Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Am J Physiol Gastrointest Liver Physiol. 2013 Mar 15;304(6):G605-14. doi: 10.1152/ajpgi.00222.2012. Epub 2013 Jan 17.
Liver fibrosis is characterized by excessive deposition of extracellular matrix proteins by myofibroblasts derived from hepatic stellate cells and portal fibroblasts. Activation of these precursors to myofibroblasts requires matrix stiffness, which results in part from increased collagen cross-linking mediated by lysyl oxidase (LOX) family proteins. The aims of this study were to characterize the mechanical changes of early fibrosis, to identify the cells responsible for LOX production in early injury, and to determine which cells in normal liver produce collagens and elastins, which serve as substrates for LOXs early after injury. Hepatocytes and liver nonparenchymal cells were isolated from normal and early-injured liver and examined immediately for expression of LOXs and matrix proteins. We found that stellate cells and portal fibroblasts were the major cellular sources of fibrillar collagens and LOXs in normal liver and early after injury (1 day after bile duct ligation and 2 and 7 days after CCl(4) injury). Activity assays using stellate cells and portal fibroblasts in culture demonstrated significant increases in LOX family enzymatic activity as cells became myofibroblastic. LOX family-mediated deoxypyridinoline and pyridinoline cross-links increased after CCl(4)-mediated injury. There was a significant association between liver stiffness (as quantified by the shear storage modulus G') and deoxypyridinoline levels; increased deoxypyridinoline levels were also coincident with significantly increased elastic resistance to large strain deformations, consistent with increased cross-linking of the extracellular matrix. These data suggest a model in which the liver is primed to respond quickly to injury, activating potential mechanical feed-forward mechanisms.
肝纤维化的特征是肝星状细胞和门脉成纤维细胞来源的肌成纤维细胞过度沉积细胞外基质蛋白。这些前体细胞向肌成纤维细胞的激活需要基质硬度,这部分是由赖氨酰氧化酶(LOX)家族蛋白介导的胶原交联增加所致。本研究的目的是描述早期纤维化的力学变化,确定在早期损伤中产生 LOX 的细胞,并确定正常肝脏中哪些细胞产生胶原和弹性蛋白,这些是 LOX 在损伤后早期的底物。从正常和早期损伤的肝脏中分离出肝细胞和肝非实质细胞,并立即检测 LOX 和基质蛋白的表达。我们发现,在正常肝脏和早期损伤(胆管结扎后 1 天和 CCl4 损伤后 2 天和 7 天)中,星状细胞和门脉成纤维细胞是纤维胶原和 LOX 的主要细胞来源。使用培养的星状细胞和门脉成纤维细胞进行的活性测定表明,随着细胞向肌成纤维细胞转化,LOX 家族酶活性显著增加。在用 CCl4 介导的损伤后,LOX 家族介导的去吡啶啉和吡啶啉交联增加。肝脏硬度(通过剪切储能模量 G'定量)与去吡啶啉水平之间存在显著相关性;去吡啶啉水平的增加也与大应变变形时弹性阻力的显著增加相一致,这与细胞外基质的交联增加相一致。这些数据表明,肝脏对损伤有快速反应的能力,激活潜在的机械正反馈机制。