Severe acute pancreatitis: capillary permeability model linking systemic inflammation to multiorgan failure

Author:

Komara Nicole L.1,Paragomi Pedram1,Greer Phil J.1,Wilson Anette S.1,Breze Cameron2,Papachristou Georgios I.1,Whitcomb David C.134ORCID

Affiliation:

1. Division of Gastroenterology, Hepatology and Nutrition, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania

2. Ariel Precision Medicine, Pittsburgh, Pennsylvania

3. Departments of Cell Biology and Molecular Physiology, University of Pittsburgh, Pittsburgh, Pennsylvania

4. Department of Human Genetics, University of Pittsburgh, Pittsburgh, Pennsylvania

Abstract

Acute pancreatitis is a sudden inflammatory response to pancreatic injury that may spread to systemic inflammation, multiorgan failure, and death in some patients. With the use of the predictions of a new mechanistic model, we compared patients with severe acute pancreatitis with or without multiorgan failure. All biomarkers of capillary leak and clinical features of multiorgan failure were accurately predicted. This provides a new paradigm for understanding and developing new treatments for patients with severe acute pancreatitis.

Funder

U.S. Department of Defense

Publisher

American Physiological Society

Subject

Physiology (medical),Gastroenterology,Hepatology,Physiology

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