Xia Jing-Lin, Dai Chunsun, Michalopoulos George K, Liu Youhua
Division of Cellular and Molecular Pathology, Department of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15261, USA.
Am J Pathol. 2006 May;168(5):1500-12. doi: 10.2353/ajpath.2006.050747.
Hepatic fibrosis is a common outcome of a variety of chronic liver diseases. Here we evaluated the therapeutic efficacy of hepatocyte growth factor (HGF) on liver fibrosis induced by bile duct ligation (BDL) and investigated potential mechanisms. Mice underwent BDL, followed by intravenous injections of naked HGF expression plasmid or control vector. HGF gene therapy markedly ameliorated hepatic fibrotic lesions, as demonstrated by reduced alpha-smooth muscle actin (alphaSMA) expression, attenuated deposition of type I and type III collagen, and normalized total hydroxyproline content. HGF also suppressed transforming growth factor-beta1 (TGF-beta1) expression. Interestingly, colocalization of alphaSMA and cytokeratin-19 in bile duct epithelium was observed, suggesting the possibility of biliary epithelial to myofibroblast transition after BDL. Cells that were still positive for cytokeratin-19 but actively producing type I collagen were found in the biliary epithelia and periductal region. Laminin staining revealed an impaired basement membrane of the bile duct epithelium in diseased liver. These lesions were largely prevented by HGF administration. In vitro, treatment of human biliary epithelial cells with TGF-beta1 induced alphaSMA and fibronectin expression and suppressed cytokeratin-19. HGF abolished the phenotypic conversion of biliary epithelial cells induced by TGF-beta1. These results suggest that HGF ameliorates hepatic biliary fibrosis in part by blocking bile duct epithelial to mesenchymal transition.
肝纤维化是多种慢性肝病的常见结局。在此,我们评估了肝细胞生长因子(HGF)对胆管结扎(BDL)诱导的肝纤维化的治疗效果,并研究了潜在机制。对小鼠进行胆管结扎,随后静脉注射裸HGF表达质粒或对照载体。HGF基因治疗显著改善了肝纤维化病变,表现为α-平滑肌肌动蛋白(αSMA)表达降低、I型和III型胶原蛋白沉积减少以及总羟脯氨酸含量恢复正常。HGF还抑制了转化生长因子-β1(TGF-β1)的表达。有趣的是,观察到胆管上皮中αSMA与细胞角蛋白-19的共定位,提示胆管结扎后胆管上皮向肌成纤维细胞转变的可能性。在胆管上皮和导管周围区域发现仍对细胞角蛋白-19呈阳性但活跃产生I型胶原蛋白的细胞。层粘连蛋白染色显示病变肝脏中胆管上皮的基底膜受损。HGF给药可在很大程度上预防这些病变。在体外,用TGF-β1处理人胆管上皮细胞可诱导αSMA和纤连蛋白表达,并抑制细胞角蛋白-19。HGF消除了TGF-β1诱导的胆管上皮细胞的表型转化。这些结果表明,HGF部分通过阻断胆管上皮向间充质转变来改善肝胆管纤维化。