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Kupffer Cells Mediate Leptin-Induced Liver Fibrosis GASTROENTEROLOGY 2009;137:713–723 JIANHUA WANG,* ISABELLE LECLERCQ,‡ JOANNE M. BRYMORA,* NING XU,* MEHDI RAMEZANI–MOGHADAM,*  ROSLYN M. LONDON,* DAVID BRIGSTOCK,§ and JACOB GEORGE* *Storr Liver Unit, Westmead Millennium Institute, University of Sydney and Westmead Hospital, Westmead, Australia; ‡Laboratory of Gastroenterology, Faculty of Medicine, Université Catholique de Louvain, Brussels, Belgium; and §Center for Cell and Vascular Biology, Children’s Research Institute, Columbus, Ohio IF:  12.591 Design by ChauChanLao 2010.03
Liver Fibrosis ,[object Object],J Clin Invest.  2005 February 1; 115(2): 209–218.
Kupffer cells(KCs) ,[object Object],[object Object],http://cindymarie95.glogster.com/
Pathogenesis of liver fibrosis Comparative Hepatology  2007  6 :7
J Clin Invest.  2005 February 1; 115(2): 209–218.
Circulating levels of leptin are known to be increased in overweight and obese persons, in individuals with nonalcoholic steatohepatitis, and in those with alcoholic liver disease and chronic viral hepatitis N Engl J Med 1996;334:292–295. The American Journal of Gastroenterology  (2003)  98 , 1135–1141
Leptin( 瘦素 ) ,[object Object],[object Object],[object Object],Wikipedia.org Recently, leptin has been shown to possess direct profibrogenic activity in the liver, and the absence of leptin is associated with a marked attenuation of the hepatic response to a diverse range of fibrotic stimuli
[object Object],[object Object],www.informatics.jax.org The cellular and molecular mechanisms for this effect, however, have not been fully elucidated
The Conflicting Theory ,[object Object],[object Object]
[object Object],Wikipedia.org
The aim in this article ,[object Object]
Experimental Design ,[object Object],Profibrotic gene(Collagen I, TIMP1, TGFβ1, CTGF/CCN2) To investigate the direct and indirect effects of leptin on the proliferation of HSCs in culture KC-conditioned medium, SEC-conditioned medium To investigate whether leptin have indirect profibrogenic effects on HSCs(via soluble mediators released from KCs)
[object Object],To investigate whether leptin activates JAK/STAT, MAPK or PI3K/AKT pathways in KCs to target downstream components leading to profibrotic gene transcription
Nonparenchymal Cell (HSC, KC, SEC) Isolation ,[object Object],currentprotocols.com Liver Density gradient centrifugation Nylon mesh filters washing Supernatant HSC 500g  7 mins Homogenization KC, SEC nature.com
HSC Comparative Hepatology  2007,  6: 7 Journal of Young Investigators. 2008. Volume 16
SEC wikimedia.org Chinese Medical Journal, 2010, Vol. 123 No. 1 : 68-73
KC Comparative Hepatology  2003,  2: 1 www.siumed.edu
To  investigate  whether leptin have direct effects on profibrotic gene and αSMA protein expression in HSCs ,[object Object],Fig1A HSCs(48h or 6 days) Total cellular RNA TRI REAGENT RT-PCR Leptin(10 or 100nmol/L, 24h)
Profibrotic gene ,[object Object],[object Object],[object Object],[object Object],Wikipedia.org
[object Object],Fig1B HSCs(48h) Immunoblot Assays Microcon YM-10 Centrifugal Filters Leptin(10 or 100nmol/L, 24h) Culture medium
[object Object],Fig1C, 1D HSCs (48h or 6 days) Immunoblot Assays Lysis buffer Leptin(10 or 100nmol/L) And/or TGFβ1(1 or 10ng/mL), 24h Cell lysates
α SMA protein ,[object Object],Wikipedia.org images1.clinicaltools.com/
Fig1E Leptin(10 or 100nmol/L) And/or TGFβ1(10ng/mL), 24h HSCs(48h) Total Cellular RNA TRI REAGENT RT-PCR
[object Object]
To investigate the direct and indirect effects of leptin on the proliferation of HSCs in culture ,[object Object],Leptin(10 or 100nmol/L) And/or PDGF BB(25ng/mL), 24h HSCs (48h or 6 days) WST-1 Assay Fig2A, 2C
