Dexamethasone mediates protection against acute pancreatitis via upregulation of pancreatitis-associated proteins

Emad Kandil, Yin Yao Lin, Martin H. Bluth, Hong Zhang, Michael E. Zenilman, Gabriel Levi

Research output: Contribution to journalArticlepeer-review

24 Scopus citations


Aim: To examine the influence of dexamethasone on pancreatitis-associated protein (PAP) gene expression using both in vitro and in vivo models of acute pancreatitis and to study how PAP gene expression correlates with severity of pancreatitis. Methods: In vitro, IL-6 stimulated pancreas acinar AR42J cells were cultured with increasing concentrations of dexamethasone and assayed for PAP expression (RT-PCR). In vivo, pancreatitis was induced in rats by retrograde injection of 40 g/L taurocholate into the pancreatic duct. Animals were pretreated with dexamethasone (2 mg/kg) daily or saline for 4 d. Pancreata and serum were harvested after 24 h and gene expression levels of PAP I, II and III were measured by RT-PCR. Severity of pancreatitis was based on serum amylase, pancreatic wet weight, and histopathological score. Results: In vitro, dexamethasone and IL-6 induced a marked transcription of PAP I, II and III genes in AR42J cells at 24 h (P < 0.05 for all comparisons). In vivo, pancreas mRNA levels of PAP I, II or III increased by 2.6-fold, 1.9-fold, and 1.3-fold respectively after dexamethasone treatment, compared with saline treated animals. Serum amylase levels and edema were significantly lower in the dexamethasone group compared with the saline group. Histopathologic evaluation revealed less inflammation and necrosis in pancreata obtained from dexamethasone treated animals (P < 0.05). Conclusion: Dexamethasone significantly decreases the severity of pancreatitis. The protective mechanism of dexamethasone may be via upregulating PAP gene expression during injury.

Original languageEnglish (US)
Pages (from-to)6806-6811
Number of pages6
JournalWorld Journal of Gastroenterology
Issue number42
StatePublished - Nov 14 2006
Externally publishedYes


  • Dexamethasone
  • Pancreatitis
  • Pancreatitis-associated protein

ASJC Scopus subject areas

  • Gastroenterology


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