an acute pancreatitis animal model and its construction method and use.

本发明提供了一种急性胰腺炎动物模型的构建方法,它是使用高脂饲料和酒精诱导动物形成急性胰腺炎。The invention provides a method for constructing an acute pancreatitis animal model, which uses high-fat feed and alcohol to induce acute pancreatitis in animals.

进一步地,上述方法包括如下步骤:Further, the above method comprises the steps:

(1)高脂饮食:用高脂饲料连续喂养动物10~15周;所述高脂饲料为脂肪供能比高于45%的饲料。(1) High-fat diet: the animals are continuously fed with high-fat feed for 10 to 15 weeks; the high-fat feed is feed with a fat energy supply ratio higher than 45%.

(2)酒精诱导:向动物给予乙醇溶液。(2) Alcohol induction: An ethanol solution was administered to the animals.

更进一步地,步骤(1)所述高脂饲料为脂肪功能比为60%的饲料。Further, the high-fat feed in step (1) is a feed with a fat function ratio of 60%.

更进一步地,步骤(1)所述喂养的时间为12周。Further, the feeding time of step (1) is 12 weeks.

更进一步地,步骤(2)所述的乙醇溶液是用水或生理盐水配制的35~45%的乙醇溶液,优选为用生理盐水配制的37.5%的乙醇溶液。Further, the ethanol solution in step (2) is a 35-45% ethanol solution prepared with water or physiological saline, preferably a 37.5% ethanol solution prepared with physiological saline.

更进一步地,步骤(2)所述给予乙醇溶液的方法是:灌胃或注射;所述注射为腹腔注射或静脉注射。Further, the method for administering the ethanol solution in step (2) is: gavage or injection; the injection is intraperitoneal injection or intravenous injection.

更进一步地,步骤(2)所述给予乙醇溶液的方法是腹腔注射,所述腹腔注射的次数为1~3次,每次间隔1小时;每次的注射剂量为5~15μL/g;Further, the method for administering the ethanol solution in step (2) is intraperitoneal injection, the number of intraperitoneal injections is 1 to 3 times, and each time interval is 1 hour; the injection dose for each time is 5 to 15 μL/g;

优选地,所述腹腔注射的次数为2次,每次间隔1小时;每次的注射剂量为10μL/g。Preferably, the number of intraperitoneal injections is 2 times, with an interval of 1 hour between each time; the dose of each injection is 10 μL/g.

更进一步地,步骤(2)所述第二次注射后1小时,腹腔注射生理盐水;所述生理盐水的注射剂量为5~15μL/g,优选为10μL/g。Furthermore, 1 hour after the second injection in step (2), intraperitoneal injection of physiological saline is performed; the injection dose of the physiological saline is 5-15 μL/g, preferably 10 μL/g.

更进一步地,上述动物为小鼠、大鼠、狗、猪中的任意一种,优选为小鼠。Further, the above-mentioned animal is any one of mice, rats, dogs, and pigs, preferably mice.

本发明还提供了上述急性胰腺炎动物模型在急性胰腺炎疾病研究中的应用,所述研究是以非疾病的诊断或治疗为目的。The present invention also provides the application of the above-mentioned acute pancreatitis animal model in the study of acute pancreatitis disease, and the purpose of the study is to diagnose or treat non-diseases.

更进一步地,上述急性胰腺炎疾病研究是对急性胰腺炎治病机制的研究,或筛选治疗急性胰腺炎疾病的药物的研究。Furthermore, the above-mentioned acute pancreatitis disease research is a research on the treatment mechanism of acute pancreatitis, or a research on screening drugs for treating acute pancreatitis disease.

实验结果表明,本发明动物模型具有如下有益效果:基于肥胖患病率高、并发症多和酗酒的流行病学负担,针对AP发病机制尚不完全清楚以及AP无特异性治疗药物的临床现状,结合肥胖和酒精都是AP常见危险因素,创新性的建立肥胖酒精性AP模型。该模型模拟了基础肥胖状态下,大量饮酒的发病情况,更接近于人类发病。胰腺损伤明显且伴随多器官功能障碍综合症表现,符合肥胖AP患者易重症化的临床特征。本发明动物模型造模方法简单,成功率高,重复性好,临床相关性强,通过该模型可进行肥胖和酒精相关急性胰腺炎发病机制的研究,为治疗靶点的筛选以及医学转化研究提供了重要基础。The experimental results show that the animal model of the present invention has the following beneficial effects: based on the high prevalence of obesity, many complications and the epidemiological burden of alcoholism, the pathogenesis of AP is not completely clear and the clinical status of AP without specific therapeutic drugs, Combining obesity and alcohol as common risk factors for AP, an innovative obesity-alcoholic AP model was established. This model simulates the onset of heavy drinking in the basal obesity state, which is closer to the human onset. Pancreatic injury is obvious and accompanied by multiple organ dysfunction syndrome, which is in line with the clinical characteristics of obese AP patients who are prone to severe aggravation. The animal model modeling method of the invention is simple, has high success rate, good repeatability and strong clinical correlation, and can be used to conduct research on the pathogenesis of obesity and alcohol-related acute pancreatitis through the model, and provides the basis for the screening of therapeutic targets and medical transformation research. important foundation.

