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Endoplasmic reticulum stress is chronically activated in chronic pancreatitis
Journal article   Open access   Peer reviewed

Endoplasmic reticulum stress is chronically activated in chronic pancreatitis

Raghuwansh P Sah, Sushil K Garg, Ajay K Dixit, Vikas Dudeja, Rajinder K Dawra and Ashok K Saluja
The Journal of biological chemistry, Vol.289(40), pp.27551-27561
10/03/2014
DOI: 10.1074/jbc.M113.528174
PMID: 25077966
url
https://doi.org/10.1074/jbc.M113.528174View
Published (Version of record) Open Access

Abstract

The pathogenesis of chronic pancreatitis (CP) is poorly understood. Endoplasmic reticulum (ER) stress has now been recognized as a pathogenic event in many chronic diseases. However, ER stress has not been studied in CP, although pancreatic acinar cells seem to be especially vulnerable to ER dysfunction because of their dependence on high ER volume and functionality. Here, we aim to investigate ER stress in CP, study its pathogenesis in relation to trypsinogen activation (widely regarded as the key event of pancreatitis), and explore its mechanism, time course, and downstream consequences during pancreatic injury. CP was induced in mice by repeated episodes of acute pancreatitis (AP) based on caerulein hyperstimulation. ER stress leads to activation of unfolded protein response components that were measured in CP and AP. We show sustained up-regulation of unfolded protein response components ATF4, CHOP, GRP78, and XBP1 in CP. Overexpression of GRP78 and ATF4 in human CP confirmed the experimental findings. We used novel trypsinogen-7 knock-out mice (T(-/-)), which lack intra-acinar trypsinogen activation, to clarify the relationship of ER stress to intra-acinar trypsinogen activation in pancreatic injury. Comparable activation of ER stress was seen in wild type and T(-/-) mice. Induction of ER stress occurred through pathologic calcium signaling very early in the course of pancreatic injury. Our results establish that ER stress is chronically activated in CP and is induced early in pancreatic injury through pathologic calcium signaling independent of trypsinogen activation. ER stress may be an important pathogenic mechanism in pancreatitis that needs to be explored in future studies.
Acinar Cells - enzymology Acinar Cells - metabolism Activating Transcription Factor 4 - genetics Activating Transcription Factor 4 - metabolism Animals Endoplasmic Reticulum Stress Female Heat-Shock Proteins - genetics Heat-Shock Proteins - metabolism Humans Male Mice Pancreatitis, Chronic - enzymology Pancreatitis, Chronic - genetics Pancreatitis, Chronic - metabolism Trypsinogen - genetics Trypsinogen - metabolism Unfolded Protein Response

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