AUTHOR=Huo Caiyun , Xiao Kai , Zhang Shouping , Tang Yuling , Wang Ming , Qi Peng , Xiao Jin , Tian Haiyan , Hu Yanxin TITLE=H5N1 Influenza a Virus Replicates Productively in Pancreatic Cells and Induces Apoptosis and Pro-Inflammatory Cytokine Response JOURNAL=Frontiers in Cellular and Infection Microbiology VOLUME=Volume 8 - 2018 YEAR=2018 URL=https://www.frontiersin.org/journals/cellular-and-infection-microbiology/articles/10.3389/fcimb.2018.00386 DOI=10.3389/fcimb.2018.00386 ISSN=2235-2988 ABSTRACT=Pathogenesis of the influenza A virus (IAV) has been heavily investigated and both the inflammatory response and apoptosis have been found to play a definitive role in this process. Previous studies indicated that while IAV commonly causes pancreatitis and pancreatic damage in naturally and experimentally infected animals, the molecular mechanisms of the pathogenesis of IAV infection are poorly understood. Here, we showed for the first time that both avian-like (α-2,3-linked) and human-like (α-2,6-linked) sialic acid (SA) receptors were expressed by the mouse pancreatic cancer cell line PAN02 and the human pancreatic cancer cell line PANC-1. Using growth kinetics experiments, we also showed that PAN02 and PANC-1 cells supported the productive replication of the H5N1 highly pathogenic avian influenza while exhibited the limited replication of IAV subtypes H1N1 and H7N2 in vitro. The in vivo infection of H5N1 in pancreatic cells was confirmed by the histopathological and immunohistochemical staining of pancreas tissue from mice. Other than H1N1 and H7N2, severe damage and extensive positive signals were observed in pancreas of H5N1 infected mice. All three virus subtypes induced apoptosis but also triggered the infected PAN02 and PANC-1 cells to release pro-inflammatory cytokines and chemokines including interferon (IFN)-α, IFN-β, IFN-γ, chemokine (C-C motif) ligand 2 (CCL2), tumor necrosis factor (TNF)-α, and interleukin (IL)-6. Notably, the subtypes of H5N1 could significantly upregulate these cytokines and chemokines in both two cells when compared with H1N1 and H7N2. The results of this study provide further understanding of the pathogenesis of H5N1 IAV in pancreatic cells derived from humans and mammals and may also facilitate the development of novel therapeutic aids against H5N1 influenza virus infection.