Evidence map›Paper›PMID 30973461›Full record

ReviewPancreas2019

Recent Insights Into the Pathogenic Mechanism of Pancreatitis: Role of Acinar Cell Organelle Disorders.

Anna S Gukovskaya, Fred S Gorelick, Guy E Groblewski, Olga A Mareninova, Aurelia Lugea, Laura Antonucci, Richard T Waldron, Aida Habtezion, Michael Karin, Stephen J Pandol and 1 more

Open access · greenAbstract readReview
In one paragraph

Review in Pancreas, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
6.8field-weighted citation impact, top 3% 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

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Review
  4. Genetic and pharmacologic modulations elucidate NRF2 protective role in acute pancreatitis.American journal of physiology. Gastrointestinal and liver physiology · 2026
    Article
  5. Role of serine/threonine phosphatases 1 and 2A in pancreatic acinar fluid and electrolyte secretion.American journal of physiology. Gastrointestinal and liver physiology · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Alterations in exocrine pancreatic function after acute pancreatitis.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] · 2024
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Article
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

11 authors at 4 institutions in 1 country.

Anna S Gukovskaya
Fred S Gorelick
Guy E GroblewskiDepartment of Nutritional Sciences, University of Wisconsin, Madison, WI.
Olga A Mareninova
Aurelia LugeaDivision of Digestive and Liver Diseases, Cedars-Sinai Medical Center, Los Angeles.
Laura AntonucciLaboratory of Gene Regulation and Signal Transduction, Departments of Pharmacology and Pathology, University of California San Diego School of Medicine, La Jolla.
Richard T WaldronDivision of Digestive and Liver Diseases, Cedars-Sinai Medical Center, Los Angeles.
Aida HabtezionDivision of Gastroenterology and Hepatology, Department of Medicine, Stanford University School of Medicine, Stanford, CA.
Michael KarinLaboratory of Gene Regulation and Signal Transduction, Departments of Pharmacology and Pathology, University of California San Diego School of Medicine, La Jolla.
Stephen J PandolDivision of Digestive and Liver Diseases, Cedars-Sinai Medical Center, Los Angeles.
Ilya Gukovsky
Cedars-Sinai Medical Center · USUniversity of California, San Diego · USStanford University · USUniversity of Wisconsin–Madison · US

Funding

The Southernearch Center for ALPD and CirrhosisP50AA011999 · NIAAA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ANNA S. GUKOVSKAYA · 1999 to 2026
$45.8M
Vector and Human Acinar CoreP01DK098108 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI PANDOL, STEPHEN J. · 2014 to 2018
$8.1M
The Stanford Clinical Center for the Study of Chronic Pancreatitis, Diabetes, and Pancreatic CancerU01DK108300 · NIDDK · STANFORD UNIVERSITY · PI Sohail Z Husain, Walter Gwang-Up Park · 2015 to 2026
$6.3M
EXOCRINE PANCREATIC ZYMOGEN ACTIVATIONR01DK054021 · NIDDK · YALE UNIVERSITY · PI GORELICK, FRED SANFORD · 1998 to 2018
$3.6M
Apoptosis and Necrosis in PancreatitisR01DK059936 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI GUKOVSKAYA, ANNA S. · 2003 to 2012
$2.1M
Targeting protein kinase D in alcoholic pancreatitisR01AA024464 · NIAAA · CEDARS-SINAI MEDICAL CENTER · PI PANDOL, STEPHEN J., YUAN, JINGZHEN · 2016 to 2020
$2.0M
Lysosomal Damage, Impaired Autophagy, and Alcoholic PancreatitisR01AA019730 · NIAAA · BRENTWOOD BIOMEDICAL RESEARCH INSTITUTE · PI GUKOVSKY, ILYA, MARENINOVA, OLGA A · 2011 to 2015
$1.4M
Mitochondrial Dysfunction, Permeability Transition Pore, and Acute PancreatitisI01BX000774 · VA · VA GREATER LOS ANGELES HEALTHCARE SYSTEM · PI GUKOVSKAYA, ANNA S. · 2011 to 2014
–
Cell Death and Autophagy in Chronic PancreatitisI01BX004306 · VA · VA GREATER LOS ANGELES HEALTHCARE SYSTEM · PI GUKOVSKAYA, ANNA S. · 2018 to 2021
–
Regulation of pancreatitis severityI01BX003250 · VA · VA CONNECTICUT HEALTHCARE SYSTEM · PI Fred Sanford Gorelick · 2016 to 2026
–
BLRD VA I01 BX000774BLRD VA I01 BX003250BLRD VA I01 BX004306BLRD VA IK6 BX005793NIAAA NIH HHS P50 AA011999NIAAA NIH HHS R01 AA019730NIDDK NIH HHS P01 DK098108NIDDK NIH HHS R01 DK054021NIDDK NIH HHS R01 DK059936NIDDK NIH HHS U01 DK108300
6 · The paper itself

Abstract

Acute pancreatitis (AP) is a potentially lethal inflammatory disease that lacks specific therapy. Damaged pancreatic acinar cells are believed to be the site of AP initiation. The primary function of these cells is the synthesis, storage, and export of digestive enzymes. Beginning in the endoplasmic reticulum and ending with secretion of proteins stored in zymogen granules, distinct pancreatic organelles use ATP produced by mitochondria to move and modify nascent proteins through sequential vesicular compartments. Compartment-specific accessory proteins concentrate cargo and promote vesicular budding, targeting, and fusion. The autophagy-lysosomal-endosomal pathways maintain acinar cell homeostasis by removing damaged/dysfunctional organelles and recycling cell constituents for substrate and energy. Here, we discuss studies in experimental and genetic AP models, primarily from our groups, which show that acinar cell injury is mediated by distinct mechanisms of organelle dysfunction involved in protein synthesis and trafficking, secretion, energy generation, and autophagy. These early AP events (often first manifest by abnormal cytosolic Ca signaling) in the acinar cell trigger the inflammatory and cell death responses of pancreatitis. Manifestations of acinar cell organelle disorders are also prominent in human pancreatitis. Our findings suggest that targeting specific mediators of organelle dysfunction could reduce disease severity.

Indexed as

HomeostasisAcinar CellsAcute DiseaseAutophagyEndoplasmic ReticulumEndosomesHumansLysosomesPancreatitisSecretory Vesicles

Identifiers

PMID30973461
PMCPMC6461375
OpenAlexW2938782689

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

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.