파골세포양 거대세포형 미분화 암종은 췌장암의 1%만을 차지하는 흔치 않은 암종으로 알려져 있다. 저자들은 39세 남자에게서 진단된, 수술 및 항암치료를 시행한 1예를 소개하고자 한다.

Under physiological conditions, calcium (Ca2+) regulates essential functions of polarized secretory cells by the stimulation of specific Ca2+ signaling mechanisms, such as increases in intracellular Ca2+ concentration ([Ca2+]i) via the store-operated Ca2+ entry (SOCE) and the receptor-operated Ca2+ entry (ROCE). Homer proteins are scaffold proteins that interact with G protein-coupled receptors, inositol 1,4,5-triphosphate (IP3) receptors, Orai1-stromal interaction molecule 1, and transient receptor potential canonical (TRPC) channels. However, their role in the Ca2+ signaling in exocrine cells remains unknown. In this study, we investigated the role of Homer2 in the Ca2+ signaling and regulatory channels to mediate SOCE and ROCE in pancreatic acinar cells. Deletion of Homer2 (Homer2–/–) markedly increased the expression of TRPC3, TRPC6, and Orai1 in pancreatic acinar cells, whereas these expressions showed no difference in whole brains of wild-type and Homer2–/– mice. Furthermore, the response of Ca2+ entry by carbachol also showed significant changes to the patterns regulated by specific blockers of SOCE and ROCE in pancreatic acinar cells of Homer2–/– mice. Thus, these results suggest that Homer2 plays a critical role in the regulatory action of the [Ca2+]i via SOCE and ROCE in mouse pancreatic acinar cells.

본 연구는 자색옥수수 색소 1호 포엽과 속대 추출물의 항비만 활성을 검정하고자 지방분해효소 저해활성을 평가 하고 3T3-L1 지방전구세포에서 지방분화억제 효과를 검정하고자 수행되었다. Pancreatic lipase 저해 활성 결과, 색소 1호 포엽 및 속대 추출물의 100, 500, 1,000 μg/mL 농 도처리구에서 양성대조군인 orlistat 보다 높은 저해 활성을 나타내었다. 3T3-L1 지방전구세포를 배양하여 색소 1 호 포엽 및 속대 추출물의 세포독성 평가를 수행한 결과, 추출물은 모든 처리농도에서 세포 생존율에 영향을 미치 지 않은 것으로 확인되었다. 분화된 3T3-L1 지방전구세포 에서 색소 1호 포엽과 속대 추출물을 처리하지 않고 분화 시킨 대조군은 lipid droplet의 형성이 활발하게 유발되었으나 색소 1호 포엽 및 속대 추출물의 처리에 의해 농도 의존적으로 lipid droplet의 형성이 억제되는 것으로 나타났다. Real-time PCR과 Western blot을 실시하여 PPARγ와 C/EBPα 유전자 및 단백질 발현량을 측정한 결과, 추출물을 처리하지 않고 분화시킨 대조군에서는 PPARγ와 C/ EBPα의 유전자 및 단백질 발현이 증가하였으며, 추출물 처리에 의해 PPARγ와 C/EBPα의 유전자 및 단백질 발현이 유의적으로 감소하였다. 본 연구 결과는 색소 1호 포엽 및 속대 추출물이 pancreatic lipase 활성 및 지방전구 세포의 분화를 억제시킴으로써 항비만 활성 기능성 물질 로의 활용 가능성이 높음을 시사한다.

Diabetes mellitus, the most common metabolic disorder, is divided into two types: type 1 and type 2. The essential treatment of type 1 diabetes, caused by immune-mediated destruction of β-cells, is transplantation of the pancreas; however, this treatment is limited by issues such as the lack of donors for islet transplantation and immune rejection. As an alternative approach, stem cell therapy has been used as a new tool. The present study revealed that bone marrowderived mesenchymal stromal cells (BM-MSCs) could be transdifferentiated into pancreatic cells by the insertion of a key gene for embryonic development of the pancreas, the pancreatic and duodenal homeobox factor 1 (PDX1). To avoid immune rejection associated with xenotransplantation and to develop a new cell-based treatment, BM-MSCs from α-1,3-galactosyltransferase knockout (GalT KO) pigs were used as the source of the cells. Transfection of the EGFP-hPDX1 gene into GalT KO pig-derived BM-MSCs was performed by electroporation. Cells were evaluated for hPDX1 expression by immunofluorescence and RT-PCR. Transdifferentiation into pancreatic cells was confirmed by morphological transformation, immunofluorescence, and endogenous pPDX1 gene expression. At 3∼4 weeks after transduction, cell morphology changed from spindle-like shape to round shape, similar to that observed in cuboidal epithelium expressing EGFP. Results of RT-PCR confirmed the expression of both exogenous hPDX1 and endogenous pPDX1. Therefore, GalT KO pig-derived BM-MSCs transdifferentiated into pancreatic cells by transfection of hPDX1. The present results are indicative of the therapeutic potential of PDX1-expressing GalT KO pig-derived BM-MSCs in β-cell replacement. This potential needs to be explored further by using in vivo studies to confirm these findings.

