Syk/BLNK/NF-κB signaling promotes pancreatic injury induced by tacrolimus and potential protective effect from rapamycin

Background: The treatment of tacrolimus-induced post-transplantation diabetes mellitus (PTDM) has become a hot topic to improve the long-term survival of organ transplant patients, however whose pathogenesis has not been fully elucidated. In pancreas, the up-regulation of NF-κB has been reported to...

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Main Authors: Xiao Chen, Ke Hu, Hao-Zhe Shi, Yi-Jia Zhang, Liang Chen, Su-Mei He, Dong-Dong Wang
Format: Article
Language:English
Published: Elsevier 2024-02-01
Series:Biomedicine & Pharmacotherapy
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0753332224000064
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author Xiao Chen
Ke Hu
Hao-Zhe Shi
Yi-Jia Zhang
Liang Chen
Su-Mei He
Dong-Dong Wang
author_facet Xiao Chen
Ke Hu
Hao-Zhe Shi
Yi-Jia Zhang
Liang Chen
Su-Mei He
Dong-Dong Wang
author_sort Xiao Chen
collection DOAJ
description Background: The treatment of tacrolimus-induced post-transplantation diabetes mellitus (PTDM) has become a hot topic to improve the long-term survival of organ transplant patients, however whose pathogenesis has not been fully elucidated. In pancreas, the up-regulation of NF-κB has been reported to stimulate cytokine IL-1β/TNF-α secretion, inducing pancreatic injury, meanwhile other studies have reported the inhibitory effect of rapamycin on NF-κB. Purpose: The aim of this study was to clarify the mechanism of tacrolimus-induced pancreatic injury and to explore the potential effect from small dose of sirolimus. Methods: Wistar rats were randomly divided normal control (NC) group, PTDM group, sirolimus intervention (SIR) group. Transcriptomic analysis was used to screen potential mechanism of PTDM. Biochemical index detections were used to test the indicators of pancreatic injury. Pathological staining, immumohistochemical staining, immunofluorescent staining, western blot were used to verify the underlying mechanism. Results: Compared with NC group, the level of insulin was significant reduction (P < 0.01), inversely the level of glucagon was significantly increase (P < 0.01) in PTDM group. Transcriptomic analysis indicated Syk/BLNK/NF-κB signaling was significantly up-regulated in PTDM group. Pathological staining, immumohistochemical staining, immunofluorescent staining, western blot verified Syk/BLNK/NF-κB and TNF-α/IL-1β were all significantly increased (P < 0.05 or P < 0.01), demonstrating the mechanism of tacrolimus-induced pancreatic injury via Syk/BLNK/NF-κB signaling. In addition, compared with PTDM group, the levels of weight, FPG, AMY, and GSP in SIR group were significant ameliorative (P < 0.05 or P < 0.01), and the expressions of p-NF-κB, TNF-α/IL-1β in SIR group were significantly reduction (P < 0.05 or P < 0.01), showing Syk/BLNK/NF-κB signaling promoted pancreatic injury induced by tacrolimus and potential protective effect from rapamycin reducing NF-κB. Conclusion: Syk/BLNK/NF-κB signaling promotes pancreatic injury induced by tacrolimus and rapamycin has a potentially protective effect by down-regulating NF-κB. Further validation and clinical studies are needed in the future.
