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Erschienen in: Digestive Diseases and Sciences 11/2020

23.01.2020 | Original Article

P53 Activated by ER Stress Aggravates Caerulein-Induced Acute Pancreatitis Progression by Inducing Acinar Cell Apoptosis

verfasst von: Lei Zhou, Jie-hui Tan, Wan-yan Zhou, Jia Xu, Shi-jing Ren, Zhen-yu Lin, Xue-mei Chen, Guo-wei Zhang

Erschienen in: Digestive Diseases and Sciences | Ausgabe 11/2020

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Abstract

Background and Aims

Acute pancreatitis (AP) is a severe pancreatic disorder that remains associated with high mortality due to a lack of effective drugs and management strategies. This study aimed to investigate the molecular pathogenic mechanisms of AP involving p53 and endoplasmic reticulum (ER) stress pathways.

Methods

Expression of PRSS1 and p53 in human AP tissues was detected by immunohistochemistry and Western blotting. AP was induced with caerulein in humanized PRSS1 transgenic mice, and its severity was verified by histological imaging, evaluation of edema, serum amylase, and trypsin activity assays. A transferase-mediated d-UTP nick end-labeling assay was performed to evaluate acinar cell apoptosis associated with AP. The expression of ER stress genes was assessed by quantitative RT-PCR (qRT-PCR) and Western blotting.

Results

PRSS1 and p53 were highly expressed in human AP tissues. Expression of human PRSS1 in caerulein-treated mice induced significant acinar cell apoptosis and AP progression. P53 knockout significantly suppressed AP progression in humanized PRSS1 transgenic mice. The ER stress pathway was activated by PRSS1 and mediated the progression of AP in mouse pancreatic tissues. Application of a p53 inhibitor effectively ameliorated caerulein-induced AP in PRSS1 transgenic mice, while a p53 activator promoted the progression of AP.

