Abstract:Objective To investigate the effects of attenuating the mitochondrial calcium overload by inhibiting the mitochondrial calcium uniporter (MCU) on the oxidative stress in rats with acute pancreatitis (AP) induced by caerulein (CAE).Methods A total of 32 male SD rats were divided into control group, AP group, AP plus ruthenium red group (AP + RR group) and ruthenium red group (RR group), with 8 cases in each group. The rats were sacrificed 24 hours after establishing the models, and the serum levels of amylase (Amy), lipase and interleukin-6 (IL-6) were detected. The histopathological changes of the pancreas were observed by HE staining. The fluorescence intensity of reactive oxygen species (ROS), mitochondrial calcium and cytoplasmic calcium in the acinar cells was observed under the inverted fluorescence microscope. The contents of glutathione (GSH) and malondialdehyde (MDA) in the pancreatic tissues were measured. The relative protein expressions of MCU, SIRT3 and MnSOD in the pancreatic tissues were detected by Western blotting. The ultrastructure of acinar cells was observed under the transmission electron microscope.Results The HE scores and serum levels of Amy, lipase and IL-6 were different among the groups (P < 0.05), and they were higher in the AP group compared with those in the control group (P < 0.05). The relative expression of MCU, and the levels of mitochondrial and cytoplasmic calcium were higher in the AP group relative to those in the control group and RR group (P < 0.05), while they were lower in the AP + RR group compared with the AP group (P < 0.05). The expressions of MnSOD and SIRT3 and the content of GSH were lower (P < 0.05), but the fluorescence intensity of ROS and the content of MDA were higher in the AP group compared with the control group (P < 0.05). In addition, the fluorescence intensity of ROS and the content of MDA were lower (P < 0.05), but the expressions of MnSOD and SIRT3 and the content of GSH were higher in the AP + RR group compared with the AP group (P < 0.05).Conclusions The inhibition of MCU could reduce the calcium overload in acinar cells and attenuate the oxidative stress induced by caerulein in AP via regulating the SIRT3 / MnSOD pathway. However, it may not improve the histopathological and biochemical changes of the pancreatic tissues.