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J Surg Res. 2012 May 15;174(2):344-51. doi: 10.1016/j.jss.2010.12.033. Epub 2011 Jan 22.

Acute acalculous cholecystitis-like phenotype in scavenger receptor A knock-out mice.

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1
Department of Surgery, University of California San Diego, La Jolla, California 92093, USA.

Abstract

BACKGROUND:

Sepsis is a major health problem in the United States that affects more than three-quarters of a million people every year. Previous studies have shown that scavenger receptor A (Sra), also known as macrophage scavenger receptor 1 (Msr1), is a modifier of interleukin 10 (IL-10) expression after injection of bacterial lipopolysaccharide (LPS). Therefore, we investigated the response to sepsis in Sra knock out mice.

MATERIALS AND METHODS:

C57BL/6J (B6) (n = 88) and Sra (-/-) mice (n = 88) were subjected to cecal ligation and puncture (CLP) using 18G or 16G needles, sham operation, or non-operated controls. At the end, mice were autopsied for the determination of abnormalities after the procedure. Cytokine gene expression was examined in lung and liver samples by quantitative RT-PCR (qRT-PCR), and circulating cholesterol levels were also measured.

RESULTS:

Sra (-/-) mice displayed an enlargement of the gallbladder after CLP that was not detected in sham or non-operated mice or in B6 mice (wild-type) after CLP. The enlarged gallbladder resembles a condition of acute acalculous cholecystitis observed in humans. Sra (-/-) mice presented high cholesterol levels in circulation as opposed to wild type B6 mice. Moreover, Sra (-/-) mice exhibited a reduction in IL-10 mRNA levels in lungs compared to wild-type B6 mice after CLP.

CONCLUSIONS:

The development of acute acalculous cholecystitis may be the combination of pre-existing conditions, such as hypercholesterolemia associated with a defect in Sra (Msr1) and a robust inflammation induced by sepsis.

PMID:
21474146
PMCID:
PMC3173564
DOI:
10.1016/j.jss.2010.12.033
[Indexed for MEDLINE]
Free PMC Article
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