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The etiology of pancreatitis was identified

 


Patients suffering from chronic pancreatitis experience recurrent or permanent inflammation of the pancreas. “Often, the disease develops because of too much alcohol and smoking. Certain medications and high levels of lipids and calcium in the patient’s blood can be another cause of pancreatitis. Heiko Witt explains, ”explains two research directors at Else Kröner-Fresenius-Zentrum (EKFZ) at TUM and Professor of Pediatric Nutrition.

The main focus of previous work has been on the so-called acinar cells of the pancreas. These are responsible for creating the digestive enzymes. Many patients with genetically-induced pancreatitis have mutations in digestive enzymes or molecules that block the effectiveness of enzymes.

Calcium channel disorders cause pancreatitis

The current study, conducted in European and Japanese patients suffering from pancreatitis not associated with alcohol consumption, found that a genetic defect that significantly limits the function of the calcium channel TRPV6 causes early-onset chronic pancreatitis. ..

“Substantial TRPV6 deficiency is a serious worldwide risk factor for developing chronic pancreatitis,” Wit said, “by identifying alterations in calcium channels, we now differentiate duct cells into their origin. This disease is being considered as part of a concept that covers. ”Duct cells act as a coating for channels that transport digestive enzymes from their origin to the intestine.

Using a mouse model, scientists were able to show that lack of the corresponding gene most often leads to the development of pancreatic fibrotic changes typical of inflammation and chronic inflammation.

This new discovery offers the opportunity for a pharmacotherapeutic approach

The finding that calcium channel dysfunction may contribute to the development of pancreatitis provides a new course of action for therapeutic intervention. In addition, the findings will be part of the standard diagnosis of genetically-induced pancreatitis.

These insights also pave the way for new research areas covering the investigation of the causes of pancreatitis-no longer focused on acinar cells and digestive enzymes, but on duct cells and channels and calcium metabolism.

When a calcium channel mutation is identified as the (causing) cause of a disease, new factors move to the scientific focus: other calcium channels and proteins involved in calcium metabolism. “We are currently investigating genetic mutations in these genes, and there is a European patient population consisting of 1100 patients with pancreatitis to gather data for,” reports Witt.

He further explained: “Decoding the genetic background of pancreatitis substantially affects our understanding of these types of genetically-induced pancreatitis and our understanding of alcohol-related pancreatitis. It will enable new research approaches that may lead to new therapeutic possibilities. The future. ”

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