The enzyme levels in blood are not affected by oral administration of a pancreatic enzyme preparation (Creon 10,000) in pancreas-insufficient pigs

Pancreas. 2004 Jan;28(1):80-8. doi: 10.1097/00006676-200401000-00013.

Abstract

After oral intake, small amounts of intact protein may be absorbed into the blood circulation. The current study investigated whether orally administered pancreatic enzymes were absorbed from the intestine. The study included 28 pigs; 3 control pigs with intact pancreatic function and 25 pigs that were made exocrine pancreas insufficient by duct ligation (20 pigs) or total pancreatectomy (5 pigs). The pigs received a pancreatic enzyme preparation (0, 2, 4, or 8 g of Creon 10,000) together with the feed. The blood plasma was analyzed for pancreatic lipase activity with a [3H]-triolein substrate assay, while (pro)colipase and cationic trypsin(ogen) levels were measured with enzyme-linked immunosorbent assay (ELISA). Administration of Creon (0-8 g) caused no significant changes in plasma (pro)colipase or cationic trypsin(ogen) levels. Lipase activity peaks in plasma samples were found, but they did not correspond to the administration of Creon. The potential source of these plasma lipase activity peaks is discussed. The results showed no absorption into blood of pancreatic enzymes after oral administration (0, 2, 4, or 8 g of Creon mixed with 100 g of feed) to pancreas-insufficient pigs.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Oral
  • Animals
  • Dose-Response Relationship, Drug
  • Exocrine Pancreatic Insufficiency / metabolism*
  • Gastrointestinal Agents / administration & dosage
  • Gastrointestinal Agents / blood
  • Gastrointestinal Agents / pharmacokinetics*
  • Intestinal Absorption
  • Ligation
  • Lipase / blood
  • Lipase / metabolism
  • Pancreas / drug effects
  • Pancreas / enzymology
  • Pancreas / surgery
  • Pancreatectomy
  • Pancreatic Ducts / surgery
  • Pancrelipase / administration & dosage
  • Pancrelipase / blood
  • Pancrelipase / pharmacokinetics*
  • Swine
  • Time Factors
  • Trypsin / blood
  • Trypsinogen / blood

Substances

  • Gastrointestinal Agents
  • Pancrelipase
  • Trypsinogen
  • Lipase
  • Trypsin