Conclusion

P53, which was activated by the ER stress pathway, promoted the progression of AP in mice expressing PRSS1 by inducing acinar cell apoptosis.
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Literatur
1.
Zurück zum Zitat Lankisch PG, Apte M, Banks PA. Acute pancreatitis. Lancet. 2015;386:85-96.CrossRef Lankisch PG, Apte M, Banks PA. Acute pancreatitis. Lancet. 2015;386:85-96.CrossRef
2.
Zurück zum Zitat Waldthaler A, Schütte K, Malfertheiner P. Causes and mechanisms in acute pancreatitis. Dig Dis. 2010;28:364-372.CrossRef Waldthaler A, Schütte K, Malfertheiner P. Causes and mechanisms in acute pancreatitis. Dig Dis. 2010;28:364-372.CrossRef
3.
Zurück zum Zitat Rajinder D, Sah RP, Vikas D, Loveena R, Rupjoyti T, Pramod G, Saluja AK. Intra-acinar trypsinogen activation mediates early stages of pancreatic injury but not inflammation in mice with acute pancreatitis. Gastroenterology. 2011;141:2210-2217CrossRef Rajinder D, Sah RP, Vikas D, Loveena R, Rupjoyti T, Pramod G, Saluja AK. Intra-acinar trypsinogen activation mediates early stages of pancreatic injury but not inflammation in mice with acute pancreatitis. Gastroenterology. 2011;141:2210-2217CrossRef
4.
Zurück zum Zitat Whitcomb DC, Gorry MC, Preston RA, Furey W, Sossenheimer MJ, Ulrich CD, Martin SP, Gates LK, Amann ST, Toskes PP. Hereditary pancreatitis is caused by a mutation in the cationic trypsinogen gene. Nat Genet. 1996;14:141.CrossRef Whitcomb DC, Gorry MC, Preston RA, Furey W, Sossenheimer MJ, Ulrich CD, Martin SP, Gates LK, Amann ST, Toskes PP. Hereditary pancreatitis is caused by a mutation in the cationic trypsinogen gene. Nat Genet. 1996;14:141.CrossRef
5.
Zurück zum Zitat Balázs Csaba N, Miklós ST. Human cationic trypsinogen (PRSS1) variants and chronic pancreatitis. Am J Physiol Gastrointest Liver Physiol. 2014;306:G466-73.CrossRef Balázs Csaba N, Miklós ST. Human cationic trypsinogen (PRSS1) variants and chronic pancreatitis. Am J Physiol Gastrointest Liver Physiol. 2014;306:G466-73.CrossRef
6.
Zurück zum Zitat Sánchez-Ramírez CA, Flores-Martínez SE, García-Zapién AG, Montero-Cruz SA, Larrosa-Haro A, Sánchez-Corona J. Screening of R122H and N29I mutations in the PRSS1 gene and N34S mutation in the SPINK1 gene in Mexican pediatric patients with acute and recurrent pancreatitis. Pancreas. 2012;41:707.PubMed Sánchez-Ramírez CA, Flores-Martínez SE, García-Zapién AG, Montero-Cruz SA, Larrosa-Haro A, Sánchez-Corona J. Screening of R122H and N29I mutations in the PRSS1 gene and N34S mutation in the SPINK1 gene in Mexican pediatric patients with acute and recurrent pancreatitis. Pancreas. 2012;41:707.PubMed
7.
Zurück zum Zitat Sebastian G, Jaroslaw D, Yan L, Lilian T, Jun C, Woojin L, Longnecker DS, Logsdon CD, Baoan J. Intracellular activation of trypsinogen in transgenic mice induces acute but not chronic pancreatitis. Gut. 2011;60:1379-88.CrossRef Sebastian G, Jaroslaw D, Yan L, Lilian T, Jun C, Woojin L, Longnecker DS, Logsdon CD, Baoan J. Intracellular activation of trypsinogen in transgenic mice induces acute but not chronic pancreatitis. Gut. 2011;60:1379-88.CrossRef
8.
Zurück zum Zitat Athwal T, Huang W, Mukherjee R, Latawiec D, Chvanov M, Clarke R, Smith K, Campbell F, Merriman C, Criddle D. Expression of human cationic trypsinogen (PRSS1) in murine acinar cells promotes pancreatitis and apoptotic cell death. Cell Death Dis. 2014;5:e1165.CrossRef Athwal T, Huang W, Mukherjee R, Latawiec D, Chvanov M, Clarke R, Smith K, Campbell F, Merriman C, Criddle D. Expression of human cationic trypsinogen (PRSS1) in murine acinar cells promotes pancreatitis and apoptotic cell death. Cell Death Dis. 2014;5:e1165.CrossRef