显然,根据本发明的上述内容,按照本领域的普通技术知识和惯用手段,在不脱离本发明上述基本技术思想前提下,还可以做出其它多种形式的修改、替换或变更。Obviously, according to the above-mentioned content of the present invention, according to the common technical knowledge and conventional means in the field, without departing from the above-mentioned basic technical idea of the present invention, other various forms of modification, replacement or change can also be made.

以下通过实施例形式的具体实施方式,对本发明的上述内容再作进一步的详细说明。但不应将此理解为本发明上述主题的范围仅限于以下的实例。凡基于本发明上述内容所实现的技术均属于本发明的范围。The above content of the present invention will be further described in detail below through the specific implementation in the form of examples. However, this should not be construed as limiting the scope of the above-mentioned subject matter of the present invention to the following examples. All technologies implemented based on the above content of the present invention belong to the scope of the present invention.

附图说明Description of drawings

图1为肥胖酒精性急性胰腺炎动物模型诱导示意图。HFD,高脂饮食;EtOH,酒精。Figure 1 is a schematic diagram of the induction of an animal model of obese alcoholic acute pancreatitis. HFD, high-fat diet; EtOH, alcohol.

图2为小鼠体重、脂肪的变化。高脂饮食喂养12周后,小鼠(A)体重的变化和(B)腹部脂肪改变。与对照组相比,***P<0.001。CD,对照饮食;HFD,高脂饮食。Figure 2 shows changes in body weight and fat of mice. Changes in (A) body weight and (B) abdominal fat in mice fed a high-fat diet for 12 weeks. ***P<0.001 compared to the control group. CD, control diet; HFD, high-fat diet.

图3为小鼠血清淀粉酶、脂肪酶水平的变化。诱导肥胖酒精性AP模型后,检测血清中(A)胰淀粉酶和(B)脂肪酶水平。数据以均值±标准误表示。与空白对照组相比,**P<0.01,***P<0.001;与酒精对照组相比,#P<0.05。CD,空白对照;HFD,高脂对照;EtOH,酒精对照;HFD+EtOH,实施例1建模的肥胖酒精性急胰腺炎小鼠模型。Figure 3 shows the changes of serum amylase and lipase levels in mice. After inducing the obese alcoholic AP model, the levels of (A) pancreatic amylase and (B) lipase in serum were detected. Data are presented as mean ± standard error. Compared with the blank control group, **P<0.01, ***P<0.001; compared with the alcohol control group, #P<0.05. CD, blank control; HFD, high-fat control; EtOH, alcohol control; HFD+EtOH, the obese alcoholic acute pancreatitis mouse model modeled in Example 1.

图4为小鼠胰腺病理变化。(A)胰腺组织病理切片HE染色并双盲法分别对(B)水肿、(C)炎性浸润、(D)坏死和(E)总分进行评分。数据以平均值±标准误表示。与空白对照组相比,*P<0.05,**P<0.01,***P<0.001;与酒精对照组相比,###P<0.001。CD,空白对照;HFD,高脂对照;EtOH,酒精对照;HFD+EtOH,实施例1建模的肥胖酒精性急胰腺炎小鼠模型。Figure 4 shows the pathological changes of mouse pancreas. (A) Histopathological sections of pancreas were stained with HE and double-blind to score (B) edema, (C) inflammatory infiltration, (D) necrosis and (E) total score. Data are presented as mean ± standard error. Compared with the blank control group, *P<0.05, **P<0.01, ***P<0.001; compared with the alcohol control group, ###P<0.001. CD, blank control; HFD, high-fat control; EtOH, alcohol control; HFD+EtOH, the obese alcoholic acute pancreatitis mouse model modeled in Example 1.

图5为小鼠全身炎症反应的变化。(A)胰腺组织MPO水平,(B)肺组织MPO水平和(C)血清IL-6水平。数据以平均值±标准误表示。与空白对照组相比,*P<0.05,**P<0.01,***P<0.001;与酒精对照组相比,#P<0.05,##P<0.01,###P<0.001。CD,空白对照;HFD,高脂对照;EtOH,酒精对照;HFD+EtOH,实施例1建模的肥胖酒精性急胰腺炎小鼠模型;MPO,髓过氧化物酶;IL-6,白细胞介素-6。Figure 5 shows the changes of systemic inflammatory response in mice. (A) MPO level in pancreatic tissue, (B) MPO level in lung tissue and (C) serum IL-6 level. Data are presented as mean ± standard error. Compared with the blank control group, *P<0.05, **P<0.01, ***P<0.001; compared with the alcohol control group, #P<0.05, ##P<0.01, ###P<0.001. CD, blank control; HFD, high-fat control; EtOH, alcohol control; HFD+EtOH, obese alcoholic acute pancreatitis mouse model modeled in Example 1; MPO, myeloperoxidase; IL-6, interleukin -6.