WST-1 assay Cell WST-1, 0.5~4h ELISA Reader www.ub.edu/web/ub/ca/
Whether leptin indirectly affects HSC proliferation Leptin(10 or 100nmol/L) And/or LPS(25ng/mL), 24h KCs, SECs (48h) WST-1 Assay 3 days HSCs 24h Fig2B Coditioned medium 2.3X 3.1X
Fig2C
Fig2D Fig2E Leptin(100nmol/L), 24h KCs(48h) ELISA HSCs, 24h Total Cellular RNA TRI REAGENT RT-PCR Coditioned medium PDGF and its receptors are not the principal mediators of the HSC proliferative effects of KC-conditioned medium
Fig2F HSCs(1,3,7 days) KCs(1,3 days) Total Cellular RNA TRI REAGENT RT-PCR HSCs and KCs Express OB-Rb but Demonstrate Differential Expression Patterns in Culture
To investigate whether leptin have indirect profibrogenic effects on HSCs(via soluble mediators released from KCs) Fig3A Leptin(100nmol/L), 24h KCs, SECs(48h) 3 days HSCs, 24h Total Cellular RNA TRI REAGENT RT-PCR Coditioned medium
Leptin(100nmol/L), 24h KCs, SECs(48h) 3 days HSCs, 24h Fig3B Coditioned medium Sirius Red Staining
Sirius Red Staining ep.physoc.org www.biocolor.co.uk Cells Fixing, 1h Sirius red solution, 1h   Washing OD, 450nm Dissolved in 0.1 N NaOH Collagen stains strongly with acid red dyes due to the affinity of the cationic groups of the proteins for the anionic reactive groups of the acid dyes
[object Object],Fig3C KCs Leptin (100nmol/L, 24h) HSCs, 24h Total Cellular RNA TRI REAGENT RT-PCR This confirmed that the observed effects were specifically because of leptin acting through its receptor Coditioned medium
Zucker rats ,[object Object],[object Object],[object Object],www.med.howard.edu
Whether leptin indirectly affects HSC αSMA protein expression Fig3D Supp.Fig2 HSCs Immunoblot Assays Lysis buffer Leptin(100nmol/L) 24h Cell lysates KCs, SECs Coditioned medium
[object Object],These factors promote the activation, proliferation, and profibrogenic activities of HSCs
To investigate g ene and protein expression   of TGF- β 1 and CTGF/CCN2 in leptin -  induced   KCs Leptin (10 or 100nmol/L) 24h KCs Total Cellular RNA TRI REAGENT RT-PCR Fig4A, 4B Immunoblot Assays Microcon YM-10 Centrifugal Filters Culture medium
Fig4C Leptin(100nmol/L) sTGFβR fusion protein(50μg/mL) Human IgG( 50μg/mL ), 24h KCs antibodies against CTGF  Quantitative analysis
Schematic diagram of the hierarchy and interplay between ET-1, TGF-β and CTGF Arthritis Research & Therapy  2007,  9 (Suppl 2) : S4
[object Object]
[object Object],[object Object],Fig4D Leptin (100nmol/L) 24h KCs Total Cellular RNA RT-PCR TRI REAGENT These results further corroborate our data that the effects of leptin in inducing TGF- β 1 and CTGF/CCN2 are indeed leptin receptor dependent
Fig4E Leptin (100nmol/L) 24h KCs These data suggest that, at least in vitro, leptin’s profibrogenic effects that are mediated via KCs are not due to the production of H 2 O 2 H 2 O 2  Assay
H 2 O 2  Assay www.ricercaitaliana.it Fluorescence spectrophotometer
To clarify further whether TGF β -1 is indeed one of the soluble mediators of the profibrogenic effects of leptin on KC Fig4F These data confirm that TGF β -1 is likely to be the principal profibrogenic mediator that is released on leptin treatment of KCs Leptin(100nmol/L) TGFβ antibody(10 μ g/mL) KCs Total Cellular RNA RT-PCR TRI REAGENT
To investigate whether leptin activates JAK/STAT, MAPK or PI3K/AKT pathways in KCs to target downstream components leading to profibrotic gene transcription Fig5A, 5B Leptin(100nmol/L) 0, 5, 10, 30, 60mins KCs Immunoblot Assays Lysis buffer Cell lysates
Fig5C Leptin did not increase JNK or p38 phosphorylation
Leptin-related pathway Biochem J. 2006 Jan 1;393(Pt 1):7-20.
Fig5D Leptin(10 or 100nmol/L) 60mins KCs Nuclear Protein Extraction EMSA
AP-1 & NF-κB ,[object Object],[object Object],The Journal of Immunology , 2006, 176: 603-615.
