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HEPATOLOGY, VOLUME 62, NUMBER 1 (SUPPL) AASLD ABSTRACTS 305A<br />

190<br />

Knockout of the substance P receptor, neurokinin-1,<br />

reduces liver fibrosis in cholestatic bile duct ligated (BDL)<br />

mice<br />

Ying Wan 2 , Nan Wu 3 , Julie Venter 3 , Yuyan Han 3 , Holly A.<br />

Standeford 4 , Haibo Bai 2 , Shanika Avila 3 , Heather L. Francis 1 ,<br />

Lindsey Kennedy 4 , Micheleine Guerrier 3 , Tina Kyritsi 3 , Tami Annable<br />

4 , Shannon S. Glaser 1 , Gianfranco Alpini 1 , Fanyin Meng 1 ;<br />

1 Research, S&W DDRC and Medicine, Central Texas Veterans<br />

Health Care System and Scott & White, Temple, TX; 2 Operational<br />

Funds, BaylorScott&White, Temple, TX; 3 Medicine, Texas A&M<br />

University HSC, Temple, TX; 4 Research, Central Texas Veterans<br />

Health Care System, Temple, TX<br />

During the progression of cholestatic liver diseases, proliferating<br />

cholangiocytes acquire neuroendocrine features and<br />

secrete sensory neurotransmitters such as α-calcitonin gene<br />

related peptide (α-CGRP) and substance P (SP). We have previously<br />

shown that: (i) SP, a proteolytic product of tachykinin<br />

(Tac1) that is deactivated by membrane metalloendopeptidase<br />

(MME), stimulates cholangiocarcinoma growth by interacting<br />

with its receptor, NK1R; and (ii) knockdown of NK1R decreases<br />

biliary hyperplasia in cholestatic bile duct ligated (BDL) mice.<br />

Thus, we aim to determine the autocrine/paracrine role of the<br />

SP/NK1R axis on liver fibrosis in normal and cholestatic mice.<br />

Methods: In normal and BDL WT and NK1RKO mice, we measured<br />

serum SP levels and the mRNA expression of Tac1 and<br />

MME in total liver samples and purified small and large cholangiocytes.<br />

We measured: (i) liver fibrosis by Sirius Red staining<br />

in liver sections; and (ii) the mRNA expression of the fibrosis<br />

genes, α-SMA and fibronectin, in total liver tissues from: (i)<br />

normal wild-type (WT) mice treated for 1 wk with saline or<br />

SP (2.5 mmol/Kg BW by IP implanted minipumps); and (ii)<br />

normal and BDL WT and NK1R KO mice. In vitro, murine<br />

cholangiocyte lines were treated with BSA (basal) or SP (100<br />

nM) in the absence/presence of L-733, 060 (25 μM, NK1R<br />

antagonist) for 6-72 hr before evaluating the expression of the<br />

aforementioned fibrotic genes. Results: There was an increase<br />

in SP serum levels in normal WT mice treated with SP and in<br />

BDL WT compared to normal WT mice. The expression of Tac1<br />

increased in BDL WT mice, whereas MME mRNA expression<br />

decreased in BDL WT compared to normal mice; an opposite<br />

pattern was observed in BDL NK1RKO mice compared to<br />

BDL WT mice. There was enhanced fibrosis and fibrosis gene<br />

expression in normal WT mice treated with SP and in BDL WT<br />

mice compared to normal WT mice. A significant decrease<br />

in liver fibrosis and the expression of α-SMA and fibronectin<br />

was observed in BDL NK1RKO mice compared to BDL WT<br />

mice. Small cholangiocytes isolated from WT BDL mice and<br />

NK1RKO mouse livers displayed a less fibrotic phenotype<br />

when compared to large cholangiocytes. In addition, large<br />

cholangiocytes derived from NK1RKO mice showed a significant<br />

reduction in fibrotic markers relative to BDL WT mice.<br />

Treatment of large murine cholangiocytes with SP increased the<br />

expression of fibrosis genes, whereas L-733, 060 reduced the<br />

SP-induced expression of α-SMA and fibronectin. Conclusion:<br />

We propose that modulation of the synthesis of neurotransmitters<br />

modulated by sensory innervation may be important in the<br />

modulation of liver fibrosis during the progression of cholestatic<br />

disorders.<br />

Disclosures:<br />

The following authors have nothing to disclose: Ying Wan, Nan Wu, Julie Venter,<br />

Yuyan Han, Holly A. Standeford, Haibo Bai, Shanika Avila, Heather L. Francis,<br />

Lindsey Kennedy, Micheleine Guerrier, Tina Kyritsi, Tami Annable, Shannon S.<br />

Glaser, Gianfranco Alpini, Fanyin Meng<br />

191<br />

Loss of Cytoglobin Exacerbates Liver Fibrosis and Cancer<br />

Development in Steatohepatitis by Activating the<br />

Oxidative Stress Pathway<br />

Thuy T. Le 2 , Yoshinari Matsumoto 2 , Tuong Thi Van Thuy 2 , Hoang<br />

Hai 2 , Katsutoshi Yoshizato 1 , Norifumi Kawada 2 ; 1 Academic Advisor’s<br />

Office, PhoenixBio Co.Ltd., Hiroshima, Japan; 2 Department<br />

of Hepatology, Graduate School of Medicine, Osaka City University,<br />

Osaka, Japan<br />

Objective: To clarify the role of cytoglobin (CYGB) in the<br />

development of liver fibrosis and cancer in humans and in a<br />

mouse model of non-alcoholic steatohepatitis (NASH). Methods:<br />

CYGB expression was assessed in patients with NASH or<br />

hepatocellular carcinoma (HCC). Cygb-deficient mice (Cygb / )<br />

and primary hepatic stellate cells (HSCs) isolated from Cygb /<br />

or wild-type (WT) mice were characterized. A mouse NASH<br />

model was generated in Cygb / and WT mice by feeding a<br />

CDAA define diet for 8-32 weeks. A subset of mice was treated<br />

with the antioxidant N-acetylcysteine (NAC). Histopathology<br />

and gene expression were analyzed. Results: CYGB was<br />

expressed in HSCs of intact human livers, and its expression<br />

was reduced in NASH and HCC patients. In Cygb / mice, 67%<br />

of those aged 1 to 2 years spontaneously exhibited abnormalities<br />

and cancer development in multiple organs, including<br />

the liver, lung, lymph nodes and heart, compared with 4.7%<br />

in WT mice (p

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