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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Hepatology
2016 ; 63
(3
): 965-82
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
Macrophage recruitment by fibrocystin-defective biliary epithelial cells promotes
portal fibrosis in congenital hepatic fibrosis
#MMPMID26645994
Locatelli L
; Cadamuro M
; Spirlė C
; Fiorotto R
; Lecchi S
; Morell CM
; Popov Y
; Scirpo R
; De Matteis M
; Amenduni M
; Pietrobattista A
; Torre G
; Schuppan D
; Fabris L
; Strazzabosco M
Hepatology
2016[Mar]; 63
(3
): 965-82
PMID26645994
show ga
Congenital hepatic fibrosis (CHF) is a disease of the biliary epithelium
characterized by bile duct changes resembling ductal plate malformations and by
progressive peribiliary fibrosis, in the absence of overt necroinflammation.
Progressive liver fibrosis leads to portal hypertension and liver failure;
however, the mechanisms leading to fibrosis in CHF remain elusive. CHF is caused
by mutations in PKHD1, a gene encoding for fibrocystin, a ciliary protein
expressed in cholangiocytes. Using a fibrocystin-defective (Pkhd1(del4/del4))
mouse, which is orthologous of CHF, we show that Pkhd1(del4/del4) cholangiocytes
are characterized by a ?-catenin-dependent secretion of a range of chemokines,
including chemokine (C-X-C motif) ligands 1, 10, and 12, which stimulate bone
marrow-derived macrophage recruitment. We also show that Pkhd1(del4/del4)
cholangiocytes, in turn, respond to proinflammatory cytokines released by
macrophages by up-regulating ?v?6 integrin, an activator of latent local
transforming growth factor-?1. While the macrophage infiltrate is initially
dominated by the M1 phenotype, the profibrogenic M2 phenotype increases with
disease progression, along with the number of portal myofibroblasts. Consistent
with these findings, clodronate-induced macrophage depletion results in a
significant reduction of portal fibrosis and portal hypertension as well as of
liver cysts. CONCLUSION: Fibrosis can be initiated by an epithelial cell
dysfunction, leading to low-grade inflammation, macrophage recruitment, and
collagen deposition; these findings establish a new paradigm for biliary fibrosis
and represent a model to understand the relationship between cell dysfunction,
parainflammation, liver fibrosis, and macrophage polarization over time.