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JKM > Volume 45(3); 2024 > Article
Kim, Kweon, Kim, Bae, and Song: Protective effects of Puriton® on acute pancreatitis

Abstract

Objectives

Puriton® is the electrolyte enriched water consisting of 31 essential minerals from biotite, kaolinite, montmorillonite, serpentine, and clinochlore, and vermiculite. It has been reported to be bactericidal and virucidal. However, the protective effect of Puriton® against acute pancreatitis (AP) has not yet been studied. Therefore, we aimed to evaluate the protective effect of Puriton® against cerulein-induced AP.

Methods

AP was induced by intraperitoneal injections of cerulein (50 μg/kg) hourly for 6 times. Puriton® (100, 300, 500, or 700 μL) was administered orally 1 hour before the first cerulein injection. Mice were sacrificed 6 hours after the last cerulein injection. Pancreas, lung, and serum samples were quickly collected for further analysis.

Results

Administration of Puriton® did not reduce the ratio of pancreas weight to body weight. However, the increased serum amylase and lipase were decreased in the Puriton® administration group, and histological damage to pancreas and lung tissue was suppressed in the Puriton® 100 and 300 μL administration groups, but not in the Puriton® 500 and 700 μL administration groups. Additionally, among pro-inflammatory cytokines such as interleukin (IL)-1β, IL-6, and tumor necrosis factor (TNF)-α, the mRNA level of only IL-6 was decreased by Puriton® administration.

Conclusion

In summary, we showed that the administration of Puriton® improved the severity of cerulein-induced AP, suggesting the possibility of being an effective drug for AP.

Fig. 1
Effect of Puriton® on pancreas weight/body weight (P.W./B.W.) ratio during cerulein-induced acute pancreatitis (AP). Data show the mean±S.E. for 9 mice for each group. Results are representative of three experiments. *p<0.05 vs control group, p<0.05 vs cerulein treatment group.
jkm-45-3-143f1.gif
Fig. 2
Effect of Puriton® on the serum digestive enzymes during cerulein-induced AP. Serum (A) amylase and (B) lipase were measured as described in materials and methods. Data show the mean±S.E. for 9 mice for each group. Results are representative of three experiments. *p<0.05 vs control group, p<0.05 vs cerulein treatment group.
jkm-45-3-143f2.gif
Fig. 3
Effect of Puriton® on morphological change of pancreas during cerulein-induced AP. (A) Representative hematoxylin & eosin (H&E)-stained sections of the pancreas. Histological scores for (B) edema and (C) inflammation. Data show the mean±S.E. for 9 mice for each group. Results are representative of three experiments. *p<0.05 vs control group, p<0.05 vs cerulein treatment group.
jkm-45-3-143f3.gif
Fig. 4
Effect of Puriton® on morphological change of lung during cerulein-induced AP. (A) Representative hematoxylin & eosin (H&E)-stained sections of the pancreas. Histological scores for (B) alveolar membrane thickening and (C) inflammation. Data show the mean±S.E. for 9 mice for each group. Results are representative of three experiments. *p<0.05 vs control group, p<0.05 vs cerulein treatment group.
jkm-45-3-143f4.gif
Fig. 5
Effect of Puriton® on the mRNA level of pro-inflammatory cytokines during cerulein-induced AP. The pro-inflammatory cytokines were detected by real time RT-PCR as described in materials and methods. Data show the mean±S.E. for 9 mice for each group. Results are representative of three experiments. *p<0.05 vs control group, p<0.05 vs cerulein treatment group.
jkm-45-3-143f5.gif

참고문헌

1. Iannuzzi J. P., King J. A., Leong J. H., Quan J., Windsor J. W., & Tanyingoh D., et al(2022). Global incidence of acute pancreatitis is increasing over time: A systematic review and meta-analysis. Gastroenterology;162(1):122-134. doi: 10.1053/j.gastro.2021.09.043
crossref pmid

2. Zheng Z., Ding Y.-X., Qu Y.-X., Cao F., & Li F.(2021). A narrative review of acute pancreatitis and its diagnosis, pathogenetic mechanism, and management. Annals of translational medicine;9(1):doi: 10.21037/atm-20-4802
crossref pmid

