Published online Mar 28, 2024. doi: 10.3748/wjg.v30.i12.1764
Peer-review started: November 11, 2023
First decision: January 24, 2024
Revised: February 3, 2024
Accepted: March 6, 2024
Article in press: March 6, 2024
Published online: March 28, 2024
Processing time: 138 Days and 6.2 Hours
The incidence of acute pancreatitis (AP) is increasing annually, and its mortality rate is high. Impaired autophagy is a key factor in the occurrence and development of AP. Therefore, it is crucial to clarify the regulatory mechanism of autophagy in AP.
Evidence has shown that ALKBH5 and ZKSCAN3 can regulate autophagy in a variety of diseases, but there are no relevant studies on AP.
We aimed to explore the regulatory functions and mechanisms of autophagy mediated by ALKBH5 and ZKSCAN3 in AP.
The AP mouse cell line was constructed with cerulein, and the levels of inflammatory factors were detected via ELISA. Similarly, the expression of ALKBH5, ZKSCAN3 and autophagy-related proteins was detected via qPCR, western blot, and immunofluorescence. Microscopic manifestations of autophagy in the cell model were observed via transmission electron microscopy. Additionally, RNA binding protein immunoprecipitation was used to analyze the interaction between ALKBH5 and ZKSCAN3.
The expression of ALKBH5 and ZKSCAN3 was upregulated in the AP model, and the trend toward increased expression of autophagy-related genes suggested that autophagic flux was blocked in AP. Autophagy was improved by inhibiting the expression of ALKBH5 and ZKSCAN3. ZKSCAN3 mRNA has m6A binding sites, and ALKBH5 can upregulate its expression by demethylating ZKSCAN3, which inhibits autophagic flux, thereby aggravating inflammation in AP.
ALKBH5 suppresses autophagic flux by demethylating the m6A site on ZKSCAN3 mRNA, consequently promoting the onset and progression of AP.
We proved that ALKBH5 inhibits autophagy by upregulating ZKSCAN3, thereby promoting the occurrence and development of AP and providing new ideas for future research on autophagy regulation and early drug intervention in AP.