Pancreas-specific CHRM3 activation causes pancreatitis in mice

Jianhua Wan1,2, Jiale Wang1, Larry E Wagner3

  • 1Department of Cancer Biology, Mayo Clinic, Jacksonville, Florida, USA.

JCI Insight
|July 27, 2021
PubMed

Insights

Activation of the muscarinic M3 receptor (M3R) in pancreatic acinar cells can induce pancreatitis. This finding suggests M3R activation plays a role in pancreatitis pathogenesis and offers a new research model.

Area of Science:

  • G protein-coupled receptor (GPCR) signaling in pancreatic physiology.
  • Pathogenesis of pancreatitis and pancreatic diseases.

Background:

  • Rodent models of pancreatitis commonly utilize cholecystokinin 1 receptor (CCK1R) stimulation.
  • Human pancreatic acinar cells express muscarinic M3 receptor (M3R), not CCK1R, suggesting a different mechanism for pancreatitis induction.

Purpose of the Study:

  • To investigate the role of M3R activation in the pathogenesis of pancreatitis.
  • To develop a novel mouse model for studying pancreatitis.

Main Methods:

  • Conditional expression of a clozapine-N-oxide (CNO)-activatable mutant M3R in mouse pancreatic acinar cells.
  • Induction of pancreatitis using CNO in transgenic mice and comparison with cerulein-induced pancreatitis in wild-type (WT) mice.
  • Assessment of M3R antagonist effects on cerulein-induced pancreatitis.

Main Results:

  • CNO administration induced intracellular calcium release and amylase secretion in isolated M3R-expressing cells.
  • CNO injection triggered acute pancreatitis (AP) in transgenic mice, characterized by widespread acinar cell death and inflammation, exceeding cerulein effects.
  • Recurrent CNO-induced AP led to chronic pancreatitis, whereas cerulein-induced AP showed histological recovery.
  • M3R antagonist treatment ameliorated cerulein-induced AP severity in WT mice.

Conclusions:

  • Muscarinic M3 receptor activation is implicated in the pathogenesis of pancreatitis.
  • The developed M3R-activation model provides a new avenue for pancreatitis research.