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Mitochondrial dysfunction as a bridge to pathology in acute pancreatitis: From molecular insights to novel
Chuan-Chao Xia1, Yue Xu1, Zhen-Huan Wang2
1Department of Gastroenterology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, Zhejiang Province, China.
Abstract:
Acute pancreatitis (AP) is a life-threatening inflammatory condition triggered by the premature activation of trypsin. The limited understanding of its underlying pathophysiology remains a key obstacle to the development of targeted therapies. Mounting evidence now underscores mitochondrial dysfunction as a critical pathogenic driver in AP. Cellular mitochondrial dysfunction often precedes both cytokine release and trypsin activation, potentially serving as a primary initiator in the development and advancement of AP. Mitochondrial dysfunction is associated with calcium overload, inflammatory reactions, mitochondrial permeability transition pore opening, mitophagy damage, and other potential pathogenesis of pancreatic cell injury. Elucidating the impact of mitochondrial injury in AP may facilitate the development of innovative treatment approaches. This review provides a comprehensive and systematic analysis of the pivotal role of mitochondria in regulating pancreatic homeostasis, while evaluating emerging therapeutic strategies aimed at mitigating mitochondrial dysfunction. By integrating cutting-edge research findings, this work highlights the translational potential of these advancements in redefining diagnostic frameworks and optimizing therapeutic approaches for the management of AP.
Insights
Mitochondrial dysfunction critically drives acute pancreatitis (AP) by initiating pancreatic cell injury. Targeting mitochondrial pathways offers promising therapeutic strategies for AP management.
Area of Science:
- Biochemistry
- Cell Biology
- Pathophysiology
Background:
- Acute pancreatitis (AP) is a severe inflammatory disease with limited therapeutic options.
- Understanding AP pathophysiology is crucial for developing targeted treatments.
- Mitochondrial dysfunction is increasingly recognized as a key factor in AP development.
Purpose of the Study:
- To comprehensively review the role of mitochondria in AP pathogenesis.
- To evaluate emerging therapeutic strategies targeting mitochondrial dysfunction in AP.
- To highlight the translational potential of mitochondrial research for AP diagnosis and treatment.
Main Methods:
- Systematic literature review.
- Analysis of current research on mitochondrial roles in AP.
- Evaluation of novel therapeutic approaches.
Main Results:
- Mitochondrial dysfunction, including calcium overload and mitophagy damage, precedes key AP events like trypsin activation.
- Mitochondrial injury is a central mechanism in pancreatic cell damage during AP.
- Emerging therapies focus on mitigating mitochondrial dysfunction.
Conclusions:
- Mitochondrial dysfunction is a critical initiator and driver of AP.
- Targeting mitochondrial pathways holds significant promise for novel AP treatments.
- Further research can redefine AP diagnostics and therapeutics by focusing on mitochondrial health.
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