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ABSTRACT: Objective
Acute pancreatitis is caused by toxins that induce acinar cell calcium overload, zymogen activation, cytokine release and cell death, yet is without specific drug therapy. Mitochondrial dysfunction has been implicated but the mechanism not established.Design
We investigated the mechanism of induction and consequences of the mitochondrial permeability transition pore (MPTP) in the pancreas using cell biological methods including confocal microscopy, patch clamp technology and multiple clinically representative disease models. Effects of genetic and pharmacological inhibition of the MPTP were examined in isolated murine and human pancreatic acinar cells, and in hyperstimulation, bile acid, alcoholic and choline-deficient, ethionine-supplemented acute pancreatitis.Results
MPTP opening was mediated by toxin-induced inositol trisphosphate and ryanodine receptor calcium channel release, and resulted in diminished ATP production, leading to impaired calcium clearance, defective autophagy, zymogen activation, cytokine production, phosphoglycerate mutase 5 activation and necrosis, which was prevented by intracellular ATP supplementation. When MPTP opening was inhibited genetically or pharmacologically, all biochemical, immunological and histopathological responses of acute pancreatitis in all four models were reduced or abolished.Conclusions
This work demonstrates the mechanism and consequences of MPTP opening to be fundamental to multiple forms of acute pancreatitis and validates the MPTP as a drug target for this disease.
SUBMITTER: Mukherjee R
PROVIDER: S-EPMC4920725 | biostudies-literature | 2016 Aug
REPOSITORIES: biostudies-literature
Mukherjee Rajarshi R Mareninova Olga A OA Odinokova Irina V IV Huang Wei W Murphy John J Chvanov Michael M Javed Muhammad A MA Wen Li L Booth David M DM Cane Matthew C MC Awais Muhammad M Gavillet Bruno B Pruss Rebecca M RM Schaller Sophie S Molkentin Jeffery D JD Tepikin Alexei V AV Petersen Ole H OH Pandol Stephen J SJ Gukovsky Ilya I Criddle David N DN Gukovskaya Anna S AS Sutton Robert R
Gut 20150612 8
<h4>Objective</h4>Acute pancreatitis is caused by toxins that induce acinar cell calcium overload, zymogen activation, cytokine release and cell death, yet is without specific drug therapy. Mitochondrial dysfunction has been implicated but the mechanism not established.<h4>Design</h4>We investigated the mechanism of induction and consequences of the mitochondrial permeability transition pore (MPTP) in the pancreas using cell biological methods including confocal microscopy, patch clamp technolog ...[more]