tonin given in advance of L-Arg significantly reduced the pancreatic CAT activity relative to that in the rats treated with L-Arg alone. In the liver, L-Arg significantly increased the lipid peroxidation level, and the glutathione peroxidase and Cu/Zn-SOD activities, whereas the Mn-SOD activity was reduced as compared to the control rats. Melatonin pre-treatment prevented these changes.
CONCLUSION:Melatonin is an antioxidant that is able to counteract some of the L-Arg-induced changes during acute pancreatitis, and may therefore be helpful in the supportive therapy of patients with acute necrotizing pancreatitis.
INTRODUCTIONAcute necrotizing pancreatitis is a disease with a high mortality and no efficient treatment is available for it at present. Oxygen-and nitrogen-derived free radicals (FRs) and lipid peroxidation play an important role in the development of local inflammation and systemic complications during acute pancreatitis [1][2][3][4][5][6] . They damage the lipid membranes, structural and enzymatic proteins and DNA of the cells. The major target of FRs is polyunsaturated fatty acids of the lipid-rich membranes. Lipid peroxidation results in loss of the membrane fluidity and integrity, leading to cell death. Numerous antioxidants have recently been examined for their protective properties against oxidative damage in acute pancreatitis and have been shown to moderate the changes in several parameters of the disease [7][8][9][10] . We presumed that a compound with strong antioxidant properties and also anti-inflammatory features might exert a beneficial effect on the outcome of severe experimental pancreatitis.The pineal product, melatonin, is known to play a rolePO Box 2345, Beijing 100023, China World J Gastroenterol 2006 January 14; 12(2):251-258 www.wjgnet.com World Journal of Gastroenterology ISSN 1007-9327 wjg@wjgnet.com © 2006 The WJG Press. All rights reserved.
BASIC RESEARCHEffect of melatonin on the severity of L-arginine-induced experimental acute pancreatitis in rats Abstract AIM: To determine the effect of melatonin pre-and post-treatment on the severity of L-arginine (L-Arg) -induced experimental pancreatitis in rats.
METHODS:Male Wistar rats (25) were divided into five groups. Those in group A received two injections of 3.2 g/kg body weight L-Arg i.p. at an interval of 1 h. In group MA, the rats were treated with 50 mg/kg body weight melatonin i.p. 30 min prior to L-Arg administration. In group AM, the rats received the same dose of melatonin 1 h after L-Arg was given. In group M, a single dose of melatonin was administered as described previously. In group C the control animals received physiological saline injections i.p. All rats were exsanguinated 24 h after the second L-Arg injection.RESULTS: L-Arg administration caused severe necrotizing pancreatitis confirmed by the significant elevations in the serum amylase level, the pancreatic weight/body weight ratio (pw/bw), the pancreatic IL-6 content and the myeloperoxidase activity, relative to the control values. Elevation of the serum am...