Evidence map›Paper›PMID 29127325›Full record

ArticleScientific reports2017

Acinar injury and early cytokine response in human acute biliary pancreatitis.

Aparna Jakkampudi, Ramaiah Jangala, Ratnakar Reddy, Sasikala Mitnala, G Venkat Rao, Rebala Pradeep, D Nageshwar Reddy, Rupjyoti Talukdar

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

23 citing papers in PubMed, 41 citations in OpenAlex.

  1. Article
  2. Article
  3. Acute pancreatitis: Translating early mechanisms to bedside management.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2025
    Review
  4. Article
  5. Heart rate variability in acute pancreatitis: a narrative review.Translational gastroenterology and hepatology · 2024
    Review
  6. Article
  7. Galantamine ameliorates experimental pancreatitis.Molecular medicine (Cambridge, Mass.) · 2023
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Role of Interleukin-17 in Acute Pancreatitis.Frontiers in immunology · 2021
    Review
  15. Review
  16. Fatty acid ethyl ester (FAEE) associated acute pancreatitis: An ex-vivo study using human pancreatic acini.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] · 2020
    Article
  17. Article
  18. Early Systemic Inflammatory Response Syndrome Duration Predicts Infected Pancreatic Necrosis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020
    Observational
  19. Serum TLR9 and NF-Emergency medicine international · 2020
    Article
  20. New insights into acute pancreatitis.Nature reviews. Gastroenterology & hepatology · 2019
    Review
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

8 authors at 2 institutions in 1 country.

Aparna JakkampudiWellcome DBT Labs., Division of Basic Sciences, Asian Healthcare Foundation, New Delhi, India.
Ramaiah JangalaWellcome DBT Labs., Division of Basic Sciences, Asian Healthcare Foundation, New Delhi, India.
Ratnakar ReddyWellcome DBT Labs., Division of Basic Sciences, Asian Healthcare Foundation, New Delhi, India.
Sasikala MitnalaWellcome DBT Labs., Division of Basic Sciences, Asian Healthcare Foundation, New Delhi, India.
G Venkat RaoDepartment of Surgical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India.
Rebala PradeepDepartment of Surgical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India.
D Nageshwar ReddyDepartment of Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India.
Rupjyoti TalukdarWellcome DBT Labs., Division of Basic Sciences, Asian Healthcare Foundation, New Delhi, India. rup_talukdar@yahoo.com.
Asian Institute of Gastroenterology · INWellcome Trust/DBT India Alliance · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical acute pancreatitis (AP) is marked by an early phase of systemic inflammatory response syndrome (SIRS) with multiorgan dysfunction (MODS), and a late phase characterized by sepsis with MODS. However, the mechanisms of acinar injury in human AP and the associated systemic inflammation are not clearly understood. This study, for the first time, evaluated the early interactions of bile acid induced human pancreatic acinar injury and the resulting cytokine response. We exposed freshly procured resected human pancreata to taurolithocolic acid (TLCS) and evaluated for acinar injury, cytokine release and interaction with peripheral blood mononuclear cells (PBMCs). We observed autophagy in acinar cells in response to TLCS exposure. There was also time-dependent release of IL-6, IL-8 and TNF-α from the injured acini that resulted in activation of PBMCs. We also observed that cytokines secreted by activated PBMCs resulted in acinar cell apoptosis and further cytokine release from them. Our data suggests that the earliest immune response in human AP originates within the acinar cell itself, which subsequently activates circulating PBMCs leading to SIRS. These findings need further detailed evaluation so that specific therapeutic targets to curb SIRS and resulting early adverse outcomes could be identified and tested.

Indexed as

Acinar CellsPancreasPancreatitisAcute DiseaseCytokinesFemaleHumansLeukocytes, MononuclearMaleMultiple Organ FailureSystemic Inflammatory Response SyndromeTaurolithocholic AcidCytokinesTaurolithocholic Acid

Identifiers

PMID29127325
PMCPMC5681596
OpenAlexW2767266002

What OpenQuestion holds

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LicenceCC BY
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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.