CLC number: R459.9
On-line Access: 2024-08-27
Received: 2023-10-17
Revision Accepted: 2024-05-08
Crosschecked: 2011-11-10
Cited: 7
Clicked: 6131
Ling Wang, Yuan Li, Qin Ma, Yong Liu, Yuan-yi Rui, Ping Xue, Zong-guang Zhou. Chaiqin Chengqi Decoction decreases IL-6 levels in patients with acute pancreatitis[J]. Journal of Zhejiang University Science B, 2011, 12(12): 1034-1040.
@article{title="Chaiqin Chengqi Decoction decreases IL-6 levels in patients with acute pancreatitis",
author="Ling Wang, Yuan Li, Qin Ma, Yong Liu, Yuan-yi Rui, Ping Xue, Zong-guang Zhou",
journal="Journal of Zhejiang University Science B",
volume="12",
number="12",
pages="1034-1040",
year="2011",
publisher="Zhejiang University Press & Springer",
doi="10.1631/jzus.B1000406"
}
%0 Journal Article
%T Chaiqin Chengqi Decoction decreases IL-6 levels in patients with acute pancreatitis
%A Ling Wang
%A Yuan Li
%A Qin Ma
%A Yong Liu
%A Yuan-yi Rui
%A Ping Xue
%A Zong-guang Zhou
%J Journal of Zhejiang University SCIENCE B
%V 12
%N 12
%P 1034-1040
%@ 1673-1581
%D 2011
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B1000406
TY - JOUR
T1 - Chaiqin Chengqi Decoction decreases IL-6 levels in patients with acute pancreatitis
A1 - Ling Wang
A1 - Yuan Li
A1 - Qin Ma
A1 - Yong Liu
A1 - Yuan-yi Rui
A1 - Ping Xue
A1 - Zong-guang Zhou
J0 - Journal of Zhejiang University Science B
VL - 12
IS - 12
SP - 1034
EP - 1040
%@ 1673-1581
Y1 - 2011
PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.B1000406
Abstract: Objective: In this paper, we investigated the effect of the traditional Chinese medicine chaiqin Chengqi Decoction (CQCQD) on serum cytokines in acute pancreatitis (AP) patients. Methods: Peripheral blood samples from 107 AP patients were collected within the first 48 h of AP onset and on the 10th day of CQCQD treatment. Control samples were collected from 20 healthy individuals. Serum proinflammatory cytokines tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6), and anti-inflammatory cytokines IL-10 and IL-1β receptor antagonist (IL-1ra) were examined using the Luminex 100 system. Results: Within the first 48 h of AP onset, IL-6 and IL-1ra levels in severe AP (SAP) patients were significantly higher than those in mild AP (MAP) patients, but IL-10 levels in SAP patients were significantly lower than those in MAP patients. Proinflammatory cytokine IL-6 was significantly decreased after CQCQD treatment (P<0.05), especially in SAP patients (n=25 of 36, P<0.05). The hospitalization time of SAP patients was shortened significantly when serum IL-6 decreased after CQCQD treatment (P<0.05). Conclusions: CQCQD decreased proinflammatory cytokine IL-6 levels in AP patients.
[1]Bhatia, M., 2004. Apoptosis versus necrosis in acute pancreatitis. Am. J. Physiol. Gastrointest. Liver Physiol., 286(2):G189-G196.
[2]Biagini, R.E., Sammons, D.L., Smith, J.P., MacKenzie, B.A., Striley, C.A., Semenova, V., Steward-Clark, E., Stamey, K., Freeman, A.E., Quinn, C.P., et al., 2004. Comparison of a multiplexed fluorescent covalent microsphere immunoassay and an enzyme-linked immunosorbent assay for measurement of human immunoglobulin G antibodies to anthrax toxins. Clin. Vaccine Immunol., 11(1):50-55.
