“…THE MECHANISMS LEADING TO cell death in acute pancreatitis are controversial (15,17), and theories include abnormal vesicular trafficking leading to activation of zymogens (39), toxic effects of intracellular calcium (17,27), and fatty acid ethyl esters (14), as well as activation of transcription factors (4), inflammatory mediators (6,36,50), cytoskeletal rearrangement (45), production of reactive oxygen species (5,42), and mitochondrial damage (9,11,12). During experimental mouse pancreatitis, both necrosis and apoptosis occur (3,10,12,13), although their roles during pancreatitis are controversial.…”