Myeloid-specific dopamine D2 receptor signalling controls inflammation in acute pancreatitis via inhibiting M1

Xiao Han1,2, Jianbo Ni1,2, Zengkai Wu1,2

  • 1Department of Gastroenterology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Abstract

Insights

Myeloid-specific dopamine D2 receptor signaling protects against acute pancreatitis (AP) by inhibiting M1 macrophage activation. Activating D2 receptors may offer a new therapeutic strategy for AP.

Area of Science:

  • Immunology
  • Gastroenterology
  • Pharmacology

Background:

  • Macrophage activation is crucial in acute pancreatitis (AP) pathogenesis.
  • Pancreas-specific dopamine D2 receptor signaling confers protection against AP.
  • The role of myeloid-specific D2 receptor in AP remains unclear.

Purpose of the Study:

  • To investigate the role of myeloid-specific dopamine D2 receptor signaling in AP.
  • To determine if D2 receptor activation influences macrophage polarization and inflammatory pathways in AP.

Main Methods:

  • Acute pancreatitis was induced in wild-type and myeloid-specific D2 receptor knockout mice using l-arginine, caerulein, and LPS.
  • Murine bone marrow-derived macrophages and human peripheral blood mononuclear cells (PBMCs) were polarized to M1 phenotype.
  • AP severity, macrophage phenotype, oxidative stress, and inflammatory signaling pathways (NF-κB, NLRP3 inflammasome) were assessed.

Main Results:

  • Dopamine D2 receptor signaling inhibited inflammatory cytokine expression in M1-polarized human macrophages.
  • Myeloid-specific D2 receptor deletion exacerbated AP severity, systemic inflammation, and promoted M1 macrophage polarization.
  • M1 macrophages from knockout mice showed increased oxidative stress and enhanced NF-κB and NLRP3 inflammasome activation.
  • D2 receptor activation suppressed M1 macrophage polarization and associated inflammatory signaling.

Conclusions:

  • Myeloid-specific D2 receptor signaling plays a critical role in controlling pancreatic injury and systemic inflammation during AP.
  • Inhibition of M1 macrophage polarization by D2 receptor activation is a key mechanism.
  • Dopamine D2 receptor activation presents a potential therapeutic target for managing AP.

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