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The Role of Fas Expression on the Occurrence of Immunosuppression in Severe Acute Pancreatitis

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Abstract

Background

Severe acute pancreatitis (SAP) is a dangerous illness with high mortality where most patients do not die of excessive inflammation, but die of immunosuppression and multiple infections at a later stage. The mechanism of immunosuppression in SAP is unknown.

Aim

The purpose of this study was to analyze the role of Fas expression on the occurrence of immunosuppression in patients with SAP.

Methods

Forty-eight patients with pancreatitis were divided into two groups: 20 cases with SAP (7 cases with sepsis, 13 cases without sepsis) and 28 cases with mild acute pancreatitis (MAP). Twenty-eight healthy volunteers were selected as controls. Fas mRNA expression in peripheral blood was detected by qPCR and Fas protein of lymphocyte membranes; T lymphocyte subsets and expression of monocyte Human leukocyte antigen DR (HLA-DR) in peripheral blood were detected by flow cytometry.

Results

Compared with MAP and control groups, expression level of Fas mRNA and lymphocyte Fas protein in peripheral blood were significantly increased in the SAP group (all P < 0.01). There was a further significant increase in the SAP group with sepsis compared to those without sepsis (all P < 0.01). The CD4+ T cell ratio, CD4+/CD8+ ratio and monocyte HLA-DR expression in the SAP group were decreased significantly compared with MAP and control groups (all P < 0.01). Significant negative relationships were observed between Fas mRNA expression and CD4+ T-cell ratio, CD4+/CD8+ ratio, and monocyte HLA-DR expression in SAP patients with sepsis (all P < 0.05).

Conclusions

The results suggest that expression level of Fas is related to severity and immune status of pancreatitis. Overexpression of Fas may lead to the occurrence of immunosuppression and sepsis.

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Acknowledgments

This research was supported by the Science and Technique Research Projects of Guangxi, No.1140003B-93 and the Key Programs of Natural Science Foundation of Guangxi, No.2011GXNSFD018039.

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Authors and Affiliations

  1. The First Clinical Medical College of Jinan University, Guangzhou, 510630, Guangdong Province, China

    Yueqiu Qin & Yanwu You

  2. Intensive Care Unit, Affiliated Hospital of Youjiang Medical University for Nationalities, No. 18 Zhongshan Road II, Baise, 533000, Guangxi Zhuang Autonomous Region, China

    Liao Pinhu

  3. Department of Surgery and Cancer, Imperial College London, Chelsea and Westminster Hospital, London, SW10 9NH, UK

    Suren Sooranna

  4. Department of Digestive Medicine, Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, 533000, Guangxi Zhuang Autonomous Region, China

    Yueqiu Qin, Zhansong Huang, Xihan Zhou, Yixia Yin & Sien Song

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  1. Yueqiu Qin
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  2. Liao Pinhu
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Correspondence to Liao Pinhu.

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Qin, Y., Pinhu, L., You, Y. et al. The Role of Fas Expression on the Occurrence of Immunosuppression in Severe Acute Pancreatitis. Dig Dis Sci 58, 3300–3307 (2013). https://doi.org/10.1007/s10620-013-2793-8

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  • DOI: https://doi.org/10.1007/s10620-013-2793-8

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