Objectives. Given the appearance of pancreatitis attributed to tetracycline
, as described in the literature, we have investigated its effect on the en
zymatic content of pancreas and duodenal fluid and on pancreatic ultrastruc
ture. We have evaluated possible differences between sexes and the relation
of our findings with those described in the initial phases of acute pancre
atitis, in the context of the acinar hypothesis.
Methods. With 128 Wister rats (63 male and 65 female), 3 groups were establ
ished: control (group I) experimental animals treated with oxytetracycline
intramuscularly, 15 and 30 mg/kg/d (groups II and III, respectively). Befor
e sacrifice? half of the rats in each group were stimulated with cholecysto
kinin. Blood, pancreatic tissue (for enzyme dosage and morphological study)
, and duodenal fluid were extracted following anesthesia.
Results, The stimulated males of group III presented lower amylase levels i
n pancreatic tissue and duodenal fluid (P < 0.003). Just the opposite occur
red in female rats. A similar tendency was observed with other enzymes (lip
ase and trypsin). Zymogen granule counts, appearance of immature granules,
and dilation of ergastoplasm were more frequent in the stimulated animals.
Conclusions. Oxytetracycline seems to induce morphofunctional changes in ra
t pancreas, which differ according to sex. In the female, enzyme accumulati
on that could predispose intracellular activation seems; to exist, as well
as the ultrastructural findings described in initial phases of acute experi
mental pancreatitis. This agrees with the greater frequency of pancreatitis
in women undergoing tetracycline treatment described in the literature. In
contrast, for males the findings were more compatible with decrease of pro
tein synthesis. This would make them less susceptible to crinophagy phenome
na and, thus, to acute pancreatitis in the context of the acinar or lysosom
e hypothesis.