Yoo Byung Moo, Yeo Marie, Oh Tae Young, Choi Joon Hyuck, Kim Wook Whan, Kim Jin Hong, Cho Sung Won, Kim Seong Jin, Hahm Ki-Baik
Genome Research Center for Gastroenterology, Department of Gastroenterology, Ajou University School of Medicine, Suwon, Korea.
Pancreas. 2005 Apr;30(3):e71-9. doi: 10.1097/01.mpa.0000157388.54016.0a.
Pancreatic fibrosis is a characteristic feature of chronic pancreatic injury, which is a result of the imbalance between synthesis and degradation of extracellular matrix (ECM) proteins. Transforming growth factor-beta (TGF-beta) plays a central role in biosynthesis and turnover of the ECM. In this study, we evaluated the role of TGF-beta signaling in pancreatic fibrosis induced by repetitive acute pancreatic injuries with mice of dominant-negative mutant of TGF-beta receptor II selectively in pancreas.
TGF-beta signaling was inactivated by overexpressing a dominant-negative mutant form of TGF-beta type II receptor (pS2-dnR II) only in the pancreas under control of pS2/TFF1 promoter. Pancreatic fibrosis was induced by repeated intraperitoneal injections of 40 microg/kg cerulein for 5 or 10 weeks.
Repeated administration of cerulein induced significant pancreatic fibrosis, but of which fibrosis was remarkably attenuated in pS2-dnR II mice compared with wild-type littermates (P < 0.01). The ameliorated fibrosis was due to the reduction of synthesis of ECM proteins such as collagen type I, fibronectin, and ICAM-1. DNA binding activity of transcriptional factors including nuclear factor (NF)-kappaB and AP-1, responsible for the induction of immediate early genes of inflammatory responses, were significantly decreased in pS2-dnR II mice. While TGF-beta1 treatment in isolated pancreatic stellate cells (PSCs) stimulated the expression of alpha-SMA and fibronectin, PSCs transfected with TGF-beta dnRII showed attenuation of the ECM components.
Conditional loss of TGF-beta signaling selectively in the pancreas led to a failure in fibrogenic responses of repeated injections of cerulein, signifying that the modulation of TGF-beta signaling could be the therapeutic target for the prevention of chronic fibrosing pancreatitis.
胰腺纤维化是慢性胰腺损伤的一个特征性表现,它是细胞外基质(ECM)蛋白合成与降解失衡的结果。转化生长因子-β(TGF-β)在ECM的生物合成和周转中起核心作用。在本研究中,我们利用胰腺中选择性表达TGF-β受体II显性负性突变体的小鼠,评估了TGF-β信号在重复性急性胰腺损伤诱导的胰腺纤维化中的作用。
通过在pS2/TFF1启动子控制下仅在胰腺中过表达TGF-β II型受体的显性负性突变体形式(pS2-dnR II)来使TGF-β信号失活。通过腹腔内重复注射40μg/kg雨蛙素5或10周来诱导胰腺纤维化。
重复给予雨蛙素可诱导显著的胰腺纤维化,但与野生型同窝小鼠相比,pS2-dnR II小鼠的纤维化明显减轻(P < 0.01)。纤维化的改善归因于I型胶原、纤连蛋白和细胞间黏附分子-1等ECM蛋白合成的减少。在pS2-dnR II小鼠中,负责诱导炎症反应即刻早期基因的转录因子如核因子(NF)-κB和活化蛋白-1的DNA结合活性显著降低。虽然在分离的胰腺星状细胞(PSC)中TGF-β1处理可刺激α-平滑肌肌动蛋白和纤连蛋白的表达,但转染TGF-β dnRII的PSC显示ECM成分减少。
胰腺中TGF-β信号的条件性缺失导致重复注射雨蛙素时纤维化反应失败,这表明调节TGF-β信号可能是预防慢性纤维化性胰腺炎的治疗靶点。