Hedgehog pathway activation and epithelial-to-mesenchymal transitions during myofibroblastic transformation of rat hepatic cells in culture and cirrhosis Journal Article


Authors: Choi, S. S.; Omenetti, A.; Witek, R. P.; Moylan, C. A.; Syn, W. K.; Jung, Y.; Yang, L.; Sudan, D. L.; Sicklick, J. K.; Michelotti, G. A.; Rojkind, M.; Diehl, A. M.
Article Title: Hedgehog pathway activation and epithelial-to-mesenchymal transitions during myofibroblastic transformation of rat hepatic cells in culture and cirrhosis
Abstract: Myofibroblastic hepatic stellate cells (MF-HSC) are derived from quiescent hepatic stellate cells (Q-HSC). Q-HSC express certain epithelial cell markers and have been reported to form junctional complexes similar to epithelial cells. We have shown that Hedgehog (Hh) signaling plays a key role in HSC growth. Because Hh ligands regulate epithelial-to-mesenchymal transition (EMT), we determined whether Q-HSC express EMT markers and then assessed whether these markers change as Q-HSC transition into MF-HSC and whether the process is modulated by Hh signaling. Q-HSC were isolated from healthy livers and cultured to promote myofibroblastic transition. Changes in mRNA and protein expression of epithelial and mesenchymal markers, Hh ligands, and target genes were monitored in HSC treated with and without cyclopamine (an Hh inhibitor). Studies were repeated in primary human HSC and clonally derived HSC from a cirrhotic rat. Q-HSC activation in vitro (culture) and in vivo (CCl4-induced cirrhosis) resulted in decreased expression of Hh-interacting protein (Hhip, an Hh antagonist), the EMT inhibitors bone morphogenic protein (BMP-7) and inhibitor of differentiation (Id2), the adherens junction component E-cadherin, and epithelial keratins 7 and 19 and increased expression of Gli2 (an Hh target gene) and mesenchymal markers, including the mesenchyme-associated transcription factors Lhx2 and Msx2, the myofibroblast marker α-smooth muscle actin, and matrix molecules such as collagen. Cyclopamine reverted myofibroblastic transition, reducing mesenchymal gene expression while increasing epithelial markers in rodent and human HSC. We conclude that Hh signaling plays a key role in transition of Q-HSC into MF-HSC. Our findings suggest that Q-HSC are capable of transitioning between epithelial and mesenchymal fates.
Keywords: signal transduction; protein expression; unclassified drug; human cell; liver cirrhosis; nonhuman; cell proliferation; animal cell; animals; mice; cells, cultured; gene targeting; mesenchyme cell; cell growth; protein protein interaction; sonic hedgehog protein; hedgehog proteins; transcription factor; in vivo study; enzyme activation; in vitro study; uvomorulin; mice, inbred c57bl; time factors; alpha smooth muscle actin; fibrosis; regeneration; gene expression regulation; liver; messenger rna; rna, messenger; cell transformation; transcription factor gli2; nucleotide sequence; rat; ligand; cell isolation; collagen; fibroblasts; epithelium cell; epithelial cells; rats; rodent; cytokeratin 7; bone morphogenetic protein-7; cyclopamine; proliferation; carbon tetrachloride; cell marker; cytokeratin 19; inhibitor of differentiation 2; osteogenic protein 1; transcription factor lhx2; transcription factor msx2; animal cell culture; cell clone; cell junction; liver cell; myofibroblast; cell transdifferentiation; hepatic stellate cells; liver cirrhosis, experimental; liver regeneration; rats, sprague-dawley; veratrum alkaloids
Journal Title: American Journal of Physiology - Gastrointestinal and Liver Physiology
Volume: 297
Issue: 6
ISSN: 0193-1857
Publisher: American Physiological Society  
Date Published: 2009-12-01
Start Page: G1093
End Page: G1106
Language: English
DOI: 10.1152/ajpgi.00292.2009
PUBMED: 19815628
PROVIDER: scopus
PMCID: PMC2850083
DOI/URL:
Notes: --- - "Cited By (since 1996): 10" - "Export Date: 30 November 2010" - "CODEN: APGPD" - "Source: Scopus"
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