9.
Zurück zum Zitat Guillermo G, Englander EW, Guiyun W, Greeley GH. Increased expression of hypoxia-inducible factor-1alpha, p48, and the Notch signaling cascade during acute pancreatitis in mice. Pancreas. 2004;28:58-64.CrossRef Guillermo G, Englander EW, Guiyun W, Greeley GH. Increased expression of hypoxia-inducible factor-1alpha, p48, and the Notch signaling cascade during acute pancreatitis in mice. Pancreas. 2004;28:58-64.CrossRef
10.
Zurück zum Zitat Yuji N, Jae Hyuk D, Jingzhen Y, Odinokova IV, Olga M, Gukovskaya AS, Pandol SJ. Inflammatory cells regulate p53 and caspases in acute pancreatitis. Am J Physiol Gastrointest Liver Physiol. 2010;298:G92-100.CrossRef Yuji N, Jae Hyuk D, Jingzhen Y, Odinokova IV, Olga M, Gukovskaya AS, Pandol SJ. Inflammatory cells regulate p53 and caspases in acute pancreatitis. Am J Physiol Gastrointest Liver Physiol. 2010;298:G92-100.CrossRef
11.
Zurück zum Zitat Jiang PH, Motoo Y, Iovanna JL, Pébusque MJ, Xie MJ, Okada G, Sawabu N. Tumor protein p53-induced nuclear protein 1 (TP53INP1) in spontaneous chronic pancreatitis in the WBN/Kob rat: drug effects on its expression in the pancreas. J Pancreas. 2004;5:205. Jiang PH, Motoo Y, Iovanna JL, Pébusque MJ, Xie MJ, Okada G, Sawabu N. Tumor protein p53-induced nuclear protein 1 (TP53INP1) in spontaneous chronic pancreatitis in the WBN/Kob rat: drug effects on its expression in the pancreas. J Pancreas. 2004;5:205.
12.
Zurück zum Zitat Chen P, Huang L, Zhang Y, Qiao M, Yuan Y. SiRNA-mediated PIAS1 silencing promotes inflammatory response and leads to injury of cerulein-stimulated pancreatic acinar cells via regulation of the P38MAPK signaling pathway. Int J Mol Med. 2010;26:619-626.PubMed Chen P, Huang L, Zhang Y, Qiao M, Yuan Y. SiRNA-mediated PIAS1 silencing promotes inflammatory response and leads to injury of cerulein-stimulated pancreatic acinar cells via regulation of the P38MAPK signaling pathway. Int J Mol Med. 2010;26:619-626.PubMed
13.
Zurück zum Zitat Ouyang J, Zhang ZH, Zhou YX, Niu WC, Zhou F, Shen CB, Chen RG, Li X. Up-regulation of Tight-Junction Proteins by p38 Mitogen-Activated Protein Kinase/p53 Inhibition Leads to a Reduction of Injury to the Intestinal Mucosal Barrier in Severe Acute Pancreatitis. Pancreas. 2016;45:1136.CrossRef Ouyang J, Zhang ZH, Zhou YX, Niu WC, Zhou F, Shen CB, Chen RG, Li X. Up-regulation of Tight-Junction Proteins by p38 Mitogen-Activated Protein Kinase/p53 Inhibition Leads to a Reduction of Injury to the Intestinal Mucosal Barrier in Severe Acute Pancreatitis. Pancreas. 2016;45:1136.CrossRef
14.
Zurück zum Zitat Chen J, Chen J, Wang X, Wang C, Cao W, Zhao Y, Zhang B, Cui M, Shi Q, Zhang G. Ligustrazine alleviates acute pancreatitis by accelerating acinar cell apoptosis at early phase via the suppression of p38 and Erk MAPK pathways. Biomed Pharmacother. 2016;82:1-7.CrossRef Chen J, Chen J, Wang X, Wang C, Cao W, Zhao Y, Zhang B, Cui M, Shi Q, Zhang G. Ligustrazine alleviates acute pancreatitis by accelerating acinar cell apoptosis at early phase via the suppression of p38 and Erk MAPK pathways. Biomed Pharmacother. 2016;82:1-7.CrossRef
15.
Zurück zum Zitat Shen A, Kim HJ, Oh GS, Lee SB, Lee SH, Pandit A, Khadka D, Choe SK, Kwak SC, Yang SH. NAD (+) augmentation ameliorates acute pancreatitis through regulation of inflammasome signalling. Sci Rep. 2017;7:3006.CrossRef Shen A, Kim HJ, Oh GS, Lee SB, Lee SH, Pandit A, Khadka D, Choe SK, Kwak SC, Yang SH. NAD (+) augmentation ameliorates acute pancreatitis through regulation of inflammasome signalling. Sci Rep. 2017;7:3006.CrossRef
