Article
Multidisciplinary Sciences
Lingling Tang, Qing Jia, Nian Liu, Qianqian Liu, Ke Pan, Lixing Lei, Xiaohua Huang
Summary: This study investigated the predictive value of lipid metabolism in predicting the recurrence of hypertriglyceridemic acute pancreatitis (HTG-AP). The results showed that serum triglycerides, non high-density lipoprotein, and apolipoprotein A1 are independent predictors of recurrence in HTG-AP patients, providing reference for individualized treatment and prevention of recurrence in HTG-AP patients.
Review
Pediatrics
John M. Grisham, Andrew H. Tran, Kate Ellery
Summary: Severe hypertriglyceridemia-induced acute pancreatitis (HTG-AP) is less common in pediatric patients compared to adults, but evidence suggests it can be associated with more severe course and complications. Treatment involves inpatient management, dietary modification, and long-term interventions. Evidence-based management guidelines for pediatric patients have not been well established.
FRONTIERS IN PEDIATRICS
(2022)
Article
Medicine, General & Internal
Langyi Guan, Ling Ding, Jianhua Wan, Liang Xia, Wenhua He, Huifang Xiong, Lingyu Luo, Nonghua Lu, Yin Zhu
Summary: This study aimed to analyze the clinical profile of patients with acute hypertriglyceridemic pancreatitis (HTGP) and explore risk factors for recurrence. The study found that recurrence occurred in 64.8% of patients. Compared to the nonrecurrent group, the recurrent group had higher levels of serum triglyceride (TG) before discharge, at 1 month, 6 months, and 12 months after discharge. High TG levels at 1 month after discharge and a high Charlson's Comorbidity Index score (>=2 points) increased the risk of recurrence of HTGP.
FRONTIERS IN MEDICINE
(2023)
Review
Medicine, General & Internal
Manasvi Gupta, Besiana Liti, Christopher Barrett, Paul D. Thompson, Antonio B. Fernandez
Summary: Severe gestational hypertriglyceridemia can lead to acute pancreatitis, with a maternal mortality rate of approximately 20%. The recent recommendations from the National Lipid Association provide guidance on monitoring pregnant women at high risk for hyperlipidemia. It is suggested that high-risk women have their triglyceride levels checked once every trimester and follow appropriate treatment based on the results.
AMERICAN JOURNAL OF MEDICINE
(2022)
Review
Physiology
Lorand Kiss, Gabriella Fur, Sailaja Pisipati, Prasad Rajalingamgari, Nils Ewald, Vijay Singh, Zoltan Rakonczay
Summary: Hypertriglyceridemia (HTG) is a metabolic disorder characterized by high levels of triglycerides in the blood, and it increases the risk of acute pancreatitis (AP). This review discusses the pathophysiology of HTG-induced AP and the role of fatty acids in causing the consequences of HTG during AP. Experimental results suggest that reducing fatty acid production through lipase inhibitors may offer new therapeutic options for AP.
Review
Immunology
Shiyu Liu, Peter Szatmary, Jing-wen Lin, Qiqi Wang, Robert Sutton, Lu Chen, Tingting Liu, Wei Huang, Qing Xia
Summary: Acute pancreatitis is a common gastrointestinal disease characterized by acute onset of abdominal pain, often leading to organ failure and death. Monocytes, a type of cells in the innate immune system, are highlighted as key contributors and regulators of the inflammatory response and organ failure in acute pancreatitis, with a special focus on lipid modulation.
FRONTIERS IN IMMUNOLOGY
(2022)
Article
Medicine, General & Internal
Talha M. Qureshi, Anam Khan, Huma Javaid, Abdalaziz Tabash, Mohammed S. Hussein, Mohamed O. Othman
Summary: The study aimed to identify the prevalence of risk factors for secondary hypertriglyceridemia in patients presenting with HIAP. Results showed that the majority of patients with HIAP had secondary causes for HTG, emphasizing the importance of identifying secondary causes of HTG during acute hospitalization.
