New insights into regulatory cell death and acute pancreatitis

Acute pancreatitis (AP) may be associated with both local and systemic complications. Although it is usually self-limiting, up to 20% of patients develop severe acute pancreatitis (SAP), which leads to systemic inflammatory response syndrome (SIRS) and multiorgan dysfunction and failure affecting th...

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Main Authors: Hongyao Li, Ding Wu, Haidan Zhang, Peiwu Li
Format: Article
Language:English
Published: Elsevier 2023-07-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844023052441
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author Hongyao Li
Ding Wu
Haidan Zhang
Peiwu Li
author_facet Hongyao Li
Ding Wu
Haidan Zhang
Peiwu Li
author_sort Hongyao Li
collection DOAJ
description Acute pancreatitis (AP) may be associated with both local and systemic complications. Although it is usually self-limiting, up to 20% of patients develop severe acute pancreatitis (SAP), which leads to systemic inflammatory response syndrome (SIRS) and multiorgan dysfunction and failure affecting the lung, kidney, liver and heart. Patients who survive the condition frequently develop devastating long-term consequences such as diabetes mellitus, exocrine pancreatic insufficiency, chronic pancreatitis (CP) and poor quality of life. A lack of specific targeted treatments is the main reason for high mortality and morbidity, indicating that more research on the pathogenesis of AP is needed. In the past decade, substantial advancements have been made in our understanding of the pathophysiological mechanisms of AP, including mechanisms of calcium-mediated acinar cell injury and death, the cytoprotective role of the unfolded protein response (UPR) and autophagy in preventing sustained endoplasmic reticulum stress (ERs); however, the mechanism of parenchymal cell death is relatively poorly understood. This paper reviews the research progress of the regulatory cell death (RCD) mode in the pathogenesis of AP, providing some new insights and regulatory targets for the pathogenesis and treatment of AP, facilitating better targeted drug development.
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spelling doaj.art-85b7bea9f2b54f00b425e02297351ce12023-07-27T05:58:19ZengElsevierHeliyon2405-84402023-07-0197e18036New insights into regulatory cell death and acute pancreatitisHongyao Li0Ding Wu1Haidan Zhang2Peiwu Li3Department of Emergency, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, Gansu, 730030, ChinaDepartment of Emergency, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, Gansu, 730030, ChinaDepartment of Emergency, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, Gansu, 730030, ChinaCorresponding author.; Department of Emergency, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, Gansu, 730030, ChinaAcute pancreatitis (AP) may be associated with both local and systemic complications. Although it is usually self-limiting, up to 20% of patients develop severe acute pancreatitis (SAP), which leads to systemic inflammatory response syndrome (SIRS) and multiorgan dysfunction and failure affecting the lung, kidney, liver and heart. Patients who survive the condition frequently develop devastating long-term consequences such as diabetes mellitus, exocrine pancreatic insufficiency, chronic pancreatitis (CP) and poor quality of life. A lack of specific targeted treatments is the main reason for high mortality and morbidity, indicating that more research on the pathogenesis of AP is needed. In the past decade, substantial advancements have been made in our understanding of the pathophysiological mechanisms of AP, including mechanisms of calcium-mediated acinar cell injury and death, the cytoprotective role of the unfolded protein response (UPR) and autophagy in preventing sustained endoplasmic reticulum stress (ERs); however, the mechanism of parenchymal cell death is relatively poorly understood. This paper reviews the research progress of the regulatory cell death (RCD) mode in the pathogenesis of AP, providing some new insights and regulatory targets for the pathogenesis and treatment of AP, facilitating better targeted drug development.http://www.sciencedirect.com/science/article/pii/S2405844023052441Acute pancreatitisRCDAutophagyNecroptosisPyroptosisFerroptosis
spellingShingle Hongyao Li
Ding Wu
Haidan Zhang
Peiwu Li
New insights into regulatory cell death and acute pancreatitis
Heliyon
Acute pancreatitis
RCD
Autophagy
Necroptosis
Pyroptosis
Ferroptosis
title New insights into regulatory cell death and acute pancreatitis
title_full New insights into regulatory cell death and acute pancreatitis
title_fullStr New insights into regulatory cell death and acute pancreatitis
title_full_unstemmed New insights into regulatory cell death and acute pancreatitis
title_short New insights into regulatory cell death and acute pancreatitis
title_sort new insights into regulatory cell death and acute pancreatitis
topic Acute pancreatitis
RCD
Autophagy
Necroptosis
Pyroptosis
Ferroptosis
url http://www.sciencedirect.com/science/article/pii/S2405844023052441
work_keys_str_mv AT hongyaoli newinsightsintoregulatorycelldeathandacutepancreatitis
AT dingwu newinsightsintoregulatorycelldeathandacutepancreatitis
AT haidanzhang newinsightsintoregulatorycelldeathandacutepancreatitis
AT peiwuli newinsightsintoregulatorycelldeathandacutepancreatitis