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Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Pharmacol Ther. Dec 5, 2025; 16(4): 111977
Published online Dec 5, 2025. doi: 10.4292/wjgpt.v16.i4.111977
L-arginine-induced chronic pancreatitis in mice: Evaluating effects of pirfenidone and simvastatin
Rajiv Mehta, Archi Patel, Bhavin Vyas, Bhargavi Desai, Dhvani Adhvaryu, Prakash Sojitra, Simple Bhuptani
Rajiv Mehta, Department of Gastroenterology, SIDS Hospital and Research Centre, Surat 395002, Gujarat, India
Archi Patel, Dhvani Adhvaryu, Department of Clinical Research, SIDS Hospital and Research Centre, Surat 395002, Gujarāt, India
Bhavin Vyas, Bhargavi Desai, Pharmacology and Pharmacy Practice, Maliba Pharmacy College, Bardoli 394350, Gujarāt, India
Prakash Sojitra, Research, IPSurface Canada Inc, Ancaster L9K1 L4, Ontario, Canada
Simple Bhuptani, Department of Histopathology, Histopathology and Cytology, Surat 395019, Gujarāt, India
Author contributions: Mehta R designed the study and conceptualized and supervised the project; Vyas B and Desai B performed the experiments; Mehta R, Patel A, Adhvaryu D, Bhuptani S, and Sojitra P acquired and analyzed the data and wrote the manuscript; Mehta R revised the manuscript; Bhuptani S performed critical review of the histopathological analyses; Vyas B provided statistical support; all authors read and approved the final version of the manuscript.
Institutional animal care and use committee statement: All animal experiments conformed to the internationally accepted principles for the Care and Use of Laboratory Animals. It has cleared Institutional Animal Ethics Committee -IAEC (Protocol No.: MPC/IAEC/11/2022, Date of meeting: 10/12/2022).
Conflict-of-interest statement: All authors have declared no conflicts of interest.
ARRIVE guidelines statement: The authors have read the ARRIVE guidelines, and the manuscript was prepared and revised according to the ARRIVE guidelines.
Data sharing statement: No additional data are available.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Rajiv Mehta, Department of Gastroenterology, SIDS Hospital and Research Centre, Surat Institute of Digestive Sciences, Khatodra-Bamroli Road, Surat 395002, Gujarat, India. rmgastro@yahoo.com
Received: July 15, 2025
Revised: August 13, 2025
Accepted: November 13, 2025
Published online: December 5, 2025
Processing time: 144 Days and 2.5 Hours
Core Tip

Core Tip: Combination therapy with pirfenidone and simvastatin significantly attenuated inflammation, fibrosis, and oxidative stress in an L-arginine-induced mouse model of chronic pancreatitis. The synergistic action led to reduced tumor necrosis factor-alpha, transforming growth factor-beta 1, and lipid peroxidation levels, along with a preservation of pancreatic tissue architecture. The combination therapy also enhanced antioxidant defense as evidenced by increased glutathione peroxidase 1 activity, indicating mitigation of oxidative damage. These findings highlighted a promising strategy targeting multiple pathological pathways, namely inflammatory, fibrotic, and oxidative stress mechanisms, and supported further evaluation of this combination in translational and clinical studies for chronic pancreatitis.