The DOI matches its Crossref record; 42 of the 42 references it cites were found in a registry or an index.
Alternatively activated macrophages promote pancreatic fibrosis in chronic pancreatitis
Open accessAbstract
Chronic pancreatitis (CP) is a progressive and irreversible inflammatory and fibrotic disease with no cure. Unlike acute pancreatitis (AP), we find that alternatively activated macrophages (AAMs) are dominant in mouse and human CP. AAMs are dependent on interleukin (IL)-4 and IL-13 signalling, and we show that mice lacking IL-4Rα, myeloid-specific IL-4Rα and IL-4/IL-13 were less susceptible to pancreatic fibrosis. Furthermore, we demonstrate that mouse and human pancreatic stellate cells (PSCs) are a source of IL-4/IL-13. Notably, we show that pharmacologic inhibition of IL-4/IL-13 in human ex vivo studies as well as in established mouse CP decreases pancreatic AAMs and fibrosis. We identify a critical role for macrophages in pancreatic fibrosis and in turn PSCs as important inducers of macrophage-alternative activation. Our study challenges and identifies pathways involved in crosstalk between macrophages and PSCs that can be targeted to reverse or halt pancreatic fibrosis progression. Chronic pancreatitis is an inflammatory disease accompanied by fibrosis. Here the authors show that pancreatic stellate cells produce IL-4 and IL-13 that trigger alternative activation of macrophages, and that genetic or pharmacological inhibition of IL-4/IL-13 signaling ameliorates the disease.
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Cites
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Alternative activation of macrophages
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Alternatively activated macrophages produce catecholamines to sustain adaptive thermogenesis
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Self-citationIdentification, culture, and characterization of pancreatic stellate cells in rats and humans
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Cited by
Fibrosis: from mechanisms to medicines
Henderson, N. C., Rieder, F., & Wynn, T. A. (2020) · Nature · doi:10.1038/s41586-020-2938-9 · Cited by 1,868
Bruton Tyrosine Kinase–Dependent Immune Cell Cross-talk Drives Pancreas Cancer
Gunderson, A. J., Kaneda, M. M., Tsujikawa, T., Nguyen, A. V., Affara, N. I., Ruffell, B., Gorjestani, S., Liudahl, S. M., Truitt, M., Olson, P., et al. (2016) · Cancer Discovery · doi:10.1158/2159-8290.cd-15-0827 · Cited by 486
Diagnosis and Management of Chronic Pancreatitis: A Review
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Macrophage and Fibroblast Interactions in Biomaterial‐Mediated Fibrosis
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Autophagy, Inflammation, and Immune Dysfunction in the Pathogenesis of Pancreatitis
Gukovskaya, A. S., Gukovsky, I., Algül, H., & Habtezion, A. (2017) · Gastroenterology · doi:10.1053/j.gastro.2017.08.071 · Cited by 357
Self-citation
Metadata
- Authors
- Xue, J., Sharma, V., Hsieh, M. H., Chawla, A., Murali, R., Pandol, S. J., & Habtezion, A.
- Venue
- Nature Communications
- Published
- 2015-05-18
- Volume
- 6
- Issue
- 1
- Pages
- 7158-7158
- ISSN
- 2041-1723 (ISSN-L)
- OpenAlex
- W335152085
- Cited by
- 362
- References
- 42
- FWCI
- 25.15
- Type
- journal article
- Language
- en
- Open access
- gold
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- Xue, J., Sharma, V., Hsieh, M. H., Chawla, A., Murali, R., Pandol, S. J., & Habtezion, A. (2015). Alternatively activated macrophages promote pancreatic fibrosis in chronic pancreatitis. Nature Communications. https://doi.org/10.1038/ncomms8158
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