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2012 ; 152
(5
): 869-78
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Liver epithelial cells proliferate under hypoxia and protect the liver from
ischemic injury via expression of HIF-1 alpha target genes
#MMPMID22575885
Abe Y
; Uchinami H
; Kudoh K
; Nakagawa Y
; Ise N
; Watanabe G
; Sato T
; Seki E
; Yamamoto Y
Surgery
2012[Nov]; 152
(5
): 869-78
PMID22575885
show ga
BACKGROUND: The remnant liver after extended liver resection is susceptible to
ischemic injury, resulting in the failure of liver regeneration and liver
dysfunction. The present study is aimed to investigate the protective role of the
liver epithelial cells (LEC), a liver progenitor cell, on hepatocytes with
ischemia in vitro and in vivo. METHODS: LECs were isolated from rats and cultured
under hypoxic conditions (2% O(2)). The cell viability and intracellular ATP
levels were measured. The activation of hypoxia-inducible factor-1? (HIF-1?) was
assessed by immunofluorescence. The expression of pyruvate dehydrogenase kinase-1
(PDK-1), stromal cell-derived factor-1 (SDF-1), and chemokine receptor 4 (CXCR4)
were measured. Hepatocytes were treated with SDF-1 or LEC-conditioned medium
under hypoxia, and cell viability was assessed. Finally, hemorrhagic shock was
induced in rats with in vivo induction of endogenous LECs, and liver damage was
assessed. RESULTS: In LECs, but not in hepatocytes, cellular viability and
intracellular ATP levels were maintained, and nuclear translocation of HIF-1? and
expression of pyruvate dehydrogenase kinase-1 mRNA were increased under hypoxic
culture conditions. LECs express SDF-1, and CXCR4 expression was increased in
hepatocytes under hypoxia. The survival of hepatocytes under hypoxic condition
was significantly increased after treatment with SDF-1 or LEC-conditioned medium.
The protective effect of conditioned medium was impaired by CXCR4 antagonists.
In vivo induction of endogenous LECs suppressed elevation of serum AST and ALT
levels after hemorrhage shock and ischemia-reperfusion. CONCLUSION: LECs are
resistant to hypoxia and have a protective role for hepatocytes against hypoxia.
Our results suggest that induction of endogenous LECs protected the liver from
lethal insults by paracrine signaling of SDF-1 and differentiation into
parenchymal cells.