16.
Zurück zum Zitat Fukuda N, Saitoh M, Kobayashi N, Miyazono K. Execution of BMP-4-induced apoptosis by p53-dependent ER dysfunction in myeloma and B-cell hybridoma cells. Oncogene. 2006;25:3509-3517.CrossRef Fukuda N, Saitoh M, Kobayashi N, Miyazono K. Execution of BMP-4-induced apoptosis by p53-dependent ER dysfunction in myeloma and B-cell hybridoma cells. Oncogene. 2006;25:3509-3517.CrossRef
17.
Zurück zum Zitat Nikolina D, Ioulia C, Elena F, Papavassiliou AG, Hippokratis K. p53 antagonizes the unfolded protein response and inhibits ground glass hepatocyte development during endoplasmic reticulum stress. Exp Biol Med. 2012;237:1173-80.CrossRef Nikolina D, Ioulia C, Elena F, Papavassiliou AG, Hippokratis K. p53 antagonizes the unfolded protein response and inhibits ground glass hepatocyte development during endoplasmic reticulum stress. Exp Biol Med. 2012;237:1173-80.CrossRef
18.
Zurück zum Zitat Thomas SE, Elke M, Adriana OE, Dalton LE, Wout EFAV, Elizabeth L, Crowther DC, Lomas DA, Marciniak SJ. p53 and translation attenuation regulate distinct cell cycle checkpoints during endoplasmic reticulum (ER) stress. J Biol Chem. 2013;288:7606-7617.CrossRef Thomas SE, Elke M, Adriana OE, Dalton LE, Wout EFAV, Elizabeth L, Crowther DC, Lomas DA, Marciniak SJ. p53 and translation attenuation regulate distinct cell cycle checkpoints during endoplasmic reticulum (ER) stress. J Biol Chem. 2013;288:7606-7617.CrossRef
19.
Zurück zum Zitat Kubisch CH, Maria Dolors S, Thiruvengadam A, Ernst SA, Williams JA, Logsdon CD. Early activation of endoplasmic reticulum stress is associated with arginine-induced acute pancreatitis. A J Physiol Gastrointest Liver Physiol. 2006;291:G238-45.CrossRef Kubisch CH, Maria Dolors S, Thiruvengadam A, Ernst SA, Williams JA, Logsdon CD. Early activation of endoplasmic reticulum stress is associated with arginine-induced acute pancreatitis. A J Physiol Gastrointest Liver Physiol. 2006;291:G238-45.CrossRef
20.
Zurück zum Zitat Cai Y, Shen Y, Xu G, Tao R, Yuan W, Huang Z, Zhang D. TRAM1 protects AR42J cells from caerulein-induced acute pancreatitis through ER stress-apoptosis pathway. In Vitro Cell Dev Biol Anim. 2016;52:530-6.CrossRef Cai Y, Shen Y, Xu G, Tao R, Yuan W, Huang Z, Zhang D. TRAM1 protects AR42J cells from caerulein-induced acute pancreatitis through ER stress-apoptosis pathway. In Vitro Cell Dev Biol Anim. 2016;52:530-6.CrossRef
21.
Zurück zum Zitat Zhou L, Tan JH, Cao RC, Xu J, Chen XM, Qi ZC, Zhou SY, Li SB, Mo QX, Li ZW, Zhang GW. ATF6 regulates the development of chronic pancreatitis by inducing p53-mediated apoptosis. Cell Death Dis. 2019;10(9):662.CrossRef Zhou L, Tan JH, Cao RC, Xu J, Chen XM, Qi ZC, Zhou SY, Li SB, Mo QX, Li ZW, Zhang GW. ATF6 regulates the development of chronic pancreatitis by inducing p53-mediated apoptosis. Cell Death Dis. 2019;10(9):662.CrossRef
22.
Zurück zum Zitat Binker MG, Daniel R, Gaisano HY, Cosen-Binker LI. ER stress-associated CTRC mutants decrease stimulated pancreatic zymogen secretion through SIRT2-mediated microtubule dysregulation. Biochem Biophys Res Commun. 2015;463:329-335.CrossRef Binker MG, Daniel R, Gaisano HY, Cosen-Binker LI. ER stress-associated CTRC mutants decrease stimulated pancreatic zymogen secretion through SIRT2-mediated microtubule dysregulation. Biochem Biophys Res Commun. 2015;463:329-335.CrossRef