[3]Bradley, E.L.3rd, 1993. A clinically based classification system for acute pancreatitis. Summary of the International Symposium on Acute Pancreatitis, Atlanta, Ga, Sept. 11 through 13, 1992. Arch. Surg., 128(5):586-590.
[4]Chao, L.K., Liao, P.C., Ho, C.L., Wang, E.I., Chuang, C.C., Chiu, H.W., Hung, L.B., Hua, K.F., 2010. Anti-inflammatory bioactivities of honokiol through inhibition of protein kinase C, mitogen-activated protein kinase, and the NF-κB pathway to reduce LPS-induced TNFα and NO expression. J. Agric. Food Chem., 58(6):3472-3478.
[5]Chen, C.C., Wang, S.S., Lee, F.Y., Chang, F.Y., Lee, S.D., 1999. Proinflammatory cytokines in early assessment of the prognosis of acute pancreatitis. Am. J. Gastroenterol., 94(1):213-218.
[6]de Waele, J.J., Blot, S., 2007. The value of IL-6 in predicting the severity of acute pancreatitis. J. Clin. Gastroenterol., 41(5):534.
[7]Frossard, J.L., Hadengue, A., Pastor, C.M., 2001. New serum markers for the detection of severe acute pancreatitis in humans. Am. J. Respir. Crit. Care Med., 164(1):162-170.
[8]Gloor, B., Todd, K.E., Lane, J.S., Rigberg, D.A., Reber, H.A., 1998. Mechanism of increased lung injury after acute pancreatitis in IL-10 knockout mice. J. Surg. Res., 80(1):110-114.
[9]Gong, Z., Yuan, Y., Lou, K., Tu, S., Zhai, Z., Xu, J., 2002. Mechanisms of Chinese herb emodin and somatostatin analogs on pancreatic regeneration in acute pancreatitis in rats. Pancreas, 25(2):154-160.
[10]Hsu, Y.L., Kuo, P.L., Lin, C.C., 2004. The proliferative inhibition and apoptotic mechanism of Saikosaponin D in human non-small cell lung cancer A549 cells. Life Sci., 75(10):1231-1242.
[11]Huang, Z.W., Xia, Q., Chen, G.Y., Tang, W.F., Xie, S.Y., Zhao, J.L., Jiang, J.M., 2003. Clinical therapeutic effects analysis of an early application of Chaiqin Chengqi Decoction in treating severe acute pancreatitis. J. Chengdu Univ. TCM, 26(3):25-26 (in Chinese).
[12]Hynninen, M., Valtonen, M., Markkanen, H., Vaara, M., Kuusela, P., Jousela, I., Piilonen, A., Takkunen, O., 1999. Interleukin-1 receptor antagonist and E-selectin concentrations: a comparison in patients with severe acute pancreatitis and severe sepsis. J. Crit. Care, 14(2):63-68.
[13]Kuo, D.H., Lai, Y.S., Lo, C.Y., Cheng, A.C., Wu, H., Pan, M.H., 2010. Inhibitory effect of magnolol on TPA-induced skin inflammation and tumor promotion in mice. J. Agric. Food Chem., 58(9):5777-5783.
[14]Liu, X.B., Jiang, J.M., Huang, Z.W., Tian, B.L., Hu, W.M., Xia, Q., Chen, G.Y., Li, Q.S., Yuan, C.X., Luo, C.X., et al., 2004. Clinical study on the treatment of severe acute pancreatitis by integrated traditional Chinese medicine and Western medicine. J. Sichuan Univ. (Med. Sci. Ed.), 35(2):204-208 (in Chinese).
[15]Mayer, J., Rau, B., Gansauge, F., Beger, H.G., 2000. Inflammatory mediators in human acute pancreatitis: clinical and pathophysiological implications. Gut, 47(4):546-552.
[16]Munroe, M.E., Arbiser, J.L., Bishop, G.A., 2007. Honokiol, a natural plant product, inhibits inflammatory signals and alleviates inflammatory arthritis. J. Immunol., 179(2):753-763.
