Division of Gastroenterology, Department of Medicine, Duke University Medical Center, Durham, North Carolina 27710, USA.
J Clin Invest. 2013 Jun;123(6):2380-94. doi: 10.1172/JCI66904.
When regenerative processes cannot keep pace with cell death, functional epithelia are replaced by scar. Scarring is characterized by both excessive accumulation of fibrous matrix and persistent outgrowth of cell types that accumulate transiently during successful wound healing, including myofibroblasts (MFs) and progenitors. This suggests that signaling that normally directs these cells to repair injured epithelia is deregulated. To evaluate this possibility, we examined liver repair during different types of liver injury after Smoothened (SMO), an obligate intermediate in the Hedgehog (Hh) signaling pathway, was conditionally deleted in cells expressing the MF-associated gene, αSMA. Surprisingly, blocking canonical Hh signaling in MFs not only inhibited liver fibrosis but also prevented accumulation of liver progenitors. Hh-sensitive, hepatic stellate cells (HSCs) were identified as the source of both MFs and progenitors by lineage-tracing studies in 3 other strains of mice, coupled with analysis of highly pure HSC preparations using flow cytometry, immunofluorescence confocal microscopy, RT-PCR, and in situ hybridization. The results identify SMO as a master regulator of hepatic epithelial regeneration based on its ability to promote mesenchymal-to-epithelial transitions in a subpopulation of HSC-derived MFs with features of multipotent progenitors.
当再生过程无法跟上细胞死亡的速度时,功能性上皮细胞就会被疤痕所取代。疤痕的特征是纤维基质的过度积累和在成功的伤口愈合过程中短暂积累的细胞类型的持续生长,包括肌成纤维细胞(MFs)和祖细胞。这表明,正常指导这些细胞修复受损上皮的信号被失调了。为了评估这种可能性,我们在 Smoothened(SMO)条件性缺失表达 MF 相关基因αSMA 的细胞后,检查了不同类型的肝损伤期间的肝修复。令人惊讶的是,阻断 MF 中的经典 Hedgehog(Hh)信号不仅抑制了肝纤维化,还阻止了肝祖细胞的积累。通过在另外 3 种小鼠品系中的谱系追踪研究,结合使用流式细胞术、免疫荧光共聚焦显微镜、RT-PCR 和原位杂交对高度纯化的 HSC 制剂进行分析,发现 Hh 敏感的肝星状细胞(HSCs)是 MF 和祖细胞的来源。这些结果表明 SMO 作为肝上皮再生的主调控因子,基于其能够促进源自 HSC 的 MF 亚群中的间充质到上皮的转变,这些 MF 具有多能祖细胞的特征。