Effects of prostaglandin (PG) E1 on ischemia-reperfusion (I-R) injury
to the pancreas was evaluated using isolated in vivo perfused dog panc
reas. Pancreatic endocrine and exocrine functions were stimulated with
10(-12) M cholecystokinin octapeptide (CCK-8). This amount of CCK-8 p
romoted production of insulin, glucagon, PGI2, and thromboxane (Tx) A2
in the pancreas. Sixty minutes of ischemia and subsequent reperfusion
induced damage to pancreatic ductular, acinar, and beta cells. Intra-
arterial administration of PGE2 at a dose of 0.5 mug/kg/min throughout
the experiment prevented the I-R injury, reducing plasma lipid peroxi
des, and elevating PGI2 without changing TxA2 in the pancreas. PGE1 th
us appears to protect pancreatic function from I-R injury both by depr
essing the effect of free-radicals and by decreasing TxA2/PGI2 which p
redicts cell injury.