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HEPATOLOGY, VOLUME 62, NUMBER 1 (SUPPL) AASLD ABSTRACTS 1175A<br />

The following authors have nothing to disclose: Yasutoshi Nozaki, Satoshi<br />

Tanaka, Sadatsugu Sakane, Yugo Kai, Yuki Makino, Tasuku Nakabori, Yoshinobu<br />

Saito, Ryotaro Sakamori, Naoki Hiramatsu, Tomohide Tatsumi<br />

1986<br />

FGF15 and FGF19 Induce Disparate FGFR4-Mediated<br />

Hepatocarcinogenicity In-Vitro and In Two Murine Models:<br />

Implications for Drug-Associated Carcinogenicity<br />

Risk Assessments<br />

Lei Ling, Mei Zhou, Darrin Lindhout, Jian Luo, Michael Chen,<br />

Hong Yang, Mark Humphrey, Van Phung, Kalyani Mondal, Hugo<br />

Matern, Marc Learned, Stephen Rossi, Alex M. DePaoli, Hui Tian;<br />

NGM Biopharmaceuticals, S. San Francisco, CA<br />

Background and Aims: FGF19 is a regulator of bile acid (BA)<br />

synthesis in humans. However, FGF19 produces hepatocellular<br />

carcinoma (HCC) in transgenic mice and is linked to increased<br />

risk of HCC post-resection recurrence in humans. FGF15 is the<br />

rodent ortholog of human FGF19 with 50% amino acid (AA)<br />

homology and used in rodents to assess the pharmacologic and<br />

caricongenic activity of FGF19. Both FGF15 and FGF19 are<br />

potent inhibitors of Cyp7a1-mediated BA synthesis in rodents<br />

but the carcinogenicity risk of FGF15 is not well characterized.<br />

The hepatocarcinogenicity of FGF15 and FGF19 was<br />

evaluated in leptin receptor-deficient (db/db) mice after 24<br />

wks or diet-induced obese (DIO) mice after 52 weeks of treatment.<br />

In vitro receptor interaction and activation <strong>studies</strong> were<br />

performed. Methods: FGF15, FGF19 or control was dosed<br />

by long-term transgene expression using 1 dose of adeno-associated<br />

virus (AAV)-mediated gene delivery. Liver tissue was<br />

examined for tumors and liver weight at 24wks post-dose (db/<br />

db) or 52wks post-dose (DIO). Gene expression of HCC-related<br />

and cell proliferation markers were measured in liver<br />

tissue. FGFR4-Klothoβ (FGFR4-KLB) receptor complex binding<br />

was assessed with SPR assays and transfected rat L6 cells were<br />

used to assess receptor activation. Results: FGF19 induced<br />

liver tumors in both models post-treatment at concentrations<br />

as low as 1 ng/ml (Figures 1a, 1b). In contrast, FGF15 failed<br />

to induce liver tumors at supraphysiologic concentrations and<br />

maintained normal liver weight and liver-body weight ratios.<br />

Liver tissue expression of Ki-67 (Figure 1c), α-fetoprotein, glypican-3,<br />

cyclin-a2, Ccnb1 and Ccnb2 were induced with FGF19<br />

but not FGF15. Reduced activation of FGFR4-KLB receptor complex<br />

was only seen with FGF15, as measured by decreased<br />

expression of STAT-3 target genes. These differences may be<br />

mediated by AA sequences unique to FGF15. Conclusions:<br />

Significant differences in hepatocellular proliferation and tumorigenesis<br />

were observed with FGF15 vs FGF19. These data<br />

demonstrate the potential challenges of assessing the risks of<br />

increased FGF19 levels in humans using FGF15 in rodent carcinogenicity<br />

models.<br />

Disclosures:<br />

Lei Ling - Employment: NGM Biopharmaceuticals, Inc.<br />

Mei Zhou - Stock Shareholder: NGM Biopharmaceuticals<br />

Darrin Lindhout - Patent Held/Filed: NGM Biopharmaceuticals; Stock Shareholder:<br />

