Evidence map›Paper›PMID 31999644›Full record

ArticleThe Journal of clinical investigation2020

TRPV4 channel opening mediates pressure-induced pancreatitis initiated by Piezo1 activation.

Sandip M Swain, Joelle M-J Romac, Rafiq A Shahid, Stephen J Pandol, Wolfgang Liedtke, Steven R Vigna, Rodger A Liddle

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 117 papers.

0numbers the graph read from it
0cells of the map it votes in
117citing papers in PubMed
13.7field-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

117 citing papers in PubMed, 192 citations in OpenAlex.

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  14. Role of TRP channels in lymphatic function.Frontiers in physiology · 2026
    Review
  15. PIPProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  16. Article
  17. Review
  18. Article
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57 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Sandip M SwainDepartment of Medicine, Duke University, Durham, North Carolina, USA.
Joelle M-J RomacDepartment of Medicine, Duke University, Durham, North Carolina, USA.
Rafiq A ShahidDepartment of Medicine, Duke University, Durham, North Carolina, USA.
Stephen J PandolCedars-Sinai Medical Center, Los Angeles, California, USA.
Wolfgang LiedtkeDepartment of Neurology and.
Steven R VignaDepartment of Medicine, Duke University, Durham, North Carolina, USA.
Rodger A LiddleDepartment of Medicine, Duke University, Durham, North Carolina, USA.
Duke University · USCedars-Sinai Medical Center · US

Funding

Pathogenic Mechanisms of PancreatitisR01DK064213 · NIDDK · DUKE UNIVERSITY · PI LIDDLE, RODGER A. · 2004 to 2017
$4.7M
Mechanisms of mechanically-induced acute pancreatitisR01DK120555 · NIDDK · DUKE UNIVERSITY · PI LIDDLE, RODGER A. · 2019 to 2023
$1.8M
Mechanisms of Pancreatic FibrosisR01DK124474 · NIDDK · DUKE UNIVERSITY · PI LIDDLE, RODGER A. · 2020 to 2024
$1.8M
The role of gut endocrine cells in Parkinson's DiseaseR01DK109368 · NIDDK · DUKE UNIVERSITY · PI LIDDLE, RODGER A. · 2016 to 2019
$1.4M
NIDDK NIH HHS R01 DK064213NIDDK NIH HHS R01 DK109368NIDDK NIH HHS R01 DK120555NIDDK NIH HHS R01 DK124474
6 · The paper itself

Abstract

Elevated pressure in the pancreatic gland is the central cause of pancreatitis following abdominal trauma, surgery, endoscopic retrograde cholangiopancreatography, and gallstones. In the pancreas, excessive intracellular calcium causes mitochondrial dysfunction, premature zymogen activation, and necrosis, ultimately leading to pancreatitis. Although stimulation of the mechanically activated, calcium-permeable ion channel Piezo1 in the pancreatic acinar cell is the initial step in pressure-induced pancreatitis, activation of Piezo1 produces only transient elevation in intracellular calcium that is insufficient to cause pancreatitis. Therefore, how pressure produces a prolonged calcium elevation necessary to induce pancreatitis is unknown. We demonstrate that Piezo1 activation in pancreatic acinar cells caused a prolonged elevation in intracellular calcium levels, mitochondrial depolarization, intracellular trypsin activation, and cell death. Notably, these effects were dependent on the degree and duration of force applied to the cell. Low or transient force was insufficient to activate these pathological changes, whereas higher and prolonged application of force triggered sustained elevation in intracellular calcium, leading to enzyme activation and cell death. All of these pathological events were rescued in acinar cells treated with a Piezo1 antagonist and in acinar cells from mice with genetic deletion of Piezo1. We discovered that Piezo1 stimulation triggered transient receptor potential vanilloid subfamily 4 (TRPV4) channel opening, which was responsible for the sustained elevation in intracellular calcium that caused intracellular organelle dysfunction. Moreover, TRPV4 gene-KO mice were protected from Piezo1 agonist- and pressure-induced pancreatitis. These studies unveil a calcium signaling pathway in which a Piezo1-induced TRPV4 channel opening causes pancreatitis.

Indexed as

Acinar CellsAnimalsCalciumCalcium SignalingCell DeathDisease Models, AnimalFemaleIon ChannelsMaleMiceMice, Inbred C57BLMice, KnockoutModels, BiologicalPancreasPancreatitisPressureCalciumIon ChannelsPiezo1 protein, mousePyrazinesThiadiazolesTrpv4 protein, mouseTRPV Cation Channelsyoda-1Calcium signalingGastroenterologyIon channels

Identifiers

PMID31999644
PMCPMC7190979
OpenAlexW3004303924

What OpenQuestion holds

Textmetadata
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.