To clarify which of the activated signaling pathways contributes to the observed increase in TGF-β1 gene expression Fig5E Leptin(100nmol/L) PI3K inhibitor(25 μ mol/L) MEK inhibitor(50 μ mol/L) STAT3 inhibitor peptide(50 μ mol/L) KCs Total Cellular RNA RT-PCR TRI REAGENT
Summary
Conclusion ,[object Object],biology.about.com Laboratory Investigation  (2008)  88,  96–97
TGF-1 treatment of HSCs did not increase SMA protein expression, whereas leptin-treated KC-conditioned media did ,[object Object],[object Object],Fig3D Fig1C, 1D
It has been previously reported that leptin facilitates HSC proliferation by increased PDGF receptor expression Biochem Biophys Res Commun 2004;323:1091–1095
[object Object],Fig2D Fig2E
Thanks for your attentions
Mechanisms of JAK/STAT activation through OB-Rb   Biochem J. 2006 Jan 1;393(Pt 1):7-20.
The MAPK pathway in leptin signalling Biochem J. 2006 Jan 1;393(Pt 1):7-20.
The  PI3K/PDE3B/cAMP  cascade   Biochem J. 2006 Jan 1;393(Pt 1):7-20.
Role of phosphotyrosines of OB-Rb in leptin signalling Biochem J. 2006 Jan 1;393(Pt 1):7-20.  SOCS: Suppressor of cytokine signaling proteins
Leptin-induced HSC profibrogenic mechanisms induced by Jak activation and OB-Rb phosphorylation FASEB J 2004;18:1612–1614. Wikipedia.org SOCS3
Wikipedia.org
END
Elutriation nature.com
To exclude the possibility that effect above was due to endotoxin contamination of the recombinant leptin protein Supp.Fig1 LPS(0.16ng/mL), 24h KCs(48h) 3 days HSCs, 24h Total Cellular RNA TRI REAGENT RT-PCR Coditioned medium
Proposed model for the participation of SOCS3 in leptin resistance Biochem J. 2006 Jan 1;393(Pt 1):7-20.

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Kupffer cells mediate_leptin-induced_liver_fibrosis

  • 1. Kupffer Cells Mediate Leptin-Induced Liver Fibrosis GASTROENTEROLOGY 2009;137:713–723 JIANHUA WANG,* ISABELLE LECLERCQ,‡ JOANNE M. BRYMORA,* NING XU,* MEHDI RAMEZANI–MOGHADAM,* ROSLYN M. LONDON,* DAVID BRIGSTOCK,§ and JACOB GEORGE* *Storr Liver Unit, Westmead Millennium Institute, University of Sydney and Westmead Hospital, Westmead, Australia; ‡Laboratory of Gastroenterology, Faculty of Medicine, Université Catholique de Louvain, Brussels, Belgium; and §Center for Cell and Vascular Biology, Children’s Research Institute, Columbus, Ohio IF: 12.591 Design by ChauChanLao 2010.03
  • 2.
  • 3.
  • 4. Pathogenesis of liver fibrosis Comparative Hepatology 2007 6 :7
  • 5. J Clin Invest. 2005 February 1; 115(2): 209–218.
  • 6. Circulating levels of leptin are known to be increased in overweight and obese persons, in individuals with nonalcoholic steatohepatitis, and in those with alcoholic liver disease and chronic viral hepatitis N Engl J Med 1996;334:292–295. The American Journal of Gastroenterology (2003) 98 , 1135–1141
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15. HSC Comparative Hepatology 2007, 6: 7 Journal of Young Investigators. 2008. Volume 16
  • 16. SEC wikimedia.org Chinese Medical Journal, 2010, Vol. 123 No. 1 : 68-73
  • 17. KC Comparative Hepatology 2003, 2: 1 www.siumed.edu
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23. Fig1E Leptin(10 or 100nmol/L) And/or TGFβ1(10ng/mL), 24h HSCs(48h) Total Cellular RNA TRI REAGENT RT-PCR
  • 24.
  • 25.
