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Publication : Genetic inhibition of protein kinase Cε attenuates necrosis in experimental pancreatitis.

First Author  Liu Y Year  2014
Journal  Am J Physiol Gastrointest Liver Physiol Volume  307
Issue  5 Pages  G550-63
PubMed ID  25035113 Mgi Jnum  J:221819
Mgi Id  MGI:5641597 Doi  10.1152/ajpgi.00432.2013
Citation  Liu Y, et al. (2014) Genetic inhibition of protein kinase Cepsilon attenuates necrosis in experimental pancreatitis. Am J Physiol Gastrointest Liver Physiol 307(5):G550-63
abstractText  Understanding the regulation of death pathways, necrosis and apoptosis, in pancreatitis is important for developing therapies directed to the molecular pathogenesis of the disease. Protein kinase Cepsilon (PKCepsilon) has been previously shown to regulate inflammatory responses and zymogen activation in pancreatitis. Furthermore, we demonstrated that ethanol specifically activated PKCepsilon in pancreatic acinar cells and that PKCepsilon mediated the sensitizing effects of ethanol on inflammatory response in pancreatitis. Here we investigated the role of PKCepsilon in the regulation of death pathways in pancreatitis. We found that genetic deletion of PKCepsilon resulted in decreased necrosis and severity in the in vivo cerulein-induced pancreatitis and that inhibition of PKCepsilon protected the acinar cells from CCK-8 hyperstimulation-induced necrosis and ATP reduction. These findings were associated with upregulation of mitochondrial Bak and Bcl-2/Bcl-xL, proapoptotic and prosurvival members in the Bcl-2 family, respectively, as well as increased mitochondrial cytochrome c release, caspase activation, and apoptosis in pancreatitis in PKCepsilon knockout mice. We further confirmed that cerulein pancreatitis induced a dramatic mitochondrial translocation of PKCepsilon, suggesting that PKCepsilon regulated necrosis in pancreatitis via mechanisms involving mitochondria. Finally, we showed that PKCepsilon deletion downregulated inhibitors of apoptosis proteins, c-IAP2, survivin, and c-FLIPs while promoting cleavage/inactivation of receptor-interacting protein kinase (RIP). Taken together, our findings provide evidence that PKCepsilon activation during pancreatitis promotes necrosis through mechanisms involving mitochondrial proapoptotic and prosurvival Bcl-2 family proteins and upregulation of nonmitochondrial pathways that inhibit caspase activation and RIP cleavage/inactivation. Thus PKCepsilon is a potential target for prevention and/or treatment of acute pancreatitis.
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