Pancreatic Stellate Cells and the Targeted Therapeutic Strategies in Chronic Pancreatitis

Chronic pancreatitis (CP) is a disease characterized by inflammatory recurrence that accompanies the development of pancreatic fibrosis. As the mystery of CP pathogenesis is gradually revealed, accumulating evidence suggests that the activation of pancreatic stellate cells (PSCs) and the appearance...

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Main Authors: Man Chang, Wenjuan Chen, Ruting Xia, Yangyue Peng, Pandi Niu, Hui Fan
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Molecules
Subjects:
Online Access:https://www.mdpi.com/1420-3049/28/14/5586
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author Man Chang
Wenjuan Chen
Ruting Xia
Yangyue Peng
Pandi Niu
Hui Fan
author_facet Man Chang
Wenjuan Chen
Ruting Xia
Yangyue Peng
Pandi Niu
Hui Fan
author_sort Man Chang
collection DOAJ
description Chronic pancreatitis (CP) is a disease characterized by inflammatory recurrence that accompanies the development of pancreatic fibrosis. As the mystery of CP pathogenesis is gradually revealed, accumulating evidence suggests that the activation of pancreatic stellate cells (PSCs) and the appearance of a myofibroblast-like phenotype are the key gatekeepers in the development of CP. Targeting PSCs to prevent their activation and conversion to a myofibroblast-like phenotype, as well as increasing antioxidant capacity to counteract ongoing oxidative stress, are effective strategies for preventing or treating CP. Therefore, we reviewed the crosstalk between CP and pancreatic fibrosis, summarized the activation mechanisms of PSCs, and investigated potential CP therapeutic strategies targeting PSCs, including, but not limited to, anti-fibrosis therapy, antioxidant therapy, and gene therapy. Meanwhile, the above therapeutic strategies are selected in order to update the available phytopharmaceuticals as novel complementary or alternative approaches for the prevention and treatment of CP to clarify their potential mechanisms of action and their relevant molecular targets, aiming to provide the most comprehensive therapeutic treatment direction for CP and to bring new hope to CP patients.
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spelling doaj.art-5718971b581f4c748ce1952fe8ccc53a2023-11-18T20:44:16ZengMDPI AGMolecules1420-30492023-07-012814558610.3390/molecules28145586Pancreatic Stellate Cells and the Targeted Therapeutic Strategies in Chronic PancreatitisMan Chang0Wenjuan Chen1Ruting Xia2Yangyue Peng3Pandi Niu4Hui Fan5Guangdong Metabolic Diseases Research Center of Integrated Chinese and Western Medicine, Guangzhou 510006, ChinaGuangdong Metabolic Diseases Research Center of Integrated Chinese and Western Medicine, Guangzhou 510006, ChinaGuangdong Metabolic Diseases Research Center of Integrated Chinese and Western Medicine, Guangzhou 510006, ChinaGuangdong Metabolic Diseases Research Center of Integrated Chinese and Western Medicine, Guangzhou 510006, ChinaGuangdong Metabolic Diseases Research Center of Integrated Chinese and Western Medicine, Guangzhou 510006, ChinaGuangdong Metabolic Diseases Research Center of Integrated Chinese and Western Medicine, Guangzhou 510006, ChinaChronic pancreatitis (CP) is a disease characterized by inflammatory recurrence that accompanies the development of pancreatic fibrosis. As the mystery of CP pathogenesis is gradually revealed, accumulating evidence suggests that the activation of pancreatic stellate cells (PSCs) and the appearance of a myofibroblast-like phenotype are the key gatekeepers in the development of CP. Targeting PSCs to prevent their activation and conversion to a myofibroblast-like phenotype, as well as increasing antioxidant capacity to counteract ongoing oxidative stress, are effective strategies for preventing or treating CP. Therefore, we reviewed the crosstalk between CP and pancreatic fibrosis, summarized the activation mechanisms of PSCs, and investigated potential CP therapeutic strategies targeting PSCs, including, but not limited to, anti-fibrosis therapy, antioxidant therapy, and gene therapy. Meanwhile, the above therapeutic strategies are selected in order to update the available phytopharmaceuticals as novel complementary or alternative approaches for the prevention and treatment of CP to clarify their potential mechanisms of action and their relevant molecular targets, aiming to provide the most comprehensive therapeutic treatment direction for CP and to bring new hope to CP patients.https://www.mdpi.com/1420-3049/28/14/5586chronic pancreatitispancreatic fibrosispancreatic stellate cellstherapeutic strategies
spellingShingle Man Chang
Wenjuan Chen
Ruting Xia
Yangyue Peng
Pandi Niu
Hui Fan
Pancreatic Stellate Cells and the Targeted Therapeutic Strategies in Chronic Pancreatitis
Molecules
chronic pancreatitis
pancreatic fibrosis
pancreatic stellate cells
therapeutic strategies
title Pancreatic Stellate Cells and the Targeted Therapeutic Strategies in Chronic Pancreatitis
title_full Pancreatic Stellate Cells and the Targeted Therapeutic Strategies in Chronic Pancreatitis
title_fullStr Pancreatic Stellate Cells and the Targeted Therapeutic Strategies in Chronic Pancreatitis
title_full_unstemmed Pancreatic Stellate Cells and the Targeted Therapeutic Strategies in Chronic Pancreatitis
title_short Pancreatic Stellate Cells and the Targeted Therapeutic Strategies in Chronic Pancreatitis
title_sort pancreatic stellate cells and the targeted therapeutic strategies in chronic pancreatitis
topic chronic pancreatitis
pancreatic fibrosis
pancreatic stellate cells
therapeutic strategies
url https://www.mdpi.com/1420-3049/28/14/5586
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