  • 26. WST-1 assay Cell WST-1, 0.5~4h ELISA Reader www.ub.edu/web/ub/ca/
  • 27. Whether leptin indirectly affects HSC proliferation Leptin(10 or 100nmol/L) And/or LPS(25ng/mL), 24h KCs, SECs (48h) WST-1 Assay 3 days HSCs 24h Fig2B Coditioned medium 2.3X 3.1X
  • 28. Fig2C
  • 29. Fig2D Fig2E Leptin(100nmol/L), 24h KCs(48h) ELISA HSCs, 24h Total Cellular RNA TRI REAGENT RT-PCR Coditioned medium PDGF and its receptors are not the principal mediators of the HSC proliferative effects of KC-conditioned medium
  • 30. Fig2F HSCs(1,3,7 days) KCs(1,3 days) Total Cellular RNA TRI REAGENT RT-PCR HSCs and KCs Express OB-Rb but Demonstrate Differential Expression Patterns in Culture
  • 31. To investigate whether leptin have indirect profibrogenic effects on HSCs(via soluble mediators released from KCs) Fig3A Leptin(100nmol/L), 24h KCs, SECs(48h) 3 days HSCs, 24h Total Cellular RNA TRI REAGENT RT-PCR Coditioned medium
  • 32. Leptin(100nmol/L), 24h KCs, SECs(48h) 3 days HSCs, 24h Fig3B Coditioned medium Sirius Red Staining
  • 33. Sirius Red Staining ep.physoc.org www.biocolor.co.uk Cells Fixing, 1h Sirius red solution, 1h Washing OD, 450nm Dissolved in 0.1 N NaOH Collagen stains strongly with acid red dyes due to the affinity of the cationic groups of the proteins for the anionic reactive groups of the acid dyes
  • 34.
  • 35.
  • 36. Whether leptin indirectly affects HSC αSMA protein expression Fig3D Supp.Fig2 HSCs Immunoblot Assays Lysis buffer Leptin(100nmol/L) 24h Cell lysates KCs, SECs Coditioned medium
  • 37.
  • 38. To investigate g ene and protein expression of TGF- β 1 and CTGF/CCN2 in leptin - induced KCs Leptin (10 or 100nmol/L) 24h KCs Total Cellular RNA TRI REAGENT RT-PCR Fig4A, 4B Immunoblot Assays Microcon YM-10 Centrifugal Filters Culture medium
  • 39. Fig4C Leptin(100nmol/L) sTGFβR fusion protein(50μg/mL) Human IgG( 50μg/mL ), 24h KCs antibodies against CTGF Quantitative analysis
  • 40. Schematic diagram of the hierarchy and interplay between ET-1, TGF-β and CTGF Arthritis Research & Therapy 2007, 9 (Suppl 2) : S4
  • 41.
  • 42.
  • 43. Fig4E Leptin (100nmol/L) 24h KCs These data suggest that, at least in vitro, leptin’s profibrogenic effects that are mediated via KCs are not due to the production of H 2 O 2 H 2 O 2 Assay
  • 44. H 2 O 2 Assay www.ricercaitaliana.it Fluorescence spectrophotometer
  • 45. To clarify further whether TGF β -1 is indeed one of the soluble mediators of the profibrogenic effects of leptin on KC Fig4F These data confirm that TGF β -1 is likely to be the principal profibrogenic mediator that is released on leptin treatment of KCs Leptin(100nmol/L) TGFβ antibody(10 μ g/mL) KCs Total Cellular RNA RT-PCR TRI REAGENT
  • 46. To investigate whether leptin activates JAK/STAT, MAPK or PI3K/AKT pathways in KCs to target downstream components leading to profibrotic gene transcription Fig5A, 5B Leptin(100nmol/L) 0, 5, 10, 30, 60mins KCs Immunoblot Assays Lysis buffer Cell lysates
  • 47. Fig5C Leptin did not increase JNK or p38 phosphorylation
  • 48. Leptin-related pathway Biochem J. 2006 Jan 1;393(Pt 1):7-20.
  • 49. Fig5D Leptin(10 or 100nmol/L) 60mins KCs Nuclear Protein Extraction EMSA
  • 50.
  • 51. To clarify which of the activated signaling pathways contributes to the observed increase in TGF-β1 gene expression Fig5E Leptin(100nmol/L) PI3K inhibitor(25 μ mol/L) MEK inhibitor(50 μ mol/L) STAT3 inhibitor peptide(50 μ mol/L) KCs Total Cellular RNA RT-PCR TRI REAGENT
  • 53.
  • 54.
  • 55. It has been previously reported that leptin facilitates HSC proliferation by increased PDGF receptor expression Biochem Biophys Res Commun 2004;323:1091–1095
  • 56.
  • 57. Thanks for your attentions
  • 58. Mechanisms of JAK/STAT activation through OB-Rb Biochem J. 2006 Jan 1;393(Pt 1):7-20.
  • 59. The MAPK pathway in leptin signalling Biochem J. 2006 Jan 1;393(Pt 1):7-20.
  • 60. The PI3K/PDE3B/cAMP cascade Biochem J. 2006 Jan 1;393(Pt 1):7-20.
