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2015 ; 15
(ä): 77
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IGF-1 decreases portal vein endotoxin via regulating intestinal tight junctions
and plays a role in attenuating portal hypertension of cirrhotic rats
#MMPMID26152281
Zhao TY
; Su LP
; Ma CY
; Zhai XH
; Duan ZJ
; Zhu Y
; Zhao G
; Li CY
; Wang LX
; Yang D
BMC Gastroenterol
2015[Jul]; 15
(ä): 77
PMID26152281
show ga
BACKGROUND: Intestinal barrier dysfunction is not only the consequence of liver
cirrhosis, but also an active participant in the development of liver cirrhosis.
Previous studies showed that external administration of insulin-like growth
factor 1 (IGF-1) improved intestinal barrier function in liver cirrhosis.
However, the mechanism of IGF-1 on intestinal barrier in liver cirrhosis is not
fully elucidated. The present study aims to investigate the mechanisms of IGF-1
improving intestinal barrier function via regulating tight junctions in
intestines. METHODS: We used carbon tetrachloride induced liver cirrhotic rats to
investigate the effect of IGF-1 on intestinal claudin-1 and occludin expressions,
serum alanine transaminase (ALT) and aspartate transaminase (AST) levels,
severity of liver fibrosis, portal pressures, enterocytic apoptosis and
lipopolysaccharides (LPS) levels in portal vein. The changes of IGF-1 in serum
during the development of rat liver cirrhosis were also evaluated. Additionally,
we assessed the effect of IGF-1 on claudin-1 and occludin expressions, changes of
transepithelial electrical resistance (TEER) and apoptosis in Caco-2 cells to
confirm in vivo findings. RESULTS: Serum IGF-1 levels were decreased in the
development of rat liver cirrhosis, and external administration of IGF-1 restored
serum IGF-1 levels. External administration of IGF-1 reduced serum ALT and AST
levels, severity of liver fibrosis, LPS levels in portal vein, enterocytic
apoptosis and portal pressure in cirrhotic rats. External administration of IGF-1
increased the expressions of claudin-1 and occludin in enterocytes, and
attenuated tight junction dysfunction in intestines of cirrhotic rats. LPS
decreased TEER in Caco-2 cell monolayer. LPS also decreased claudin-1 and
occludin expressions and increased apoptosis in Caco-2 cells. Furthermore, IGF-1
attenuated the effect of LPS on TEER, claudin-1 expression, occludin expression
and apoptosis in Caco-2 cells. CONCLUSIONS: Tight junction dysfunction develops
during the development of liver cirrhosis, and endotoxemia will develop
subsequently. Correspondingly, increased endotoxin in portal system worsens tight
junction dysfunction via decreasing intestinal occludin and claudin-1 expressions
and increasing enterocytic apoptosis. Endotoxemia and intestinal barrier
dysfunction form a vicious circle. External administration of IGF-1 breaks this
vicious circle. Improvement of tight junctions might be one possible mechanism of
the restoration of intestinal barrier function mediated by IGF-1.