Department of Gastroenterology, Gastrointestinal Oncology and Endocrinology, University Medical Center Göttingen, Gottingen, Germany.
Department of Medicine A, University Medicine Greifswald, Greifswald, Germany.
United European Gastroenterol J. 2022 Jul;10(6):544-555. doi: 10.1002/ueg2.12262. Epub 2022 Jun 14.
Acute pancreatitis (AP) is a frequent cause for hospitalization. However, molecular determinants that modulate severity of experimental pancreatitis are only partially understood.
To investigate the role of secreted protein acidic and rich in cysteine (SPARC) during cerulein-induced AP in mice.
AP was induced by repeated cerulein injections in SPARC knock-out mice (SPARC ) and control littermates (SPARC ). Secreted protein acidic and rich in cysteine expression and severity of AP were determined by histopathological scoring, immunohistochemistry, and biochemical assays. For functional analysis, primary murine acinar cell cultures with subsequent amylase release assays were employed. Proteome profiler assay and ELISA were conducted from pancreatic tissue lysates, and co-immunofluorescence was performed.
Upon cerulein induction, SPARC expression was robustly induced in pancreatic stellate cells (PSCs) but not in acinar cells. Genetic SPARC ablation resulted in attenuated severity of AP with significantly reduced levels of pancreatic necrosis, apoptosis, immune cell infiltration, and reduced fibrosis upon chronic stimulation. However, the release of amylase upon cerulein stimulation in primary acinar cell culture from SPARC and SPARC was indistinguishable. Notably, immune cell derived C-C Motif Chemokine Ligand 2 (CCL2) was highly elevated in SPARC pancreatic tissue potentially linking PSC derived SPARC with CCL2 induction in AP.
SPARC mediates the severity of AP. The potential link between SPARC and the CCL2 axis could open new avenues for tailored therapeutic interventions in AP patients and warrants further investigations.
急性胰腺炎(AP)是住院的常见原因。然而,调节实验性胰腺炎严重程度的分子决定因素仅部分被理解。
研究分泌富含半胱氨酸的酸性蛋白(SPARC)在小鼠胆胰酶诱导性 AP 中的作用。
通过重复注射胆胰酶诱导 SPARC 敲除小鼠(SPARC -/-)和对照同窝小鼠(SPARC +/+)的 AP。通过组织病理学评分、免疫组织化学和生化测定来确定分泌蛋白酸性和富含半胱氨酸的表达和 AP 的严重程度。为了进行功能分析,采用了随后进行淀粉酶释放测定的原代鼠腺泡细胞培养。进行了蛋白组分析测定和 ELISA,同时进行了共免疫荧光。
在胆胰酶诱导下,SPARC 在胰腺星状细胞(PSCs)中被强烈诱导,但在腺泡细胞中没有。基因敲除 SPARC 导致 AP 严重程度减弱,胰腺坏死、凋亡、免疫细胞浸润减少,慢性刺激后纤维化减少。然而,SPARC 和 SPARC 的原代腺泡细胞培养物在胆胰酶刺激下的淀粉酶释放无明显差异。值得注意的是,SPARC 胰腺组织中免疫细胞来源的 C-C 基序趋化因子配体 2(CCL2)高度升高,这可能将 PSC 衍生的 SPARC 与 AP 中的 CCL2 诱导联系起来。
SPARC 介导 AP 的严重程度。SPARC 和 CCL2 轴之间的潜在联系可能为 AP 患者的靶向治疗干预开辟新途径,值得进一步研究。