  • 61. Role of phosphotyrosines of OB-Rb in leptin signalling Biochem J. 2006 Jan 1;393(Pt 1):7-20. SOCS: Suppressor of cytokine signaling proteins
  • 62. Leptin-induced HSC profibrogenic mechanisms induced by Jak activation and OB-Rb phosphorylation FASEB J 2004;18:1612–1614. Wikipedia.org SOCS3
  • 64. END
  • 66. To exclude the possibility that effect above was due to endotoxin contamination of the recombinant leptin protein Supp.Fig1 LPS(0.16ng/mL), 24h KCs(48h) 3 days HSCs, 24h Total Cellular RNA TRI REAGENT RT-PCR Coditioned medium
  • 67. Proposed model for the participation of SOCS3 in leptin resistance Biochem J. 2006 Jan 1;393(Pt 1):7-20.

Editor's Notes

  1. Changes in the hepatic architecture ( A ) associated with advanced hepatic fibrosis ( B ). Following chronic liver injury, inflammatory lymphocytes infiltrate the hepatic parenchyma. Some hepatocytes undergo apoptosis, and Kupffer cells activate, releasing fibrogenic mediators. HSCs proliferate and undergo a dramatic phenotypical activation, secreting large amounts of extracellular matrix proteins. Sinusoidal endothelial cells lose their fenestrations, and the tonic contraction of HSCs causes increased resistance to blood flow in the hepatic sinusoid.
  2. 肝竇為一特化的血管性構造,位於肝動脈與門靜脈末端、匯流入肝靜脈之前,所以腸道血液流入肝臟後,必須經過肝竇才能進到中央靜脈。此系統為單層的竇狀內皮細胞 (sinusoidal endothelial cell) 所覆蓋,形成狹小的管道空間(約 6~15 微米),和淋巴球大小相當( 7~12 微米),所以克布霍細胞 (Kupffer cell) 、 B 淋巴球細胞及 T 淋巴球細胞等免疫細胞就可以在此進行把關工作,把細菌、內毒素等加以攔截與排除。
  3. The "canonical principle" of fibrogenesis starts with necrosis or apoptosis of hepatocytes and inflammation-connected activation of hepatic stellate cells (HSC triggering), their transdifferentiation to myofibroblasts with enhanced expression and secretion of extracellular matrix and matrix deposition (fibrosis). The latter is a precondition for cirrhosis. New pathogenetic mechanisms concern the influx of bone marrow-derived cells (fibrocytes) and of circulating monocytes and their TGF-β driven differentiation to fibroblasts in the damaged liver tissue. A further new mechanism is epithelial-mesenchymal transition (EMT) of bile duct epithelial cells and potentially of hepatocytes. All three complementary mechanisms enlarge the pool of matrix-synthesizing (myo-)fibroblasts in the damaged liver. The most important fibrogenic mediators are transforming growth factor (TGF)-β, platelet-derived growth factor (PDGF), insulin-like growth factor 1 (IGF-1), endothelin-1 (ET-1), and reactive oxygen species (ROS including hydroxyl radicals, superoxid anions). Abbreviations: ASH – alcoholic steatohepatitis; NAFLD – non-alcoholic fatty liver disease. Inset shows an electron micrograph of HSC with numerous lipid droplets indenting the nucleus.
  4. Cellular mechanisms of liver fibrosis. Different types of hepatotoxic agents produce mediators that induce inflammatory actions in hepatic cell types. Damaged hepatocytes and biliary cells release inflammatory cytokines and soluble factors that activate Kupffer cells and stimulate the recruitment of activated T cells. This inflammatory milieu stimulates the activation of resident HSCs into fibrogenic myofibroblasts. Activated HSCs also secrete cytokines that perpetuate their activated state. If the liver injury persists, accumulation of activated HSCs and portal myofibroblasts occurs, synthesizing large amounts of ECM proteins and leading to tissue fibrosis. ECM degradation is inhibited by the actions of cytokines such as TIMPs. Apoptosis of damaged hepatocytes stimulates the fibrogenic actions of HSCs. If the cause of the liver injury is removed, fibrosis is resolved. This phase includes apoptosis of activated HSCs and regeneration of hepatocytes. Collagen is degraded by increased activity of MMPs induced by decreased TIMP expression. CCL21, C-C chemokine ligand 21; MCP-1, monocyte chemoattractant protein–1; MIP-2, macrophage inflammatory protein–2; NS3, HCV nonstructural protein 3; NS5, HCV nonstructural protein 5; PAF, platelet-activating factor.
