Abstract
BACKGROUND—Following liver injury, hepatic stellate cells (HSC) transform into myofibroblast-like cells (activation) and are the major source of type I collagen and the potent collagenase inhibitors tissue inhibitors of metalloproteinases 1 and 2 (TIMP-1 and TIMP-2) in the fibrotic liver. The reproductive hormone relaxin has been reported to reduce collagen and TIMP-1 expression by dermal and lung fibroblasts and thus has potential antifibrotic activity in liver fibrosis. AIMS—To determine the effects of relaxin on activated HSC. METHODS—Following isolation, HSC were activated by culture on plastic and exposed to relaxin (1-100 ng/ml). Collagen deposition was determined by Sirius red dye binding and radiolabelled proline incorporation. Matrix metalloproteinase (MMP) and TIMP expression were assessed by zymography and northern analysis. Transforming growth factor β1 (TGF-β1) mRNA and protein levels were quantified by northern analysis and ELISA, respectively. RESULTS—Exposure of activated HSC to relaxin resulted in a concentration dependent decrease in both collagen synthesis and deposition. There was a parallel decrease in TIMP-1 and TIMP-2 secretion into the HSC conditioned media but no change in gelatinase expression was observed. Northern analysis demonstrated that primary HSC, continuously exposed to relaxin, had decreased TIMP-1 mRNA expression but unaltered type I collagen, collagenase (MMP-13), alpha smooth muscle actin, and TGF-β1 mRNA expression. CONCLUSION—These data demonstrate that relaxin modulates effective collagen deposition by HSC, at least in part, due to changes in the pattern of matrix degradation. Keywords: relaxin; hepatic stellate cell; hepatic fibrosis; type I collagen
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Figure 1 .

Effect of relaxin on hepatic stellate cell (HSC) collagen deposition. Primary HSC were cultured in the presence of relaxin at three concentrations. (A) Collagen deposition on tissue culture plates quantified by Sirius red binding, as described in the methods. Relaxin treated HSC are shown in comparison with untreated controls (defined as 100%). The results are mean percentage change observed in seven independent experiments (*p<0.05, paired t test). (B) Effect of relaxin on collagen synthesis determined by 3H proline incorporation. The results are mean percentage observed in five independent experiments (*p<0.05 by paired t test).
Figure 2 .
Identification of gelatinase (Gel) A and B by zymography and tissue inhibitor of metalloproteinases 1 and 2 (TIMP-1 and TIMP-2) by reverse zymography in conditioned media from cultured hepatic stellate cells (HSC). Five day cultures of primary HSC were incubated in serum free conditions with varying relaxin concentrations for 24 hours. The supernatants were subjected to zymography and reverse zymography, as described in the methods. After staining with Coomassie blue, bands corresponding to the expected molecular weight of gelatinase B (92 kDa) and gelatinase A (72 kDa) were observed. No evidence of matrix metalloproteinase 13 activity was detected. Addition of activated metalloproteinases to the incubation buffer revealed dark bands on a light background corresponding to the expected molecular weights of TIMP-1 (29 kDa) and TIMP-2 (22 kDa). Densitometric analysis of this reverse zymogram indicates that TIMP-1 was reduced by 48% and TIMP-2 by 83% in response to 100 ng/ml relaxin. The results are representative of two independent experiments.
Figure 3 .

Northern blot analysis of hepatic stellate cells (HSC) cultured with a series of concentrations of relaxin. Total RNA was extracted from primary HSC cultured for seven days in the presence or absence of relaxin. Northern analysis was performed and the membranes probed sequentially with [α-32P] labelled random primed cDNA probes, as described in the methods. The results are representative of two independent experiments. TIMP-1, tissue inhibitor of metalloproteinase 1; MMP-13, matrix metalloproteinase 13; α-SMA, alpha smooth muscle actin.
Figure 4 .
Northern blot analysis for transforming growth factor β1 (TGF-β1) mRNA in hepatic stellate cells (HSC) cultured in the presence or absence of relaxin (100 ng/ml for 24 hours). Total RNA was extracted from day 5 primary HSC (A) or passaged P1 HSC (B) and 10 µg aliquots were subjected to northern blotting and probed for TGF-β1. The bottom panel shows the northern blots and the top panel ethidium bromide staining of the 28 S and 18 S ribosomal bands as a control.
Figure 5 .

Transforming growth factor β1 (TGF-β1) levels in the conditioned media of cultured HSC. Primary (day 5) hepatic stellate cells cultured in serum free conditions were incubated in the presence (+) or absence (−) of relaxin 100 ng/ml for 24-72 hours and the total amount of active and latent TGF-β1 determined as described. Levels of active TGF-β1 are represented in (A) and latent (total−active) TGF-β1 in (B). Results shown are representative of one of three independent experiments.
Selected References
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