The objective of the present study was to evaluate the potential antidiabetic and antioxidant effect of the ethanol extract from Chrysanthemum cornarium L. var. spatiosum(CSE) against alloxan-induced oxidative stress in pancreatic β-cells, HIT-T15. In this study, the antidiabetic effect of CSE was examined using the 3-(4, 5-dimethylthiazolyl-2)-2, 5-diphenyltetrazoliu bromide(MTT) cell proliferation assay, lactate dehydrogenase(LDH) release assay, NAD+/NADH ratio and insulin secretion. To further investigate whether CSE is involved in the antioxidant activity of alloxan-damaged HIT-T15 cells, its antioxidant effect against alloxan-induced oxidative stress was measured in HIT-T15 cells by determining the levels of antioxidant enzymes including superoxide dismutase(SOD), glutathione S-transferase(GST), glutathione reductase(GR) and glutathione peroxidase(GPx). The results of this analysis showed that alloxan significantly decreased cell viability, increased LDH leakage, and lowered NAD+/NADH ratio and insulin secretion in HIT-T15 cells. However, CSE significantly increased the viability of alloxan-treated cells and lowered LDH leakage. The intracellular NAD+/NADH ratio and insulin secretion were also significantly increased by 1.7-fold and 1.3-fold, respectively, after treatment with 100 ㎍/㎖ CSE. The HIT-T15 cells treated with alloxan showed significant decreases in the activities of antioxidant enzymes, while CSE significantly elevated the levels of antioxidant enzymes. These findings suggest that CSE could have a protective effect against cytotoxicity and dysfunction of pancreatic cells in the presence of alloxan-induced oxidative stress.

H₂O₂, a member of reactive oxygen species (ROS), is known to be involved in the mediation of physiological functions in a variety of cell types. However, little has been known about the physiological role of H₂O₂in exocrine cells. Therefore, in the present study, the effect of H₂O₂on cholecystokinin (CCK)-evoked Cα²+ mobilization and amylase release was investigated in rat pancreatic acinar cells. Stimulation of the acinar cells with sulfated octapeptide form of CCK (CCK-8S) induced biphasic increase in amylase release. Addition of 30μM H₂O₂ enhanced amylase release caused by 10 pM CCK-8S, but inhibited the amylase release induced by CCK-8S at concentrations higher than 100 pM. An ROS scavenger, 10 μM Mn(III)tetrakis(4-benzoic acid)porphyrin chloride, increased amylase release caused by CCK-8S at concentrations higher than 100 pM, although lower concentrations of CCK-8S-induced amylase release was not affected. To examine whether the effect of H₂O₂on CCK-8S-induced amylase release was exerted via modulation of intracellular Cα²+ signaling, we measured the changes in intracellular Cα²+ concentration ([Cα²+]i) in fura-2 loaded acinar cells. Although 30 μM H₂O₂did not induce any increase in([Cα²+]i by itself, it increased the frequency and amplitude of([Cα²+]i oscillations caused by 10 pM CCK-8S. However, 30μM H₂O₂had little effect on 1 nM CCK-8S-induced increase in [Cα²+]i. ROS scavenger, 1 mM N-acetylcysteine, did not affect [Cα²+]i changes induced by 10 pM or 1 nM CCK-8S. Therefore, it was concluded that 30 μM H₂O₂ enhanced low concentration of CCK-8S-induced amylase release probably by increasing [Cα²+]i oscillations while it inhibited high concentration of CCK-8S-induced amylase release.

최근 제 1형 당뇨병을 치료하기 위하여 인슐린-분비성 세포를 이식하는 세포대체요법이 새로운 치료법으로서 주목받고 있다. 그럼에도 불구하고 췌장세포 이식술은 이식원의 절대적인 부족으로 인해 광범위한 시행이 이루어지지 못하고 있는 실정이다. 무한증식과 전분화능을 보유하는 배아줄기세포는 이식할 -세포의 부족을 해결할 수 있는 잠재적 세포공급원이 될 수 있을 것으로 기대된다. 본 종설에서는 인간배아줄기세포로부터 췌장 -세포로의 유도분화방법에 관한 최근 동향을