“…There are also several reports from in vitro experiments using PaSCs that show key roles in the activation and/or proliferation process for MAPK pathways, in particular, ERK1/2, p38 kinase, and JNK (50,52,53,66,109,110); PI3K and PKC (111); PPARγ (36,112); NADPH oxidases (our unpublished observations); and ethanol metabolism to acetaldehyde (18). In these studies, inhibition of most of these pathways results in attenuation of the activation and proliferation of PaSCs, but activation of PPARγ seems to block PaSC activation (36,112). It has also been reported that activated rat PaSCs express COX-2 when stimulated with TGF-β 1 and other cytokines (45), as well as when stimulated with conditioned media from human pancreatic tumor cells (113).…”