Alcohol promotes CPT1A-induced lipid metabolism disorder to sentinel-regulate acute pancreatitis

Abstract Background and aims Previous studies have confirmed that alcohol can increase the sensitivity of the pancreas to stressors and exacerbate the severity of pancreatitis when excessive alcohol intake is combined with other causes. In the current work, this study attempted to explore how does a...

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Main Authors: Zenghui Li, Xinghui Li, Hui Jiang, Jingdong Li, Bin Xiao, Yong Chen, Shunhai Jian, Mei Zeng, Xiaoming Zhang
Format: Article
Language:English
Published: BMC 2025-01-01
Series:European Journal of Medical Research
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Online Access:https://doi.org/10.1186/s40001-024-02213-8
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author Zenghui Li
Xinghui Li
Hui Jiang
Jingdong Li
Bin Xiao
Yong Chen
Shunhai Jian
Mei Zeng
Xiaoming Zhang
author_facet Zenghui Li
Xinghui Li
Hui Jiang
Jingdong Li
Bin Xiao
Yong Chen
Shunhai Jian
Mei Zeng
Xiaoming Zhang
author_sort Zenghui Li
collection DOAJ
description Abstract Background and aims Previous studies have confirmed that alcohol can increase the sensitivity of the pancreas to stressors and exacerbate the severity of pancreatitis when excessive alcohol intake is combined with other causes. In the current work, this study attempted to explore how does alcohol regulate cerulein-induced acute pancreatitis, especially before inflammation occurs. Methods Proteomics was performed to analyze the differentially expressed proteins in pancreatic tissues from a rat model of pancreatitis. The metabolite levels in the pancreatic tissue, serum of rats and serum of persons with a history of alcohol consumption were detected by LC‒MS/MS. In the present study the impact of etomoxir (a carnitine palmitoyl-transferase 1A-specific inhibitor) treatment on AR42J cells treated with alcohol and the effect of etomoxir injection on the inflammatory response in an alcohol + cerulein-induced AAP rat model was evaluated. Results When treated with the same amount of cerulein, the rats that ingested alcohol presented with more severe pancreatitis. The proteomics results revealed that the fatty acid degradation pathway was closely related to the development of alcoholic acute pancreatitis, and CPT1A exhibited the greatest increase (approximately twofold increase). The products (acylcarnitines) of CPT1A were changed in the serum of persons with a history of alcohol consumption. Etomoxir treatment mitigates the influence of alcohol stimulation on the aberrant expression of proteins associated with oxidative stress, increased ROS production, mitochondrial ultrastructural alterations and mitochondrial dysfunction in AR42J cells. Etomoxir injection reduced the inflammatory response in the AAP rat model. Conclusion Alcohol upregulates CPT1A protein expression in pancreatic tissue, resulting in abnormal lipid metabolism. The products of lipid metabolism, ROS, contribute to mitochondrial ultrastructural alterations and mitochondrial dysfunction. These changes act as sentinel events that regulate acute pancreatitis.
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spelling doaj-art-331ece63298f4c40bf74863fa362ba0c2025-01-19T12:14:58ZengBMCEuropean Journal of Medical Research2047-783X2025-01-0130111710.1186/s40001-024-02213-8Alcohol promotes CPT1A-induced lipid metabolism disorder to sentinel-regulate acute pancreatitisZenghui Li0Xinghui Li1Hui Jiang2Jingdong Li3Bin Xiao4Yong Chen5Shunhai Jian6Mei Zeng7Xiaoming Zhang8Medical Imaging Key Laboratory of Sichuan Province, Department of Radiology, Affiliated Hospital of North Sichuan Medical CollegeMedical Imaging Key Laboratory of Sichuan Province, Department of Radiology, Affiliated Hospital of North Sichuan Medical College School of Basic Medical Sciences, Chengdu University of Traditional Chinese MedicineDepartment of Hepatobiliary Surgery, Affiliated Hospital of North Sichuan Medical CollegeDepartment of General Surgery, Foshan Clinical Medical School of Guangzhou University of Chinese MedicineDepartment of Radiology, Ruijin Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Pathology, Affiliated Hospital of North Sichuan Medical CollegeInstitute of Rheumatology and Immunology, Affiliated Hospital of North Sichuan Medical CollegeMedical Imaging Key Laboratory of Sichuan Province, Department of Radiology, Affiliated Hospital of North Sichuan Medical CollegeAbstract Background and aims Previous studies have confirmed that alcohol can increase the sensitivity of the pancreas to stressors and exacerbate the severity of pancreatitis when excessive alcohol intake is combined with other causes. In the current work, this study attempted to explore how does alcohol regulate cerulein-induced acute pancreatitis, especially before inflammation occurs. Methods Proteomics was performed to analyze the differentially expressed proteins in pancreatic tissues from a rat model of pancreatitis. The metabolite levels in the pancreatic tissue, serum of rats and serum of persons with a history of alcohol consumption were detected by LC‒MS/MS. In the present study the impact of etomoxir (a carnitine palmitoyl-transferase 1A-specific inhibitor) treatment on AR42J cells treated with alcohol and the effect of etomoxir injection on the inflammatory response in an alcohol + cerulein-induced AAP rat model was evaluated. Results When treated with the same amount of cerulein, the rats that ingested alcohol presented with more severe pancreatitis. The proteomics results revealed that the fatty acid degradation pathway was closely related to the development of alcoholic acute pancreatitis, and CPT1A exhibited the greatest increase (approximately twofold increase). The products (acylcarnitines) of CPT1A were changed in the serum of persons with a history of alcohol consumption. Etomoxir treatment mitigates the influence of alcohol stimulation on the aberrant expression of proteins associated with oxidative stress, increased ROS production, mitochondrial ultrastructural alterations and mitochondrial dysfunction in AR42J cells. Etomoxir injection reduced the inflammatory response in the AAP rat model. Conclusion Alcohol upregulates CPT1A protein expression in pancreatic tissue, resulting in abnormal lipid metabolism. The products of lipid metabolism, ROS, contribute to mitochondrial ultrastructural alterations and mitochondrial dysfunction. These changes act as sentinel events that regulate acute pancreatitis.https://doi.org/10.1186/s40001-024-02213-8Acute pancreatitisProteomicsMitochondrial dysfunctionLipid metabolism
spellingShingle Zenghui Li
Xinghui Li
Hui Jiang
Jingdong Li
Bin Xiao
Yong Chen
Shunhai Jian
Mei Zeng
Xiaoming Zhang
Alcohol promotes CPT1A-induced lipid metabolism disorder to sentinel-regulate acute pancreatitis
European Journal of Medical Research
Acute pancreatitis
Proteomics
Mitochondrial dysfunction
Lipid metabolism
title Alcohol promotes CPT1A-induced lipid metabolism disorder to sentinel-regulate acute pancreatitis
title_full Alcohol promotes CPT1A-induced lipid metabolism disorder to sentinel-regulate acute pancreatitis
title_fullStr Alcohol promotes CPT1A-induced lipid metabolism disorder to sentinel-regulate acute pancreatitis
title_full_unstemmed Alcohol promotes CPT1A-induced lipid metabolism disorder to sentinel-regulate acute pancreatitis
title_short Alcohol promotes CPT1A-induced lipid metabolism disorder to sentinel-regulate acute pancreatitis
title_sort alcohol promotes cpt1a induced lipid metabolism disorder to sentinel regulate acute pancreatitis
topic Acute pancreatitis
Proteomics
Mitochondrial dysfunction
Lipid metabolism
url https://doi.org/10.1186/s40001-024-02213-8
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