AMERICAN JOURNAL OF THE MEDICAL SCIENCES
(2021)
Article
Medicine, General & Internal
Vo Duy Thong, Nguyen Thi Mong Trinh, Ho Tan Phat
Summary: Hypertriglyceridemia induced acute pancreatitis (HTGP) is associated with increased risk of local complications, recurrent acute pancreatitis, and high mortality compared to other causes. Factors such as fever, altered mental status, rapid pulse, and hypotension are significantly related to the severity of HTGP. Patients with severe HTGP have more pancreatic necrosis, higher values of Blood urea nitrogen and creatinine, longer prothrombin time and activated partial thromboplastin time on admission, and higher CRP48 levels.
Article
Pharmacology & Pharmacy
Ling Ding, Langyi Guan, Xueyang Li, Xin Xu, Yaoyu Zou, Cong He, Yi Hu, Jianhua Wan, Xin Huang, Yupeng Lei, Wenhua He, Liang Xia, Huifang Xiong, Lingyu Luo, Nonghua Lu, Yin Zhu
Summary: This study investigated the incidence and risk factors for recurrence of hypertriglyceridemia-induced acute pancreatitis (HTG-AP), as well as the effect of triglyceride-lowering drugs on recurrence. The results showed that high levels of triglycerides and glucose were closely associated with HTG-AP recurrence, and long-term treatment with triglyceride-lowering drugs significantly decreased the risk of recurrence.
JOURNAL OF CLINICAL LIPIDOLOGY
(2023)
Article
Multidisciplinary Sciences
Vishnu Priya Pulipati, Ambika Amblee, Sara Elizabeth T. Yap, Hafeez Shaka, Bettina Tahsin, Leon Fogelfeld
Summary: The study retrospectively analyzed the response to continuous insulin infusion in adults with hypertriglyceridemia-associated acute pancreatitis, finding that 95% of patients achieved the defined TG goal, with half reaching it within 36 hours. Results indicated that absence of diabetes mellitus, lower BMI, and initial TG level were predictors of a faster response in serum triglycerides.
Article
Biochemistry & Molecular Biology
Xiaomin Hu, Liang Gong, Ruilin Zhou, Ziying Han, Li Ji, Yan Zhang, Shuyang Zhang, Dong Wu
Summary: HTGAP patients have higher rates of severe AP, organ failure, and longer hospital stays compared to non-HTGAP patients. Changes in gut microbiota are associated with disease severity and poor prognosis in HTGAP patients, suggesting a potential link between gut microbiota and hypertriglyceridemia-related acute pancreatitis.
Article
Pharmacology & Pharmacy
Masaki Tanaka, Satoru Takase, Hiroyuki Ishiura, Toshimasa Yamauchi, Sachiko Okazaki, Hiroaki Okazaki
Summary: Hypertriglyceridemia during pregnancy can be life-threatening for both the mother and the fetus. The genetic causes of this condition are not fully understood, and effective treatment strategies have not been established.
JOURNAL OF CLINICAL LIPIDOLOGY
(2023)
Article
Gastroenterology & Hepatology
Yaqiong Zhang, Jueying Lin, Lijun Wu, Juexin Lin, Yawei Liang
Summary: Blood purification therapy is effective in reducing triglyceride levels and shortening hospital stay in hypertriglyceridemia-induced acute pancreatitis, but it does not significantly affect efficacy or mortality compared to conventional treatment. Insulin therapy has similar efficacy to blood purification but reduces the incidence of complications and cost.
Review
Medicine, General & Internal
Minhao Qiu, Xiaoying Zhou, Maddalena Zippi, Hemant Goyal, Zarrin Basharat, Mateusz Jagielski, Wandong Hong
Summary: This article provides an overview of the relationship between hypertriglyceridemia-associated acute pancreatitis (HTAP) and discusses various pathological mechanisms that may contribute to the development or exacerbation of HTAP.
ANNALS OF MEDICINE
(2023)
Review
Gastroenterology & Hepatology
Lu Wang, Ting Xu, Ruifeng Wang, Xiaobing Wang, Dong Wu
Summary: In recent years, the number of acute pancreatitis cases caused by hypertriglyceridemia has been increasing, but the exact mechanism remains unclear, posing challenges for treatment and prevention. Animal models have become crucial for understanding and treating this disease, with researchers investigating different animal models and methods for studying hypertriglyceridemic acute pancreatitis.