图6为小鼠肝、肾功能的变化。(A)血清CREA水平,(B)血清UREA水平,(C)血清ALT水平和(D)血清AST水平。数据以平均值±标准误表示。与空白对照组相比,**P<0.01,***P<0.001;与酒精对照组相比,#P<0.05,##P<0.01。CD,空白对照;HFD,高脂对照;EtOH,酒精对照;HFD+EtOH,实施例1建模的肥胖酒精性急胰腺炎小鼠模型;CREA,肌酐;UREA,尿素;ALT,谷丙转氨酶;AST,谷草转氨酶。Figure 6 shows the changes of liver and kidney function in mice. (A) serum CREA level, (B) serum UREA level, (C) serum ALT level and (D) serum AST level. Data are presented as mean ± standard error. Compared with the blank control group, **P<0.01, ***P<0.001; compared with the alcohol control group, #P<0.05, ##P<0.01. CD, blank control; HFD, high-fat control; EtOH, alcohol control; HFD+EtOH, a mouse model of obese alcoholic acute pancreatitis modeled in Example 1; CREA, creatinine; UREA, urea; ALT, alanine aminotransferase; AST , Aspartate aminotransferase.

图7为小鼠血清乳酸脱氢酶和钙离子水平的变化。(A)血清乳酸脱氢酶水平和(B)血清钙离子水平。数据以平均值±标准误表示。与空白对照组相比,**P<0.01,***P<0.001;与酒精对照组相比,#P<0.05,###P<0.001。CD,空白对照;HFD,高脂对照;EtOH,酒精对照;HFD+EtOH,实施例1建模的肥胖酒精性急胰腺炎小鼠模型;LDH,乳酸脱氢酶;Ca2+,钙离子。Figure 7 shows the changes of serum lactate dehydrogenase and calcium ion levels in mice. (A) Serum lactate dehydrogenase level and (B) serum calcium ion level. Data are presented as mean ± standard error. Compared with the blank control group, ** P<0.01, *** P<0.001; compared with the alcohol control group, #P <0.05, ### P<0.001. CD, blank control; HFD, high-fat control; EtOH, alcohol control; HFD+EtOH, obese alcoholic acute pancreatitis mouse model modeled in Example 1; LDH, lactate dehydrogenase; Ca 2+ , calcium ion.

图8为小鼠血清循环组蛋白的变化。(A)Western blot检测血清中组蛋白表达,(B)对Western blot结果进行灰度值分析并统计。数据以平均值±标准误表示。与空白对照组相比,***P<0.001;与酒精对照组相比,###P<0.001。CD,空白对照;HFD,高脂对照;EtOH,酒精对照;HFD+EtOH,实施例1建模的肥胖酒精性急胰腺炎小鼠模型。Figure 8 shows the changes of circulating histones in mouse serum. (A) Western blot detection of histone expression in serum, (B) Gray value analysis of Western blot results and statistics. Data are presented as mean ± standard error. *** P<0.001 compared with the blank control group; ### P<0.001 compared with the alcohol control group. CD, blank control; HFD, high-fat control; EtOH, alcohol control; HFD+EtOH, the obese alcoholic acute pancreatitis mouse model modeled in Example 1.

具体实施方式Detailed ways

1、实验动物1. Experimental animals

SPF级雄性C57BL/6J小鼠(4-5周)购于北京华阜康生物科技股份有限公司,许可证:SCXK(京)2020-0004。于四川大学华西医院实验动物中心动物房分笼饲养,每5只一笼,恒温(25±2℃)且照明控制(12h白天/黑夜循环),自由摄食、饮水,适应性喂养1周后正式开始实验。本实验由四川大学华西医院实验动物中心伦理委员会审核通过(伦理号2021016A),所有的动物实验及相关操作均按照学校和国家标准执行。SPF grade male C57BL/6J mice (4-5 weeks) were purchased from Beijing Huafukang Biotechnology Co., Ltd., license: SCXK (Beijing) 2020-0004. They were kept in separate cages in the animal room of the Experimental Animal Center, West China Hospital, Sichuan University, with 5 animals per cage, constant temperature (25±2°C) and lighting control (12h day/night cycle), free food and water, and adaptive feeding after 1 week. Start the experiment. This experiment was reviewed and approved by the Ethics Committee of the Experimental Animal Center of West China Hospital, Sichuan University (ethics number 2021016A). All animal experiments and related operations were performed in accordance with school and national standards.

实施例1、急性胰腺炎小鼠模型的构建Example 1. Construction of acute pancreatitis mouse model

高脂饲料连续喂养小鼠12周,每周添加饲料,确保其质量。本实施例所采用的高脂饲料为肥胖模型系列饲料(DIO series Diets)中的60%高脂饲料(HFD,脂肪供能比为60%,H10060,华阜康,北京);饲料具体构成及供能比见表1。12周后进行酒精诱导,所有小鼠在造模前12h禁食,不禁水。用生理盐水配制37.5%乙醇溶液,现配现用,给予小鼠腹腔注射37.5%乙醇溶液(10μL/g),连续注射2次,间隔1h。在最后一次酒精注射后1h补水,即腹腔注射生理盐水(10μL/g)。诱导流程见图1。The mice were fed a high-fat diet continuously for 12 weeks, and feed was added weekly to ensure their quality. The high-fat feed used in this example is 60% high-fat feed (HFD, fat energy supply ratio of 60%, H10060, Huafukang, Beijing) in the obesity model series diets (DIO series Diets); The energy supply ratio is shown in Table 1. Alcohol induction was performed after 12 weeks, and all mice were fasted 12 hours before modeling, but could not be allowed to water. The 37.5% ethanol solution was prepared with physiological saline, which was prepared and used now, and the mice were injected with 37.5% ethanol solution (10 μL/g) by intraperitoneal injection for 2 consecutive injections with an interval of 1 h. Rehydration was performed 1 h after the last alcohol injection, that is, intraperitoneal injection of normal saline (10 μL/g). The induction process is shown in Figure 1.

