School of Life Sciences, Guangzhou University, Guangzhou, China.
Department of Pharmacology and Toxicology, Ernest Mario School of Pharmacy, Rutgers University, Piscataway, New Jersey.
Hepatology. 2018 Nov;68(5):1961-1976. doi: 10.1002/hep.30041. Epub 2018 Oct 8.
The role of intestine-derived factors in promoting liver regeneration after partial hepatectomy (PHx) are not entirely known, but bile acids (BAs) and fibroblast growth factor 15 (Fgf15) that is highly expressed in the mouse ileum could promote hepatocyte proliferation. Fgf15 strongly suppresses the synthesis of BAs, and emerging evidence indicates that Fgf15 is important for liver regeneration. The mechanisms by which Fgf15 promotes liver regeneration are unclear, but Fgf15 may do so indirectly by reducing BA levels and/or directly by promoting cell proliferation. However, it remains undetermined whether these two mechanisms are independent or integrated. In this study, we aimed to clarify these relationships by generating Fgf15 Tet-Off, transgenic mice (Fgf15 Tg) that had very low BA levels as a result from overexpressed Fgf15-mediated suppression of BA synthesis. Compared with wild-type mice, the Fgf15 Tg mice showed increased hepatocyte proliferation even without surgery, and a further induction of the genes in cell-cycle progression after PHx. Moreover, overexpression of Fgf15 by adeno-associated virus (AAV)-Fgf15 transduction or treatment with the recombinant Fgf15 protein led to increased cell proliferation in vivo. Furthermore, Fgf15 Tg mice exhibited an earlier and greater activation of mitogen-activated protein kinase, signal transducer and activator of transcription 3, and NF-κB signaling pathways in the priming stage, and a disruption of the hippo signaling pathway in the termination stage of liver regeneration. Conclusion: Direct in vivo evidence demonstrates that Fgf15 is critical in stimulating the phases of priming and termination of liver regeneration that are critical for cell survival and liver-size determination, independent of BA levels. (Hepatology 2018; 00:000-000).
肠源因子在促进部分肝切除(PHx)后肝再生中的作用尚不完全清楚,但在小鼠回肠中高表达的胆酸(BAs)和成纤维细胞生长因子 15(Fgf15)可促进肝细胞增殖。Fgf15 强烈抑制 BAs 的合成,新出现的证据表明 Fgf15 对肝再生很重要。Fgf15 促进肝再生的确切机制尚不清楚,但 Fgf15 可能通过降低 BA 水平间接发挥作用,或者直接促进细胞增殖。然而,这两种机制是独立的还是整合的尚不确定。在这项研究中,我们通过生成 Fgf15 Tet-Off、转基因小鼠(Fgf15Tg)来阐明这些关系,这些小鼠由于 Fgf15 介导的 BA 合成抑制导致 BA 水平非常低。与野生型小鼠相比,Fgf15Tg 小鼠在没有手术的情况下肝细胞增殖增加,并且在 PHx 后细胞周期进展的基因进一步诱导。此外,腺相关病毒(AAV)-Fgf15 转导或重组 Fgf15 蛋白的过表达导致体内细胞增殖增加。此外,Fgf15Tg 小鼠在肝再生的启动阶段表现出更早和更强的丝裂原激活蛋白激酶、信号转导和转录激活因子 3 和 NF-κB 信号通路的激活,以及 Hippo 信号通路在终止阶段的中断。结论:直接体内证据表明,Fgf15 是刺激肝再生的启动和终止阶段所必需的,这对于细胞存活和肝大小决定至关重要,而与 BA 水平无关。(《肝脏病学》2018 年;00:000-000)。