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Interleukin-18: a pro-inflammatory cytokine that plays an important role in acute pancreatitis.

机译:白介素-18:促炎细胞因子,在急性胰腺炎中起重要作用。

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摘要

A large body of clinical and experimental evidence suggests that cytokines play a key role in the pathogenesis of local and systemic complications of acute pancreatitis. IL-18 is a pro-inflammatory cytokine that plays a key role in many human diseases, including acute pancreatitis. This review focuses on the present understanding in IL-18 and its potential role in acute pancreatitis. IL-18 levels reflect the severity of acute pancreatitis and display a significant negative correlation with the concentrations of antioxidative damage factors, serum selenium and glutathione peroxidases (GPx). The relationship between IL-18 and other pro-inflammatory cytokines shows that IL-18 is one of the key mediators of inflammation in the pathogenesis of acute pancreatitis. Elevation of serum IL-18 levels may mediate acute pancreatitis associated liver injury. The use of IL-18 antagonists as direct routes to block IL-18 activity and P2X7 receptor antagonists and interleukin-1beta-converting enzyme (ICE) inhibitors as indirect routes to block IL-18 activity suggest that specific therapeutic inhibition of IL-18 is a promising therapeutic approach for acute pancreatitis.
机译:大量的临床和实验证据表明,细胞因子在急性胰腺炎的局部和全身并发症的发病机理中起着关键作用。 IL-18是一种促炎性细胞因子,在许多人类疾病(包括急性胰腺炎)中起关键作用。这篇综述着重于对IL-18的目前了解及其在急性胰腺炎中的潜在作用。 IL-18水平反映了急性胰腺炎的严重程度,并且与抗氧化损伤因子,血清硒和谷胱甘肽过氧化物酶(GPx)的浓度呈显着负相关。 IL-18与其他促炎细胞因子之间的关系表明,IL-18是急性胰腺炎发病机理中炎症的关键介质之一。血清IL-18水平升高可能介导急性胰腺炎相关的肝损伤。使用IL-18拮抗剂作为阻断IL-18活性的直接途径,使用P2X7受体拮抗剂和白介素-1β转化酶(ICE)抑制剂作为阻断IL-18活性的间接途径,提示对IL-18的特异性治疗抑制作用是一种有希望的急性胰腺炎治疗方法。

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