Abstract. The Janus kinase/signal transducer and activator of transcription (JAK/STAT) signaling pathway is widely involved in cell migration, apoptosis and inflammation. However, its exact mechanisms in severe acute pancreatitis (SAP) remain unclear. The aim of this study was to explore the activity of the JAK/STAT signaling pathway in pancreatic injury, investigate the functional mechanisms of SAP in vitro, and thus elucidate the underlying therapeutic effects for SAP in vivo. The activation of the JAK-1/STAT-1 signaling pathway and the expessions of TNF-α, IL-1β and IL-6 proteins were investigated in AR42J cells induced with cerulein and treated with either PBS, RPM, or AG490. One group of cells was left untreated as a control group. Subsequently the activity of NF-κB was evaluated. Rats were given RPM or AG490 just before the induction of SAP, the severity of which was assessed at 24 h. The findings revealed that the up-regulated expressions of JAK-1/STAT-1, STAT-3 protein were closely correlated with the transcription of TNF-α, IL-1β, and IL-6 in cerulein-stimulated cells. Administration of RPM or AG490 decreased the activity of NF-κB and inhibited the release of TNF-α, IL-1β, and IL-6. The reflective markers of severity of SAP were also decreased by RPM or AG490 treatment compared to SAP rats. This study indicates that the JAK-1/STAT-1 signaling pathway activity is an early event in pancreatic inflammatory injury. Therefore, early treatment with its inhibitors might be beneficial for attenuation of pancreatic injury in SAP.
IntroductionSevere acute pancreatitis (SAP) is an inflammatory disease characterized by interstitial edema, vacuolization, acinar necrosis, and inflammatory infiltration of the pancreas. Its high mortality makes SAP a real challenge for clinical treatment (1). Although it has become increasingly clear that the excessive inflammatory response is a determining factor in the process of SAP (2), the exact mechanisms that regulate the severity of SAP remain unclear.The Janus kinase (JAK)/signal transducer and activator of transcription (STAT) signaling pathway is widely involved in cell migration and apoptosis (3). Some studies have shown that the JAK/STAT signaling pathway plays an important role in the inflammatory response. The blockade of the JAK/STAT signaling pathway prevents the lethal effects of the excessive inflammatory response during sepsis (4,5). However, the role of the JAK/STAT signaling pathway in the excessive systemic inflammatory response observed in SAP has not been fully elucidated. In addition, the precise mechanisms determining the effect of the JAK/STAT signaling pathway inhibitors on SAP in relation to the degree of pancreatic injury are largely unclear.AR42J cells are the currently available cell line that shows receptor expression and signal transduction mechanisms parallel to those of normal pancreatic acinar cells. Therefore, AR42J cells have been widely used as an in vitro model to study the secretion, signal transduction, cytoskeleton function, apoptosis and th...