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HEPATOLOGY, VOLUME 62, NUMBER 1 (SUPPL) AASLD ABSTRACTS 885A<br />

1377<br />

Branched-chain amino acids prevent hepatic fibrosis<br />

and the development of liver tumors by suppressing<br />

TGF-β signaling<br />

Kai Takegoshi 1 , Masao Honda 1 , Hikari Okada 1 , Riuta Takabatake<br />

1 , Takayoshi Shirasaki 1 , Naoto Matsuzawa 1 , Toshinari<br />

Takamura 1 , Takuji Tanaka 2 , Shuichi Kaneko 1 ; 1 Kanazawa University,<br />

Kanazawashi, Japan; 2 Tohkai Cytopathology Institute, Gifu,<br />

Japan<br />

BACKGROUND & AIMS Oral supplementation with branchedchain<br />

amino acids (BCAAs) in patients with liver cirrhosis<br />

potentially suppresses the incidence of hepatocellular carcinoma<br />

and improves event-free survival. However, the detailed<br />

mechanisms by which BCAAs act on hepatic fibrosis have not<br />

been elucidated fully. METHODS BCAAs were administered to<br />

atherogenic and high-fat (Ath&HF) diet-induced nonalcoholic<br />

steatohepatitis (NASH) model mice and platelet-derived growth<br />

factor C transgenic (Pdgf-c Tg) mice. Liver histology, tumor<br />

incidence, and GeneChip expression profiles were evaluated.<br />

To investigate the mechanisms of the effect of BCAAs, in vitro<br />

<strong>studies</strong> were performed using a human stellate cell line (Lx-2),<br />

rat liver progenitor cell-like cells (WB-F344), mouse primary<br />

hepatic stellate cells (MHSC), and mouse primary hepatocytes<br />

(MPH). RESULTS Mice fed the Ath&HF diet for 30 weeks developed<br />

liver fibrosis, whereas mice fed the Ath&HF diet containing<br />

BCAAs showed markedly reduced fibrosis. After 60 weeks,<br />

73.5% of mice fed the Ath&HF diet developed liver tumors,<br />

while BCAAs reduced tumor incidence to 30.8%. BCAAs also<br />

prevented liver fibrosis of Pdgf-c Tg mice and reduced tumor<br />

incidence. Gene expression analysis demonstrated the significant<br />

resolution of pro-fibrotic genes, pro-oncogenic genes, cancer<br />

stem cell markers (EpCAM and CD90), and impaired lipid<br />

metabolism gene expression by BCAA supplementation. In<br />

vitro, in stellate cells, BCAAs restored the transforming growth<br />

factor (TGF)-β1-stimulated expression of pro-fibrotic genes and<br />

inhibited the trans-differentiation of MHSC to myofibroblast-like<br />

cells. In hepatocytes, BCAAs prevented TGF-β1 and palmitate<br />

co-stimulated apoptosis signaling and restored impaired fatty<br />

acid β oxidation gene expression in MPH. Moreover, in progenitor<br />

cells, BCAAs reduced the TGF-β1-stimulated spheroid<br />

formation of WB-F344 cells. We found BCAAs inhibited TGF-β<br />

signaling by preventing the nuclear localization of the histone<br />

acetylating transcription factor NF-Y. Knockdown of NF-YA<br />

by small interfering RNA attenuated the TGF-β1-stimulated<br />

expression of p-AKT and p-Smad2/3. CONCLUSIONS BCAA<br />

supplementation prevents hepatic fibrosis and the development<br />

of liver tumors in the NASH mouse model and Pdgf-c Tg mice,<br />

possibly by suppressing TGF-β signaling through an interaction<br />

with NF-Y. These results highlight a new mechanism of the<br />

anti-fibrotic and anti-tumor effect of BCAAs in the liver and<br />

could be utilized for the treatment of chronic liver disease.<br />

Disclosures:<br />

Hikari Okada - Employment: Kanazawa University<br />

Shuichi Kaneko - Grant/Research Support: MDS, Co., Inc, Chugai Pharma., Co.,<br />

Inc, Toray Co., Inc, Daiichi Sankyo., Co., Inc, Dainippon Sumitomo, Co., Inc,<br />

Ajinomoto Co., Inc, Bristol Myers Squibb., Inc, Pfizer., Co., Inc, Astellas., Inc,<br />

Takeda., Co., Inc, Otsuka„ÄÄPharmaceutical, Co., Inc, Eizai Co., Inc, Bayer<br />