DIGESTIVE DISEASES AND SCIENCES
(2022)
Article
Gastroenterology & Hepatology
Donghuang Hong, Peng Wang, Yingjie Chen, Jingzhu Zhang, Wendi Jiang, Bo Ye, Gang Li, Jing Zhou, Wenjian Mao, Zhihui Tong, Weiqin Li, Lu Ke
Summary: Metagenomic next-generation sequencing (mNGS) demonstrates satisfactory diagnostic performance in patients with suspected infected pancreatic necrosis (IPN), providing timely and accurate microbial diagnosis.
DIGESTIVE AND LIVER DISEASE
(2023)
Article
Hematology
Xiang Luo, Xiaoling Li, Xiaoyan Lai, Lu Ke, Jing Zhou, Man Liu, Longxiang Cao, Lingyan Fu
Summary: This study suggests that therapeutic plasma exchange (TPE) may not improve organ failure and reduce mortality in critically ill patients with sepsis, and it may be associated with prolonged ICU stay.
JOURNAL OF CLINICAL APHERESIS
(2023)
Article
Nutrition & Dietetics
Jiajia Lin, Man Liu, Mingfeng Huang, Xianghong Ye, Yao Xu, Cheng Lv, Zirui Liu, Yuxiu Liu, Zhihui Tong, Weiqin Li, Lu Ke
Summary: Early parenteral nutrition is associated with increased 28-day mortality in critically ill patients requiring mechanical ventilation, and this detrimental effect may be mediated by intravenous amino acids from early parenteral nutrition.
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION
(2023)
Letter
Gastroenterology & Hepatology
Lin Gao, Xiaojia Xiao, Lu Ke, Jiwon Hong, Lisa Brown, Anthony Phillips, John A. Windsor
GASTROINTESTINAL ENDOSCOPY
(2023)
Article
Medicine, General & Internal
Kun He, Lin Gao, Zihan Yang, Yuelun Zhang, Tianrui Hua, Wenmo Hu, Dong Wu, Lu Ke
Summary: This study aimed to compare the efficacy and safety of aggressive vs. controlled fluid resuscitation in acute pancreatitis (AP). The results suggested that controlled fluid resuscitation may be superior to aggressive resuscitation in terms of efficacy and safety outcomes for patients without organ failure on admission.
CHINESE MEDICAL JOURNAL
(2023)
Article
Immunology
Tianbin Cai, Wenjian Mao, Meiqiong Liu, Jing Zhou, Xinyu Wang, Jing Zhou, Yuxiu Liu, Guangyu Lv, Lu Ke, Youhua Zhang
Summary: This study aimed to assess the association between early mean absolute lymphocyte count (ALC) and the development of infected pancreatic necrosis (IPN) in patients with acute necrotizing pancreatitis (ANP). The results showed that low early mean ALC is an independent risk factor for 90-day IPN, indicating the importance of preventive strategies in patients with reduced ALC.
INTERNATIONAL IMMUNOPHARMACOLOGY
(2023)
Article
Gastroenterology & Hepatology
Gang Li, Jie Yang, Ming-feng Huang, Bo Ye, Jing Zhou, Qiang Diao, Lu Ke, Yu-xiu Liu, Zhi-hui Tong, Wei-qin Li
Summary: This study aimed to investigate the association between contrast-enhanced computed tomography (CECT)-diagnosed transverse mesocolon (TM) involvement and the development of colonic fistula in acute necrotizing pancreatitis (ANP) patients. The results showed that TM involvement was an independent risk factor for the development of colonic fistula in ANP patients.
Review
Critical Care Medicine
Zheng-Yii Lee, Luis Ortiz-Reyes, Charles Chin Han Lew, M. Shahnaz Hasan, Lu Ke, Jayshil J. Patel, Christian Stoppe, Daren K. Heyland
Summary: This study found that intravenous Vitamin C (IVVC) monotherapy may reduce the risk of mortality in critically ill patients, especially those with a high risk of dying. However, further research is needed to determine the optimal timing, dosage, treatment duration, and patient population that will benefit most from IVVC monotherapy.
