Evidence map›Paper›PMID 35451372›Full record

ArticleJCI insight2022

Piezo1-mediated stellate cell activation causes pressure-induced pancreatic fibrosis in mice.

Sandip M Swain, Joelle M-J Romac, Steven R Vigna, Rodger A Liddle

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
6.6field-weighted citation impact, top 2% 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

45 citing papers in PubMed, 61 citations in OpenAlex.

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  18. KPflugers Archiv : European journal of physiology · 2025
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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

4 authors at 1 institution 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.
Steven R VignaDepartment of Medicine, Duke University, Durham, North Carolina, USA.
Rodger A LiddleDepartment of Medicine, Duke University, Durham, North Carolina, USA.
Duke University · US

Funding

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
NIDDK NIH HHS R01 DK120555NIDDK NIH HHS R01 DK124474
6 · The paper itself

Abstract

Pancreatic fibrosis is a complication of chronic pancreatitis and is a prominent feature of pancreatic cancer. Pancreatic fibrosis is commonly observed in patients with prolonged pancreatic duct obstruction, which elevates intrapancreatic pressure. We show here that increased pancreatic duct pressure causes fibrosis and describes the mechanism by which pressure increases deposition of extracellular matrix proteins and fibrosis. We found that pancreatic stellate cells (PSCs), the source of the extracellular matrix proteins in fibrosis, express the mechanically activated ion channel Piezo1. By increasing intracellular calcium, mechanical stress or the Piezo1 agonist Yoda1-activated PSCs manifest by loss of perinuclear fat droplets and increased TGF-β1, fibronectin, and type I collagen expression. These effects were blocked by the Piezo1 inhibitor GsMTx4 and absent in PSCs from mice with conditional genetic deletion of Piezo1 in stellate cells, as was pancreatic duct ligation-induced fibrosis. Although TRPV4 has been proposed to have direct mechanosensing properties, we discovered that PSCs from Trpv4-KO mice were protected against Yoda1-triggered activation. Moreover, mice devoid of TRPV4 were protected from pancreatic duct ligation-induced fibrosis. Thus, high pressure within the pancreas stimulates Piezo1 channel opening, and subsequent activation of TRPV4 leads to stellate cell activation and pressure-induced chronic pancreatitis and fibrosis.

Indexed as

Ion ChannelsPancreatitis, ChronicTRPV Cation ChannelsAnimalsFibrosisHumansMicePancreasPancreatic Stellate CellsIon ChannelsPiezo1 protein, mouseTrpv4 protein, mouseTRPV Cation ChannelsFibrosisGastroenterology

Identifiers

PMID35451372
PMCPMC9089793
OpenAlexW4224261008

What OpenQuestion holds

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LicenceCC BY
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.