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Animal models for investigating chronic pancreatitis

机译:用于研究慢性胰腺炎的动物模型

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摘要

Chronic pancreatitis is defined as a continuous or recurrent inflammatory disease of the pancreas characterized by progressive and irreversible morphological changes. It typically causes pain and permanent impairment of pancreatic function. In chronic pancreatitis areas of focal necrosis are followed by perilobular and intralobular fibrosis of the parenchyma, by stone formation in the pancreatic duct, calcifications in the parenchyma as well as the formation of pseudocysts. Late in the course of the disease a progressive loss of endocrine and exocrine function occurs. Despite advances in understanding the pathogenesis no causal treatment for chronic pancreatitis is presently available. Thus, there is a need for well characterized animal models for further investigations that allow translation to the human situation. This review summarizes existing experimental models and distinguishes them according to the type of pathological stimulus used for induction of pancreatitis. There is a special focus on pancreatic duct ligation, repetitive overstimulation with caerulein and chronic alcohol feeding. Secondly, attention is drawn to genetic models that have recently been generated and which mimic features of chronic pancreatitis in man. Each technique will be supplemented with data on the pathophysiological background of the model and their limitations will be discussed.
机译:慢性胰腺炎定义为以进行性和不可逆的形态学改变为特征的胰腺的连续性或复发性炎症性疾病。它通常会引起疼痛和胰腺功能的永久性损害。在慢性胰腺炎中,局灶性坏死区域继之以薄壁组织的小叶周围和小叶内纤维化,胰管中结石形成,薄壁组织钙化以及假性囊肿的形成。在疾病的晚期,发生内分泌和外分泌功能的逐渐丧失。尽管在发病机理上有了进步,但目前尚无针对慢性胰腺炎的因果疗法。因此,需要特征良好的动物模型用于进一步研究,以允许转化为人类情况。这篇综述总结了现有的实验模型,并根据用于诱导胰腺炎的病理刺激类型将它们区分开。特别关注胰管结扎,青霉素反复刺激和长期饮酒。其次,引起人们对最近产生的遗传模型的关注,该遗传模型模仿人的慢性胰腺炎的特征。每种技术都将补充有关模型病理生理背景的数据,并将讨论其局限性。

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