Cigarette smoke-induced pancreatic damage: experimental data

Langenbeck's Archives of Surgery
Uwe A WittelSurinder K Batra

Abstract

Epidemiological data clearly indicate that cigarette smoking is associated with an increased risk for developing chronic pancreatitis and pancreatic cancer. Despite of this clear epidemiological correlation, cigarette smoke-induced pancreatic damage has only been investigated in a small number of experimental studies. Experimental studies examining the effect of cigarette smoke or cigarette smoke constituents on the pancreas were reviewed. Recent data indicate that smoking also induces chronic pancreatic inflammation in rodents within a period of 12 weeks upon exposure with environmental cigarette smoke. Supported by the finding that morphologic pancreatic damage is also induced by nicotine treatment, cigarette smoke-induced pancreatic damage is likely to be caused by a disturbance of regulation of exocrine pancreas. The morphological alterations, however, induced by nicotine, are less pronounced and therefore, other substances and pathophysiologic mechanisms, such as carcinogen action or cigarette smoke-induced reduction of anti-protease activity, are likely to aggravate pancreatic damage upon cigarette smoke inhalation. These data indicate that several constituents of cigarette smoke induce a disturbance of pancreatic functio...Continue Reading

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