表1饲料构成及供能比Table 1 Feed composition and energy supply ratio

Figure GDA0003786876830000041
Figure GDA0003786876830000041

以下通过实验例证明本发明的有益效果。The beneficial effects of the present invention are demonstrated below through experimental examples.

实验例1、肥胖和酒精协同诱导小鼠胰腺病理变化及多器官功能损伤Experimental Example 1. Obesity and alcohol synergistically induce pancreatic pathological changes and multiple organ damage in mice

1、动物分组及处理(每组8只)1. Animal grouping and treatment (8 animals per group)

(1)肥胖酒精性急性胰腺炎组(即实施例1):高脂饮食喂养12周,给予37.5%乙醇溶液连续注射2次,间隔1h。具体操作按照实施例1进行。(1) Obese alcoholic acute pancreatitis group (ie, Example 1): fed with a high-fat diet for 12 weeks, and given 37.5% ethanol solution for 2 consecutive injections with an interval of 1 h. The specific operation is carried out according to Example 1.

(2)空白对照组:正常饮食(使用对照饲料(CD,脂肪供能比为10%,H10010,华阜康,北京),饲料具体构成和供能比见表1)喂养12周,给予和实施例1所用的乙醇溶液等量的生理盐水连续注射2次,间隔1h,其余操作同实施例1。(2) Blank control group: normal diet (using control feed (CD, fat energy supply ratio of 10%, H10010, Huafukang, Beijing), the specific composition and energy supply ratio of the feed are shown in Table 1) for 12 weeks, given and The same amount of normal saline of the ethanol solution used in Example 1 was continuously injected twice with an interval of 1 h, and the rest of the operations were the same as those in Example 1.

(3)高脂对照组:高脂饮食喂养12周,给予和实施例1所用的乙醇溶液等量的生理盐水连续注射2次,间隔1h,其余操作同实施例1。(3) High-fat control group: fed with high-fat diet for 12 weeks, and injected with the same amount of normal saline as the ethanol solution used in Example 1 for 2 consecutive injections with an interval of 1 h, and other operations were the same as those in Example 1.

(4)酒精对照组:正常饮食喂养12周,给予和实施例1所用的乙醇溶液等量的37.5%乙醇溶液连续注射2次,间隔1h,其余操作同实施例1。(4) Alcohol control group: normal diet for 12 weeks, 37.5% ethanol solution in the same amount as the ethanol solution used in Example 1 was injected for 2 consecutive times, with an interval of 1 h, and other operations were the same as those in Example 1.

2、取材方法2. Material sampling method

在建模结束后,于第一次酒精注射后的第12h取材。采用异氟烷气体诱导麻醉后进行心脏采血,具体操作如下:将小鼠置于麻醉诱导盒麻醉,小鼠麻醉后采用面罩维持,迅速打开胸腔,暴露并剪开心脏,用1mL注射器迅速吸取血液,室温静止30min后,于室温1500g离心15min,吸取上层血清,冻存于-80℃冰箱,用于测定血清生化、白介素6(interleukin-6,IL-6)和循环组蛋白水平。采血后取出右下肺,并在生理盐水中漂洗,用滤纸吸干放入液氮速冻,后保存于-80℃冰箱,用于测定髓过氧化物酶(myeloperoxidase,MPO)。后迅速打开腹腔,将胰腺组织分为三部分,将胰体完整部分放入包埋盒,并浸泡于10%中性福尔马林溶液中固定48h以上,脱水并石蜡包埋后作苏木精-伊红(hematoxylin-eosin,HE)染色;将另两部分胰腺组织取出后液氮速冻,后冻存于-80℃冰箱中,用于测定MPO等实验。After modeling, the samples were collected 12 hours after the first alcohol injection. After induction of anesthesia with isoflurane gas, blood collection from the heart is performed. The specific operations are as follows: put the mouse into an anesthesia induction box and anesthetize the mouse. After the mouse is anesthetized, a mask is used to maintain it. The chest cavity is quickly opened, the heart is exposed and cut open, and the blood is quickly drawn with a 1 mL syringe. , after resting at room temperature for 30 min, centrifuged at 1500g for 15 min at room temperature, aspirated the upper serum, frozen in -80 ℃ refrigerator, used to measure serum biochemistry, interleukin-6 (IL-6) and circulating histone levels. After blood collection, the right lower lung was taken out, rinsed in normal saline, dried with filter paper, quickly frozen in liquid nitrogen, and then stored in a -80°C refrigerator for the determination of myeloperoxidase (MPO). After that, the abdominal cavity was quickly opened, and the pancreatic tissue was divided into three parts. The whole part of the pancreatic body was put into the embedding box, immersed in 10% neutral formalin solution for more than 48 hours, dehydrated and embedded in paraffin as hematoxylin Serum-eosin (hematoxylin-eosin, HE) staining; the other two parts of the pancreatic tissue were taken out, snap-frozen in liquid nitrogen, and then stored in a -80°C refrigerator for the determination of MPO and other experiments.

