The effects of a new benzodiazepine-derivative, cholecystokinin recept
or antagonist, TS-941, on experimental acute pancreatitis were studied
in rats. Hemorrhagic pancreatitis was induced by an infusion of a mix
ture of trypsin and taurocholate into the pancreatic duct. Edematous p
ancreatitis was induced by intraperitoneal injection of 40 mu g/kg bod
y weight of cerulein at 0 and 1 h after the start of the experiment. T
S-941 (3 mg/kg) was injected subcutaneously immediately and 3 h after
the induction of pancreatitis. In trypsin-taurocholate-induced pancrea
titis, TS-941, with or without the synthetic trypsin inhibitor ONO-340
3, had no beneficial effects on the survival rate, pancreatic wet weig
ht, and serum pancreatic enzymes. In cerulein-induced pancreatitis, th
e treatment with TS-941 significantly reduced the increases of pancrea
tic wet weight and serum amylase and lipase. Plasma trypsinogen activa
tion peptide (TAP) significantly rose 1 h after the first injection of
cerulein. TS-941 inhibited the liberation of TAP in cerulein-induced
pancreatitis. These results show that TS-941 is effective for preventi
on of cerulein-induced edematous pancreatitis. ONO-3403 has beneficial
effects on trypsin-taurocholate-induced hemorrhagic pancreatitis, but
the combination of TS-941 and ONO-3403 has no additive effect.