Cited by 197Pancreatitis Pathology and TreatmentPancreatic and Hepatic Oncology ResearchPancreatic function and diabetes

Regeneration and Repair of the Exocrine Pancreas

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Murtaugh, L. Charles, Keefe, Matthew D.·2015·Annual Review of Physiology

Abstract

Pancreatitis is caused by inflammatory injury to the exocrine pancreas, from which both humans and animal models appear to recover via regeneration of digestive enzyme–producing acinar cells. This regenerative process involves transient phases of inflammation, metaplasia, and redifferentiation, driven by cell-cell interactions between acinar cells, leukocytes, and resident fibroblasts. The NFκB signaling pathway is a critical determinant of pancreatic inflammation and metaplasia, whereas a number of developmental signals and transcription factors are devoted to promoting acinar redifferentiation after injury. Imbalances between these proinflammatory and prodifferentiation pathways contribute to chronic pancreatitis, characterized by persistent inflammation, fibrosis, and acinar dedifferentiation. Loss of acinar cell differentiation also drives pancreatic cancer initiation, providing a mechanistic link between pancreatitis and cancer risk. Unraveling the molecular bases of exocrine regeneration may identify new therapeutic targets for treatment and prevention of both of these deadly diseases.

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Crossref · 10.1146/annurev-physiol-021014-071727

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  • Augmented Hedgehog, Notch, and Wnt/b-catenin signaling are mandatory for regeneration in mice after experimental induction of pancreatitis.

    “Among others, augmented Hedgehog, Notch, and Wnt/b-catenin signaling were delineated as mandatory for regeneration in mice after experimental induction of pancreatitis [21–24].”

    From TBX3 is dynamically expressed in pancreatic organogenesis and fine-tunes regeneration (2023) · cites this paper as [21]

    In “Developmental signals regulating pancreatic regeneration” (page not provided), the review reports that Hedgehog signaling is required for acinar re-differentiation after caerulein-induced pancreatitis and that Notch promotes it, although the Notch requirement may be indirect. It also reports that β-catenin is important for proliferative expansion of surviving acini, but not for their re-differentiation; whether that effect depends on Wnt ligands is unknown. Thus, calling augmented signaling through all three pathways mandatory for regeneration overstates the source. (LLM, conf=0.88)

    Experimental — accuracy not yet measured
  • Common mechanisms and similar genetic programs between stem cell induction, organ homeostasis, and regeneration from injury have been identified for the pancreas.

    “Common mechanisms and similar genetic programs between stem cell induction, organ homeostasis, and regeneration from injury have been identified for the pancreas [20, 21].”

    From TBX3 is dynamically expressed in pancreatic organogenesis and fine-tunes regeneration (2023) · cites this paper as [21]

    The sections on developmental signals and transcription factors report that regulators involved in pancreatic development or homeostasis also have roles in regeneration after injury (page unavailable in our copy). They do not establish the claimed overlap with stem cell induction, so the three-way comparison is only partly supported. (LLM, conf=0.82)

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References 120 · Cited by 197

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Authors
Murtaugh, L. C., & Keefe, M. D.
Affiliations
University of Utah (US)
Venue
Annual Review of Physiology
Published
2015-02-10
Volume
77
Issue
1
Pages
229-249
ISSN
  • 0066-4278 (ISSN-L)
  • 1545-1585
OpenAlex
W2126268972
Cited by
197
References
120
Citations by year
2026: 12 · 2025: 18 · 2024: 16 · 2023: 16 · 2022: 17 · 2021: 27 · 2020: 23 · 2019: 18 · 2018: 18 · 2017: 11 · 2016: 11 · 2015: 10
FWCI
2.01
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Annual Review of Physiology (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health
  • National Cancer Institute (R21CA179453)
Topics
  • Health Sciences › Medicine › Surgery › Pancreatitis Pathology and Treatment
  • Health Sciences › Medicine › Oncology › Pancreatic and Hepatic Oncology Research
  • Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
Keywords
pancreatitis, metaplasia, NF-κB signaling, pancreatic fibrosis, chronic pancreatitis, pancreatic cancer, acinar differentiation, cell-cell interactions, leukocytes, fibroblasts
MeSH terms
Animals, Cell Differentiation, Disease Models, Animal, Humans, Pancreatic Neoplasms, Pancreatitis, Regeneration, Signal Transduction, Pancreas, Exocrine, Acinar Cells

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

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