Approximately 85% of the pancreas is composed of a branching network of acinar (meaning ‘cluster of grapes’) and duct cells. These cellular clusters make up the exocrine portion of the pancreas that produce and deliver digestive pro-enzymes, pancreatic fluid, and electrolytes into the gastrointestinal tract. Acinar cells synthesize and secrete zymogen granules that are released at the cell apex by exocytosis into the ductal system. Multiple defense mechanisms exist to prevent premature intra-acinar enzyme activation; a key feature of acute pancreatitis, by compartmentalization of zymogen granules from lysozymes, and by synthesizing trypsin inhibitors and antiproteases. Normally activation of the zymogens occurs in the duodenum, by cleavage of trypsinogen to trypsin via duodenal mucosal enteropeptidase, which in turn activates other digestive
Approximately 85% of the pancreas is composed of a branching network of acinar (meaning ‘cluster of grapes’) and duct cells. These cellular clusters make up the exocrine portion of the pancreas that produce and deliver digestive pro-enzymes, pancreatic fluid, and electrolytes into the gastrointestinal tract. Acinar cells synthesize and secrete zymogen granules that are released at the cell apex by exocytosis into the ductal system. Multiple defense mechanisms exist to prevent premature intra-acinar enzyme activation; a key feature of acute pancreatitis, by compartmentalization of zymogen granules from lysozymes, and by synthesizing trypsin inhibitors and antiproteases. Normally activation of the zymogens occurs in the duodenum, by cleavage of trypsinogen to trypsin via duodenal mucosal enteropeptidase, which in turn activates other digestive