Abstract
Hepatic fibrosis and cirrhosis are common findings in humans with hemochromatosis. In this study we investigated the molecular pathways of iron-induced hepatic fibrosis and evaluated the anti-fibrogenic effect of vitamin E. Male gerbils were treated with iron-dextran and fed a standard diet or a alpha-tocopherol enriched diet (250 mg/Kg diet). In gerbils on the standard diet at 6 wk after dosing with iron, in situ hybridization analysis documented a dramatic increase of signal for collagen mRNA around iron foci onto liver fat storing cells (FSC), as identified by immunocytochemistry with desmin antibody. After 4 mo, micronodular cirrhosis developed in these animals, with nonparenchymal cells surrounding hepatocyte nodules and expressing high level of TGF beta mRNA. In this group, in vivo labeling with [3H]-thymidine showed a marked proliferation of nonparenchymal cells, including FSC. In iron-dosed gerbils on the vitamin E-enriched diet for 4 mo, in spite of a severe liver iron burden, a normal lobular architecture was found, with a dramatic decrease of collagen mRNA accumulation and collagen deposition. At the molecular level, a total suppression of nonparenchymal cell proliferation was appreciable, although expression of collagen and TGF beta mRNAs was still present into microscopic iron-filled nonparenchymal cell aggregates scattered throughout the hepatic lobule. In conclusion, our study shows that anti-oxidant treatment during experimental hepatic fibrosis arrests fibrogenesis and completely prevents iron induced hepatic cirrhosis mainly through inhibition of nonparenchymal cell proliferation induced by iron.
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- Ala-Kokko L., Stenbäck F., Ryhänen L. Preventive effect of malotilate on dimethylnitrosamine-induced liver fibrosis in the rat. J Lab Clin Med. 1989 Feb;113(2):177–183. [PubMed] [Google Scholar]
- Armendariz-Borunda J., Katayama K., Seyer J. M. Transcriptional mechanisms of type I collagen gene expression are differentially regulated by interleukin-1 beta, tumor necrosis factor alpha, and transforming growth factor beta in Ito cells. J Biol Chem. 1992 Jul 15;267(20):14316–14321. [PubMed] [Google Scholar]
- Armendáriz-Borunda J., Greenwel P., Rojkind M. Kupffer cells from CC1(4)-treated rat livers induce skin fibroblast and liver fat-storing cell proliferation in culture. Matrix. 1989 Mar;9(2):150–158. doi: 10.1016/s0934-8832(89)80034-4. [DOI] [PubMed] [Google Scholar]
- Arnheim N., Treco D., Taylor B., Eicher E. M. Distribution of ribosomal gene length variants among mouse chromosomes. Proc Natl Acad Sci U S A. 1982 Aug;79(15):4677–4680. doi: 10.1073/pnas.79.15.4677. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bachem M. G., Meyer D., Melchior R., Sell K. M., Gressner A. M. Activation of rat liver perisinusoidal lipocytes by transforming growth factors derived from myofibroblastlike cells. A potential mechanism of self perpetuation in liver fibrogenesis. J Clin Invest. 1992 Jan;89(1):19–27. doi: 10.1172/JCI115561. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bacon B. R., Britton R. S. The pathology of hepatic iron overload: a free radical--mediated process? Hepatology. 1990 Jan;11(1):127–137. doi: 10.1002/hep.1840110122. [DOI] [PubMed] [Google Scholar]
- Bonkovsky H. L. Iron and the liver. Am J Med Sci. 1991 Jan;301(1):32–43. doi: 10.1097/00000441-199101000-00006. [DOI] [PubMed] [Google Scholar]
- Brissot P., Farjanel J., Bourel D., Campion J. P., Guillouzo A., Rattner A., Deugnier Y., Desvergne B., Ferrand B., Simon M. Chronic liver iron overload in the baboon by ferric nitrilotriacetate. Morphologic and functional changes with special reference to collagen synthesis enzymes. Dig Dis Sci. 1987 Jun;32(6):620–627. doi: 10.1007/BF01296163. [DOI] [PubMed] [Google Scholar]