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spelling doaj.art-3c76fcf2f7bc4bdbb81e0b8b442a08092024-02-05T04:31:07ZengElsevierBiomedicine & Pharmacotherapy0753-33222024-02-01171116125Syk/BLNK/NF-κB signaling promotes pancreatic injury induced by tacrolimus and potential protective effect from rapamycinXiao Chen0Ke Hu1Hao-Zhe Shi2Yi-Jia Zhang3Liang Chen4Su-Mei He5Dong-Dong Wang6School of Nursing, Xuzhou Medical University, Xuzhou, Jiangsu 221004, ChinaJiangsu Key Laboratory of New Drug Research and Clinical Pharmacy &amp; School of Pharmacy, Xuzhou Medical University, Xuzhou, Jiangsu 221004, ChinaJiangsu Key Laboratory of New Drug Research and Clinical Pharmacy &amp; School of Pharmacy, Xuzhou Medical University, Xuzhou, Jiangsu 221004, ChinaJiangsu Key Laboratory of New Drug Research and Clinical Pharmacy &amp; School of Pharmacy, Xuzhou Medical University, Xuzhou, Jiangsu 221004, ChinaJiangsu Key Laboratory of New Drug Research and Clinical Pharmacy &amp; School of Pharmacy, Xuzhou Medical University, Xuzhou, Jiangsu 221004, ChinaDepartment of Pharmacy, Suzhou Hospital, Affiliated Hospital of Medical School, Nanjing University, Suzhou, Jiangsu 215153, China; Corresponding authors.Jiangsu Key Laboratory of New Drug Research and Clinical Pharmacy &amp; School of Pharmacy, Xuzhou Medical University, Xuzhou, Jiangsu 221004, China; Corresponding authors.Background: The treatment of tacrolimus-induced post-transplantation diabetes mellitus (PTDM) has become a hot topic to improve the long-term survival of organ transplant patients, however whose pathogenesis has not been fully elucidated. In pancreas, the up-regulation of NF-κB has been reported to stimulate cytokine IL-1β/TNF-α secretion, inducing pancreatic injury, meanwhile other studies have reported the inhibitory effect of rapamycin on NF-κB. Purpose: The aim of this study was to clarify the mechanism of tacrolimus-induced pancreatic injury and to explore the potential effect from small dose of sirolimus. Methods: Wistar rats were randomly divided normal control (NC) group, PTDM group, sirolimus intervention (SIR) group. Transcriptomic analysis was used to screen potential mechanism of PTDM. Biochemical index detections were used to test the indicators of pancreatic injury. Pathological staining, immumohistochemical staining, immunofluorescent staining, western blot were used to verify the underlying mechanism. Results: Compared with NC group, the level of insulin was significant reduction (P < 0.01), inversely the level of glucagon was significantly increase (P < 0.01) in PTDM group. Transcriptomic analysis indicated Syk/BLNK/NF-κB signaling was significantly up-regulated in PTDM group. Pathological staining, immumohistochemical staining, immunofluorescent staining, western blot verified Syk/BLNK/NF-κB and TNF-α/IL-1β were all significantly increased (P < 0.05 or P < 0.01), demonstrating the mechanism of tacrolimus-induced pancreatic injury via Syk/BLNK/NF-κB signaling. In addition, compared with PTDM group, the levels of weight, FPG, AMY, and GSP in SIR group were significant ameliorative (P < 0.05 or P < 0.01), and the expressions of p-NF-κB, TNF-α/IL-1β in SIR group were significantly reduction (P < 0.05 or P < 0.01), showing Syk/BLNK/NF-κB signaling promoted pancreatic injury induced by tacrolimus and potential protective effect from rapamycin reducing NF-κB. Conclusion: Syk/BLNK/NF-κB signaling promotes pancreatic injury induced by tacrolimus and rapamycin has a potentially protective effect by down-regulating NF-κB. Further validation and clinical studies are needed in the future.http://www.sciencedirect.com/science/article/pii/S0753332224000064Syk/BLNK/NF-κB signalingPancreatic injuryTacrolimusPotential protectiveRapamycin
spellingShingle Xiao Chen
Ke Hu
Hao-Zhe Shi
Yi-Jia Zhang
Liang Chen
Su-Mei He
Dong-Dong Wang
Syk/BLNK/NF-κB signaling promotes pancreatic injury induced by tacrolimus and potential protective effect from rapamycin
Biomedicine & Pharmacotherapy
Syk/BLNK/NF-κB signaling
Pancreatic injury
Tacrolimus
Potential protective
Rapamycin
title Syk/BLNK/NF-κB signaling promotes pancreatic injury induced by tacrolimus and potential protective effect from rapamycin
title_full Syk/BLNK/NF-κB signaling promotes pancreatic injury induced by tacrolimus and potential protective effect from rapamycin
title_fullStr Syk/BLNK/NF-κB signaling promotes pancreatic injury induced by tacrolimus and potential protective effect from rapamycin
title_full_unstemmed Syk/BLNK/NF-κB signaling promotes pancreatic injury induced by tacrolimus and potential protective effect from rapamycin
title_short Syk/BLNK/NF-κB signaling promotes pancreatic injury induced by tacrolimus and potential protective effect from rapamycin
title_sort syk blnk nf κb signaling promotes pancreatic injury induced by tacrolimus and potential protective effect from rapamycin
topic Syk/BLNK/NF-κB signaling
Pancreatic injury
Tacrolimus
Potential protective
Rapamycin
url http://www.sciencedirect.com/science/article/pii/S0753332224000064
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