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Ghrelin's second life - World Journal of Gastroenterology

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A<br />

MCP-1 expression (fold change)<br />

8<br />

7<br />

6<br />

5<br />

4<br />

3<br />

2<br />

1<br />

0<br />

Control<br />

Protein<br />

Gene<br />

CCl4-7 wk<br />

CCl4-13 wk<br />

marrow to differentiate into hepatocytes. To assess the<br />

possibility <strong>of</strong> YGJ stimulating bone marrow cells to<br />

differentiate into hepatocytes, we investigated the presence<br />

<strong>of</strong> EGFP + /Alb + cells by double staining. In the<br />

CCl4­injected control mice, the number <strong>of</strong> EGFP + cells<br />

increased steadily over time and the cells were distributed<br />

mainly in mesenchymal areas, but Alb + cells were<br />

mainly distributed in parenchymal areas, and there was no<br />

WJG|www.wjgnet.com<br />

CCl4-YGJ<br />

B 1 2 3 4<br />

C<br />

Wang XL et al . YGJ decoction protects against hepatic injury<br />

MCP-1<br />

GAPDH<br />

CCR2 expression (fold change)<br />

CCR2<br />

6<br />

5<br />

4<br />

3<br />

2<br />

1<br />

0<br />

Control<br />

Protein<br />

Gene<br />

b<br />

a<br />

CCl4-7 wk<br />

a<br />

b<br />

a<br />

c<br />

c<br />

26 KD<br />

42 KD<br />

36 KD<br />

Figure 7 Gene expression analyzed by real-time polymerase chain reaction<br />

and protein expression analyzed by Western blotting <strong>of</strong> monocyte<br />

chemotaxis protein-1 and CC chemokine receptor 2 in CCl4-induced<br />

chronic liver injured bone marrow chimera mice. A: MCP-1 gene and protein<br />

expression. For both genes the relative expression is quantified using the control<br />

group as the basal level; B: MCP-1 and CCR2 bands by Western blotting. Band<br />

1, control group; band 2, CCl4 7 wk group; band 3, CCl4 13 wk group; and band 4,<br />

CCl4 + Yiguanjian (YGJ) group; C: CCR2 gene and protein expression. For both<br />

genes the relative expression is quantified using the control group as the basal<br />

level. MCP-1: Monocyte chemotaxis protein-1; CCR2: CC chemokine receptor 2;<br />

GAPDH: Glyceraldehydes-3- phosphate dehydrogenase. a P < 0.05, b P < 0.01 vs<br />

week 0 control group; c P < 0.05 vs the same time-point CCl4 group.<br />

b<br />

a<br />

CCl4-13 wk<br />

c<br />

CCl4-YGJ<br />

overlap between EGFP + cells and Alb + cells, indicating<br />

that no EGFP + /Alb + cells were present in chronically<br />

injured liver. No EGFP + /Alb + cells were present in the<br />

vehicle control mice or in the YGJ­treated mice (Figure<br />

5). These results seemingly suggest that no hepatocytes<br />

were derived from bone marrow in our study.<br />

To further investigate the mechanisms <strong>of</strong> YGJ mediation<br />

<strong>of</strong> bone marrow cell differentiation in chronic liver<br />

injury, we explored the possibility that BM cells differentiated<br />

into other main types <strong>of</strong> cells in the liver, such<br />

as Kupffer cells. The EGFP + /F4/80 + cells represented<br />

BM­derived Kupffer cells in our experiments. In the vehicle<br />

control mice, despite <strong>of</strong> a little F4/80 expression,<br />

virtually no EGFP + /F4/80 + cells were present in the liver.<br />

However, after 7 wk <strong>of</strong> CCl4 injection, coexpression<br />

<strong>of</strong> EGFP and F4/80 increased significantly (P < 0.01)<br />

and remained at a high level up to 13 wk. These results<br />

indicated that some Kupffer cells differentiated from<br />

BM cells as the hepatic injury progressed. With YGJ<br />

treatment, both EGFP and F4/80 were expressed in parenchymal<br />

areas, and some <strong>of</strong> the areas were overlapped<br />

(Figure 6). However, there were fewer EGFP + /F4/80 +<br />

cells in the YGJ-treated mice than in the CCl4-injected<br />

mice (P < 0.01).<br />

YGJ decoction suppresses monocyte chemotaxis<br />

protein-1 and CCR2 expression in fibrotic liver<br />

MCP­1 was identified as a factor likely to be responsible<br />

for stem/progenitor cell recruitment. Therefore, we<br />

analyzed the expression <strong>of</strong> MCP­1 during CCl4-induced<br />

fibrogenesis. For the gene and protein expression, results<br />

were normalized to expression in the liver at the time<br />

<strong>of</strong> CCl4 injection (0 wk), for example the control group<br />

mRNA level <strong>of</strong> MCP­1 reached 2.8­fold after 7 wk (P<br />

< 0.05) and 6.7­fold after 13 wk <strong>of</strong> CCl4 injection (P <<br />

0.05) (Figure 7A). Western blotting showed that MCP­1<br />

protein was increased markedly (approximately 4 fold)<br />

after 13 wk <strong>of</strong> CCl4 injection (Figure 7A and B). YGJ<br />

treatment significantly reduced the expression <strong>of</strong> both<br />

MCP-1 gene and protein (Figure 7A and B). CCR2 is the<br />

specific receptor <strong>of</strong> MCP­1, and both Kupffer cells and<br />

HSCs, but not hepatocytes, have been shown to express<br />

CCR2 in liver [16] . In our study, the gene expression <strong>of</strong><br />

CCR2 continuously increased over the course <strong>of</strong> the<br />

experiment (P < 0.05), which was in accordance with its<br />

protein expression (P < 0.01), and treatment with YGJ<br />

only suppressed expression at the protein level (P < 0.05)<br />

but not at the gene level (Figure 7B and C). These data<br />

demonstrate that more exogenous stem/progenitor cells<br />

were recruited into chronically injured livers compared<br />

with the controls, but that YGJ treatment decreased the<br />

number <strong>of</strong> exogenous stem/progenitor cells in the liver.<br />

YGJ decoction decreases pro<strong>life</strong>ration <strong>of</strong> liver epithelial<br />

progenitor cells and mature hepatocytes<br />

It is important to determine whether the pro<strong>life</strong>rative<br />

activity <strong>of</strong> hepatocytes increased during hepatic injury<br />

since the hepatocytes are the most numerous cells in<br />

3244 July 7, 2012|Volume 18|Issue 25|

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