3、实验结果3. Experimental results

(1)高脂饮食诱导的肥胖(1) High-fat diet-induced obesity

肥胖表现为体重的过度增长和体内脂肪积聚过多。如图2A所示,高脂饮食和对照饮食组小鼠在开始喂养前体重无明显差异(20.9vs 21.2g,P>0.05)。分别给予两组不同饮食喂养12周后,体重均较喂养前增长。高脂饮食组体重增长至32.9g,显著高于对照饮食组(26.5g,P<0.001)。解剖可见(图2B),高脂饮食组小鼠出现明显的脂肪积聚,特别是内脏脂肪显著增加。Obesity is manifested as excessive weight gain and excess body fat accumulation. As shown in Figure 2A, there was no significant difference in body weight between the high-fat diet and control diet groups before starting feeding (20.9 vs 21.2 g, P>0.05). After feeding the two groups with different diets for 12 weeks, the body weight increased compared with that before feeding. The body weight of the high-fat diet group increased to 32.9g, which was significantly higher than that of the control diet group (26.5g, P<0.001). On dissection (Fig. 2B), mice in the high-fat diet group exhibited significant fat accumulation, especially visceral fat.

以上结果表明高脂饮食可引起小鼠肥胖,为进一步诱导肥胖酒精性急性胰腺炎模型提供了肥胖基础状态。The above results indicate that high-fat diet can induce obesity in mice, and provide a basic state of obesity for further induction of obese alcoholic acute pancreatitis model.

(2)血清淀粉酶、脂肪酶及胰腺病理的变化(2) Changes of serum amylase, lipase and pancreatic pathology

循环淀粉酶、脂肪酶水平升高是AP的重要标志,临床指南将淀粉酶、脂肪酶升高至正常上限3倍以上作为诊断标准之一。采用全自动生化仪检测血清中胰淀粉酶和胰脂肪酶水平,结果如图3A-B所示,高脂对照组和空白对照组的淀粉酶和脂肪酶水平无明显差异,说明仅仅采用高脂诱导,无法实现AP模型的成功构建。Elevated levels of circulating amylase and lipase are important signs of AP, and clinical guidelines take amylase and lipase elevated to more than three times the upper limit of normal as one of the diagnostic criteria. The levels of pancreatic amylase and pancreatic lipase in serum were detected by an automatic biochemical analyzer. The results are shown in Figure 3A-B. There was no significant difference in the levels of amylase and lipase between the high-fat control group and the blank control group, indicating that only high-fat induced, the successful construction of the AP model could not be achieved.

给予酒精注射后,各组淀粉酶和脂肪酶水平均升高,分别与空白对照组相比均具有统计学意义(P<0.01)。其中,肥胖酒精性急性胰腺炎组淀粉酶升高至21768U/L,脂肪酶水平升高至1595U/L,均分别显著高于酒精对照组(P<0.05),说明高脂饮食和酒精诱导产生了显著的协同作用,能够成功构建具有显著AP特征的动物模型。After alcohol injection, the levels of amylase and lipase in each group were increased, which were statistically significant compared with the blank control group (P<0.01). Among them, amylase increased to 21768U/L and lipase level increased to 1595U/L in the obese alcoholic acute pancreatitis group, which were significantly higher than those in the alcohol control group (P<0.05), indicating that high-fat diet and alcohol-induced production A significant synergistic effect was achieved, and an animal model with significant AP characteristics was successfully constructed.

病理诊断常被认为是疾病的金标准,进一步观察小鼠胰腺组织的病理改变,将胰腺组织经石蜡包埋切片HE染色后,显微镜下观察。结果如图4A所示,可见空白对照组和高脂对照组胰腺组织腺泡细胞完整,排列规则,无间质水肿和炎性细胞浸润及细胞坏死,说明仅仅采用高脂诱导,无法实现AP模型的成功构建。Pathological diagnosis is often regarded as the gold standard of disease. To further observe the pathological changes of mouse pancreatic tissue, the pancreatic tissue was stained with HE staining on paraffin-embedded sections and observed under a microscope. The results are shown in Figure 4A. It can be seen that the pancreatic acinar cells in the blank control group and the high-fat control group are intact and regularly arranged, without interstitial edema, inflammatory cell infiltration and cell necrosis, indicating that the AP model cannot be achieved only by high-fat induction. successful build.

给予酒精注射后,酒精对照组可见胰腺组织间隙稍增加,散在的腺泡细胞水肿分离;而高脂和酒精共同诱导的肥胖酒精性AP组胰腺组织间隙明显增加,腺泡细胞水肿分离,导管和小叶间可见炎性细胞浸润,局部可见腺泡细胞坏死。两个病理专家采用双盲法对小鼠胰腺组织HE染色病理切片,从水肿、炎性浸润和坏死三方面进行评分。结果如图4B-E所示,高脂对照组和空白对照组的水肿、炎性浸润、坏死及总分均无明显差异,酒精对照组的水肿、坏死及总分稍高于空白对照组(P<0.05),炎性浸润相较于空白对照组无显著差异,说明仅仅使用酒精诱导,也无法实现具有显著病理特征的AP模型的构建。After alcohol injection, the alcohol control group showed a slight increase in pancreatic tissue space, and scattered acinar cells were separated by edema; while in the obese alcoholic AP group induced by high fat and alcohol, the pancreatic tissue space was significantly increased, acinar cells were separated by edema, and ducts and ducts were separated. Inflammatory cell infiltration can be seen between lobules, and acinar cell necrosis can be seen locally. Two pathologists used a double-blind method to stain the pathological sections of mouse pancreatic tissue with HE, and scored from three aspects: edema, inflammatory infiltration and necrosis. The results are shown in Figure 4B-E, there was no significant difference in the edema, inflammatory infiltration, necrosis and total score between the high-fat control group and the blank control group, and the edema, necrosis and total score of the alcohol control group were slightly higher than those of the blank control group ( P<0.05), there was no significant difference in inflammatory infiltration compared with the blank control group, indicating that the establishment of an AP model with significant pathological characteristics cannot be achieved only by alcohol induction.

