α⁃酮戊二酸通过XRCC3诱发急性胰腺炎发病的机制研究
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南京医科大学第一附属医院胰腺中心,江苏 南京 210029

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R576

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Study on the mechanism of α⁃ketoglutarate inducing acute pancreatitis via XRCC3
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Pancreas Center,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029 ,China

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    摘要:

    目的:筛选急性胰腺炎(acute pancreatitis,AP)潜在致病代谢物,并基于动物及细胞模型探讨α -酮戊二酸(alpha- ketoglutarate,αKG)调控X线修复交叉互补3蛋白(X ray repair cross-complementing protein 3,XRCC3)诱发AP的分子机制。方法:通过孟德尔随机化(Mendelian randomization,MR)研究,结合两轮独立的Meta分析,从遗传学角度筛选与AP发病相关的代谢物,并采用逆方差加权(inverse variance weighted,IVW)方法评估代谢物与AP的因果效应。随后,构建C57BL/6小鼠AP动物模型及AR42J细胞模型,分别通过腹腔注射αKG和培养基共培养的方式,验证其对胰腺腺泡细胞损伤及炎症反应的影响。检测指标包括细胞活性、炎症因子水平、组织病理学变化。此外,利用RNA测序分析αKG处理前后AR42J细胞的全转录组差异, 并通过免疫组化、Western blot等技术验证XRCC3的表达变化及其在AP发病中的作用。结果:MR研究及Meta分析结果显示, αKG与AP发病存在正向因果关系,而吲哚丙酸(indolepropionate,INDO)则表现出潜在的保护作用。细胞实验表明,10 μmol/L的 αKG可显著抑制AR42J细胞活性,并促进白细胞介素(interleukin,IL)-6、IL-1β等炎症因子的分泌。动物模型中,腹腔注射αKG 可诱导小鼠AP的发生,表现为胰腺组织水肿、腺泡细胞损伤及血清炎症因子水平升高。全转录组测序结果表明αKG通过抑制 XRCC3的表达,削弱DNA损伤修复能力,从而加剧胰腺腺泡细胞损伤。免疫组化和Western blot显示αKG处理后AR42J细胞中XRCC3表达显著下调,此外,过表达XRCC3可在一定程度上逆转αKG对腺泡细胞的损伤作用。结论:本研究首次在遗传学层面证实αKG是AP的致病代谢物,其通过抑制XRCC3介导的DNA修复通路,加剧胰腺腺泡细胞损伤及炎症反应。该发现为 AP的代谢机制研究提供了新视角,提示靶向αKG-XRCC3轴可能成为潜在治疗策略。

    Abstract:

    Objective:To screen potential pathogenic metabolites of acute pancreatitis(AP)and explore the molecular mechanism of α- ketoglutarate(αKG)regulating X ray repair cross - complementing protein 3(XRCC3)to induce AP based on animal and cell models. Methods:The study first conducted a Mendelian randomization(MR)study combined with two rounds of independent Meta-analysis to screen metabolites related to the onset of AP from a genetic perspective,and used the inverse variance weighted(IVW) method to evaluate the causal effect of metabolites on AP. Subsequently,AP animal models in C57BL/6 mice and AR42J cell models were constructed. The effects of αKG on pancreatic acinar cell injury and inflammatory response were verified by intraperitoneal injection of αKG and co-culture with the medium,respectively. The detection indicators included cell viability,levels of inflammatory factors,and histopathological changes. In addition,RNA sequencing was used to analyze the whole transcriptome differences in AR42J cells before and after αKG treatment,and the expression changes of XRCC3 and its role in the onset of AP were verified by immunohistochemistry and Western blot techniques. Results:The MR study and Meta-analysis results showed that αKG had a positive causal relationship with the onset of acute pancreatitis,while indolepropionate(INDO)showed a potential protective effect. Cell experiments indicated that 10 μmol/L of αKG could significantly inhibit the viability of AR42J cells and promote the secretion of inflammatory factors such as interleukin-6(IL-6)and IL-1β. In the animal model,intraperitoneal injection of αKG could induce the occurrence of AP in mice,manifested as pancreatic tissue edema,acinar cell injury,and elevated serum inflammatory factor levels. RNA -seq analysis revealed that αKG exacerbated acinar cell injury by inhibiting the expression of XRCC3 and weakening the DNA damage repair ability. The expression of XRCC3 in AR42J cells was significantly down - regulated after αKG treatment,which was verified by immunohistochemistry and Western blot. Additionally,overexpression of XRCC3 could partially reverse the damage effect of αKG on acinar cells. Conclusion:This study is the first to confirm at the genetic level that αKG is a pathogenic metabolite of AP, which exacerbates acinar cell injury and inflammatory response by inhibiting the XRCC3 - mediated DNA repair pathway. This discovery provides a new perspective for the metabolic mechanism research of AP and suggests that targeting the αKG -XRCC3 axis may be a potential therapeutic strategy.

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侯超群,葛万里,彭云鹏,李强.α⁃酮戊二酸通过XRCC3诱发急性胰腺炎发病的机制研究[J].南京医科大学学报(自然科学版),2025,45(12):1756-1765

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  • 收稿日期:2025-07-17
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  • 在线发布日期: 2025-12-13
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