ANNALS OF INTENSIVE CARE
(2023)
Article
Medicine, General & Internal
Lu Ke, Wenjian Mao, Fang Shao, Jing Zhou, Minyi Xu, Tao Chen, Yuxiu Liu, Zhihui Tong, John Windsor, Penglin Ma, Weiqin Li
Summary: A post-hoc analysis suggests that immune-enhancing thymosin alpha 1 (T alpha 1) therapy may reduce the incidence of infected pancreatic necrosis in patients with acute necrotising pancreatitis. The efficacy of T alpha 1 therapy on the incidence of infected pancreatic necrosis may be associated with pretreatment lymphocyte count.
Article
Anesthesiology
Annika Reintam Blaser, Waleed Alhazzani, Emilie Belley-Cote, Morten Hylander Moller, Neill K. J. Adhikari, Lisa Burry, Craig M. Coopersmith, Zainab Al Duhailib, Tomoko Fujii, Anders Granholm, Jan Gunst, Naomi Hammond, Lu Ke, Francois Lamontagne, Cecilia Loudet, Matt Morgan, Marlies Ostermann, Matti Reinikainen, Ricardo Rosenfeld, Claudia Spies, Simon Oczkowski
Summary: According to this rapid practice guideline, intravenous vitamin C therapy is not recommended for adult patients with sepsis or septic shock. The effects of vitamin C on mortality at earlier timepoints are uncertain.
ACTA ANAESTHESIOLOGICA SCANDINAVICA
(2023)
Article
Immunology
Dadong Liu, Min Xiao, Jing Zhou, Peng Wang, Jingwen Peng, Wenjian Mao, Yuepeng Hu, Yuxiu Liu, Jiangtao Yin, Lu Ke, Weiqin Li
Summary: CXCR4hi neutrophils, a subset of neutrophils with high CXCR4 expression, play an important role in sepsis-induced acute lung injury (ALI). PFKFB3, a key glycolysis gene, is upregulated in CXCR4hi neutrophils and promotes sepsis-induced ALI by enhancing neutrophil extracellular trap (NET) formation. PFKFB3-mediated glycolytic metabolism is involved in the regulation of NET formation in CXCR4hi neutrophils.
INTERNATIONAL IMMUNOPHARMACOLOGY
(2023)
Article
Biochemistry & Molecular Biology
Guofu Zhang, Yuepeng Hu, Qi Yang, Na Pu, Gang Li, Jingzhu Zhang, Zhihui Tong, Emmanuelle Masson, David N. Cooper, Jian-Min Chen, Weiqin Li
Summary: This study identified two novel LPL variants and provided new insights into the genotype-phenotype relationship concerning LPL frameshift coding sequence variants.
LIPIDS IN HEALTH AND DISEASE
(2023)
Article
Biochemistry & Molecular Biology
Yuepeng Hu, Guofu Zhang, Qi Yang, Na Pu, Kaiwei Li, Baiqiang Li, David N. Cooper, Zhihui Tong, Weiqin Li, Jian-Min Chen
Summary: In this study, a rare LPL missense variant c.862G > A (p.Ala288Thr) was identified in five unrelated patients with HTG-associated acute pancreatitis. Functional analysis showed that the variant had a relatively mild effect on LPL function and may have interacted with alcohol consumption to trigger HTG-AP in these patients.
LIPIDS IN HEALTH AND DISEASE
(2023)
Editorial Material
Medicine, Research & Experimental
Xianqiang Yu
Summary: This review paper highlights the potential role of disruptions in the biological clock in the pathogenesis of acute pancreatitis. The biological clock has been found to play a critical role in the development and progression of this condition, with effects mediated through multiple physiological pathways and cellular processes. Understanding the mechanisms underlying the impact of the biological clock on acute pancreatitis may lead to the development of new therapeutic strategies.
MEDICAL HYPOTHESES
(2023)
Review
Immunology
Xianqiang Yu, Qian Zhu
Summary: Acute pancreatitis (AP) is a common acute abdomen and the leading cause of acute digestive hospitalizations in the US. Electroacupuncture (EA), a traditional Chinese medicine therapy, has been shown to have significant effects in reducing inflammation and regulating gastrointestinal symptoms in AP. This review aims to summarize the impact of EA on AP and its mechanism to enhance the future clinical treatment of AP.
JOURNAL OF INFLAMMATION RESEARCH
(2023)