高脂饮食和酒精共同诱导的肥胖酒精性急性胰腺炎组的水肿、炎性浸润、坏死及总分分别为1.98、1.10、1.27和4.35,均显著高于空白对照组(P<0.001),更进一步地,肥胖酒精性AP组的各项胰腺病理评分指标均显著高于酒精对照组(P<0.001)。以上结果表明肥胖和酒精协同可以引起小鼠血清淀粉酶、脂肪酶水平升高以及胰腺病理损伤,标志着急性胰腺炎发生,通过本发明高脂饮食和酒精协同诱导的方法,能够有效构建特征明显的AP模型。The edema, inflammatory infiltration, necrosis and total scores of the obese alcoholic acute pancreatitis group induced by high-fat diet and alcohol were 1.98, 1.10, 1.27 and 4.35, respectively, which were significantly higher than those in the blank control group (P<0.001), and more Furthermore, the pancreatic pathological score indexes in the obese alcoholic AP group were significantly higher than those in the alcoholic control group (P<0.001). The above results show that obesity and alcohol synergistically can cause increased serum amylase and lipase levels and pancreatic pathological damage in mice, marking the occurrence of acute pancreatitis. Through the synergistic induction method of high-fat diet and alcohol of the present invention, it is possible to effectively construct obvious features. AP model.

(3)全身炎症反应的变化(3) Changes in systemic inflammatory response

AP发生时,胰腺局部发生炎症,炎症反应还可发展至全身,导致远端器官受累,肺脏是最容易受累的远端器官。MPO水平及活性变化代表着中性粒细胞的功能和活性状态,因此MPO可作为炎性标志物。大量研究表明AP发生时,胰腺和肺组织中MPO活性显著升高,提示胰腺和肺组织中伴随着大量中性粒细胞浸润。IL-6作为细胞因子的一员,参与众多的炎症性疾病。AP发生时,循环中IL-6水平与AP的严重程度密切相关。因此我们检测胰腺组织MPO活性来反应胰腺局部炎症反应,检测肺组织中MPO活性和循环IL-6水平来反应全身炎症反应。When AP occurs, local inflammation occurs in the pancreas, and the inflammatory reaction can also develop to the whole body, resulting in the involvement of distant organs, and the lungs are the most vulnerable distal organs. Changes in MPO level and activity represent the function and activity state of neutrophils, so MPO can be used as an inflammatory marker. A large number of studies have shown that MPO activity in pancreas and lung tissue is significantly increased when AP occurs, suggesting that there is a large number of neutrophil infiltration in pancreas and lung tissue. As a member of cytokines, IL-6 is involved in numerous inflammatory diseases. When AP occurs, circulating IL-6 levels are closely related to the severity of AP. Therefore, we detected the MPO activity in pancreatic tissue to reflect the local inflammatory response of the pancreas, and the MPO activity and circulating IL-6 level in the lung tissue to reflect the systemic inflammatory response.

结果如图5A-B所示,高脂对照组和空白对照组的胰腺和肺组织MPO水平无明显差异,说明仅使用高脂诱导,炎症反应不显著。给予酒精注射后,各组胰腺、肺组织MPO水平均升高,分别与空白对照组相比均具有统计学意义(P<0.05),说明单独使用酒精诱导能够一定程度上促使炎症反应的发生,但效果欠佳。使用高脂和酒精共同诱导的肥胖酒精性急性胰腺炎组MPO水平为100%,显著高于酒精对照组(P<0.05)。The results are shown in Figure 5A-B, there was no significant difference in the levels of MPO in the pancreas and lung tissues of the high-fat control group and the blank control group, indicating that only high-fat induction was used, and the inflammatory response was not significant. After alcohol injection, the levels of MPO in the pancreas and lung tissue of each group were increased, which were statistically significant compared with the blank control group (P<0.05), indicating that the use of alcohol alone can promote the occurrence of inflammatory reaction to a certain extent. But the effect is not good. The MPO level of the obese alcoholic acute pancreatitis group induced by both high fat and alcohol was 100%, which was significantly higher than that of the alcohol control group (P<0.05).

用商用试剂盒检测小鼠血清IL-6水平(图5C),高脂对照组和空白对照组无明显差异,酒精对照组和空白组也无明显差异。说明仅使用酒精诱导或仅使用高脂诱导,均无法导致明显的炎症反应发生。而在高脂饮食诱导的基础上给予酒精注射后,小鼠肥胖酒精性AP组血清IL-6水平可从空白对照组的16.97pg/mL升高至139.71pg/mL(P<0.01),且显著高于酒精对照组(P<0.01)。The serum IL-6 level of mice was detected by a commercial kit (Figure 5C), and there was no significant difference between the high-fat control group and the blank control group, and there was no significant difference between the alcohol control group and the blank group. It shows that only using alcohol induction or only using high-fat induction can not lead to obvious inflammatory response. After high-fat diet-induced alcohol injection, the serum IL-6 level in the obese alcoholic AP group increased from 16.97 pg/mL in the blank control group to 139.71 pg/mL (P < 0.01). Significantly higher than the alcohol control group (P<0.01).