[17]National Associated Group for Acute Pancreatitis, 2006. Etiology and mortality of acute pancreatitis in China: analysis of 6223 clinical cases. Clin. J. Pancreatol., 6(6):321-325.
[18]Norman, J., 1998. The role of cytokines in the pathogenesis of acute pancreatitis. Am. J. Surg., 175(1):76-83.
[19]Norman, J.G., Franz, M.G., Fink, G.S., Messina, J., Fabri, P.J., Gower, W.R., Carey, L.C., 1995. Decreased mortality of severe acute pancreatitis after proximal cytokine blockade. Ann. Surg., 221(6):625-634.
[20]Pan, L., Yuan, Y.Z., Zhang, Y.P., Qiao, M.M., Zhai, Z.K., 2002. Mechanisms of emodin in apoptosis of pancreatic cells in acute pancreatitis in rats. Clin. J. Pancreatol., 12(2):214-217.
[21]Pezzilli, R., Billi, P., Miniero, R., Barakat, B., 1997. Serum interleukin 10 in human acute pancreatitis. Dig. Dis. Sci., 42(7):1469-1472.
[22]Pezzilli, R., Morselli-Labate, A.M., Miniero, R., Barakat, B., Fiocchi, M., Cappelletti, O., 1999. Simultaneous serum assays of lipase and interleukin-6 for early diagnosis and prognosis of acute pancreatitis. Clin. Chem., 45(10):1762-1767.
[23]Rongione, A.J., Kusske, A.M., Kwan, K., Ashley, S.W., Reber, H.A., McFadden, D.W., 1997. Interleukin 10 reduces the severity of acute pancreatitis in rats. Gastroenterology, 112(3):960-967.
[24]Steensberg, A., Fischer, C.P., Keller, C., Møller, K., Pedersen, B.K., 2003. IL-6 enhances plasma IL-1ra, IL-10, and cortisol in humans. Am. J. Physiol. Endocrinol. Metab., 285(2):E433-E437.
[25]Wang, Z.C., Xue, P., Huang, Z.W., You, Z., Guo, J., 2006. Clinical study of severe acute pancreatitis complicating with acute respiratory distress syndrome treated by Chaiqin Chengqi Decoction in early stage. Chin. J. Curr. Tradit. West. Med., 4(10):874-876 (in Chinese).
[26]WCOG, 2002. Quadrennial reviews and working party reports from the World Congress in Gastroenterology. February 24-March 1, 2002. Bangkok, Thailand. J. Gastroenterol. Hepatol., 17(s1):S1-S195.
[27]Whitcomb, D.C., 2006. Clinical practice. Acute pancreatitis. N. Engl. J. Med., 354(20):2142-2150.
[28]Xue, D., Zhang, W., Zhang, Y., Wang, H., Zheng, B., Shi, X., 2006. Adjusting effects of baicalin for nuclear factor-κB and tumor necrosis factor-α on rats with caerulein-induced acute pancreatitis. Mediators Inflamm., 2006(5):26295.
[29]Yang, T.C., Zhang, S.W., Sun, L.N., Wang, H., Ren, A.M., 2008. Magnolol attenuates sepsis-induced gastrointestinal dysmotility in rats by modulating inflammatory mediators. World J. Gastroenterol., 14(48):7353-7360.
[30]Yuan, Y.Z., Wu, J.X., Xu, J.Y., 1997. Effects of emodin and stilamin on abnormal metabolism of eicosanoids in acute haemorrhagic-necrotizing pancreatitis in rats. Chin. J. Dig., 17:274-276 (in Chinese).
[31]Zhang, X.P., Zhang, L., Yang, P., Zhang, R.P., Cheng, Q.H., 2008. Protective effects of baicalin and octreotide on multiple organ injury in severe acute pancreatitis. Dig. Dis. Sci., 53(2):581-591.
Open peer comments: Debate/Discuss/Question/Opinion
<1>