3. Petrov M. S., & Yadav DJNrG.hepatology. (2019). Global epidemiology and holistic prevention of pancreatitis. Nature reviews Gastroenterology & hepatology;16(3):175-184. doi: 10.1038/s41575-018-0087-5


4. Mederos M. A., Reber H. A., & Girgis M. D.(2021). Acute pancreatitis: A review. Jama;325(4):382-390. doi: 10.1001/jama.2020.20317
crossref pmid

5. Lee J. K.(2015). Recent advances in management of acute pancreatitis. The Korean Journal of Gastroenterology;66(3):135-143. doi: 10.4166/kjg.2015.66.3.135
crossref pmid

6. Kim M.-H., & Choi M.-K.(2013). Seven dietary minerals (ca, p, mg, fe, zn, cu, and mn) and their relationship with blood pressure and blood lipids in healthy adults with self-selected diet. Biological trace element research;153(69–75):doi: 10.1007/s12011-013-9656-1


7. Hamasaki T., Teruya K., & Katakura Y.(2024). Effect of hita tenryo water™, a natural mineral water, on allergic symptoms induced by cedar in mice. Heliyon;10(5):doi: 10.1016/j.heliyon.2024.e26915
crossref pmid

8. Lee C.-Y., & Lee C.-L.(2021). Comparison of the improvement effect of deep ocean water with different mineral composition on the high fat diet-induced blood lipid and nonalcoholic fatty liver disease in a mouse model. Nutrients;13(5):1732doi: 10.3390/nu13051732
crossref pmid pmc

9. Li M., Guo K., He Y., Li H., Sun W., & Yuan X., et al(2024). Natural changbai mineral water reduces obesity risk through regulating metabolism and gut microbiome in a hyperuricemia male mouse model. Frontiers in Nutrition;11doi: 10.3389/fnut.2024.1308882
crossref pmid

10. Jin S.-E., Lee J. I., & Hwang S.-J.(2015). Case study of pharmaceutical ingredients derived from clay minerals. Economic Environmental Geology;48(3):221-229. doi: 10.9719/EEG.2015.48.3.221
crossref

11. Balkrishna A., Solleti S. K., Singh H., Singh R., Sharma N., & Varshney A.(2021). Biotite-calx based traditional indian medicine sahastraputi-abhrak-bhasma prophylactically mitigates allergic airway inflammation in a mouse model of asthma by amending cytokine responses. Journal of Inflammation Research;4743-4760. doi: 10.2147/JIR.S313955


12. Guo L., Liu Y., Han J., Zhu H., & Wang X.(2017). Effects of biotite v supplementation on growth performance and the immunological responses of weaned pigs after an escherichia coli lipopolysaccharide challenge. Livestock Science;195(112–117):doi: 10.1016/j.livsci.2016.12.003
crossref

13. Long M., Liu Q., Wang D., Wang J., Zhang Y., & Tang A., et al(2021). A new nanoclay-based bifunctional hybrid fiber membrane with hemorrhage control and wound healing for emergency self-rescue. Materials Today Advances;12(100190):doi: 10.1016/j.mtadv.2021.100190
crossref

14. Shen M., Zhang B., Wang M., & Lv B.(2020). Mica can alleviate tnbs-induced colitis in mice by reducing angiotensin ii and il-17a and increasing angiotensin-converting enzyme 2, angiotensin 1-7, and il-10. Mediators of Inflammation;(2020). doi: 10.1155/2020/3070345


15. Hong U.-S., Park C.-H., Han Y.-H., Kim D.-W., Jun C.-Y., & Park S.-K., et al(2003). 2 cases of acute pancreatitis with oriental medical treatment. The Journal of Korean Oriental Internal Medicine;24(2):365-373.


