School of Medicine , Tsinghua University , Beijing , China.
Division of Experimental Pathology, Department of Pathology , University of Pittsburgh School of Medicine , Pittsburgh , Pennsylvania , USA.
Hepatology. 2023 May 1;77(5):1593-1611. doi: 10.1002/hep.32680. Epub 2023 Apr 17.
Liver regeneration (LR) following partial hepatectomy (PH) occurs via activation of various signaling pathways. Disruption of a single pathway can be compensated by activation of another pathway to continue LR. The Wnt-β-catenin pathway is activated early during LR and conditional hepatocyte loss of β-catenin delays LR. Here, we study mechanism of LR in the absence of hepatocyte-β-catenin.
Eight-week-old hepatocyte-specific Ctnnb1 knockout mice (β-catenin ΔHC ) were subjected to PH. These animals exhibited decreased hepatocyte proliferation at 40-120 h and decreased cumulative 14-day BrdU labeling of <40%, but all mice survived, suggesting compensation. Insulin-mediated mechanistic target of rapamycin (mTOR) complex 1 (mTORC1) activation was uniquely identified in the β-catenin ΔHC mice at 72-96 h after PH. Deletion of hepatocyte regulatory-associated protein of mTOR (Raptor), a critical mTORC1 partner, in the β-catenin ΔHC mice led to progressive hepatic injury and mortality by 30 dys. PH on early stage nonmorbid Raptor ΔHC -β-catenin ΔHC mice led to lethality by 12 h. Raptor ΔHC mice showed progressive hepatic injury and spontaneous LR with β-catenin activation but died by 40 days. PH on early stage nonmorbid Raptor ΔHC mice was lethal by 48 h. Temporal inhibition of insulin receptor and mTORC1 in β-catenin ΔHC or controls after PH was achieved by administration of linsitinib at 48 h or rapamycin at 60 h post-PH and completely prevented LR leading to lethality by 12-14 days.
Insulin-mTORC1 activation compensates for β-catenin loss to enable LR after PH. mTORC1 signaling in hepatocytes itself is critical to both homeostasis and LR and is only partially compensated by β-catenin activation. Dual inhibition of β-catenin and mTOR may have notable untoward hepatotoxic side effects.
肝部分切除术(PH)后肝脏再生(LR)是通过激活各种信号通路发生的。单一途径的破坏可以通过激活另一条途径来继续 LR 得到补偿。Wnt-β-catenin 途径在 LR 早期被激活,条件性肝细胞β-catenin 缺失会延迟 LR。在这里,我们研究了没有肝细胞-β-catenin 的 LR 机制。
8 周龄的肝细胞特异性 Ctnnb1 敲除小鼠(β-catenin ΔHC)接受 PH。这些动物在 40-120 h 时表现出肝细胞增殖减少,累积 14 天 BrdU 标记率<40%,但所有小鼠均存活,表明存在代偿。胰岛素介导的雷帕霉素靶蛋白(mTOR)复合物 1(mTORC1)在 PH 后 72-96 h 时在β-catenin ΔHC 小鼠中被唯一识别。在β-catenin ΔHC 小鼠中缺失肝细胞 mTOR 的调节相关蛋白(Raptor),mTORC1 的关键伴侣,导致在 30 天内进行性肝损伤和死亡。在早期非病态 Raptor ΔHC-β-catenin ΔHC 小鼠中进行 PH 导致在 12 h 时致死。Raptor ΔHC 小鼠表现出进行性肝损伤和自发性 LR 伴有β-catenin 激活,但在 40 天内死亡。在早期非病态 Raptor ΔHC 小鼠中进行 PH 在 48 h 时致死。PH 后在β-catenin ΔHC 或对照小鼠中通过在 48 h 时给予 linsitinib 或在 PH 后 60 h 时给予 rapamycin 实现胰岛素受体和 mTORC1 的时间抑制,完全阻止了导致 12-14 天内死亡的 LR。
胰岛素-mTORC1 激活代偿了β-catenin 的缺失,以实现 PH 后的 LR。肝细胞本身的 mTORC1 信号对于稳态和 LR 都是至关重要的,并且只能通过β-catenin 激活得到部分代偿。β-catenin 和 mTOR 的双重抑制可能会产生显著的不良肝毒性副作用。