Evidence map›Paper›PMID 23892538›Full record

ReviewCurrent opinion in gastroenterology2013

New insights into the pathogenesis of pancreatitis.

Raghuwansh P Sah, Rajinder K Dawra, Ashok K Saluja

Open access · greenAbstract readReview
In one paragraph

Review in Current opinion in gastroenterology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 3 pooled it
18.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

86 citing papers in PubMed, 3 syntheses or guidelines pooled it, 179 citations in OpenAlex.

  1. Pooled it
  2. Pharmacological interventions for acute pancreatitis.The Cochrane database of systematic reviews · 2017
    Pooled it
  3. Interventions for necrotising pancreatitis.The Cochrane database of systematic reviews · 2016
    Pooled it
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Review
  9. International journal of molecular sciences · 2025
    Article
  10. Article
  11. Review
  12. Review
  13. Acute pancreatitis as a risk factor of chronic pancreatitis and pancreatic cancer. An overview.Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia · 2024
    Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. The diverse roles of TMEM16A CaJournal of advanced research · 2021
    Review
  19. Review
  20. Article

26 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Raghuwansh P SahDepartment of Internal Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Rajinder K Dawra
Ashok K Saluja
Mayo Clinic · USTwin Cities Orthopedics · USUniversity of Minnesota · US

Funding

HEAT SHOCK PROTEINS AND PANCREATITISR01DK058694 · NIDDK · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI RAMAKRISHNAN, SUNDARAM · 2001 to 2019
$5.4M
Relative Contribution of Trypsin & Inflammation in Acute & Chronic PancreatitisR01DK093047 · NIDDK · UNIVERSITY OF MINNESOTA · PI DAWRA, RAJINDER K · 2011 to 2021
$5.0M
Physiology and pathophysiology of human pancreatic acinar cellsR01DK092145 · NIDDK · UNIVERSITY OF MINNESOTA · PI SALUJA, ASHOK K · 2011 to 2014
$1.4M
NIDDK NIH HHS R01 DK058694NIDDK NIH HHS R01 DK092145NIDDK NIH HHS R01 DK093047
6 · The paper itself

Abstract

purpose of reviewIn this article, we review important advances in our understanding of the mechanisms of pancreatitis. RECENT

findingsThe relative contributions of intrapancreatic trypsinogen activation and nuclear factor kappa B (NFκB) activation, the two major early independent cellular events in pancreatitis, have been investigated using novel genetic models. Trypsinogen activation has traditionally held the spotlight for many decades as the central pathogenic event of pancreatitis. However, recent experimental evidence points to the role of trypsin activation in early acinar cell damage but not in the inflammatory response of acute pancreatitis, which was shown to be induced by NFκB activation. Further, chronic pancreatitis developed independently of trypsinogen activation in the caerulein model. Sustained NFκB activation, but not persistent intra-acinar expression of active trypsin, was shown to result in chronic pancreatitis. Calcineurin-NFAT (nuclear factor of activated T-cells) signaling was shown to mediate downstream effects of pathologic rise in intracellular calcium. Interleukin-6 was identified as a key cytokine mediating pancreatitis-associated lung injury. SUMMARY: Recent advances challenge the long-believed trypsin-centered understanding of pancreatitis. It is becoming increasingly clear that activation of intense inflammatory signaling mechanisms in acinar cells is crucial to the pathogenesis of pancreatitis, which may explain the strong systemic inflammatory response in pancreatitis.

Indexed as

Acute DiseaseGenetic Predisposition to DiseaseHumansMutationNF-kappa BPancreatitisPancreatitis, ChronicSignal TransductionSystemic Inflammatory Response SyndromeTrypsinTrypsinogenNF-kappa BTrypsinTrypsinogen

Identifiers

PMID23892538
PMCPMC3934497
OpenAlexW1979573066

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.