Aust Sylvia, Jäger Walter, Kirschner Harald, Klimpfinger Martin, Thalhammer Theresia
Department of Pathophysiology, Medical University of Vienna, Vienna, Austria.
Wien Med Wochenschr. 2008;158(19-20):575-8. doi: 10.1007/s10354-008-0599-7.
In chronic pancreatitis and pancreatic cancer, progressive fibrosis with the accumulation of extracellular matrix occurs. The main extracellular matrix-producing cell types are retinoid-storing pancreatic stellate cells (PSCs) of mesenchymal origin. Similar to liver stellate cells, quiescent PSCs undergo activation and acquire a myofibroblast-like phenotype in response to pro-fibrogenic mediators (reactive oxygen species, cytokines and toxic metabolites). Activated PSCs differ in their differentiation stage and are characterized by the expression of glial fibrillary-acidic protein, alpha-smooth muscle actin, and nestin. As G-protein-coupled receptors were described to regulate PSC differentiation, we investigated tissue samples from patients with pancreatitis and ductal pancreatic adenocarcinoma for the expression of G-protein-coupled melatonin receptors MT1 and MT2 by double immunofluorescence staining. We show that MT1, but not MT2, is occasionally expressed in PSCs in normal tissue, while in the diseased tissue MT1 is found at high rates in activated PSCs at all stages, and, additionally, in ductal epithelial cells. It is speculated that MT1 activation by its ligand melatonin regulates proliferation and differentiation of PSCs. Prevention of myofibroblast formation by MT1 activation could explain favourable effects of the pineal hormone melatonin on the outcome of pancreatic fibrosis in animal models.
在慢性胰腺炎和胰腺癌中,会出现伴有细胞外基质积聚的进行性纤维化。主要产生细胞外基质的细胞类型是间充质来源的储存视黄醇的胰腺星状细胞(PSC)。与肝星状细胞类似,静止的PSC会发生激活,并在促纤维化介质(活性氧、细胞因子和毒性代谢产物)的作用下获得肌成纤维细胞样表型。活化的PSC在分化阶段有所不同,其特征在于胶质纤维酸性蛋白、α平滑肌肌动蛋白和巢蛋白的表达。由于G蛋白偶联受体被描述为可调节PSC分化,我们通过双重免疫荧光染色研究了胰腺炎和导管腺癌患者的组织样本中G蛋白偶联褪黑素受体MT1和MT2的表达。我们发现,MT1而非MT2在正常组织的PSC中偶尔表达,而在患病组织中,MT1在所有阶段的活化PSC中均有高表达,此外,在导管上皮细胞中也有表达。据推测,MT1被其配体褪黑素激活可调节PSC的增殖和分化。通过MT1激活来预防肌成纤维细胞形成,可以解释松果体激素褪黑素对动物模型中胰腺纤维化结局的有利影响。