Department of Surgery, Chang Gung Memorial Hospital and Medical School of Chang Gung University, Kuei-Shan, Taoyuan, Taiwan.
J Gastrointest Surg. 2012 Feb;16(2):361-9. doi: 10.1007/s11605-011-1764-7. Epub 2011 Nov 9.
Imatinib mesylate (STI-571), a tyrosine kinase inhibitor, has previously been demonstrated to attenuate liver fibrogenesis through inhibition of the activation of hepatic stellate cells (HSCs) in CCL(4)-treated rat models.
This study aimed to further evaluate the role of STI-571 in liver regeneration.
All animals were divided into four groups, and mice were treated with or without CCL(4) and STI-571 (n = 6 for each group).
Activated cultured HSCs in vitro with STI-571 administration showed increased apoptosis and reduced proliferation, as determined by flow cytometric analysis, 3-(4, 5-cimethylthiazol-2-yl)-2, 5-diphenyl tetrazolium bromide assay, and confocal microscopy. STI-571 treatment attenuated liver fibrosis in vivo, as was evident in the results of histology, mRNA level, and expression analysis of smooth muscle actin and type I collagen. Mice treated with STI-571 had increased liver weight ratio and the improvement in liver regeneration was compatible with the change of serum interleukin 6 levels (p < 0.05). Further, increased apoptosis and a reduced proliferation were observed in the CCL(4)-treated mice after STI-571 treatment based on the immunohistochemical staining of Annexin V, phosphorylated STAT3, and PCNA.
STI-571 treatment effectively attenuated liver fibrogenesis and improved in liver regeneration in vivo and induced apoptosis in HSCs both in vitro and in vivo.
甲磺酸伊马替尼(STI-571)是一种酪氨酸激酶抑制剂,先前已被证明可通过抑制 CCL(4)处理的大鼠模型中肝星状细胞(HSCs)的激活来减轻肝纤维化。
本研究旨在进一步评估 STI-571 在肝再生中的作用。
所有动物均分为四组,并用或不用 CCL(4)和 STI-571 处理(每组 n=6)。
用 STI-571 处理体外培养的活化 HSCs,通过流式细胞术分析、3-(4,5-二甲基噻唑-2-基)-2,5-二苯基四氮唑溴盐测定和共聚焦显微镜检查,显示细胞凋亡增加,增殖减少。STI-571 治疗减轻了体内肝纤维化,组织学、mRNA 水平以及平滑肌肌动蛋白和 I 型胶原的表达分析结果均证实了这一点。用 STI-571 处理的小鼠肝重比增加,且血清白细胞介素 6 水平的变化表明肝再生得到改善(p<0.05)。此外,根据 Annexin V、磷酸化 STAT3 和 PCNA 的免疫组织化学染色,CCL(4)处理后 STI-571 治疗的小鼠中观察到细胞凋亡增加和增殖减少。
STI-571 治疗可有效减轻肝纤维化,改善体内肝再生,并在体外和体内诱导 HSCs 凋亡。