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890A AASLD ABSTRACTS HEPATOLOGY, October, 2015<br />

would use human liver, or a biologically relevant 3D in vitro<br />

model of human liver cells grown on an extracellular matrix<br />

(ECM) derived from healthy or cirrhotic liver tissue. Aim: The<br />

aim of this study was to develop a rapid protocol for the decellularisation<br />

of small samples of healthy and cirrhotic human<br />

liver and demonstrate repopulation with cultured human liver<br />

cell lines, namely hepatocarcinoma (HepG2) and hepatic stellate<br />

(LX2) cells. Methods: Liver tissue cubes (125mm 3 ) were<br />

dissected from human livers unsuitable for transplantation or<br />

explanted liver. The decellularisation of the liver scaffolds was<br />

completed within 3hrs (healthy) and 5hrs (cirrhotic) of agitation<br />

in decellularization solutions i.e. detergents/enzymes. The<br />

decellularization efficiency was determined by immunohistochemistry<br />

for ECM components and residual DNA, scanning<br />

electron microscopy, biomechanics, as well as DNA and ECM<br />

protein quantification. The liver scaffolds were repopulated by<br />

HepG2 and LX2 for up to 14 days. RESULTS: This innovative<br />

protocol resulted in liver scaffolds with a preserved 3D structure<br />

and ECM composition, while DNA and cellular residues<br />

were successfully removed. The cirrhotic liver structure was<br />

maintained after decellularization and the biomechanical properties<br />

were remarkably different when comparing healthy liver<br />

scaffolds with cirrhotic scaffolds. Liver scaffolds were progressively<br />

repopulated for up to 14 days with LX2 and HepG2 cells<br />

which showed remarkable viability, motility and proliferation<br />

associated with remodelling effects on the surrounding ECM.<br />

Notably, the expression of several genes and proteins involved<br />

in liver fibrosis and cancer was different between the healthy<br />

and cirrhotic 3D-system. CONCLUSION: This is the first report<br />

describing an efficient protocol to completely decellularize<br />

human liver scaffolds obtained from healthy and cirrhotic liver.<br />

This decellularization protocol maintained the natural 3D-structure<br />

and ECM composition and organisation of both healthy<br />

and cirrhotic human liver tissue. This is a key advance in the<br />

development of 3D-technologies for the study of the progression<br />

of human liver fibrosis into cirrhosis and hepatocellular<br />

carcinoma.<br />

Disclosures:<br />

Kevin Moore - Advisory Committees or Review Panels: Servier<br />

Massimo Pinzani - Advisory Committees or Review Panels: Intercept Pharmaceutical,<br />

Silence Therapeutic, Abbot; Consulting: UCB; Speaking and Teaching:<br />

Gilead, BMS<br />

The following authors have nothing to disclose: Giuseppe Mazza, Lisa Longato,<br />

Walid Al-Akkad, Andrea Telese, Luca Urbani, Andrew R. Hall, Benjamin Robinson,<br />

Luca Frenguelli, Oliver Willacy, Marco Curti, Domenico Tamburrino, Gabriele<br />

