Integrated traditional Chinese medicine improves acute pancreatitis via the downregulation of PRSS1 and SPINK1

Abstract

Integrated traditional Chinese medicine (ITCM) is known to improve health in patients with acute pancreatitis (AP); however, the molecular mechanisms underlying this effect are unknown. AP is associated with the expression of PRSS1 and SPINK1. Thus, the present study aimed to investigate whether ITCM was able to ameliorate AP by regulating the expression levels of protein, serine 1 (PRSS1) and serine peptidase inhibitor, Kazal type 1 (SPINK1). A total of 100 AP patients were divided at random into two groups. The treatment group were treated externally with a herbal ITCM preparation, while the control group received a routine placebo treatment. The mRNA and protein expression levels of PRSS1 and SPINK1 were subsequently compared between the two groups. The results revealed that the health of the patients who had received ITCM improved significantly when compared with the control group patients (P<0.05). In addition, the expression levels of PRSS1 and SPINK1 were found to be lower in the treatment group when compared with the control group (P<0.05). Therefore, ITCM exhibited a significant therapeutic effect on AP and produced no side effects since the treatment was applied externally. ITCM may ameliorate AP by downregulating the expression of PRSS1 and SPINK1; thus, should be considered as a potential therapy for the development of drugs against AP.

Perspectives of traditional Chinese medicine in pancreas protection for acute pancreatitis

“…These benefits block multiple steps in the development of AP according to experimental and clinical studies. Based on its characteristics of improved symptoms, reduced medical costs and increased satisfaction of AP patients, TCM appears to be a promising complementary and alternative therapy for the treatment of AP[ 7 , 13 , 14 ]. This review will provide a new understanding of the properties of TCM with an emphasis on the regulation of important molecular targets in AP in the context of basic and clinical research and the representative TCM approaches that can be combined with classic treatments of AP.…”