23.
Zurück zum Zitat Lerch MM1, Gorelick FS. Models of acute and chronic pancreatitis. Gastroenterology. 2013;144:1180-1193.CrossRef Lerch MM1, Gorelick FS. Models of acute and chronic pancreatitis. Gastroenterology. 2013;144:1180-1193.CrossRef
24.
Zurück zum Zitat Barlass U, Dutta R, Cheema H, George J, Sareen A, Dixit A, Yuan Z, Giri B, Meng J, Banerjee S, Banerjee S, Dudeja V, Dawra RK, Roy S, Saluja AK. Morphine worsens the severity and prevents pancreatic regeneration in mouse models of acute pancreatitis. Gut. 2018;67:600-602.PubMed Barlass U, Dutta R, Cheema H, George J, Sareen A, Dixit A, Yuan Z, Giri B, Meng J, Banerjee S, Banerjee S, Dudeja V, Dawra RK, Roy S, Saluja AK. Morphine worsens the severity and prevents pancreatic regeneration in mouse models of acute pancreatitis. Gut. 2018;67:600-602.PubMed
25.
Zurück zum Zitat Thomas DDH, Kaspar KM, Taft WB, Ning W, Rodenkirch LA, Groblewski GE. Identification of annexin VI as a Ca2+-sensitive CRHSP-28-binding protein in pancreatic acinar cells. J Biol Chem. 2002;277:35496-35502.CrossRef Thomas DDH, Kaspar KM, Taft WB, Ning W, Rodenkirch LA, Groblewski GE. Identification of annexin VI as a Ca2+-sensitive CRHSP-28-binding protein in pancreatic acinar cells. J Biol Chem. 2002;277:35496-35502.CrossRef
26.
Zurück zum Zitat Wisner J, Green D, Ferrell L, Renner I. Evidence for a role of oxygen derived free radicals in the pathogenesis of caerulein induced acute pancreatitis in rats. Gut. 1988;29:1516-1523.CrossRef Wisner J, Green D, Ferrell L, Renner I. Evidence for a role of oxygen derived free radicals in the pathogenesis of caerulein induced acute pancreatitis in rats. Gut. 1988;29:1516-1523.CrossRef
27.
Zurück zum Zitat Hofbauer B, Saluja AK, Lerch MM, Bhagat L, Bhatia M, Lee HS, Frossard JL, Adler G, Steer ML. Intra-acinar cell activation of trypsinogen during caerulein-induced pancreatitis in rats. Am J Physiol. 1998;275:G352-362.CrossRef Hofbauer B, Saluja AK, Lerch MM, Bhagat L, Bhatia M, Lee HS, Frossard JL, Adler G, Steer ML. Intra-acinar cell activation of trypsinogen during caerulein-induced pancreatitis in rats. Am J Physiol. 1998;275:G352-362.CrossRef
28.
Zurück zum Zitat Niederau C, Ferrell LD, Grendell JH. Caerulein-induced acute necrotizing pancreatitis in mice: protective effects of proglumide, benzotript, and secretin. Gastroenterology. 1985;88:1192-1204.CrossRef Niederau C, Ferrell LD, Grendell JH. Caerulein-induced acute necrotizing pancreatitis in mice: protective effects of proglumide, benzotript, and secretin. Gastroenterology. 1985;88:1192-1204.CrossRef
29.
Zurück zum Zitat Cregan SP, Maclaurin JG, Craig CG, Robertson GS, Nicholson DW, Park DS, Slack RS. Bax-dependent caspase-3 activation is a key determinant in p53-induced apoptosis in neurons. J Neurosci Off J Soc Neurosci. 1999;19:7860.CrossRef Cregan SP, Maclaurin JG, Craig CG, Robertson GS, Nicholson DW, Park DS, Slack RS. Bax-dependent caspase-3 activation is a key determinant in p53-induced apoptosis in neurons. J Neurosci Off J Soc Neurosci. 1999;19:7860.CrossRef
30.
Zurück zum Zitat Ding HF, Lin YL, Mcgill G, Juo P, Zhu H, Blenis J, Yuan J, Fisher DE. Essential role for caspase-8 in transcription-independent apoptosis triggered by p53. J Biol Chem. 2000;275:38905-38911.CrossRef Ding HF, Lin YL, Mcgill G, Juo P, Zhu H, Blenis J, Yuan J, Fisher DE. Essential role for caspase-8 in transcription-independent apoptosis triggered by p53. J Biol Chem. 2000;275:38905-38911.CrossRef
31.
