1. Progenitor cell expansion and impaired hepatocyte regeneration in explanted livers from alcoholic hepatitis
- Author
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Stéphanie Truant, Guillaume Lassailly, Ramon Bataller, Philippe Mathurin, François Maggiotto, Emmanuelle Leteurtre, Alexandre Louvet, Christophe Moreno, David Buob, Amélie Cannesson, François-René Pruvot, Emmanuel Boleslawski, Laurent Dubuquoy, Florent Artru, Sébastien Dharancy, Emilie Gantier, Université de Lille, LillOA, Lille Inflammation Research International Center - U 995 (LIRIC), Institut Pasteur de Lille, Réseau International des Instituts Pasteur (RIIP)-Réseau International des Instituts Pasteur (RIIP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lille-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), Centre de Recherche Jean-Pierre AUBERT Neurosciences et Cancer - U837 (JPArc), Université Lille Nord de France (COMUE)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lille, Mécanismes de la Tumorigénèse et Thérapies Ciblées - UMR 8161 (M3T), Réseau International des Instituts Pasteur (RIIP)-Réseau International des Instituts Pasteur (RIIP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lille-Centre National de la Recherche Scientifique (CNRS), Centre Hospitalier Universitaire de Lille (CHU de Lille), Chirurgie digestive et transplantation [Lille], Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille)-Espace éthique hospitalier et universitaire de Lille - EEHU, Centre de Recherche Jean-Pierre AUBERT Neurosciences et Cancer - U1172 Inserm - U837 (JPArc), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Lille Nord de France (COMUE)-Université de Lille, Inserm, Université de Lille, CHU Lille, CNRS, Lille Inflammation Research International Center - U 995 [LIRIC], Mécanismes de la Tumorigénèse et Thérapies Ciblées - UMR 8161 [M3T], and Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286
- Subjects
Alcoholic liver disease ,Pathology ,medicine.medical_specialty ,CYTOKERATINS ,Liver cytology ,[SDV]Life Sciences [q-bio] ,medicine.medical_treatment ,Alcoholic hepatitis ,EXTRACELLULAR MATRIX ,Liver transplantation ,Biology ,DNA, Mitochondrial ,Andrology ,ALCOHOLIC LIVER DISEASE ,Liver Cirrhosis, Alcoholic ,Mesh:Cell Differentiation ,Mesh:Cell Proliferation ,Mesh:Cytokine TWEAK ,Mesh:DNA Damage ,Mesh:DNA ,Mesh:Mitochondrial ,Mesh:Hepatitis ,Mesh:Alcoholic/metabolism ,Mesh:Alcoholic/pathology ,Mesh:Hepatocytes/physiology ,Mesh:Hepatocytes/ultrastructure ,Mesh:Humans ,Mesh:Interleukin-6/metabolism ,Mesh:Keratin-7/metabolism ,Mesh:Ki-67 Antigen/metabolism ,Mesh:Laminin/metabolism ,Mesh:Liver/cytology ,Mesh:Liver/metabolism ,Mesh:Liver Cirrhosis ,Mesh:Liver Regeneration/physiology ,Mesh:Mitochondria/ultrastructure ,Mesh:NF-kappa B/metabolism ,Mesh:Signal Transduction ,Mesh:Stem Cells/physiology ,Mesh:Tumor Necrosis Factor-alpha/metabolism ,Mesh:Tumor Necrosis Factors/metabolism ,medicine ,Humans ,Progenitor cell ,ComputingMilieux_MISCELLANEOUS ,Cell Proliferation ,HEPATOCYTE ,Hepatitis, Alcoholic ,Interleukin-6 ,Tumor Necrosis Factor-alpha ,Stem Cells ,Keratin-7 ,NF-kappa B ,Gastroenterology ,Cell Differentiation ,Cytokine TWEAK ,medicine.disease ,Liver regeneration ,Mitochondria ,3. Good health ,[SDV] Life Sciences [q-bio] ,Transplantation ,Ki-67 Antigen ,medicine.anatomical_structure ,Liver ,Hepatocyte ,Tumor Necrosis Factors ,Hepatocytes ,LIVER REGENERATION ,Laminin ,DNA Damage ,Signal Transduction - Abstract
Objective In alcoholic hepatitis (AH), development of targeted therapies is crucial and requires improved knowledge of cellular and molecular drivers in liver dysfunction. The unique opportunity of using explanted livers from patients with AH having undergone salvage liver transplantation allowed to perform more in-depth molecular translational studies. Design We studied liver explants from patients with AH submitted to salvage transplantation (n=16), from patients with alcoholic cirrhosis without AH (n=12) and fragments of normal livers (n=16). Hepatic cytokine content was quantified. Hepatocyte function and proliferation and the presence of hepatic progenitor cells (HPCs) were evaluated by immunohistochemistry, western blot or quantitative PCR. Mitochondrial morphology was evaluated by electron microscopy. Results Livers from patients with AH showed decreased cytokine levels involved in liver regeneration (tumour necrosis factor α and interleukin-6), as well as a virtual absence of markers of hepatocyte proliferation compared with alcoholic cirrhosis and normal livers. Electron microscopy revealed obvious mitochondrial abnormalities in AH hepatocytes. Importantly, livers from patients with AH showed substantial accumulation of HPCs that, unexpectedly, differentiate only into biliary cells. AH livers predominantly express laminin (extracellular matrix protein favouring cholangiocyte differentiation); consequently, HPC expansion is inefficient at yielding mature hepatocytes. Conclusions AH not responding to medical therapy is associated with lack of expression of cytokines involved in liver regeneration and profound mitochondrial damage along with lack of proliferative hepatocytes. Expansion of HPCs is inefficient to yield mature hepatocytes. Manoeuvres aimed at promoting differentiation of HPCs into mature hepatocytes should be tested in AH.
- Published
- 2015
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