Acute acalculous cholecystitis-like phenotype in scavenger receptor a knock-out mice

Robert Drummond, Donghuan Song, Dennis Hawisher, Paul L. Wolf, Daniel E. Vazquez, Diego F. Nino, Raul Coimbra, David M. Cauvi, Antonio De Maio

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Background: Sepsis is a major health problem in the United States that affects more than three-quarters of a million people every year. Previous studies have shown that scavenger receptor A (Sra), also known as macrophage scavenger receptor 1 (Msr1), is a modifier of interleukin 10 (IL-10) expression after injection of bacterial lipopolysaccharide (LPS). Therefore, we investigated the response to sepsis in Sra knock out mice. Materials and Methods: C57BL/6J (B6) (n = 88) and Sra (-/-) mice (n = 88) were subjected to cecal ligation and puncture (CLP) using 18G or 16G needles, sham operation, or non-operated controls. At the end, mice were autopsied for the determination of abnormalities after the procedure. Cytokine gene expression was examined in lung and liver samples by quantitative RT-PCR (qRT-PCR), and circulating cholesterol levels were also measured. Results: Sra (-/-) mice displayed an enlargement of the gallbladder after CLP that was not detected in sham or non-operated mice or in B6 mice (wild-type) after CLP. The enlarged gallbladder resembles a condition of acute acalculous cholecystitis observed in humans. Sra (-/-) mice presented high cholesterol levels in circulation as opposed to wild type B6 mice. Moreover, Sra (-/-) mice exhibited a reduction in IL-10 mRNA levels in lungs compared to wild-type B6 mice after CLP. Conclusions: The development of acute acalculous cholecystitis may be the combination of pre-existing conditions, such as hypercholesterolemia associated with a defect in Sra (Msr1) and a robust inflammation induced by sepsis.

Original languageEnglish (US)
Pages (from-to)344-351
Number of pages8
JournalJournal of Surgical Research
Issue number2
StatePublished - May 15 2012
Externally publishedYes


  • Msr1
  • Sra
  • acute acalculous cholecystitis
  • gallbladder
  • hypercholesterolemia
  • inflammation
  • sepsis

ASJC Scopus subject areas

  • Surgery


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