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Pancreatology. 2015 Jul;15(4 Suppl):S18-22. doi: 10.1016/j.pan.2015.06.002. Epub 2015 Jun 30.

Breakdown of bioenergetics evoked by mitochondrial damage in acute pancreatitis: Mechanisms and consequences.

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First Department of Medicine, University of Szeged, Szeged, Hungary.
First Department of Medicine, University of Szeged, Szeged, Hungary; MTA-SZTE Lendulet Translational Gastroenterology Research Group, Szeged, Hungary.
Department of Pharmacology and Pharmacotherapy, University of Szeged, Szeged, Hungary. Electronic address:


Acute pancreatitis is a severe inflammatory disease with unacceptably high mortality and without specific therapy. Clinical studies revealed that energy supplementation of patients via enteral feeding decreases systemic infections, multi-organ failure and mortality. These clinical observations have been supported by in vitro and in vivo experimental studies which showed that the most common pancreatitis inducing factors, such as bile acids, ethanol and non-oxidative ethanol metabolites induce intracellular ATP depletion and mitochondrial damage both in pancreatic acinar and ductal cells. Notably, the in vitro supplementation of ATP prevented the cellular damage and restored cell functions in both cell types. These observations suggest that either prevention of mitochondrial damage or restoration of intracellular ATP level might provide therapeutical benefits.


ATP; Bile acids; Bioenergetics; Ethanol; Mitochondria; Pancreatitis

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