以上结果表明肥胖和酒精协同可以引起胰腺局部、肺脏MPO水平和血清IL-6水平升高,是急性胰腺炎局部和全身炎症反应的表现。通过本发明高脂饮食和酒精协同诱导的方法,能够有效构建特征明显的AP模型。The above results indicate that obesity and alcohol synergistically can increase the level of local pancreas, lung MPO and serum IL-6 level, which is the manifestation of local and systemic inflammatory response in acute pancreatitis. Through the synergistic induction method of high-fat diet and alcohol of the present invention, an AP model with obvious characteristics can be effectively constructed.

(4)多器官功能损伤的变化(4) Changes in multiple organ damage

AP可进一步发展为重症AP,伴随一个或多个脏器发生器官功能衰竭,肾功能损伤发生率仅次于肺功能障碍。我们检测小鼠血清中肌酐(creatinine,CREA)和尿素(UREA)反映肾功能损伤。AP can further develop into severe AP, accompanied by organ failure of one or more organs, and the incidence of renal damage is second only to pulmonary dysfunction. We detected creatinine (CREA) and urea (UREA) in mouse serum to reflect renal damage.

结果如图6A、B所示,高脂对照组、酒精对照组和空白对照组均无明显差异,说明单独使用高脂诱导或酒精诱导,对肾功能损伤的作用均不明显。而在高脂饮食诱导的基础上给予酒精注射后,小鼠肥胖酒精性AP组血清CREA和UREA水平相比于空白对照组明显升高(P<0.01),且显著高于酒精对照组(P<0.05),说明高脂和酒精的共同诱导显著促进了肾功能损伤。The results are shown in Figure 6A and B, there is no significant difference between the high-fat control group, the alcohol control group and the blank control group, indicating that the high-fat induction or alcohol induction alone has no obvious effect on renal function damage. After high-fat diet-induced alcohol injection, the serum CREA and UREA levels in the obese alcoholic AP group were significantly higher than those in the blank control group (P<0.01), and were significantly higher than those in the alcohol control group (P<0.01). <0.05), indicating that the co-induction of high-fat and alcohol significantly promoted renal damage.

酒精可引起肝损伤,后者也常见于重症AP患者。我们检测血清丙氨酸转氨酶(alanine aminotransferase,ALT)和天冬氨酸转氨酶(aspartate aminotransferase,AST)反映肝功能损伤。Alcohol can cause liver damage, which is also common in patients with severe AP. We detected serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) to reflect liver damage.

结果如图6C、D所示,高脂对照组和空白对照组无明显差异,给予酒精注射后血清ALT和AST水平均显著升高(P<0.001),而肥胖酒精性AP组相较于酒精对照组升高更为显著(P<0.01),说明高脂和酒精的共同诱导显著促进了肝功能损伤。The results are shown in Figure 6C and D, there was no significant difference between the high-fat control group and the blank control group, and the serum ALT and AST levels were significantly increased after alcohol injection (P<0.001). The increase in the control group was more significant (P<0.01), indicating that the co-induction of high fat and alcohol significantly promoted liver function damage.

重症AP常伴随一系列生物标志物的改变。乳酸脱氢酶(lactate dehydrogenase,LDH)是细胞死亡的指标。Severe AP is often accompanied by changes in a series of biomarkers. Lactate dehydrogenase (LDH) is an indicator of cell death.

检测血清中LDH水平,结果如图7A所示,高脂对照组和空白对照组无明显差异,给予酒精注射后,血清LDH水平升高(P<0.001),而肥胖酒精性AP组相较于酒精对照组升高更为显著(P<0.001)。血钙降低是AP病情严重的表现,提示预后不良。如图7B所示,高脂对照组和空白对照组无明显差异,给予酒精注射后,酒精对照组血钙水平无明显变化,而肥胖酒精性AP组血钙水平较空白对照和酒精对照组均明显降低(P<0.05)。说明高脂和酒精的共同诱导显著促进了AP重症化的发展。The LDH level in serum was detected. The results are shown in Figure 7A. There was no significant difference between the high-fat control group and the blank control group. After alcohol injection, the serum LDH level increased (P<0.001). The increase in alcohol control group was more significant (P<0.001). Decreased serum calcium is a symptom of severe AP and suggests a poor prognosis. As shown in Figure 7B, there was no significant difference between the high-fat control group and the blank control group. After alcohol injection, the blood calcium level of the alcohol control group had no significant change, while the blood calcium level of the obese alcoholic AP group was higher than that of the blank control group and the alcohol control group. Significantly decreased (P<0.05). It shows that the co-induction of high fat and alcohol significantly promotes the development of AP aggravation.

