Table 1.
Chemical inducer | Characteristics | Pancreatitis type | References |
---|---|---|---|
Bile salts | Mechanical temporary blockage of bile duct, detergent effect of the bile salts, and hemorrhagic necrosis | Severe AP | [16] |
| |||
Cerulein | Stimulation of pancreatic enzyme production, inhibition of zymogen granules exocytosis, NADPH oxidase activation, increased reactive oxygen species generation, NF-κB activation, cytokine expression, and acinar cells death | Mild AP CP (repeated exposure) |
[17–19] |
| |||
L-arginine | Increased production of amylase, lipase, and trypsinogen, markedly swollen mitochondria, and degenerative changes of intracellular organelles and nuclei | Severe necrotizing AP CP |
[20, 21] |
| |||
Alcohol +/− high fat diet | Stellate cell activation, fibrosis, and acinar cell mass shrinkage | Mild CP | [22–24] |
| |||
Dibutyltin dichloride | Edema (24 h), mononuclear cells infiltration (day 7), bile duct epithelium necrosis, upregulation of transforming growth factor-β1, and fibrosis with increased collagen type I production | AP CP |
[25] |
| |||
CCK | Increased plasma amylase, lipase, trypsin-like immunoreactivity, pancreatic parenchymal swelling, and interlobular and subcapsular fluid accumulation | AP | [26] |
AP: acute pancreatitis, CCK: cholecystokinin, and CP: chronic pancreatitis.