Recently, there has been a great deal of interest in the role of cytokines
in acute pancreatitis. Serum levels of IL-1, IL-6, and TNF-alpha have been
demonstrated to be elevated in acute pancreatitis. We hypothesized that cyt
okines may be produced primarily by pancreatic parenchymal cells. Reasoning
that ductal epithelium is the cell type most likely to be exposed to noxio
us stimuli in common causes of pancreatitis, such as ERCP and passage of a
gallstone, we examined the response of well differentiated pancreatic ducta
l adenocarcinoma cell lines to stimuli known to stimulate cytokine producti
on in other cells. CAPAN-1 and CAPAN-2 cells were incubated with endotoxin
or TNF-alpha. The supernatant was assayed for production of IL-1, IL-6, and
IL-8 by ELISA. The cells were assayed for activation of the transcription
factor NF-kappa B by electrophoretic mobility shift assay. There was no det
ectable production of IL-1 by either cell line. CAPAN-1 cells had concentra
tion-dependent production of IL-6 and IL-8 in response to both endotoxin an
d TNF-alpha. CAPAN-2 cells had concentration-dependent production of IL-6 a
nd IL-8 in response to TNF-alpha. They had low level expression of IL-8 tha
t was unaffected by any concentration of LPS, and no detectable production
of IL-6 in response to LPS. These findings suggest that pancreatic duct cel
ls may take an active part in the pathogenesis of acute pancreatitis throug
h the production of cytokines.