CardioMetabolic Diseases Research, Boehringer Ingelheim Pharma GmbH & Co. KG, Biberach a.d. Riss, Germany.
Target Discovery Sciences, Boehringer Ingelheim Pharma GmbH & Co. KG, Biberach an der Riss, Germany.
Pharmacol Res Perspect. 2021 May;9(3):e00768. doi: 10.1002/prp2.768.
Fibrotic processes in the liver of non-alcoholic steatohepatitis (NASH) patients cause microcirculatory dysfunction in the organ which increases blood vessel resistance and causes portal hypertension. Assessing blood vessel function in the liver is challenging, necessitating the development of novel methods in normal and fibrotic tissue that allow for drug screening and translation toward pre-clinical settings. Cultures of precision cut liver slices (PCLS) from normal and fibrotic rat livers were used for blood vessel function analysis. Live recording of vessel diameter was used to assess the response to endothelin-1, serotonin and soluble guanylate cyclase (sGC) activation. A cascade of contraction and relaxation events in response to serotonin, endothelin-1, Ketanserin and sGC activity could be established using vessel diameter analysis of rat PCLS. Both the sGC activator BI 703704 and the sGC stimulator Riociguat prevented serotonin-induced contraction in PCLS from naive rats. By contrast, PCLS cultures from the rat CCl NASH model were only responsive to the sGC activator, thus establishing that the sGC enzyme is rendered non-responsive to nitric oxide under oxidative stress found in fibrotic livers. The role of the sGC pathway for vessel relaxation of fibrotic liver tissue was identified in our model. The obtained data shows that the inhibitory capacities on vessel contraction of sGC compounds can be translated to published preclinical data. Altogether, this novel ex vivo PCLS method allows for the differentiation of drug candidates and the translation of therapeutic approaches towards the clinical use.
非酒精性脂肪性肝炎 (NASH) 患者肝脏中的纤维化过程导致器官的微循环功能障碍,增加血管阻力并引起门脉高压。评估肝脏血管功能具有挑战性,需要开发正常和纤维化组织中的新方法,以允许药物筛选和向临床前环境转化。使用来自正常和纤维化大鼠肝脏的精密切割肝切片 (PCLS) 进行血管功能分析。使用血管直径的实时记录来评估对内皮素-1、血清素和可溶性鸟苷酸环化酶 (sGC) 激活的反应。可以使用大鼠 PCLS 的血管直径分析来建立对血清素、内皮素-1、Ketanserin 和 sGC 活性的一系列收缩和松弛反应事件。sGC 激活剂 BI 703704 和 sGC 刺激剂 Riociguat 均可预防来自未处理大鼠的 PCLS 中血清素诱导的收缩。相比之下,来自 CCl NASH 大鼠模型的 PCLS 培养物仅对 sGC 激活剂有反应,从而确立了 sGC 酶在纤维化肝脏中发现的氧化应激下对一氧化氮无反应。我们的模型确定了 sGC 途径在纤维化肝组织血管松弛中的作用。获得的数据表明,sGC 化合物对血管收缩的抑制能力可以转化为已发表的临床前数据。总之,这种新的离体 PCLS 方法允许区分候选药物并将治疗方法转化为临床应用。