Targeting pancreatic stellate cells in chronic pancreatitis: Focus on therapeutic drugs and natural compounds

Chronic pancreatitis (CP) is a precancerous illness linked to pancreatic ductal adenocarcinoma (PDAC), although the evolutionary mechanism is uncertain. CP is distinguished by severe fibrosis caused by the activation of pancreatic stellate cells (PSCs). The current clinical therapeutic protocol for...

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Main Authors: Yang Wu, Chun Zhang, Mei Guo, Weikang Hu, Yangling Qiu, Mengran Li, Dong Xu, Pengfei Wu, Jing Sun, Run Shi, Zili Zhang, Kuirong Jiang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-10-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2022.1042651/full
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author Yang Wu
Chun Zhang
Mei Guo
Weikang Hu
Yangling Qiu
Mengran Li
Dong Xu
Pengfei Wu
Jing Sun
Run Shi
Zili Zhang
Kuirong Jiang
author_facet Yang Wu
Chun Zhang
Mei Guo
Weikang Hu
Yangling Qiu
Mengran Li
Dong Xu
Pengfei Wu
Jing Sun
Run Shi
Zili Zhang
Kuirong Jiang
author_sort Yang Wu
collection DOAJ
description Chronic pancreatitis (CP) is a precancerous illness linked to pancreatic ductal adenocarcinoma (PDAC), although the evolutionary mechanism is uncertain. CP is distinguished by severe fibrosis caused by the activation of pancreatic stellate cells (PSCs). The current clinical therapeutic protocol for CP lacks specific therapeutic medicines for the prevention and suppression of inflammation and fibrosis aggravating in CP. More research on specifically targeting PSCs would help facilitate the development of novel therapies for pancreatic fibrosis. Notably, using natural compounds from medicinal plants as new antifibrotic agents has become a focus of recent research and is widely employed as an alternative and complementary approach. Our goal was to shed light on the role of PSCs in the development of CP and provide a focused update on the new potential therapeutic strategies against PSCs in CP models. Future studies can refer to these possible strategies for drug design, bioavailability, pharmacokinetics, and other issues to obtain better clinical outcomes for treating CP.
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spelling doaj.art-33b71fffc40f4d71b9c8af4f49823f3e2022-12-22T02:34:19ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122022-10-011310.3389/fphar.2022.10426511042651Targeting pancreatic stellate cells in chronic pancreatitis: Focus on therapeutic drugs and natural compoundsYang Wu0Chun Zhang1Mei Guo2Weikang Hu3Yangling Qiu4Mengran Li5Dong Xu6Pengfei Wu7Jing Sun8Run Shi9Zili Zhang10Kuirong Jiang11Pancreas Center, The First Affiliated Hospital of Nanjing Medical University, Nanjing, ChinaGastroenterology Department, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, ChinaJiangsu Key Laboratory for Pharmacology and Safety Evaluation of Chinese Materia Medica, School of Pharmacy, Nanjing University of Chinese Medicine, Nanjing, ChinaPancreas Center, The First Affiliated Hospital of Nanjing Medical University, Nanjing, ChinaJiangsu Key Laboratory for Pharmacology and Safety Evaluation of Chinese Materia Medica, School of Pharmacy, Nanjing University of Chinese Medicine, Nanjing, ChinaJiangsu Key Laboratory for Pharmacology and Safety Evaluation of Chinese Materia Medica, School of Pharmacy, Nanjing University of Chinese Medicine, Nanjing, ChinaPancreas Center, The First Affiliated Hospital of Nanjing Medical University, Nanjing, ChinaPancreas Center, The First Affiliated Hospital of Nanjing Medical University, Nanjing, ChinaDepartment of Endocrinology, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, ChinaDepartment of Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, ChinaJiangsu Key Laboratory for Pharmacology and Safety Evaluation of Chinese Materia Medica, School of Pharmacy, Nanjing University of Chinese Medicine, Nanjing, ChinaPancreas Center, The First Affiliated Hospital of Nanjing Medical University, Nanjing, ChinaChronic pancreatitis (CP) is a precancerous illness linked to pancreatic ductal adenocarcinoma (PDAC), although the evolutionary mechanism is uncertain. CP is distinguished by severe fibrosis caused by the activation of pancreatic stellate cells (PSCs). The current clinical therapeutic protocol for CP lacks specific therapeutic medicines for the prevention and suppression of inflammation and fibrosis aggravating in CP. More research on specifically targeting PSCs would help facilitate the development of novel therapies for pancreatic fibrosis. Notably, using natural compounds from medicinal plants as new antifibrotic agents has become a focus of recent research and is widely employed as an alternative and complementary approach. Our goal was to shed light on the role of PSCs in the development of CP and provide a focused update on the new potential therapeutic strategies against PSCs in CP models. Future studies can refer to these possible strategies for drug design, bioavailability, pharmacokinetics, and other issues to obtain better clinical outcomes for treating CP.https://www.frontiersin.org/articles/10.3389/fphar.2022.1042651/fullCPPSCsnatural compoundspancreatic fibrosisanti-fibrotic drug
spellingShingle Yang Wu
Chun Zhang
Mei Guo
Weikang Hu
Yangling Qiu
Mengran Li
Dong Xu
Pengfei Wu
Jing Sun
Run Shi
Zili Zhang
Kuirong Jiang
Targeting pancreatic stellate cells in chronic pancreatitis: Focus on therapeutic drugs and natural compounds
Frontiers in Pharmacology
CP
PSCs
natural compounds
pancreatic fibrosis
anti-fibrotic drug
title Targeting pancreatic stellate cells in chronic pancreatitis: Focus on therapeutic drugs and natural compounds
title_full Targeting pancreatic stellate cells in chronic pancreatitis: Focus on therapeutic drugs and natural compounds
title_fullStr Targeting pancreatic stellate cells in chronic pancreatitis: Focus on therapeutic drugs and natural compounds
title_full_unstemmed Targeting pancreatic stellate cells in chronic pancreatitis: Focus on therapeutic drugs and natural compounds
title_short Targeting pancreatic stellate cells in chronic pancreatitis: Focus on therapeutic drugs and natural compounds
title_sort targeting pancreatic stellate cells in chronic pancreatitis focus on therapeutic drugs and natural compounds
topic CP
PSCs
natural compounds
pancreatic fibrosis
anti-fibrotic drug
url https://www.frontiersin.org/articles/10.3389/fphar.2022.1042651/full
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