1. Growth Hormone Stops Excessive Inflammation After Partial Hepatectomy, Allowing Liver Regeneration and Survival Through Induction of H2‐Bl/HLA‐G
- Author
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Viral Chikani, Shiro Minami, Michael J. Waters, Ken K. Y. Ho, Jamie Rossjohn, Andrew J. Brooks, Grant A. Ramm, Kathryn A. Tunny, Johan Medina, Robert G. Parton, Mayumi Ishikawa, Manuel A. Fernandez-Rojo, Julian P. Vivian, and Yash Chhabra
- Subjects
0301 basic medicine ,Gene knockdown ,medicine.medical_specialty ,Hepatology ,biology ,Inflammation ,Original Articles ,Growth hormone receptor ,Liver regeneration ,Transplantation ,03 medical and health sciences ,Liver Injury and Regeneration ,030104 developmental biology ,0302 clinical medicine ,Endocrinology ,Downregulation and upregulation ,Apoptosis ,Internal medicine ,medicine ,biology.protein ,Original Article ,030211 gastroenterology & hepatology ,medicine.symptom ,STAT5 - Abstract
Background and Aims Growth hormone (GH) is important for liver regeneration after partial hepatectomy (PHx). We investigated this process in C57BL/6 mice that express different forms of the GH receptor (GHR) with deletions in key signaling domains. Approach and Results PHx was performed on C57BL/6 mice lacking GHR (Ghr −/−), disabled for all GH‐dependent Janus kinase 2 signaling (Box1 −/−), or lacking only GH‐dependent signal transducer and activator of transcription 5 (STAT5) signaling (Ghr391 −/−), and wild‐type littermates. C57BL/6 Ghr −/−mice showed striking mortality within 48 hours after PHx, whereas Box1 −/− or Ghr391 −/− mice survived with normal liver regeneration. Ghr −/− mortality was associated with increased apoptosis and elevated natural killer/natural killer T cell and macrophage cell markers. We identified H2‐Bl, a key immunotolerance protein, which is up‐regulated by PHx through a GH‐mediated, Janus kinase 2–independent, SRC family kinase–dependent pathway. GH treatment was confirmed to up‐regulate expression of the human homolog of H2‐Bl (human leukocyte antigen G [HLA‐G]) in primary human hepatocytes and in the serum of GH‐deficient patients. We find that injury‐associated innate immune attack by natural killer/natural killer T cell and macrophage cells are instrumental in the failure of liver regeneration, and this can be overcome in Ghr −/− mice by adenoviral delivery of H2‐Bl or by infusion of HLA‐G protein. Further, H2‐Bl knockdown in wild‐type C57BL/6 mice showed elevated markers of inflammation after PHx, whereas Ghr −/− backcrossed on a strain with high endogenous H2‐Bl expression showed a high rate of survival following PHx. Conclusions GH induction of H2‐Bl expression is crucial for reducing innate immune‐mediated apoptosis and promoting survival after PHx in C57BL/6 mice. Treatment with HLA‐G may lead to improved clinical outcomes following liver surgery or transplantation.
- Published
- 2020
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