This study was designed to investigate the role of bradykinin in the a
ggravation of acute pancreatitis. After injection of bradykinin 2 mu g
/kg to anesthetized rabbits with cerulein-induced acute pancreatitis,
the pancreatic blood flow through gastroduodenal and superior mesenter
ic arteries (GDAF and SMAF) was determined with electromagnetic blood
flow meters, the serum amylase level was measured, and pancreatic tiss
ue was observed histologically. In rabbits treated with a supramaximal
dose of cerulein alone (20 mu g/kg/h), pancreatic blood flow was decr
eased and the serum amylase level was increased significantly by the e
arly phase, and histological examination showed acute edematous pancre
atitis. In rabbits treated with cerulein and bradykinin, GDAF and SMAF
were significantly diminished at 300 min (51 +/- 5 % and 50 +/- 4%, r
espectively, p < 0.05), and the serum amylase level rose significantly
at 180 and 300 min (730 +/- 130% and 1,190 +/- 200%, respectively, p
< 0.01) compared with rabbits treated with cerulein alone, and histolo
gical examination revealed pancreatic necrosis and greater inflammator
y cell infiltration. These findings suggest that bradykinin has an add
itive role in the aggravation of acute pancreatitis.