Prostaglandin E2 Regulates Pancreatic Stellate Cell Activity Via the EP4 Receptor

Objectives: Pancreatic stellate cells are source of dense fibrotic stroma, a constant pathological feature of chronic pancreatitis and pancreatic adenocarcinoma. We observed correlation between levels of cyclooxygenase 2 (COX-2) and its product prostaglandin E-2 (PGE(2)) and the extent of pancreatic fibrosis. The aims of this study were to delineate the effects of PGE(2) on immortalized human pancreatic stellate cells (HPSCs) and to identify the receptor involved. Methods: Immunohistochemistry, reverse transcription-polymerase chain reaction and quantitative reverse transcription-polymerase chain reaction were used to assess COX-2, extracellular matrix, and matrix metalloproteinase gene expression. Eicosanoid profile was determined by liquid chromatography-tandem mass spectrometry. Human pancreatic stellate cell proliferation was assessed by MTS assay, migration by Boyden chamber assay, and invasion using an invasion chamber. Transient silencing was obtained by small interfering RNA. Results: Human pancreatic stellate cells express COX-2 and synthesize PGE(2). Prostaglandin E-2 stimulated HPSC proliferation, migration, and invasion and stimulated expression of both extracellular matrix and matrix metalloproteinase genes. Human pancreatic stellate cells expressed all 4 EP receptors. Only blocking the EP4 receptor resulted in abrogation of PGE(2)-mediated HPSC activation. Specificity of EP4 for the effects of PGE(2) on stellate cells was confirmed using specific antagonists. Conclusions: Our data indicate that PGE(2) regulates pancreatic stellate cell profibrotic activities via EP4 receptor, thus suggesting EP4 receptor as useful therapeutic target for pancreatic cancer to reduce desmoplasia.