Experimental acute pancreatitis results in increased blood-brain barrier permeability in the rat: a potential role for tumor necrosis factor and interleukin 6

Neurosci Lett. 1998 Feb 20;242(3):147-50. doi: 10.1016/s0304-3940(98)00060-3.

Abstract

Pancreatic encephalopathy is a severe complication of acute pancreatitis. Proinflammatory cytokines may play a role in the development of multi-organ failure during pancreatitis. In the present study, we measured the changes in the blood-brain barrier (BBB) permeability concomitantly with the determination of serum tumor necrosis factor (TNF) and interleukin-6 (IL-6) levels in rats before, as well as 6, 24 and 48 h after the beginning of intraductal taurocholic acid-induced acute pancreatitis. Cytokine concentrations were measured in bioassays with specific cell lines (WEHI-164 for TNF and B-9 for IL-6), while the BBB permeability was determined for a small (sodium fluorescein, molecular weight (MW) 376 Da), and a large (Evans' blue-albumin, MW 67000 Da) tracer by spectrophotometry in the parietal cortex, hippocampus, striatum, cerebellum and medulla of rats. The serum TNF level was significantly (P < 0.05) increased 6 and 24 h after the induction of pancreatitis, while the IL-6 level increased after 24 and 48 h. A significant (P < 0.05) increase in BBB permeability for both tracers developed at 6 and 24 h in different brain regions of animals with acute pancreatitis. We conclude that cytokines, such as TNF and IL-6, may contribute to the vasogenic brain edema formation during acute pancreatitis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amylases / blood
  • Animals
  • Blood-Brain Barrier / physiology*
  • Brain / blood supply
  • Brain / metabolism
  • Brain Edema / physiopathology
  • Cholagogues and Choleretics
  • Disease Models, Animal
  • Encephalitis / etiology
  • Encephalitis / physiopathology
  • Evans Blue / pharmacokinetics
  • Fluorescein / pharmacokinetics*
  • Interleukin-6 / blood*
  • Male
  • Organ Size
  • Pancreas / metabolism
  • Pancreas / pathology
  • Pancreatitis, Acute Necrotizing / chemically induced
  • Pancreatitis, Acute Necrotizing / complications
  • Pancreatitis, Acute Necrotizing / physiopathology*
  • Rats
  • Rats, Wistar
  • Taurocholic Acid
  • Tumor Necrosis Factor-alpha / metabolism*

Substances

  • Cholagogues and Choleretics
  • Interleukin-6
  • Tumor Necrosis Factor-alpha
  • Evans Blue
  • Taurocholic Acid
  • Amylases
  • Fluorescein