NGM Biopharmaceuticals<br />

Jian Luo - Employment: NGM Biopharmaceuticals<br />

Hong Yang - Employment: NGM Biopharmaceuticals<br />

Mark Humphrey - Employment: NGM Biopharmaceuticals; Stock Shareholder:<br />

NGM Biopharmaceuticals<br />

Van Phung - Employment: NGM Biopharmaceuticals; Stock Shareholder: NGM<br />

Biopharmaceuticals<br />

Kalyani Mondal - Stock Shareholder: NGM BioPharmaceuticals<br />

Hugo Matern - Employment: NGM; Stock Shareholder: NGM<br />

Marc Learned - Employment: NGM Biopharmaceuticals, Inc.; Stock Shareholder:<br />

NGM Biopharmaceuticals, Inc.<br />

Stephen Rossi - Employment: NGM Biopharmaceuticals, Inc; Stock Shareholder:<br />

NGM Biopharmaceuticals, Gilead Sciences<br />

Alex M. DePaoli - Employment: NGM Biopharmaceuticals<br />

Hui Tian - Management Position: NGM Biopharma<br />

The following authors have nothing to disclose: Michael Chen<br />

1987<br />

Lymphotoxin–β regulated by NF–κB is a useful biomarker<br />

related to poor prognosis in hepatocellular carcinoma<br />

Takehisa Watanabe, Satomi Fujie, Youko Yoshimaru, Katsuya<br />

Nagaoka, Hiroko Setoyama, Kotaro Fukubayashi, Masakuni Tateyama,<br />

Hideaki Naoe, Jiro Fujimoto, Motohiko Tanaka, Yutaka<br />

Sasaki; Hepatology, Kumamoto Univ., Kunamoto, Japan<br />

The Lymphotoxin-β (LTβ) is a major pro-inflammatory cytokine<br />

that belongs to the TNF superfamily and mediates local<br />

inflammatory responses as a membrane-bound cytokine. The<br />

LTβ pathway is considered to be an important pathway in<br />

the hepato-carcinogenesis. We previously reported that the<br />

CCCTC-binding factor (CTCF) mediated higher order chromatin<br />

conformation of TNF/LT locus, including LTβ gene, is deeply<br />

involved in the regulation of LTβ expression in human HCC,<br />

by the global analysis with ChIP-chip and ChIP-seq. In this<br />

study, we attempted to reveal the molecular mechanism of LTβ<br />

regulation and the clinical characteristics of the patients with<br />

HCC expressing LTβ. Because chronic inflammation is one of<br />

the most crucial factors for hepato-carcinogenesis, we firstly<br />

focused on NF-κB, a major pro-inflammatory transcription factor,<br />

and investigated the influence of NF-κB on LTβ expression<br />

and higher order chromatin conformation, by using cell lines<br />

differed on the activity of NF-κB. As a result, LTβ was expressed<br />

continuously in the cells with constitutive active NF-κB in<br />

response to the stimulation with TNF. On the other hand, LTβ<br />

degraded rapidly in the cells without constitutive active NF-κB.<br />

These cells differ on the higher order chromatin conformation<br />

to control the interaction between the LTβ promoter and appropriate<br />

NF-κB responsive enhancer. These results indicated that<br />

NF-κB was involved in the higher order chromatin conformation<br />

and regulation of LTβ. Additionally, we found that LTβ<br />

could be quantified in the exosomes extracted from serum of<br />

the patient, whereas liver biopsy had been considered to be<br />

indispensable to describe how LTβ is expressed in hepatic lobules.<br />

To examine whether exosomal LTβ reflects LTβ expression<br />

in HCC tissue, we performed immunohistochemistry with LTβ<br />

antibodies in 24 samples from HCC patients and compare with<br />

the amount of exosomal LTβ. Consequently, high level exosomal<br />

LTβ reflected the high expression LTβ in the tumor tissues,<br />

not in the adjacent non-tumor tissues. Moreover, the patients<br />

with the high level exosomal LTβ exhibited significantly shorter<br />

survival time. Therefore, these results suggest that exosomal LTβ<br />

might be a useful biomarker related to poor prognosis in HCC.<br />

Disclosures:<br />

Yutaka Sasaki - Grant/Research Support: Chugai Pharmaceutical Co. JAPAN,<br />

MSD Co. JAPAN

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