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240A AASLD ABSTRACTS HEPATOLOGY, October, 2015<br />

65<br />

Akt-mediated FoxO1 inhibition is required for liver<br />

regeneration after partial hepatectomy in mice<br />

Montserrat Pauta 1,3 , Noemi Rotllan 4,5 , Ana Fernandez-Hernando 6 ,<br />

Cedric Langhi 7 , Jordi Ribera 1,2 , Loreto Boix 8,2 , Jordi Bruix 8,2 ,<br />

Wladimiro Jiménez 1,9 , Yajaira Suarez 4,5 , David A. Ford 7 , Angel<br />

Baldan 7 , Morris J. Birnbaum 10 , Manuel Morales-Ruiz 1,2 , Carlos<br />

Fernandez-Hernando 4,5 ; 1 Biochemistry and Molecular Genetics,<br />

Hospital Clinic, Barcelona, Spain; 2 IDIBAPS, CIBERehd, Barcelona,<br />

Spain; 3 IDIBAPS, Barcelona, Spain; 4 Vascular Biology and Therapeutics<br />

Program, Yale University School of Medicine, New Haven,<br />

CT; 5 Integrative Cell Signaling and Neurobiology of Metabolism<br />

Program, Section of Comparative Medicine and Department of<br />

Pathology, Yale University School of Medicine, New Haven, CT;<br />

6 Departments of Medicine and Cell Biology, Leon H. Charney<br />

Division of Cardiology, New York University School of Medicine,<br />

New York, NY; 7 Edward A. Doisy Department of Biochemistry &<br />

Molecular Biology, and Center for Cardiovascular Research, Saint<br />

Louis University, Saint Louis, MO; 8 Barcelona Clinic Liver Cancer<br />

(BCLC) Group, Liver Unit, Hospital Clinic of Barcelona, University<br />

of Barcelona, Barcelona, Spain; 9 Department of Physiological<br />

Sciences I, IDIBAPS, CIBERehd, University of Barcelona School of<br />

Medicine, Barcelona, Spain; 10 Institute for Diabetes, Obesity, and<br />

Metabolism, Perelman School of Medicine, University of Pennsylvania,<br />

Philadelphia, PA<br />

Introduction and aim: Understanding the hepatic regenerative<br />

process has clinical interest since the effectiveness of many<br />

treatments for chronic liver diseases is conditioned by an efficient<br />

liver regeneration. Experimental evidence points to the<br />

need of a temporal coordination between cytokines, growth<br />

factors and metabolic signaling pathways to enable successful<br />

liver regeneration. One intracellular mediator that acts as a<br />

signal integration node for these processes is the serine-threonine<br />

kinase Akt, being Akt1 and Akt2 the most abundant<br />

isoforms expressed in the liver. Therefore, the aim of this study<br />

was to demonstrate whether Akt, globally or through any of<br />

its isoforms, has a significant role in liver regeneration. Methods:<br />

Two-thirds partial hepatectomy (PH) was performed in<br />

eight-old-week male Akt1 -/- , Akt2 -/- , Akt1 loxP/loxP , Akt2 loxP/loxP ,<br />

FoxO1 loxP/loxP and wild-type (WT) mice. In addition, we generated<br />

the Akt1 loxP/loxP ;Akt2 loxP/loxP ;FoxO1 loxP/loxP mice (TLKO)<br />

by crossing the Akt1 loxP/loxP ;Akt2 loxP/loxP mice (DLKO) with the<br />

FoxO1 loxP/loxP mice. The liver specific DLKO and TLKO deficient<br />

mice were generated by treating the floxed mice with adeno-associated<br />

virus encoding for the Cre-recombinase driven<br />

by the Alpha-Fetoprotein promoter. Mice from each group<br />

were sacrificed at various times post-hepatectomy (0 days, 2d,<br />

4d and 7d; n = 5-10) for evaluating biochemical and liver<br />

function parameters. Results: The hepatic deficiency of single<br />

Akt1 or Akt2 does not influence liver regeneration after PH.<br />

However, DLKO mice show impaired liver regeneration and<br />

a significant increase mortality (compared with WT, Akt1 -/-<br />

and Akt2 -/- mice; P10-fold;<br />

p50%) by 15min,<br />

and only approached basal levels by 96h post-PH. TMX-DTG<br />

mice (with reduced Hh signaling) accumulated 50% fewer<br />

Gli2+ cells, and 2-3 fold less Gli1 and Gli2 mRNA (p

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