Spoletini, Massimo Malago, Tu Vinh Luong, Armando E. Del Rio Hernandez,<br />

Paolo De Coppi, Krista Rombouts<br />

1389<br />

Rev-erb and TGF-β Differentially Regulate Autophagy in<br />

Hepatic Stellate Cells<br />

Paul G. Thomes 1 , Nicole A. Feilen 1 , Jennifer H. Benbow 1 , Elizabeth<br />

Brandon-Warner 1 , Cathy Culberson 1 , Terrence M. Donohue 2 ,<br />

Laura W. Schrum 1 ; 1 Liver Pathobiology Laboratory, Carolinas<br />

Medical Center, Charlotte, NC; 2 Omaha VA Medical Center &<br />

Univ. of Nebraska Medical Center, Omaha, NE<br />

Background: Recently, we demonstrated that ligand-activated<br />

nuclear receptor Rev-erbα mitgates the fibrogenic phenotype of<br />

hepatic stellate cells (HSCs) (Li et al., Hepatology, 2014). Reverbα<br />

is also a novel regulator of macroautophagy (autophagy)<br />

(Woldt et al., Nat Med, 2013), a crucial lysosomal degrading<br />

system that likely provides substrates for HSC activation. Here,<br />

we examined whether pharmacological activation of Rev-erb<br />

with SR9009 or treatment with the pro-fibrotic cytokine, TGFβ,<br />

each differentially modulates autophagy in activated rat<br />

primary HSCs and in HSC or fibroblast cell lines. Methods:<br />

We treated activated human HSC cell lines, LX2 and TWNT-4,<br />

primary rat hepatic stellate cells (rHSCs) or mouse embryonic<br />

fibroblast cells (3T3) with TGF-β (5 ng/ml) or Rev-erb ligand,<br />

SR9009 (10 mM), for 24 hours. Autophagy was quantified<br />

by protein markers and autophagosome (AV) flux by Western<br />

blot analyses (WB) and immunohistochemistry (IHC). Results:<br />

IHC demonstrated decreased AV following TGF-β exposure<br />

in all cell types. Rev-erb activation with SR9009 decreased<br />

AV in TWNT-4, 3T3 and rHSCs but not in LX2 cells. WBs<br />

confirmed lower levels of AV marker protein, LC3II, in all TGFβ-<br />

treated cells even after 4hr of cytokine exposure. In LX2,<br />

TWNT-4 and rHSCs, TGF-β simultaneously decreased levels of<br />

P62, an adaptor protein whose levels reflect the degree of AV<br />

degradation. SR9009-treated LX2, TWNT-4 and 3T3 cells had<br />

decreased LC3II protein levels and an insignificant decrease<br />

in rHSCs. P62 levels were unaffected by SR9009 exposure<br />

in all cell types. TGF-β treatment of rHSC was associated with<br />

higher lysosome (Lys) (LAMP1) numbers and a higher co-localization<br />

frequency of AVs with Lys. In contrast, SR9009 treatment<br />

caused reduced Lys and AV-Lys co-localization. In rHSCs,<br />

SR9009 but not TGF-β, decreased lysosomal cathepsin B activity.<br />

When cells were co-treated with TGF-β and bafilomycin<br />

(blocks AV degradation), rHSCs exhibited numerically higher<br />

LC3II levels than cells treated with bafilomycin alone. Rat HSCs<br />

treated with SR9009 and bafilomycin exhibited significantly<br />

lower LC3II levels than cells treated with bafilomycin alone.<br />

In rHSC, TGF-β and the autophagy inducers, rapamycin and<br />

starvation decreased Rev-erbα nuclear staining. SR9009 treatment<br />

decreased Rev-erbα cytoplasmic staining. Conclusion:<br />

Our findings indicate that TGF-β accelerates AV degradation<br />

and SR9009 retards AV synthesis and degradation in activated<br />

HSCs. We propose that Rev-erbα is a transcriptional regulator<br />

of autophagy in HSCs and that its ligand, SR9009, slows autophagic<br />

degradation of the macromolecular substrates that fuel<br />

fibrosis.<br />

Disclosures:<br />

The following authors have nothing to disclose: Paul G. Thomes, Nicole A. Feilen,<br />

Jennifer H. Benbow, Elizabeth Brandon-Warner, Cathy Culberson, Terrence M.<br />

Donohue, Laura W. Schrum<br />

1390<br />

Molecular mechanism responsible for tissue stiffness in<br />

advanced chronic liver fibrogenesis<br />

Takao Sakai; Department of Molecular and Clinical Pharmacology,<br />

Institute of Translational Medicine, University of Liverpool,<br />

Liverpool, United Kingdom<br />

Tissue fibrosis is a part of wound-healing response that maintains<br />

organ structure and integrity following tissue damage<br />

and characterized by extracellular matrix (ECM) remodeling<br />

and stiffening. However, functional contribution of tissue stiffening<br />

to non-cancer pathogenesis remains largely unknown. In<br />

particular, how remodeling of ECM by myofibroblasts results<br />

in changes in mechanical tension that support the activation<br />

of pathogenic signaling pathways remain to be elucidated.<br />

Fibronectin is an ECM glycoprotein substantially expressed<br />

during adult tissue repair. We have addressed the molecular<br />

mechanism responsible for tissue stiffness in advanced chronic<br />

liver fibrogenesis induced by carbon tetrachloride (16 weeks)<br />

using a mouse model lacking fibronectin in the adult liver.<br />

Fibronectin-null livers exhibited constitutively elevated local<br />

TGF-β activity, induced more myofibroblast phenotypes, and<br />

accumulated highly disorganized/diffuse collagenous ECM<br />

networks composed of thinner and significantly increased number<br />

of collagen fibrils during advanced chronic liver damage.<br />

Consequently, fibronectin-null livers lead to more extensive liver

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