Conclusion, Cu/Zn-SOD is present in pancreatic juice and tissue, Immun
ohistochemical studies reveal a localization of this enzyme in islet,
duct, and centroacinar cells, but to a much lower extent in pancreatic
acinar cells, Background, It is generally accepted that oxygen radica
ls are involved in the pathogenesis of acute and chronic pancreatitis.
An imbalance of radical-generating and radical-scavenging processes i
s thought to lead to the damage of pancreatic acinar cells that initia
te the autodigestion of the whole organ. Methods, We investigated the
distribution pattern of the cytosolic radical-scavenging enzyme, coppe
r/zinc-superoxide dismutase (Cu/Zn-SOD), in pancreatic juice and tissu
e. In patients with chronic pancreatitis or pancreatic malignancies, C
u-Zn-SOD was quantitated in different fractions of pancreatic juice by
means of an enzyme immunoassay using two Cu/Zn-SOD-specific monoclona
l antibodies. Cryostat or paraffin sections of pancreatic tissue were
analyzed by immunohistochemical techniques. Results, We found this enz
yme to be present in the first secretin-triggered fraction of endoscop
ically obtained pancreatic juice in concentrations similar to serum. I
n contrast, after cholecystokinin stimulation, only low levels could b
e found in pancreatic juice, indicating that this enzyme is not active
ly secreted. Interestingly, pancreatic juice of patients with chronic
pancreatitis or pancreas tumor contained higher levels (25-29 ng/mL) o
f Cu/Zn-SOD than juice of controls without pancreatic diseases (15 ng/
mL). Immunohistochemical studies of Cu/Zn-SOD in pancreatic tissue rev
ealed a more intense staining of duct cells, islet cells, and centroac
inar cells, whereas acinar cells showed almost no staining for Cu/Zn-S
OD.