Toggle Main Menu Toggle Search

Open Access padlockePrints

Disrupted Pancreatic Exocrine Differentiation and Malabsorption in Response to Chronic Elevated Systemic Glucocorticoid

Lookup NU author(s): Dr Karen Wallace, Emeritus Professor Paul FlecknellORCiD, Professor Alastair BurtORCiD, Professor Matthew Wright


Full text for this publication is not currently held within this repository. Alternative links are provided below where available.


Glucocorticoids are antiinflammatory therapeutics that have potent effects on cell differentiation. The aim of this study was to establish whether systemic glucocorticoid exposure significantly affects pancreatic differentiation in vivo because hepatocyte-like cells have been documented to occur in the diseased rodent pancreas. Expression of hepatic markers was examined in pancreata from mice genetically modified to secrete elevated circulating endogenous glucocorticoid [Tg(Crh)]. Tg(Crh) mice with elevated glucocorticoid appeared cushingoid and by 21 weeks of age were obese, insulin-resistant, and had extensive areas of hepatic gene expression in exocrine tissue. Acinar cells from Tg(Crh) mice costained for both amylase and cyp2e1, suggesting direct acinar-hepatic trans-differentiation. Hepatic expression increased with age in the pancreas to such an extent that malabsorption and rapid weight loss occurred in a subset of aging mice; this effect was reversed by dietary porcine pancreatic enzyme supplementation. Indeed, pancreatic expression of hepatic markers was prevented by adrenalectomy, establishing a direct role for glucocorticoid. Elevated levels of circulating glucocorticoid therefore promote a trans-differentiation of adult exocrine pancreas into hepatocyte-like cells , and chronic exposure results in pancreatic malfunction. Glucocorticoids are thus capable of modulating the differentiation of terminally differentiated adult cells.

Publication metadata

Author(s): Wallace K, Flecknell PA, Burt AD, Wright MC

Publication type: Article

Publication status: Published

Journal: American Journal of Pathology

Year: 2010

Volume: 177

Issue: 3

Pages: 1225-1232

Print publication date: 22/07/2010

ISSN (print): 0002-9440

ISSN (electronic): 1525-2191

Publisher: American Society for Investigative Pathology


DOI: 10.2353/ajpath.2010.100107


Altmetrics provided by Altmetric