Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Department of Endocrinology, The Affiliated Huai'an Hospital of Xuzhou Medical College, Xuzhou, Jiangsu, China.
Transplantation. 2019 Jul;103(7):e188-e197. doi: 10.1097/TP.0000000000002747.
The development of liver transplantation (LT) is increasingly being limited by the unavailability of liver grafts. Unique regenerative capacity of liver in response to injuries makes living-donor liver transplantation (LDLT) a feasible strategy to meet clinical demands. Serine hydroxymethyl-transferase 2 (SHMT2) serves as the key enzyme in the biosynthesis of glycine. Glycine affects the activity of mammalian target of rapamycin (mTOR), which is important for cellular growth and proliferation. In this study, the effects of SHMT2 on mouse liver regeneration were investigated using a classical partial hepatectomy (PH) model.
In vivo, PH was performed on mice with or without knockdown of SHMT2. In vitro, SHMT2 was overexpressed in primary hepatocytes, which were cultured in customized Dulbecco's modified eagle media and LY294002 (an Akt inhibitor). Relevant indexes of liver regeneration, cell proliferation, and Akt/mTOR signal pathways were analyzed.
After PH, the expression levels of SHMT2 fluctuated with time and knockdown of SHMT2 in vivo lowered the regenerative ability of liver, with reduced glycine levels compared to the scramble group. In addition, overexpression of SHMT2 in hepatocytes boosted glycine production while enhancing Akt/mTOR pathway activity. These results were validated by the application of LY294002 in vitro.
SHMT2 can contribute to liver regeneration after PH, and this is likely related to the activation of Akt/mTOR signaling pathway by its metabolic product, glycine, in hepatocytes. These results might have therapeutic implications for the prognosis of patients undergoing hepatic resection or transplantation.
肝移植(LT)的发展越来越受到肝供体缺乏的限制。肝脏对损伤的独特再生能力使得活体供肝移植(LDLT)成为满足临床需求的可行策略。丝氨酸羟甲基转移酶 2(SHMT2)是甘氨酸生物合成的关键酶。甘氨酸影响雷帕霉素靶蛋白(mTOR)的活性,而 mTOR 对细胞生长和增殖很重要。在这项研究中,使用经典的部分肝切除术(PH)模型研究了 SHMT2 对小鼠肝再生的影响。
在体内,对敲低 SHMT2 的小鼠进行 PH。在体外,将 SHMT2 在原代肝细胞中过表达,在定制的 Dulbecco 改良 Eagle 培养基和 LY294002(Akt 抑制剂)中培养。分析肝再生、细胞增殖和 Akt/mTOR 信号通路的相关指标。
在 PH 后,SHMT2 的表达水平随时间波动,体内敲低 SHMT2 降低了肝脏的再生能力,与 scramble 组相比,甘氨酸水平降低。此外,肝细胞中 SHMT2 的过表达促进了甘氨酸的产生,同时增强了 Akt/mTOR 通路的活性。这些结果通过体外应用 LY294002 得到了验证。
SHMT2 可以促进 PH 后肝再生,这可能与代谢产物甘氨酸激活 Akt/mTOR 信号通路有关,这可能对接受肝切除术或移植的患者的预后具有治疗意义。