Background:The molecular mechanism by which ethanol (EtOH) sensitizes pancreatic acinar cells to secretagogue stimulation is largely undefined. Results: Ethanol stimulates PKC-dependent RKIP phosphorylation, and RKIP ablation prevents EtOH-induced sensitization of secretagogue Ca 2ϩ signaling and aberrant chymotrypsin activation. Conclusion: RKIP mediates the cytotoxic effects of EtOH on pancreatic acinar cells. Significance: Modulation of RKIP expression may have therapeutic utility in the prevention or treatment of alcohol-associated pancreatitis.

(-)-Epigallocatechin-3-gallate (EGCG), a green tea polyphenol, has been shown to have strong antibacterial, antiviral, antioxidant, anti-inflammatory, and chemopreventive effects. However it is unknown whether EGCG can recover alcohol-associated pancreatitis. The aim of this study was to investigate the effects of EGCG on pancreatic enzyme activities and the expressions of pancreatic regenerating related markers, such as adenosine monophosphate-activated protein kinase (AMPK), raf-1 kinase inhibitor protein (RKIP), and Regenerating gene 1 (Reg1), in mice pancreatic primary acinar cells. Our results revealed that activities of α-amylase and chymotrypsin were significantly increased in the cells treated with ethanol compared to the untreated control cells; however, the increased activities of both enzymes were markedly reduced by pretreatment with EGCG. Phosphorylation of AMPK and total expression of RKIP were decreased in the ethanol-treated primary acinar cells; however, these were both significantly increased in the EGCG-pretreated cells. In addition, when EGCG was treated, expression of Reg1 was markedly increased compared with that of the control or the ethanol-treated primary acinar cells, demonstrating that EGCG can modulate pancreatic regenerating related genes. Therefore, our findings suggest that EGCG may have therapeutic utility in the prevention or treatment of alcohol-associated pancreatitis.