“…Sandoval et al [47] have reported a dramatic increase in apoptotic acinar cells by administration of antineutrophil serum, which, comparable to aICAM-1 (an intercellular adhesion molecule-1, neutralizing antibody), signifi cantly reduced the extent of necrosis and infl ammatory infi ltrate. Similar results were observed in another study wherein treatment with methotrexate resulted in a signifi cant depletion of neutrophils as shown by low myeloperoxidase levels and a consecutive increase in apoptotic acinar cell death [48] . Yet another study, using taurocholate-induced severe acute pancreatitis as the experimental model, showed that neutrophils, via a TNF-␣ -dependent mechanism, may be involved in the development of apoptotic as well as necrotic forms of acinar cell death [49] .…”