We previously reveal that S1PR2 promotes an inflammatory response and participates the progression of cholestasis-induced liver injury. In the present study, we identified a critical role of S1PR2 in acute pancreatitis. Pharmacologic inhibition of S1PR2 signaling by JTE-013 or knock down of S1PR2 expression using a gene-specific shRNA alleviated pancreatic injury and resulted in lower expression of inflammatory response in mouse models of caerulein pancreatitis. Importantly, the protective mechanisms depend on the inhibition of S1PR2 on acinar cells and macrophages, which altered early activation of inflammatory pathways including NF-κB activation in the acinar cells, decreased peritoneal macrophages recruitment and regulated M1 phenotype polarization of macrophages.
Despite significant advances in the last 25 years, the mechanisms responsible for the initiation of acute pancreatitis remains to be elusive. It is widely held that acute pancreatitis was attributed to pre-mature intracellular trypsinogen activation initiate pancreatic acinar cell injury, release various DAMP or cytokines, which lead to inflammatory cells recruited into the damaged pancreas [30, 31]. But in-vitro expression of active trypsin cannot activate NF-κB, which suggest that trypsinogen activation and NF-κB activation are independent events during the early phase of acute pancreatitis. Actually, under conditions of stress, including alcohol abuse, cigarette smoking, or hyperlipidemia, the acinar cells show such unique inflammatory property[32]. Thus far, studies using transgenic animals in acute pancreatitis, such as T7-/- and Ctsb-/- mice, have successfully identified that NF-κB pathway within acinar cells is a key early event and may have a hand in progression of pancreatic and systemic inflammatory response [30]. In current study, TCA induce NF-κB up-expression and translocate to the nucleus in pancreatic acinar cells in both dose- dependent and time- dependent manner, and these effects were blocked by JTE-013 (antagonist of S1PR2) or S1PR2-shRNA, which further S1PR2 activation be responsible for inflammation within acinar cells during the early phase of pancreatitis. Consistent with our reports, upregulation of S1PR2 activates the NF-κB signaling pathway and are critical for the vascular inflammation induction.
It is noteworthy that monocytes/macrophages, but not NK, NKT, and TCRγδ + T cells, participate in the early stage of the pathogenesis of caerulein pancreatitis and emerged at the highest ratio among the immune cells in the damaged pancreas of cerulein-injected mice [33, 34]. In this study, one striking finding was that TCA promoted macrophages migration and regulated macrophages polarization toward M1 phenotype via S1PR2 in vitro. As expected, administration of S1PR2 antagonist JTE-013 results in lower the infiltration number of macrophages and the levels of inflammatory factor during acute pancreatitis in vivo. Emerging evidence indicates that S1PR2 participate in neutrophil recruitment and NETosis, another form of activated neutrophil death, during BDL-induced liver injury [22]. We also demonstrated that blockade of S1PR2 alleviated Ly6G + neutrophils infiltration in acute pancreatitis mice.
S1PR2 is a G protein-coupled receptor and couples with several different G-alpha subunits, such as Gα(i/o), Gαq, and Gα(12/13)[28, 35]. These subunits activation exert different influence in various different pathways, due to the different stimulus and different cell type[36]. Here, we further evaluate which downstream second messenger molecules of S1PR2, such as the Rho kinase (ROCK), ERK and p38 MAPK, is responsible for NF-κB signaling pathway activation in pancreatic acinar cell. These results showed that TCA-induced NF-κB activation and inflammatory factors secretion were impaired by ROCK inhibitors in pancreatic acinar cells, while ERK and p38 inhibitors had no such effect. Nevertheless, in macrophages, ROCK, ERK, and p38 inhibitors impaired TCA-induced NF-κB activation. Consistent with our results, S1PR2 couples dominantly to the Rho/ROCK pathway and leads to NF-κB activation in macrophages. Subsequently, blockade of S1PR2 activates the Rho/Rho kinase/NF-κB signal pathway and reduced cytokine secretion and oxidized LDL uptake [16, 37]. Finally, homology modeling of the S1PR2 docking to TCA predicts that TCA, a low affinity agonist, hydrogen bonds only to Leu 173 of the S1PR2 [38]. All in all, this study highlighted S1PR2 is the critical role in acute pancreatitis. In pancreatic acinar cells, activation S1PR2 by TCA activates NF-κB tran-activation through ROCK signal pathway, leads to the secretion of inflammatory factors, further recruits immune cell, especially macrophage, and promotes M1 phenotype polarization during acute pancreatitis (Fig. 7). Furthermore, our results supported that S1PR2 blockade can alleviate early inflammatory response and provided new compelling information on therapeutic of acute pancreatitis