Japan, Eli lilly Japan<br />

The following authors have nothing to disclose: Kai Takegoshi, Masao Honda,<br />

Riuta Takabatake, Takayoshi Shirasaki, Naoto Matsuzawa, Toshinari Takamura,<br />

Takuji Tanaka<br />

1378<br />

Membrane type I-matrix metalloprotease-cleaved collagens<br />

derived from hepatic stellate cells play critical role<br />

in liver regeneration after partial hepatectomy in rats<br />

Akihiro Yoneda 1,2 , Miyuki Nishimura 2 , Naoko Urushihara 2,3 ,<br />

Tomoko M. Sudo 2,3 , Kenjiro Minomi 2,3 , Yasuaki Tamura 1 , Yoshiro<br />

Niitsu 2 ; 1 Department of Molecular Therapeutics, Center for Food &<br />

Medical Innovation, Institute for the Promotion of Business-Regional<br />

Collaboration, Hokkaido University, Sapporo, Japan; 2 Department<br />

of Molecular Target Exploration, School of Medicine, Sapporo<br />

Medical University, Sapporo, Japan; 3 Hokkaido Laboratory, Nitto<br />

Denko Corporation, Sapporo, Japan<br />

Background and Aims: The liver is well known to exhibit a<br />

remarkable ability to regenerate after partial heptatectomy<br />

(PHx). Liver regeneration is regulated by various events such as<br />

the remodeling of extracellular matrices (ECMs) and proliferation<br />

of hepatic cells stimulated by growth factors and cytokines.<br />

However, the precise molecular mechanism remains controversial.<br />

Since hepatic stellate cells (HSCs) are main producer of<br />

ECMs and also hepatic growth factor (HGF) in the damaged<br />

liver, HSCs has been postulated to play an important role in<br />

liver regeneration. We have recently demonstrated that membrane<br />

type I-matrix metalloprotease (MT1-MMP) of activated<br />

HSCs cleaved collagens secreted from themselves to expose<br />

RGD motif which interacted with integrins, thereby transduced<br />

survival signal and sustained their proliferation in an autocrine<br />

manner (Birukawa et al. J. Biol. Chem. 2014). The purpose of<br />

this study was to explore the possibility that MT1-MMP-cleaved<br />

collagens stimulate liver regeneration after PHx in a paracrine<br />

manner. Methods: Proliferations of hepatic cells after 70% PHx<br />

in rats were examined by immunohistochemistry and flow cytometric<br />

analysis. Hepatocytes isolated from EGFP-transgenic<br />

rats were co-cultured with activated HSCs. In vivo gene silencing<br />

system was performed using vitamin A-coupled liposome<br />

reported previously (Sato et al. Nature Biotechnol. 2008).<br />

Results: Proliferation of hepatocytes was coincide with activation<br />

of HSCs during the early phase of liver regeneration<br />

after 70% PHx. The proliferative hepatocytes localized in the<br />

vicinity of activated HSCs. Co-culture system demonstrated<br />

that activated HSCs stimulated the proliferation of hepatocytes<br />

while gene silencing of MT1-MMP or Hsp47, collagen-specific<br />

chaperone, in activated HSCs completely inhibited their<br />

proliferation. In vivo silencing of MT1-MMP or Hsp47 genes<br />

also resulted in remarkable suppression of liver regeneration<br />

after 70% PHx in rats. MT1-MMP-cleaved collagen I and HGF<br />

induced hepatocyte proliferation via the engagement of integrin<br />

b1 with c-Met tyrosine kinase receptor followed by the phosphorylation<br />

of c-Met and activation of focal adhesion kinase.<br />

We further found that proliferation of Sox9+ hepatic progenitor<br />

cells (HPCs) in close proximity to activated HSCs was transiently<br />

detected during the late phase of liver regeneration after<br />

70% PHx. Co-culture system demonstrated that activated HSCs<br />

induced the proliferation of HPCs while gene silencing of MT1-<br />

MMP or Hsp47 in activated HSCs completely inhibited their<br />

proliferation. Conclusion: MT1-MMP-cleaved collagens from<br />

HSCs play a pivotal role in liver regeneration after PHx.<br />

Disclosures:<br />

Miyuki Nishimura - Grant/Research Support: Nitto Denko<br />

The following authors have nothing to disclose: Akihiro Yoneda, Naoko Urushihara,<br />

Tomoko M. Sudo, Kenjiro Minomi, Yasuaki Tamura, Yoshiro Niitsu

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