Department of Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang 330006, Jiangxi Province, China.
World J Gastroenterol. 2024 Apr 14;30(14):2038-2058. doi: 10.3748/wjg.v30.i14.2038.
Acute pancreatitis (AP) encompasses a spectrum of pancreatic inflammatory conditions, ranging from mild inflammation to severe pancreatic necrosis and multisystem organ failure. Given the challenges associated with obtaining human pancreatic samples, research on AP predominantly relies on animal models. In this study, we aimed to elucidate the fundamental molecular mechanisms underlying AP using various AP models.
To investigate the shared molecular changes underlying the development of AP across varying severity levels.
AP was induced in animal models through treatment with caerulein alone or in combination with lipopolysaccharide (LPS). Additionally, using to drive the specific expression of the promoter in pancreatic acinar cells transgenic C57BL/6J- mice were administered Clozapine N-oxide to induce AP. Subsequently, we conducted RNA sequencing of pancreatic tissues and validated the expression of significantly different genes using the Gene Expression Omnibus (GEO) database.
Caerulein-induced AP showed severe inflammation and edema, which were exacerbated when combined with LPS and accompanied by partial pancreatic tissue necrosis. Compared with the control group, RNA sequencing analysis revealed 880 significantly differentially expressed genes in the caerulein model and 885 in the caerulein combined with the LPS model. Kyoto Encyclopedia of Genes and Genomes enrichment analysis and Gene Set Enrichment Analysis indicated substantial enrichment of the and -like receptor signaling pathway, TLR signaling pathway, and signaling pathway, alongside elevated levels of apoptosis-related pathways, such as apoptosis, pathway, and phagosome pathway. The significantly elevated genes in the and -like receptor signaling pathways, as well as in the apoptosis pathway, were validated through quantitative real-time PCR experiments in animal models. Validation from the GEO database revealed that only concurred in both mouse pancreatic tissue and human AP peripheral blood, while , , , and genes exhibited marked elevation in human AP. The genes and played significant roles in apoptosis within human AP. The transgenic mouse model successfully validated significant differential genes in the and -like receptor signaling pathways as well as the apoptosis pathway, indicating that these pathways represent shared pathological processes in AP across different models.
The and receptor signaling pathways play crucial roles in the inflammatory progression of AP, notably the gene. Apoptosis holds a central position in the necrotic processes of AP, with and genes exhibiting prominence in human AP.
急性胰腺炎(AP)包含一系列胰腺炎症状态,从轻度炎症到严重胰腺坏死和多器官功能衰竭不等。由于获取人类胰腺样本存在挑战,AP 的研究主要依赖于动物模型。在这项研究中,我们旨在使用各种 AP 模型阐明 AP 发生的基本分子机制。
研究不同严重程度 AP 发展背后的共同分子变化。
通过单独使用或联合使用 caerulein 和脂多糖(LPS)诱导动物模型中的 AP。此外,使用 来驱动胰腺腺泡细胞中转基因 C57BL/6J- 小鼠的 启动子特异性表达,并用 Clozapine N-oxide 诱导 AP。随后,我们对胰腺组织进行 RNA 测序,并使用基因表达综合数据库(GEO)验证显著差异表达基因的表达。
CAERULEIN 诱导的 AP 显示出严重的炎症和水肿,当与 LPS 联合使用时会加剧,并伴有部分胰腺组织坏死。与对照组相比,CAERULEIN 模型中有 880 个显著差异表达基因,CAERULEIN 联合 LPS 模型中有 885 个。京都基因与基因组百科全书(KEGG)富集分析和基因集富集分析(GSEA)表明, 样受体信号通路、TLR 信号通路和 信号通路显著富集,同时细胞凋亡相关通路如凋亡、 通路和吞噬体通路也显著上调。动物模型中的定量实时 PCR 实验验证了 样受体信号通路和凋亡通路中显著上调的基因。来自 GEO 数据库的验证表明,只有 基因在小鼠胰腺组织和人类 AP 外周血中一致,而 、 、 、 基因在人类 AP 中显著上调。基因 、 在人类 AP 中与细胞凋亡有关。转基因小鼠模型 成功验证了 样受体信号通路和凋亡通路中的差异基因,表明这些通路在不同模型的 AP 中代表共同的病理过程。
样受体信号通路在 AP 的炎症进展中起关键作用,特别是 基因。凋亡在 AP 的坏死过程中处于中心地位, 基因和 基因在人类 AP 中突出。