Acute Pancreatic Necrosis, Acute Pancreatitis (AP)
Conditions
Brief summary
AXL and MERTK are homologous members of the TAM (TYRO3, AXL, MERTK) receptor tyrosine kinase family. They function as critical regulators of antiviral immunity, autoimmune responses, and tumor microenvironment modulation through their bridging ligands, GAS6 (Growth Arrest-Specific 6) and PROS1 (Protein S). These receptors serve as damage sensors that negatively regulate inflammation, promote tissue repair/remodeling, and modulate fibrotic processes in chronic inflammatory conditions. Building upon our previous work demonstrating the pivotal role of the AXL/MERTK signaling axis in AP pathogenesis - particularly in pancreatic necrosis regulation, this clinical study seeks to evaluate the prognostic value of the TAM receptor ligands GAS6 and PROS1 as biomarkers for predicting AP severity.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age 18-80 years. 2. Patients diagnosed with acute pancreatitis in outpatient/emergency departments, inpatient wards, or health examination centers starting from 2024.
Exclusion criteria
1. Patients with chronic pancreatitis or pancreatic cancer. 2. Pregnant or lactating women. 3. Patients who did not provide informed consent. 4. Patients with severe organic diseases, such as malignant tumors, acute myocardial infarction, or large-scale cerebral infarction.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of Participants with Severe Acute Pancreatitis | 2 days | AP severity was classified as mild (MAP), moderately severe (MSAP), or severe (SAP) according to the revised Atlanta classification. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence Rate of Persistent Organ Failure (≥48 Hours) in Acute Pancreatitis | 2 days | Organ dysfunction in acute pancreatitis refers to the impairment of one or more organ systems (e.g., respiratory, renal, cardiovascular) due to systemic inflammation, often leading to persistent organ failure (≥48 hours), a hallmark of severe acute pancreatitis (SAP). |
Countries
China