  5. There was a strong positive correlation (r = 0.85, P<0.001) between the serum leptin concentration and the percentage of body fat Correlation between serum leptin concentrations and percentage hepatocyte steatosis( 脂肪變性 ) in chronic hepatitis C patients segregated with respect to genotype
  6. There are two types of Zucker rat: a lean Zucker rat, denoted as the dominant trait (Fa/Fa) or (Fa/fa); and the characteristically obese (or fatty) Zucker rat, which is actually a recessive trait (fa/fa) of the leptin receptor , capable of weighing up to 1 kilogram (2.2 lb)—more than twice the average weight
  7. Animal preparation and operation procedure. (A) Orientation and securing of the animal to the workstation. Recommended incision lines and intraperitoneal injection points are indicated. (B) Opened abdomen after median and horizontal incisions. (C) Loosely tied threads around the inferior vena cava 下腔靜脈 (IVC) and portal vein. (D) Perfused liver after cutting the IVC and the abdominal artery and opening the thorax. The catheter is placed in the portal vein, fixed with a thread, and the IVC is ligated.
  8. A hepatic stellate cell activated by the p75 neurotrophin receptor promotes repair in the liver. Image courtesy of USCD.
  9. Immunohistochemistry staining shows the expression and localization of Bcl-2 and Bax. Both Bcl-2 and Bax protein were expressed in SECs (arrows) at the periphery of the sinusoidal space. The expression of Bcl-2 was higher in group 2 ( B ) after 1 hour of reperfusion compared with the same time point in group 1 ( A ). The expression of Bax was lower in group 2 ( D ) after 1 hour of reperfusion compared with the same time point in group 1 ( C ) (original magnification ×400).
  10. This specimen comes from an animal which was injected intravenously with a suspension of carbon particles.  These particles are scavenged by macrophages , most notably by those in the liver which are called Kupffer cells ., whose cytoplasm becomes packed with black carbon particles. In the absence of such experimental demonstration, Kupffer cells can be recognized by their oval nuclei closely associated with sinusoidal spaces. Endothelial cells appear similar, but with thinner (flatter) and denser nuclei and with less conspicuous cytoplasm. In contrast, the hepatocytes which comprise the hepatic cords have round nuclei surrounded by abundant cytoplasm.   The space of Disse is visible here and there on this image, appearing as a thin bright band between hepatocyte cytoplasm and the thinner, darker band which represents the endothelium.
  11. 在肝纖維化過程中,肝星狀細胞 (hepatic stellate cell HSC ) 被活化常是重要關鍵;而轉化生長因子 -β1 (transforming growth factor-β1 TGF-β1 ) 的分泌會促使 HSC 轉型為肌纖維母細胞 (myofibroblast) ,並刺激細胞外間質 (extracellular matrix ECM) 的合成和抑制其降解,如此可使肝臟內增加 ? 多纖維組織。 connective tissue growth factor is a cysteine -rich, matrix -associated, heparin -binding protein . In vitro , CTGF mirrors some of the effects of TGF beta on skin fibroblasts , such as stimulation of extracellular matrix production, chemotaxis , proliferation and integrin expression. CTGF can promote endothelial cell growth, migration, adhesion and survival and is thus implicated in endothelial cell function and angiogenesis [1] .
  12. αSMA protein was unaltered following leptin treatment Leptin and TGFβ-1 alone or the combination of leptin and TGFβ-1 did not enhance αSMA protein expression
  13. 一個主要組成部分的收縮設備
  14. TGFβ-1 treatment was associated with up-regulation of collagen I and TIMP1 mRNA expression Coadministration of TGF-β1 with leptin in HSCs failed to have any synergistic effects on profibrotic gene expression
  15. platelet-derived growth factor ( PDGF ) is one of the numerous growth factors , or proteins that regulate cell growth and division . In particular, it plays a significant role in blood vessel formation (angiogenesis), the growth of blood vessels from already existing blood vessel tissue. Uncontrolled angiogenesis is a characteristic of cancer. Chemically, platelet-derived growth factor is dimeric glycoprotein composed of two A (-AA) or two B (-BB) chains or a combination of the two (-AB).
