Plasma Sphingolipids in Acute Pancreatitis.

Acute pancreatitis (AP) is a prevalent gastrointestinal disorder associated with systemic inflammatory response syndrome and, in the case of severe AP, a mortality rate ranging from 36% to 50%. Standard clinical treatment of AP includes intensive hydration, analgesia, and management of complications. Unfortunately, the direct treatment of AP at the level of its molecular pathomechanism has not yet been established. Recent studies indicate that the sphingolipid signaling pathway may be one of the important factors contributing to the development of inflammation in pancreatic diseases. In the current study, we sought to investigate this promising route. We examined the plasma sphingolipid profile of 44 patients with acute pancreatitis, dividing them into three groups: mild, moderate and severe AP. Samples were collected from these groups at days 1, 3 and 7 following their hospital admission. We demonstrated significant changes in blood plasma sphingolipids in relation to the time course of AP. We also found an inhibition of de novo ceramide synthesis in mild and moderate AP. However, the most important and novel finding was a significant elevation in sphingosine-1-phosphate (S1P) (a downstream metabolite of ceramide) in mild AP, as well as a dramatic reduction in the lipid molecule content in the early stage (days 1 and 3) of severe AP. This strongly indicates that plasma S1P could serve as a prognostic marker of AP severity.

[Gelsolin - variety of structure and functions]. / Gelsolina - róznorodnosc budowy i funkcji.

Gelsolin is an actin-binding and an actin-fragmenting protein. It contains 730 amino-acids, organized in six G1-G6 homologous domains which determine different functions of the protein. Two variants of gelsolin, cytoplasmic and secreted (contained in plasma) are described. Cytoplasmic gelsolin re-organizes the structure of cytoskeleton and plays an important role as a capping protein. In addition, cytoplasmic gelsolin binds bacterial lipopolysaccharide and ATP and exhibits antibacterial and anti-inflammatory properties. Plasma gelsolin is synthesized mainly in skeletal and smooth muscles and myocardium. Plasma gelsolin was also found in: blood, lymph, bronchial epithelia, synovial fluids and cerebro-spinal fluid. The protein plays a role in the immune response, moreover it is involved in extracellular and blood actin-scavenger system. Plasma gelsolin has anti-amyloidogenic, anti-oxidant and anti-apoptotic properties and it has a potential for treatment of Alzheimer disease. Decreased levels of the gelsolin plasma isoform was observed in patients with sepsis, myocardial infarction, liver failure, acute respiratory distress syndrome, inflammations and after burns. On the other hand, after rhabdomyolysis and in amyloidosis gelsolin plasma level are increased. In this review we present recent data on the structure and functions of gelsolin and changes of its activity in some pathological processes.

Cerulein-Induced Acute Pancreatitis Affects Sphingomyelin Signaling Pathway in Rats.

OBJECTIVES: Acute pancreatitis (AP) is a common and severe gastrointestinal inflammatory disease with poorly understood pathogenesis. We adopted cerulein-induced pancreatitis, a well-established rat model shearing similarities with human AP, to determine the disease background. Special interest was placed on sphingolipids, because their signaling pathways are involved in many pathological states including hepatic steatosis, heart infarction, or pancreatic origin type 1 diabetes. METHODS: Sphingolipid levels in the blood and pancreas were determined by the means of chromatography (thin-layer and high-performance liquid chromatography). RESULTS: We found that AP leads to activation of ceramide de novo synthesis pathway, as evidenced by a significant increment in sphinganine, that is, ceramide synthesis precursor, content (+3.8-fold). Surprisingly, despite the reported growth in sphinganine concentration, we observed a reduced (-38%) ceramide level in the pancreas of rats with AP. The results could be explained by subsequent hydrolysis of ceramide to other secondary messengers, that is, sphingosine (+4-fold) or sphingosine-1-phosphate (+3-fold). CONCLUSIONS: Because it is known that sphingosine-1-phosphate and some of its analogs could have a protective role against AP complications, our findings may contribute to elaboration of new therapeutic strategies in the management of this severe medical condition.

Intrathecal increase of sphingosine 1-phosphate at early stage multiple sclerosis.

Sphingosine 1-phosphate (S1P) is a pleiotropic mediator that is critically involved in the development of an inflammatory response in various pathological conditions. We hypothesize that during the course of multiple sclerosis (MS) development, chronic inflammation will result in the alteration of S1P levels in blood and cerebrospinal fluid (CSF). We evaluated S1P concentrations in blood and CSF obtained from 66 subjects, including 40 patients diagnosed with MS and 26 subjects of a control group that included patients diagnosed with idiopathic cephalgia and idiopathic (Bell's) facial nerve palsy. HPLC techniques were used to determine S1P levels. We found that S1P concentrations in blood of the MS subject group (361.7+/-150.7 nM) did not differ from those of the control group (371.9+/-142.5 nM). However, S1P concentrations in CSF of the MS group were significantly higher (p<0.01) compared to the control group (2.2+/-2.7 versus 0.69+/-1.1 nM). The increase of S1P concentration in CSF of MS subjects suggests that this bioactive lipid is involved in chronic inflammation associated with MS and it may be useful to study S1P in a number of neurodegenerative diseases to provide better understanding of the mechanisms governing their development.