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- Abdominal surgery
- acute pancreatitis
- adenocarcinoma
- adjuvant treatment
- alcohol
- cancer
- cancer genetics
- cell biology
- cell migration
- chronic pancreatitis
- consensus
- endoscopy
- experimental pancreatitis
- extracellular matrix
- fibrosis
- gene expression
- Helicobacter pylori
- hepatic fibrosis
- hepatic stellate cell
- hepatic surgery
- liver
- marker
- molecular biology
- pancreas
- pancreatic cancer
- pancreatic disease
- pancreatic enzymes
- pancreatic fibrosis
- pancreatic function
- pancreatic pathology
- pancreatic physiology
- pancreatic stellate cells
- pancreatic surgery
- pancreatitis
- stellate cells
- stem cells
- signal transduction
- signalling
The field of pancreatic stellate cell (PSC) biology is very young, as the essential in-vitro tools to study these cells (ie, methods to isolate and culture PSC) were only developed as recently as in 1998. Nonetheless, there has been an exponential increase in research output in this field over the past decade, with numerous research groups around the world focusing their energies into elucidating the biology and function of these cells. It is now well established that PSC are responsible for producing the stromal reaction (fibrosis) of two major diseases of the pancreas—chronic pancreatitis and pancreatic cancer. Despite exponentially increasing data, the methods for studying PSC remain variable. Although within individual laboratories methods are consistent, different methodologies used by various research groups make it difficult to compare results and conclusions. This article is not a review article on the functions of PSC. Instead, members of the Pancreatic Star Alliance (http://www.pancreaticstaralliance.com) discuss here and consolidate current knowledge, to outline and delineate areas of consensus or otherwise (eg, with regard to methodological approaches) and, more importantly, to identify essential directions for future research.
Pancreatic stellate cells
Hepatic stellate cells (HSC) were first described by Karl von Kupffer in 1876; however, similar cells in the pancreas were first observed in the 1980s.1–3 In 1998, Apte et al4 and Bachem et al5 isolated and cultured PSC.4 5 In the normal pancreas, PSC are located in close proximity to the basal aspect of pancreatic acinar cells. In sections immunostained for the marker desmin (a cytoskeletal protein), quiescent PSC can be seen as cells with a central cell body and long cytoplasmic projections extending along the base of adjacent acinar cells similar to that of pericytes in the mammary gland. …
Footnotes
Figures presented in this article are modified from the figures previously published in Cancers 2010, in which authors hold the copyright and Multidisciplinary Digital Publishing Institute (MDPI) is a licensee.
Funding Funding of the meeting and work by the Pancreatic Star Alliance described in this review is supported by grant fundings to ME, from the DFG (GZ: ER 563/3-1, AOBJ: 577801), from the German Federal Ministry of Education and Research (Bundesministerium für Bildung und Forschung - BMBF -ME, MB, IE, HF, TG, JK, CWM) within the “National Genome Research Network” (NGFN-Plus; 01GS08115) and Stiftung Chirurgie TU München. Part of the meeting costs have been sponsored by Abbott.
Competing interests None.
Provenance and peer review Commissioned; externally peer reviewed.