  16. Fig. 1: Cleavage of the tetrazolium salt WST-1 (4-[3-(4-Iodophenyl)- 2-(4-nitrophenyl)-2H-5-tetrazolio]-1,3-benzene disulfonate) to formazan. (EC = electron coupling reagent! RS = mitochondrial succinate-tetrazolium-reductase system)
  17. KC-conditioned medium increased HSC proliferation by 2.3-fold, whereas pretreatment of KC with leptin enhanced HSC proliferation 3.1-fold SEC-conditioned medium did not affect HSC proliferation Low-dose lipopolysaccharide (LPS) to activate KCs enhanced the proliferative effects of KC-conditioned medium on HSCs but, together with leptin, had no additional effect on proliferation Lipopolysaccharides ( LPS ), also known as lipoglycans, are large molecules consisting of a lipid and a polysaccharide joined by a covalent bond ; they are found in the outer membrane of Gram-negative bacteria, act as endotoxins and elicit strong immune responses in animals
  18. Similar results were obtained when KC-conditioned medium was applied on activated HSCs
  19. PDGF is known to be the most potent mitogen for HSCs, we assessed whether leptin facilitates PDGF-induced HSC proliferation
  20. The expression of all profibrogenic genes was elevated at least 2-fold in HSCs incubated with KC- but not with SEC-conditioned medium
  21. Consistent with Fig3A, collagen protein was also augmented
  22. Cell layers were fixed for 1 h in Bouin’s fixative followed by addition of Sirius red F3BA solution (0.1% in saturated picric acid). After 1-h staining, cell layers were washed in running tap water and again in 0.01 N HCl to remove the non-bound dye. For quantification of collagen content, the dye was dissolved in 0.1 N NaOH. The absorbance was determined at 550 nm.
  23. Leptin-treated WT KC-conditioned medium significantly increased αSMA protein expression in HSC SEC-conditioned medium, however, did not result in increased αSMA expression
  24. TGF-1 and CTGF/CCN2 are major profibrogenic cytokines in the development of liver fibrosis Leptin treatment significantly up-regulated TGF-β1 and CTGF/CCN2 mRNA expression in KCs, also TGF-β1 protein expression
  25. CTGF/CCN2 protein was also expressed at higher levels in leptin-treated KCs than in control Coexposure of KCs to leptin and sTGFβR significantly attenuated CTGF/CCN2 protein expression induced by leptin
  26. Schematic diagram of the hierarchy and interplay between ET-1, TGF-β and CTGF. CTGF, connective tissue growth factor; ET, endothelin; NF-κB, nuclear factor-κB; TGF, transforming growth factor.
  27. H2O2 is a well-recognized profibrogenic factor
  28. Production of cellular ROS was analyzed by measuring the intracellular deacylation and oxidation of 2,7-dichlorodihydrofluorescein diacetate (DCFH-DA) to the fluorescent compound 2,7-dichloroflurescein (DCF). DCFH-DA is highly reactive with hydrogen peroxide.
  29. Exposure of KCs to leptin resulted in increased activation of ERK1/2 and AKT after 5 and 10 minutes incubation, respectively, and in a time-dependent manner
  30. Leptin, in a dose-dependent fashion, increased AP-1 and NF-κB DNA binding abilities in KCs We speculated that leptin may also activate downstream transcription factors such as AP-1 and/or NF-B because these transcription factors can be activated by MAPK/ERK1/2 and PI3K/AKT signaling,28,29 and AP-1 and/or NF-B binding motifs are known to be present in the promoter regions of TGF-1 and CTGF/CCN2
  31. Schematic illustration of exon 1 of the human TGF- 1 gene, in which the TGF- 1 promoter and the 5' end of the CDS are included. The locations of the B3 and AP-1-3 sites and the two major transcription initiation sites (P1 and P2) described by Kim et al. (15 ) are indicated. The DNA segments amplified by PCR primer pairs TP1 (between P1 and P2) and TP2 (in CDS) are also shown. The numbers indicate nucleotide positions in relation to the translation start site
  32. STAT3 inhibitor but not the MEK(PD98059) or PI3K (LY294002) inhibitors resulted in a significant reduction of TGF-β1 mRNA expression in KCs
  33. Fig 1.Effect of leptin on BrdU labeling in isolated HSCs. Isolated rat HSCs were cultured for 3 days as described detail in Materials and methods. Cells were incubated with PDGF-BB (5 ng/ml) and leptin (10–100 nM) in the presence of 10% FBS for 6–8 h. BrdU was added to the culture 1 h prior to fixation, and incorporation of BrdU into nuclei was detected by immunocytochemical staining. Percentages of BrdU-positive cells in two different time-points (A; black bars: controls, light gray bars: PDGF alone, dark gray bars: PDGF and 100 nM leptin), and different doses of leptin at 8 h (B) are plotted ( n  = 7, * P  < 0.05 vs. controls, # P  < 0.05 vs. PDGF alone). Fig. 2. Effect of leptin on expression of PDGF-R subunits in isolated HSCs. Total RNA was prepared from 3-day cultured HSCs after incubation with leptin (100 nM) for 3–6 h, and expression of PDGF-Rα and β subunit mRNA was detected by RT-PCR. PCR products were separated on 1.5% agarose gels, and specific bands were visualized by ethidium bromide staining. Representative photographs of specific bands (A, PDGF-Rα: 398 bp, PDGF-Rβ: 352 bp, β-actin: 281 bp) and densitometrical data (B,C) are shown ( n  = 4, * P  < 0.05 vs. controls). Similarly, whole cell protein extracts were prepared from leptin-treated HSCs, and PDGF-Rα and β protein levels were analyzed by Western blotting. Representative photographs of specific bands from 4 separate experiments are shown (D).
