Morales-Garza Luis A, Puche Juan E, Aguirre Gabriel A, Muñoz Úrsula, García-Magariño Mariano, De la Garza Rocío G, Castilla-Cortazar Inma
Escuela de Medicina, Tecnologico de Monterrey, Monterrey, Mexico.
Fundación de Investigación HM Hospitales, Madrid, Spain.
J Transl Med. 2017 May 4;15(1):96. doi: 10.1186/s12967-017-1198-4.
Cell necrosis, oxidative damage, and fibrogenesis are involved in cirrhosis development, a condition in which insulin-like growth factor 1 (IGF-1) levels are diminished. This study evaluates whether the exogenous administration of low doses of IGF-1 can induce hepatoprotection in acute carbon tetrachloride (CCl)-induced liver damage compared to healthy controls (Wt Igf ). Additionally, the impact of IGF-1 deficiency on a damaged liver was investigated in mice with a partial deficit of this hormone (Hz Igf1 ).
Three groups of 25 ± 5-week-old healthy male mice (Wt Igf ) were included in the protocol: untreated controls (Wt). Controls that received CCl (Wt + CCl) and Wt + CCl were treated subcutaneously with IGF-1 (2 µg/100 g body weight/day) for 10 days (Wt + CCl + IGF1). In parallel, three IGF-1-deficient mice (Hz Igf1 ) groups were studied: untreated Hz, Hz + CCl, and Hz + CCl + IGF-1. Microarray and real-time quantitative polymerase chain reaction (RT-qPCR) analyses, serum aminotransferases levels, liver histology, and malondialdehyde (MDA) levels were assessed at the end of the treatment in all groups. All data represent mean ± SEM.
An altered gene coding expression pattern for proteins of the extracellular matrix, fibrosis, and cellular protection were found, as compared to healthy controls, in which IGF-1 therapy normalized in the series including healthy mice. Liver histology showed that Wt + CCl + IGF1 mice had less oxidative damage, fibrosis, lymphocytic infiltrate, and cellular changes when compared to the Wt + CCl. Moreover, there was a correlation between MDA levels and the histological damage score (Pearson's r = 0.858). In the IGF-1-deficient mice series, similar findings were identified, denoting a much more vulnerable hepatic parenchyma.
IGF1 treatment improved the biochemistry, histology, and genetic expression of pro-regenerative and cytoprotective factors in both series (healthy and IGF-1-deficient mice) with acute liver damage, suggesting that low doses of IGF-1, in acute liver damage, could be a feasible therapeutic option.
细胞坏死、氧化损伤和纤维化参与了肝硬化的发展,在这种情况下胰岛素样生长因子1(IGF-1)水平会降低。本研究评估与健康对照(野生型IGF)相比,低剂量外源性给予IGF-1是否能在急性四氯化碳(CCl)诱导的肝损伤中诱导肝脏保护作用。此外,在该激素部分缺乏的小鼠(Hz Igf1)中研究了IGF-1缺乏对受损肝脏的影响。
实验方案纳入三组25±5周龄的健康雄性小鼠(野生型IGF):未处理的对照组(野生型)。接受CCl的对照组(野生型+CCl),野生型+CCl组皮下注射IGF-1(2μg/100g体重/天),持续10天(野生型+CCl+IGF1)。同时,研究了三组IGF-1缺乏小鼠(Hz Igf1):未处理的Hz组、Hz+CCl组和Hz+CCl+IGF-1组。在所有组治疗结束时评估基因芯片和实时定量聚合酶链反应(RT-qPCR)分析、血清转氨酶水平、肝脏组织学和丙二醛(MDA)水平。所有数据均表示为平均值±标准误。
与健康对照相比,发现细胞外基质、纤维化和细胞保护相关蛋白的基因编码表达模式发生改变,在包括健康小鼠的系列中,IGF-1治疗使其恢复正常。肝脏组织学显示,与野生型+CCl组相比,野生型+CCl+IGF1组小鼠的氧化损伤、纤维化、淋巴细胞浸润和细胞变化更少。此外,MDA水平与组织学损伤评分之间存在相关性(Pearson相关系数r=0.858)。在IGF-1缺乏小鼠系列中,也发现了类似的结果,表明肝实质更易受损。
IGF1治疗改善了两个系列(健康小鼠和IGF-1缺乏小鼠)急性肝损伤中促再生和细胞保护因子的生物化学、组织学和基因表达,表明在急性肝损伤中低剂量的IGF-1可能是一种可行的治疗选择。