Sakaida Isao, Terai Shuji, Yamamoto Naoki, Aoyama Koji, Ishikawa Tsuyoshi, Nishina Hiroshi, Okita Kiwamu
Department of Gastroenterology and Hepatology, School of Medicine, Yamaguchi University, Yamaguchi, Japan.
Hepatology. 2004 Dec;40(6):1304-11. doi: 10.1002/hep.20452.
We investigated the effect of bone marrow cell (BMC) transplantation on established liver fibrosis. BMCs of green fluorescent protein (GFP) mice were transplanted into 4-week carbon tetrachloride (CCl4)-treated C57BL6 mice through the tail vein, and the mice were treated for 4 more weeks with CCl4 (total, 8 weeks). Sirius red and GFP staining clearly indicated migrated BMCs existing along with fibers, with strong expression of matrix metalloproteinase (MMP)-9 shown by anti-MMP-9 antibodies and in situ hybridization. Double fluorescent immunohistochemistry showed the expression of MMP-9 on the GFP-positive cell surface. Film in situ zymographic analysis revealed strong gelatinolytic activity in the periportal area coinciding with the location of MMP-9-positive BMCs. Four weeks after BMC transplantation, mice had significantly reduced liver fibrosis, as assessed by hydroxyproline content of the livers, compared to that of mice treated with CCl4 alone. Subpopulation of Liv8-negative BMCs was responsible for this fibrolytic effect. In conclusion, mice with BMC transplants with continuous CCl4 injection had reduced liver fibrosis and a significantly improved survival rate after BMC transplantation compared with mice treated with CCl4 alone. This finding introduces a new concept for the therapy of liver fibrosis.
我们研究了骨髓细胞(BMC)移植对已形成的肝纤维化的影响。将绿色荧光蛋白(GFP)小鼠的骨髓细胞通过尾静脉移植到经四氯化碳(CCl4)处理4周的C57BL6小鼠体内,然后用CCl4再处理4周(共8周)。天狼星红和GFP染色清楚地表明迁移的骨髓细胞与纤维共存,抗MMP - 9抗体和原位杂交显示基质金属蛋白酶(MMP)- 9有强烈表达。双重荧光免疫组织化学显示MMP - 9在GFP阳性细胞表面表达。薄膜原位酶谱分析显示在门静脉周围区域有强烈的明胶酶活性,与MMP - 9阳性骨髓细胞的位置一致。与仅用CCl4处理的小鼠相比,骨髓细胞移植4周后,通过肝脏羟脯氨酸含量评估,小鼠肝纤维化明显减轻。Liv8阴性骨髓细胞亚群是这种纤维溶解作用的原因。总之,与仅用CCl4处理的小鼠相比,持续注射CCl4并进行骨髓细胞移植的小鼠肝纤维化减轻,骨髓细胞移植后存活率显著提高。这一发现为肝纤维化治疗引入了一个新概念。