  34. Upon leptin (L) binding, a conformational change takes place ( A ) that allows juxtaposition of JAKs, which then become activated and are able to tyrosine-phosphorylate other JAKs and tyrosine residues on the receptor ( B ). Activation of JAK2 occurs by transphosphorylation and subsequent phosphorylation of tyrosine residues in the cytoplasmic region of the receptor. Phosphorylation of Tyr1138 allows association of STATs, which then become substrates of receptor-associated JAKs. Phosphorylation of STATs leads to their dissociation from the receptor and the formation of active dimers ( C ), which translocate to the nucleus to regulate gene expression, binding to the promoter regions of target genes ( D ).
  35. The ERK members of the MAPK family are components of the well-defined Ras/Raf/MAPK signalling cascade and have become activated by leptin (L). For more detailed information, see the text. DAG, diacylglycerol; Grb-2, growth factor receptor binding-2; PI3, PtdIns(3,4,5) P 3; PLC, phospholipase C; SOS, son of sevenless. In many cell types, activation of this pathway promotes cell division
  36. Stimulation of the PI3K pathway by leptin (L) represents a key cascade to exert several different effects of the hormone at multiple sites. For more detailed information, see the text. C/EBP, CCAAT/enhancer-binding protein; eNOS, endothelial nitric oxide synthase; GSK3, glycogen synthase kinase 3.
  37. JAK2 associates with the receptor via the box1 motif. The long isoform leptin (L) receptor (OB-Rb) contains four important tyrosine residues (Tyr974, Tyr985, Tyr1077 and Tyr1138). These phosphorylated tyrosine residues provide docking sites for signalling proteins with SH2 domains. Most importantly, Tyr1138 recruits the transcription factor STAT3, which is subsequently phosphorylated by JAK2, dimerizes and translocates to the nucleus, where it induces SOCS3 and POMC (pro-opiomelanocortin) expression, while repressing AgRP (agouti-related peptide). SOCS proteins inhibit signalling by binding to phosphorylated JAK proteins or interacting directly with tyrosine-phosphorylated receptors. The ability of SOCS3 to inhibit leptin-stimulated phosphorylation of JAK2 and ERK provides a negative-feedback mechanism on the leptin signalling system. Grb-2, growth factor receptor binding-2.
  38. Leptin signals as any gp130 cytokine primarily by Jak2 phosphorylation of several key tyrosine residues. OB-Rb phosphorylation promotes HSC proliferation and survival by Erk and Akt activation. SOCS-3, a feedback inhibitor of OB-Rb signaling, and AG490, a chemical inhibitor of Jak2 kinase activity, both block HSC proliferation and survival by blocking phosphorylation of Erk or Akt. HSC survival was inhibited by PI3-kinase inhibitor LY294002. HSC proliferation was blocked by MAPK inhibitor PD98059, PI3-kinase inhibitor LY294002, as well as pharmacologic and biologic OB-Rb signal blockade. Leptin could not suppress apoptosis in the presence of LY, indicating that Akt is highly protective against HSC apoptosis.
  39. The centrifugal and the drag forces are acting in opposite directions. ( a ) Unfractionated cells enter the elutriation chamber. ( b ) Size gradient balanced by centrifugal force and counterflow (drag force) of elutriation fluid keeps cells inside the chamber. ( c ) Increasing flow rate elutes smaller cells first followed by larger ones. The centrifuge is run at 20 °C and constant speed (2,200 r.p.m., 683 g ). The pump is turned on and the system is washed first with 100 ml of 70% ethanol, then with 200 ml of physiological buffer (saline or PBS) to remove traces of alcohol. The physiological buffer is then replaced by freshly made elutriation fluid at an initial flow rate used for the introduction of cells into the chamber. Approximately 100 ml of the elutriation fluid is collected separately and discarded. The further, but still preliminary, run serves to remove bubbles from the system. Bubbles tend to be left behind in the elutriation chamber, in the sample-mixing chamber, in the tubing and inside the manometer. The Beckman loading chamber, which also serves as sample mixer, is used in the bypass position to trap bubbles and to compensate for pump pulsation. The bypass valve helps to remove bubbles from the sample-mixer chamber.
  40. During prolonged receptor stimulation by leptin (L), the inhibition of JAK2 and ERK phosphorylation is mediated by SOCS3 independently of Tyr985 of OB-Rb.