Adaptive Immune Cell Dysregulation and Role in Acute Pancreatitis Disease Progression and Treatment

Arch Immunol Ther Exp (Warsz). 2018 Jun;66(3):199-209. doi: 10.1007/s00005-017-0495-1. Epub 2017 Nov 30.

Abstract

Acute pancreatitis (AP) is an inflammation of the pancreas caused by various stimuli including excessive alcohol consumption, gallstone disease and certain viral infections. Managing specifically the severe form of AP is limited due to lack of an understanding of the complex immune events that occur during AP involving immune cells and inflammatory molecules such as cytokines. The relative abundance of various immune cells resulting from the immune dysregulation drives disease progression. In this review, we examine the literature on the adaptive immune cells in AP, the prognostic value of these cells in stratifying patients into appropriate care and treatment strategies based on cell frequency in different AP severities are discussed.

Keywords: Acute pancreatitis; Adaptive immune cells.

Publication types

  • Review

MeSH terms

  • Acute Disease
  • Adaptive Immunity*
  • Alcohol Drinking / immunology*
  • Animals
  • Cytokines / metabolism
  • Disease Progression
  • Gallstones / immunology*
  • Homeostasis
  • Humans
  • Immune System / pathology*
  • Inflammation / immunology*
  • Pancreatitis / immunology*
  • Prognosis
  • Virus Diseases / immunology*

Substances

  • Cytokines