Dopamine D2 receptor signalling controls inflammation in acute pancreatitis via a PP2A-dependent Akt/NF-κB signalling pathway

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Dopamine D2 receptor signaling reduces acute pancreatitis inflammation by inhibiting the NF-κB pathway through a PP2A-dependent Akt mechanism, thereby suppressing cytokine production and immune cell migration.

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Abstract

BACKGROUND AND PURPOSE: Dopamine has multiple anti-inflammatory effects, but its role and molecular mechanism in acute pancreatitis (AP) are unclear. We investigated the role of dopamine signalling in the inflammatory response in AP. EXPERIMENTAL APPROACH: Changes in pancreatic dopaminergic system and effects of dopamine, antagonists and agonists of D1 and D2 dopamine receptors were analysed in wild-type and pancreas-specific Drd2-/- mice with AP (induced by caerulein and LPS or L-arginine) and pancreatic acinar cells with or without cholecystokinin (CCK) stimulation. The severity of pancreatitis was assessed by measuring serum amylase and lipase and histological assessments. The NF-κB signalling pathway was evaluated, and macrophage and neutrophil migration assessed by Transwell assay. KEY RESULTS: Pancreatic dopamine synthetase and metabolic enzyme levels were increased, whereas D1 and D2 receptors were decreased in AP. Dopamine reduced inflammation in CCK-stimulated pancreatic acinar cells by inhibiting the NF-κB pathway. Moreover, the protective effects of dopamine were blocked by a D2 antagonist, but not a D1 antagonist. A D2 agonist reduced pancreatic damage and levels of p-IκBα, p-NF-κBp65, TNFα, IL-1β and IL-6 in AP. Pancreas-specific Drd2-/- aggravated AP. Also, the D2 agonist activated PP2A and inhibited the phosphorylation of Akt, IKK, IκBα and NF-κB and production of inflammatory cytokines and chemokines. Furthermore, it inhibited the migration of macrophages and neutrophils by reducing the expression of CCL2 and CXCL2. A PP2A inhibitor attenuated these protective effects of the D2 agonist. CONCLUSIONS AND IMPLICATIONS: D2 receptors control pancreatic inflammation in AP by inhibiting NF-κB activation via a PP2A-dependent Akt signalling pathway.

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MeSH descriptors

Inflammation NF-kappa B Pancreatitis Protein Phosphatase 2 Proto-Oncogene Proteins c-akt Receptors, Dopamine D2 Acute Disease Animals Humans Inflammation Male Mice Mice, Inbred BALB C Mice, Inbred C57BL Mice, Knockout NF-kappa B Pancreatitis Protein Phosphatase 2 Proto-Oncogene Proteins c-akt Receptors, Dopamine D2

Funding

funders
[{'doi': '10.13039/501100001809', 'name': 'National Natural Science Foundation of China', 'awards': ['81370568']}, {'doi': '10.13039/501100001809', 'name': 'National Natural Science Foundation of China', 'awards': ['81372643']}, {'doi': '10.13039/501100001809', 'name': 'National Natural Science Foundation of China', 'awards': ['81400663']}, {'doi': '10.13039/501100001809', 'name': 'National Natural Science Foundation of China', 'awards': ['81570580']}, {'doi': '10.13039/501100001809', 'name': 'National Natural Science Foundation of China', 'awards': ['81670584']}]

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