Zurück zum Zitat Polyak K, Xia Y, Zweier JL, Kinzler KW, Vogelstein B. A model for p53-induced apoptosis. Nature. 1997;389:300-305.CrossRef Polyak K, Xia Y, Zweier JL, Kinzler KW, Vogelstein B. A model for p53-induced apoptosis. Nature. 1997;389:300-305.CrossRef
32.
Zurück zum Zitat Casey G, Yamanaka Y, Friess H, Kobrin MS, Lopez ME, Buchler M, Beger HG, Korc M. p53 Mutations are common in pancreatic cancer and are absent in chronic pancreatitis. Cancer Lett. 1993;69:151-160.CrossRef Casey G, Yamanaka Y, Friess H, Kobrin MS, Lopez ME, Buchler M, Beger HG, Korc M. p53 Mutations are common in pancreatic cancer and are absent in chronic pancreatitis. Cancer Lett. 1993;69:151-160.CrossRef
33.
Zurück zum Zitat Jeong S, Lee DH, Lee JI, Lee JW, Kwon KS, Kim PS, Kim HG, Yong WS, Kim YS, Kim YB. Expression of Ki-67, p53, and K-ras in chronic pancreatitis and pancreatic ductal adenocarcinoma. World J Gastroentero. 2005;11:6765-6769.CrossRef Jeong S, Lee DH, Lee JI, Lee JW, Kwon KS, Kim PS, Kim HG, Yong WS, Kim YS, Kim YB. Expression of Ki-67, p53, and K-ras in chronic pancreatitis and pancreatic ductal adenocarcinoma. World J Gastroentero. 2005;11:6765-6769.CrossRef
34.
Zurück zum Zitat Arturo R, Antonina B, Roberto G, Patrizia D, Rita F, Maurizio C, Luigi P, Gianfranco P, Maria Felice B. p53 Mediates the accelerated onset of senescence of endothelial progenitor cells in diabetes. J Biol Chem. 2006;281(7):4339-47.CrossRef Arturo R, Antonina B, Roberto G, Patrizia D, Rita F, Maurizio C, Luigi P, Gianfranco P, Maria Felice B. p53 Mediates the accelerated onset of senescence of endothelial progenitor cells in diabetes. J Biol Chem. 2006;281(7):4339-47.CrossRef
35.
36.
Zurück zum Zitat Like Q, Shirley H, Dionissios B, Ana-Maria RE, Olivier P, Maria H, Costas K, Yoichi T, Akihiko Y, Koromilas AE. Endoplasmic reticulum stress induces p53 cytoplasmic localization and prevents p53-dependent apoptosis by a pathway involving glycogen synthase kinase-3beta. Genes Dev. 2004;18:261-77.CrossRef Like Q, Shirley H, Dionissios B, Ana-Maria RE, Olivier P, Maria H, Costas K, Yoichi T, Akihiko Y, Koromilas AE. Endoplasmic reticulum stress induces p53 cytoplasmic localization and prevents p53-dependent apoptosis by a pathway involving glycogen synthase kinase-3beta. Genes Dev. 2004;18:261-77.CrossRef
37.
Zurück zum Zitat Lin WC, Chuang YC, Chang YS, Lai MD, Teng YN, Su IJ, Wang CC, Lee KH, Hung JH. Endoplasmic reticulum stress stimulates p53 expression through NF-κB activation. PLoS ONE. 2012;7:e39120.CrossRef Lin WC, Chuang YC, Chang YS, Lai MD, Teng YN, Su IJ, Wang CC, Lee KH, Hung JH. Endoplasmic reticulum stress stimulates p53 expression through NF-κB activation. PLoS ONE. 2012;7:e39120.CrossRef
38.
Zurück zum Zitat Wu JS, Li WM, Chen YN, Zhao Q, Chen QF. Endoplasmic reticulum stress is activated in acute pancreatitis. J Dig Dis. 2016;17:295-303.CrossRef Wu JS, Li WM, Chen YN, Zhao Q, Chen QF. Endoplasmic reticulum stress is activated in acute pancreatitis. J Dig Dis. 2016;17:295-303.CrossRef
Metadaten
Titel
P53 Activated by ER Stress Aggravates Caerulein-Induced Acute Pancreatitis Progression by Inducing Acinar Cell Apoptosis
verfasst von
Lei Zhou
Jie-hui Tan
Wan-yan Zhou
Jia Xu
Shi-jing Ren
Zhen-yu Lin
Xue-mei Chen
Guo-wei Zhang
Publikationsdatum
23.01.2020
Verlag
Springer US
Erschienen in
Digestive Diseases and Sciences / Ausgabe 11/2020
Print ISSN: 0163-2116
Elektronische ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-020-06052-5

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