Department of Physiology, School of Pharmacy, University of Valencia, Valencia, Spain.
Hepatology. 2013 May;57(5):1950-61. doi: 10.1002/hep.26174. Epub 2013 Jan 25.
p38α mitogen-activated protein kinases (MAPK) may be essential in the up-regulation of proinflammatory cytokines and can be activated by transforming growth factor β, tumor necrosis factor-α, interleukin-1β, and oxidative stress. p38 MAPK activation results in hepatocyte growth arrest, whereas increased proliferation has been considered a hallmark of p38α-deficient cells. Our aim was to assess the role of p38α in the progression of biliary cirrhosis induced by chronic cholestasis as an experimental model of chronic inflammation associated with hepatocyte proliferation, apoptosis, oxidative stress, and fibrogenesis. Cholestasis was induced in wildtype and liver-specific p38α knockout mice by bile duct ligation and animals were sacrificed at 12 and 28 days. p38α knockout mice exhibited a 50% decrease in mean life-span after cholestasis induction. MK2 phosphorylation was markedly reduced in liver of p38α-deficient mice upon chronic cholestasis. Hepatocyte growth was reduced and hepatomegaly was absent in p38α-deficient mice during chronic cholestasis through down-regulation of both AKT and mammalian target of rapamycin. Cyclin D1 and cyclin B1 were up-regulated in liver of p38α-deficient mice upon chronic cholestasis, but unexpectedly proliferating cell nuclear antigen was down-regulated at 12 days after cholestasis induction and the mitotic index was very high upon cholestasis in p38α-deficient mice. p38α-knockout hepatocytes exhibited cytokinesis failure evidenced by an enhanced binucleation rate. As chronic cholestasis evolved the binucleation rate decreased in wildtype animals, whereas it remained high in p38α-deficient mice.
Our results highlight a key role of p38α in hepatocyte proliferation, in the development of hepatomegaly, and in survival during chronic inflammation such as biliary cirrhosis.
p38α 丝裂原活化蛋白激酶 (MAPK) 可能在促炎细胞因子的上调中起关键作用,并且可被转化生长因子 β、肿瘤坏死因子-α、白细胞介素-1β 和氧化应激激活。p38 MAPK 的激活导致肝细胞生长停滞,而增殖增加被认为是 p38α 缺陷细胞的标志。我们的目的是评估 p38α 在慢性胆汁淤积诱导的胆汁性肝硬化进展中的作用,因为慢性炎症与肝细胞增殖、凋亡、氧化应激和纤维化有关,这是一个实验模型。通过胆管结扎在野生型和肝脏特异性 p38α 敲除小鼠中诱导胆汁淤积,并在 12 天和 28 天处死动物。p38α 敲除小鼠在诱导胆汁淤积后平均寿命缩短了 50%。MK2 磷酸化在慢性胆汁淤积时 p38α 缺陷小鼠的肝脏中明显减少。在慢性胆汁淤积期间,p38α 缺陷小鼠的肝细胞生长减少,肝肿大不存在,这是通过下调 AKT 和哺乳动物雷帕霉素靶蛋白实现的。Cyclin D1 和 cyclin B1 在 p38α 缺陷小鼠的肝脏中在慢性胆汁淤积时上调,但出乎意料的是,增殖细胞核抗原在胆汁淤积后 12 天下调,并且在 p38α 缺陷小鼠的胆汁淤积时有很高的有丝分裂指数。p38α 敲除肝细胞表现出细胞分裂失败的证据,表现为双核率增加。随着慢性胆汁淤积的发展,野生型动物的双核率降低,而 p38α 缺陷小鼠的双核率仍然很高。
我们的结果强调了 p38α 在肝细胞增殖、肝肿大发育以及慢性炎症(如胆汁性肝硬化)中的生存中的关键作用。