16. Bok S.-H., Kim M.-H., Lee S.-Y., Bae C.-S., Lee M.-J., & Kim K.-H., et al(2020). Bactericidal and virucidal efficacies and safety of puriton® . Processes;8(11):1481doi: 10.3390/pr8111481
crossref

17. Petrov M. S., Shanbhag S., Chakraborty M., Phillips A. R., & Windsor J. A.(2010). Organ failure and infection of pancreatic necrosis as determinants of mortality in patients with acute pancreatitis. Gastroenterology;139(3):813-820. doi: 10.1053/j.gastro.2010.06.010
crossref pmid

18. Ali U. A., Issa Y., Hagenaars J. C., Bakker O. J., van Goor H., & Nieuwenhuijs V. B., et al(2016). Risk of recurrent pancreatitis and progression to chronic pancreatitis after a first episode of acute pancreatitis. Clinical gastroenterology hepatology;14(5):738-746. doi: 10.1016/j.cgh.2015.12.040
crossref pmid

19. Kirkegård J., Cronin-Fenton D., Heide-Jørgensen U., & Mortensen F. V.(2018). Acute pancreatitis and pancreatic cancer risk: A nationwide matched-cohort study in denmark. Gastroenterology;154(6):1729-1736. doi: 10.1053/j.gastro.2018.02.011
crossref pmid

20. Kim S. C., & Yang H. R.(2013). Clinical efficacy of gabexate mesilate for acute pancreatitis in children. European journal of pediatrics;172(1483–1490):doi: 10.1007/s00431-013-2068-6


21. McNally P. R.(2010). Gi/liver secrets plus e-book. Elsevier Health Sciences.


22. Zhou M.-T., Chen C.-S., Chen B.-C., Zhang Q.-Y., & Andersson R.(2010). Acute lung injury and ards in acute pancreatitis: Mechanisms and potential intervention. World journal of gastroenterology: WJG;16(17):2094doi: 10.3748/wjg.v16.i17.2094
crossref pmid pmc

23. Liu D., Wen L., Wang Z., Hai Y., Yang D., & Zhang Y., et al(2022). The mechanism of lung and intestinal injury in acute pancreatitis: A review. Frontiers in medicine;9904078doi: 10.3389/fmed.2022.904078
crossref pmid pmc

24. Glaubitz J., Asgarbeik S., Lange R., Mazloum H., Elsheikh H., & Weiss F. U., et al(2023). Immune response mechanisms in acute and chronic pancreatitis: Strategies for therapeutic intervention. Frontiers in Immunology;14(1279539):doi: 10.3389/fimmu.2023.1279539
crossref pmid

25. Kany S., Vollrath J. T., & Relja B.(2019). Cytokines in inflammatory disease. International journal of molecular sciences;20(23):6008doi: 10.3390/ijms20236008
crossref pmid pmc

26. Malmstrøm M. L., Hansen M. B., Andersen A. M., Ersbøll A. K., Nielsen O. H., & Jørgensen L. N., et al(2012). Cytokines and organ failure in acute pancreatitis: Inflammatory response in acute pancreatitis. Pancreas;41(2):271-277. doi: 10.1097/MPA.0b013e3182240552
pmid

27. Dugernier T. L., Laterre P.-F., Wittebole X., Roeseler J., Latinne D., & Reynaert M. S., et al(2003). Compartmentalization of the inflammatory response during acute pancreatitis: Correlation with local and systemic complications. American journal of respiratory critical care medicine;168(2):148-157. doi: 10.1164/rccm.2204019
pmid

28. Rao S. A., & Kunte A. R.(2017). Interleukin-6: An early predictive marker for severity of acute pancreatitis. Indian Journal of Critical Care Medicine: Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine;21(7):424doi: 10.4103/ijccm.IJCCM_478_16
crossref

29. Li J., Chen Z., Li L., Lai T., Peng H., & Gui L., et al(2022). Interleukin-6 is better than c-reactive protein for the prediction of infected pancreatic necrosis and mortality in patients with acute pancreatitis. Frontiers in Cellular Infection Microbiology;12933221doi: 10.3389/fcimb.2022.933221
crossref

30. Kang M., Park K. S., Seo J. Y., & Kim H.(2011). Lycopene inhibits il-6 expression in cerulein-stimulated pancreatic acinar cells. Genes nutrition Research Practice;6(117–123):doi: 10.1007/s12263-010-0195-5


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