Abstract
The pancreas is a unique organ, integrating both exocrine and endocrine functions, playing critical roles in the secretion of digestive enzymes and the production of glucose-regulating hormones. An intriguing phenomenon exists where dynamic intercellular transdifferentiation occurs within the pancreas, particularly pronounced in pancreatic diseases. In diabetic patients, the transdifferentiation of pancreatic islet cells may potentially compensate for impaired pancreatic function. Conversely, abnormal transdifferentiation of exocrine cells may promote the progression of pancreatic cancer. These highlight the plasticity of pancreatic cells in adapting to changes in their microenvironment by regulating their own functions to cope with external pressures. This review summarizes recent researches into the transdifferentiation processes and mechanisms within pancreatic exocrine and endocrine cells, as well as between pancreatic and non-pancreatic cells, providing a new perspective for clinical interventions. The aim of this review is to offer novel insights and propose potential therapeutic strategies to address pancreatic-related diseases, contributing to the advancement of medical research in this field.
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