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2016 ; 8
(8
): 401-10
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Role of interleukin-1 and its antagonism of hepatic stellate cell proliferation
and liver fibrosis in the Abcb4(-/-) mouse model
#MMPMID27004088
Reiter FP
; Wimmer R
; Wottke L
; Artmann R
; Nagel JM
; Carranza MO
; Mayr D
; Rust C
; Fickert P
; Trauner M
; Gerbes AL
; Hohenester S
; Denk GU
World J Hepatol
2016[Mar]; 8
(8
): 401-10
PMID27004088
show ga
AIM: To study the interleukin-1 (IL-1) pathway as a therapeutic target for liver
fibrosis in vitro and in vivo using the ATP-binding cassette transporter b4(-/-)
(Abcb4(-/-)) mouse model. METHODS: Female and male Abcb4(-/-) mice from 6 to 13
mo of age were analysed for the degree of cholestasis (liver serum tests), extent
of liver fibrosis (hydroxyproline content and Sirius red staining) and
tissue-specific activation of signalling pathways such as the IL-1 pathway
[quantitative polymerase chain reaction (qPCR)]. For in vivo experiments, murine
hepatic stellate cells (HSCs) were isolated via pronase-collagenase perfusion
followed by density gradient centrifugation using female mice. Murine HSCs were
stimulated with up to 1 ng/mL IL-1? with or without 2.5 ?g/mL Anakinra, an IL-1
receptor antagonist, respectively. The proliferation of murine HSCs was assessed
via the BrdU assay. The toxicity of Anakinra was evaluated via the fluorescein
diacetate hydrolysis (FDH) assay. In vivo 8-wk-old Abcb4(-/-) mice with an
already fully established hepatic phenotype were treated with Anakinra (1 mg/kg
body-weight daily intraperitoneally) or vehicle and liver injury and liver
fibrosis were evaluated via serum tests, qPCR, hydroxyproline content and Sirius
red staining. RESULTS: Liver fibrosis was less pronounced in males than in female
Abcb4(-/-) animals as defined by a lower hydroxyproline content (274 ± 64 ?g/g vs
436 ± 80 ?g/g liver, respectively; n = 13-15; P < 0.001; Mann-Whitney U-test) and
lower mRNA expression of the profibrogenic tissue inhibitor of
metalloproteinase-1 (TIMP) (1 ± 0.41 vs 0.66 ± 0.33 fold, respectively; n =
13-15; P < 0.05; Mann-Whitney U-test). Reduced liver fibrosis was associated with
significantly lower levels of F4/80 mRNA expression (1 ± 0.28 vs 0.71 ± 0.41
fold, respectively; n = 12-15; P < 0.05; Mann-Whitney U-test) and significantly
lower IL-1? mRNA expression levels (1 ± 0.38 vs 0.44 ± 0.26 fold, respectively; n
= 13-15; P < 0.001; Mann-Whitney U-test). No gender differences in the serum
liver parameters [bilirubin; alanine aminotransferase (ALT); aspartate
aminotransferase and alkaline phosphatase (AP)] were found. In vitro, the
administration of IL-1? resulted in a significant increase in HSC proliferation
[0.94 ± 0.72 arbitrary units (A.U.) in untreated controls, 1.12 ± 0.80 A.U. at an
IL-1? concentration of 0.1 ng/mL and 1.18 ± 0.73 A.U. at an IL-1? concentration
of 1 ng/mL in samples from n = 6 donor animals; P < 0.001; analyses of variance
(ANOVA)]. Proliferation was reduced significantly by the addition of 2.5 ?g/mL
Anakinra (0.81 ± 0.60 A.U. in untreated controls, 0.92 ± 0.68 A.U. at an IL-1?
concentration of 0.1 ng/mL, and 0.91 ± 0.69 A.U. at an IL-1? concentration of 1
ng/mL; in samples from n = 6 donor animals; P < 0.001; ANOVA) suggesting an
anti-proliferative effect of this clinically approved IL-1 receptor antagonist.
The FDH assay showed this dose to be non-toxic in HSCs. In vivo, Anakinra had no
effect on the hepatic hydroxyproline content, liver serum tests (ALT and AP) and
pro-fibrotic (collagen 1?1, collagen 1?2, transforming growth factor-?, and
TIMP-1) and anti-fibrotic [matrix metalloproteinase 2 (MMP2), MMP9 and MMP13]
gene expression after 4 wk of treatment. Furthermore, the hepatic IL-1? and F4/80
mRNA expression levels were unaffected by Anakinra treatment. CONCLUSION: IL-1?
expression is associated with the degree of liver fibrosis in Abcb4(-/-) mice and
promotes HSC proliferation. IL-1 antagonism shows antifibrotic effects in vitro
but not in Abcb4(-/-) mice.