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Departments of Medicine, Veterans Affairs Greater Los Angeles Healthcare System and University of California, Los Angeles, California 90073
Neutrophil infiltration
into the pancreas is a key event in pancreatitis. Here we show that
intercellular adhesion molecule-1 (ICAM-1), which regulates neutrophil
adhesion, is present on rat pancreatic acinar cells, is upregulated by
a hormone (cerulein) and mediates direct binding of neutrophils to
acinar cells. ICAM-1 was upregulated in pancreas of rats with
experimental pancreatitis induced by supramaximal doses of cerulein.
Furthermore, cerulein time and dose dependently stimulated expression
of ICAM-1 mRNA and protein in isolated pancreatic acinar cells.
Inhibitory analysis showed that activation of transcription factor
nuclear factor-
B (NF-
B) was involved in ICAM-1 upregulation by
cerulein, but NF-
B did not mediate basal expression of ICAM-1 mRNA
in acinar cells. With an adhesion assay, we found that neutrophils bind
to isolated pancreatic acinar cells and that cerulein upregulates the
extent of adhesion. Neutralizing ICAM-1 antibody blocked neutrophil
binding to both control and cerulein-stimulated acinar cells,
suggesting ICAM-1 involvement in this adhesion. Thus the acinar cell is
capable of targeting neutrophils to its surface, a process that may be important for inflammatory and cell death responses in pancreatitis and
other pancreatic disorders.
intercellular adhesion molecule-1; cholecystokinin; nuclear
factor-
B; inflammatory response; pancreatitis
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