The pathologic proteolytic activation of digestive zymogens (primarily proteases such as chymotrypsinogen) within pancreatic acinar cells is a key step in initiating acute pancreatitis. Our laboratory examines extracellular factors and intracellular mechanisms responsible for this activation. Supraphysiologic (>10 fold than required for maximal secretion), but not physiologic concentrations of cholecystokinin (CCK), given in vivo cause zymogen activation and pancreatitis. Similarly treated isolated pancreatic acinar cells respond with zymogen activation and injury. Factors that can sensitize the acinar cell might convert the physiologic actions of CCK and other ligands to pathologic responses and may be relevant to the pathogenesis of acute pancreatitis. For example, experimental studies of pancreatitis induced by ischemia, bile salts, the CDE diet, pancreatic duct obstruction and ethanol suggest that such sensitization contributes to disease. During our past funding period we reported the sensitizing effects of cAMP agonists and alcohols on CCK-induced zymogen activation. We propose to continue examining the mechanisms of sensitization. Further, we have also found that the assembly and activation of a vacuolar ATPase (vATPase) is central to acinar cell zymogen activation. Indeed, it may be the final mediator of the zymogen activation response. It is relevant vATPase's containing distinct isoforms can be localized to specific organelles and activated by different mechanisms. Preliminary studies suggest that zymogen activation takes place in a compartment associated with a specific vATPase isoform (V0a2). Given the importance of the vATPase in this phenomenon and its role in other cell systems, it will be a major focus of our studies. The following specific aims will be pursued. 1) Define the vacuolar ATPase subunit composition, subcellular distribution, localization and assembly responses after cholecystokinin treatment in acini and in vivo using physiologic conditions and those that generate acute pancreatitis, 2) Examine the sensitizing effects alcohols and glucose on pathologic zymogen activation in the pancreatic acinar cell and vATPase activation and assembly, 3) Examine the effects of specific signaling pathways (cAMP, PKC, AMPK) on zymogen activation and vATPase assembly in intact cells and in a cell-free system and the effects of the vATPase on calcium signaling, 4) Develop new approaches to reduce vATPase activity using molecular and biochemical approaches.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Research Project (R01)
Project #
5R01DK054021-13
Application #
8099725
Study Section
Clinical and Integrative Gastrointestinal Pathobiology Study Section (CIGP)
Program Officer
Serrano, Jose
Project Start
1998-07-15
Project End
2013-06-30
Budget Start
2011-07-01
Budget End
2013-06-30
Support Year
13
Fiscal Year
2011
Total Cost
$230,021
Indirect Cost
Name
Yale University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
043207562
City
New Haven
State
CT
Country
United States
Zip Code
06520
Gorelick, Fred S; Lerch, Markus M (2017) Do Animal Models of Acute Pancreatitis Reproduce Human Disease? Cell Mol Gastroenterol Hepatol 4:251-262
Gorelick, Fred S (2016) Advances in pancreatology: 2016. Curr Opin Gastroenterol :
Guo, Xiaojia; Hollander, Lindsay; MacPherson, Douglas et al. (2016) Inhibition of renalase expression and signaling has antitumor activity in pancreatic cancer. Sci Rep 6:22996
Messenger, Scott W; Thomas, Diana Dh; Cooley, Michelle M et al. (2015) Early to Late Endosome Trafficking Controls Secretion and Zymogen Activation in Rodent and Human Pancreatic Acinar Cells. Cell Mol Gastroenterol Hepatol 1:695-709
Sabbatini, Maria Eugenia; Gorelick, Fred; Glaser, Shannon (2014) Adenylyl cyclases in the digestive system. Cell Signal 26:1173-81
Reed, Anamika M; Kolodecik, Thomas; Husain, Sohail Z et al. (2014) Low pH enhances connexin32 degradation in the pancreatic acinar cell. Am J Physiol Gastrointest Liver Physiol 307:G24-32
Hoque, Rafaz; Farooq, Ahmad; Ghani, Ayaz et al. (2014) Lactate reduces liver and pancreatic injury in Toll-like receptor- and inflammasome-mediated inflammation via GPR81-mediated suppression of innate immunity. Gastroenterology 146:1763-74
Messenger, Scott W; Thomas, Diana D H; Falkowski, Michelle A et al. (2013) Tumor protein D52 controls trafficking of an apical endolysosomal secretory pathway in pancreatic acinar cells. Am J Physiol Gastrointest Liver Physiol 305:G439-52
Lerch, Markus M; Gorelick, Fred S (2013) Models of acute and chronic pancreatitis. Gastroenterology 144:1180-93
Kolodecik, Thomas R; Shugrue, Christine A; Thrower, Edwin C et al. (2012) Activation of soluble adenylyl cyclase protects against secretagogue stimulated zymogen activation in rat pancreaic acinar cells. PLoS One 7:e41320

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