组蛋白是真核生物细胞核中高度保守的基本结构蛋白,在组织损伤和细胞死亡时,组蛋白释放到细胞外进入循环,即循环组蛋白。循环组蛋白在重症AP中显著升高。Histones are highly conserved basic structural proteins in eukaryotic cell nuclei. Upon tissue damage and cell death, histones are released outside the cell and enter the circulation, namely circulating histones. Circulating histones were significantly elevated in severe AP.

采用免疫印迹法检测循环组蛋白水平,并使用标准品进行定量分析,结果如图8A、B所示,空白对照组和高脂对照组血清几乎无组蛋白,给予酒精注射后,酒精对照组血清组蛋白水平较空白对照组略微升高但差异无统计学意义,而高脂和酒精共同诱导的肥胖酒精性AP组血清组蛋白水平较空白对照和酒精对照组均明显升高(P<0.001),进一步证实了高脂饮食和酒精的共同诱导才能有效引起AP的发生。The levels of circulating histones were detected by immunoblotting, and quantitative analysis was carried out using standard substances. The results are shown in Figure 8A and B. The serum of the blank control group and the high-fat control group had almost no histones. After alcohol injection, the serum of the alcohol control group had almost no histone. Compared with the blank control group, the histone level was slightly increased, but the difference was not statistically significant, while the serum histone level in the obese alcoholic AP group induced by both high fat and alcohol was significantly higher than that of the blank control group and the alcohol control group (P<0.001). , further confirmed that the co-induction of high-fat diet and alcohol can effectively induce the occurrence of AP.

以上结果表明肥胖和酒精协同可引起小鼠肝、肾功能异常,并出现血清乳酸脱氢酶升高、血钙降低以及循环组蛋白增加等急性胰腺炎多器官功能损伤和重症化的表现,符合肥胖AP患者易重症化的临床特征,临床相关性强。The above results show that obesity and alcohol synergistically can cause abnormal liver and kidney function in mice, and the manifestations of acute pancreatitis, such as increased serum lactate dehydrogenase, decreased blood calcium, and increased circulating histones, are associated with multiple organ function damage and aggravation of acute pancreatitis. The clinical characteristics of obese AP patients that are prone to severe aggravation have strong clinical correlation.

总体来看,本发明肥胖酒精性急性胰腺炎组按照实施例1的方法建模的8只小鼠均建模成功,制得了AP特征显著的动物模型,说明本发明方法建模成功率高,可重复性好。Overall, the 8 mice of the obese alcoholic acute pancreatitis group of the present invention modeled according to the method of Example 1 were all successfully modeled, and an animal model with significant AP characteristics was obtained, indicating that the method of the present invention has a high modeling success rate, Good repeatability.

综上,本发明提供了一种肥胖酒精性急性胰腺炎动物模型的构建方法,肥胖和酒精能够协同造成小鼠胰腺病理损伤,引起胰腺局部炎症反应,可导致肺脏及全身炎症反应,本发明动物模型完全采用肥胖和酒精这两个AP发生的独立危险因素协同诱导AP,具有强的临床相关性,建模成功率高,可重复性好,为急性胰腺炎发病机制的研究和治疗药物的筛选提供了重要基础。To sum up, the present invention provides a method for constructing an animal model of obesity-alcoholic acute pancreatitis. Obesity and alcohol can synergistically cause pathological damage to the pancreas in mice, cause local inflammatory response in the pancreas, and can lead to inflammatory responses in the lungs and the whole body. The model completely adopts obesity and alcohol, two independent risk factors of AP, to synergistically induce AP. It has strong clinical correlation, high modeling success rate and good reproducibility. It is suitable for the study of the pathogenesis of acute pancreatitis and the screening of therapeutic drugs. provides an important foundation.

Claims (8)

1. A method for constructing an animal model of acute pancreatitis is characterized in that high-fat feed and alcohol are used for inducing animals to form the acute pancreatitis, and the method comprises the following steps:
(1) high fat diet: continuously feeding animals with high-fat feed for 10-15 weeks; the high-fat feed is a feed with the energy supply ratio of fat higher than 45%;
(2) alcohol induction: administering an ethanol solution to the animal; the ethanol solution is 35-45% ethanol solution prepared by water or normal saline; the method for administering the ethanol solution is intraperitoneal injection, wherein the number of intraperitoneal injection is 1-3, and each time interval is 1 hour; the injection dosage of each time is 5-15 mu L/g; injecting normal saline into the abdominal cavity 1 hour after the last injection of the ethanol solution into the abdominal cavity; the injection dosage of the normal saline is 5-15 mu L/g;
the animal is a mouse.
2. The method of claim 1, wherein the high fat diet of step (1) is a diet having a fat energy ratio of 60%.
3. The method of claim 1, wherein the period of feeding in step (1) is 12 weeks.
4. The method of claim 1, wherein the ethanol solution of step (2) is a 37.5% ethanol solution in normal saline.
5. The method of claim 1, wherein the number of intraperitoneal injections in step (2) is 2, each time at 1 hour intervals; the injection dose is 10 μ L/g.
6. The method of claim 1, wherein the normal saline is injected in a dose of 10 μ L/g.
7. Use of an animal model of acute pancreatitis prepared by the method of any one of claims 1-6 in the study of acute pancreatitis, for the purpose of diagnosis or treatment of non-diseases.
8. The use of claim 7, wherein the acute pancreatitis disease study is a study screening for drugs to treat acute pancreatitis disease.
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