- Carthew P., Dorman B. M., Edwards R. E., Francis J. E., Smith A. G. A unique rodent model for both the cardiotoxic and hepatotoxic effects of prolonged iron overload. Lab Invest. 1993 Aug;69(2):217–222. [PubMed] [Google Scholar]
- Carthew P., Edwards R. E., Dorman B. M. Hepatic fibrosis and iron accumulation due to endotoxin-induced haemorrhage in the gerbil. J Comp Pathol. 1991 Apr;104(3):303–311. doi: 10.1016/s0021-9975(08)80042-4. [DOI] [PubMed] [Google Scholar]
- Carthew P., Edwards R. E., Smith A. G., Dorman B., Francis J. E. Rapid induction of hepatic fibrosis in the gerbil after the parenteral administration of iron-dextran complex. Hepatology. 1991 Mar;13(3):534–539. [PubMed] [Google Scholar]
- Chojkier M., Houglum K., Solis-Herruzo J., Brenner D. A. Stimulation of collagen gene expression by ascorbic acid in cultured human fibroblasts. A role for lipid peroxidation? J Biol Chem. 1989 Oct 5;264(28):16957–16962. [PubMed] [Google Scholar]
- Chomczynski P., Sacchi N. Single-step method of RNA isolation by acid guanidinium thiocyanate-phenol-chloroform extraction. Anal Biochem. 1987 Apr;162(1):156–159. doi: 10.1006/abio.1987.9999. [DOI] [PubMed] [Google Scholar]
- Derynck R., Jarrett J. A., Chen E. Y., Eaton D. H., Bell J. R., Assoian R. K., Roberts A. B., Sporn M. B., Goeddel D. V. Human transforming growth factor-beta complementary DNA sequence and expression in normal and transformed cells. Nature. 1985 Aug 22;316(6030):701–705. doi: 10.1038/316701a0. [DOI] [PubMed] [Google Scholar]
- Deugnier Y. M., Loréal O., Turlin B., Guyader D., Jouanolle H., Moirand R., Jacquelinet C., Brissot P. Liver pathology in genetic hemochromatosis: a review of 135 homozygous cases and their bioclinical correlations. Gastroenterology. 1992 Jun;102(6):2050–2059. doi: 10.1016/0016-5085(92)90331-r. [DOI] [PubMed] [Google Scholar]
- Friedman S. L., Arthur M. J. Activation of cultured rat hepatic lipocytes by Kupffer cell conditioned medium. Direct enhancement of matrix synthesis and stimulation of cell proliferation via induction of platelet-derived growth factor receptors. J Clin Invest. 1989 Dec;84(6):1780–1785. doi: 10.1172/JCI114362. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Friedman S. L. Seminars in medicine of the Beth Israel Hospital, Boston. The cellular basis of hepatic fibrosis. Mechanisms and treatment strategies. N Engl J Med. 1993 Jun 24;328(25):1828–1835. doi: 10.1056/NEJM199306243282508. [DOI] [PubMed] [Google Scholar]
- Friedman S. L., Wei S., Blaner W. S. Retinol release by activated rat hepatic lipocytes: regulation by Kupffer cell-conditioned medium and PDGF. Am J Physiol. 1993 May;264(5 Pt 1):G947–G952. doi: 10.1152/ajpgi.1993.264.5.G947. [DOI] [PubMed] [Google Scholar]
- Geerts A., Lazou J. M., De Bleser P., Wisse E. Tissue distribution, quantitation and proliferation kinetics of fat-storing cells in carbon tetrachloride-injured rat liver. Hepatology. 1991 Jun;13(6):1193–1202. [PubMed] [Google Scholar]
- Genovese C., Rowe D., Kream B. Construction of DNA sequences complementary to rat alpha 1 and alpha 2 collagen mRNA and their use in studying the regulation of type I collagen synthesis by 1,25-dihydroxyvitamin D. Biochemistry. 1984 Dec 4;23(25):6210–6216. doi: 10.1021/bi00320a049. [DOI] [PubMed] [Google Scholar]
- Gualdi R., Casalgrandi G., Montosi G., Ventura E., Pietrangelo A. Excess iron into hepatocytes is required for activation of collagen type I gene during experimental siderosis. Gastroenterology. 1994 Oct;107(4):1118–1124. doi: 10.1016/0016-5085(94)90237-2. [DOI] [PubMed] [Google Scholar]
- Iancu T. C., Rabinowitz H., Brissot P., Guillouzo A., Deugnier Y., Bourel M. Iron overload of the liver in the baboon. An ultrastructural study. J Hepatol. 1985;1(3):261–275. doi: 10.1016/s0168-8278(85)80054-4. [DOI] [PubMed] [Google Scholar]
- Milani S., Herbst H., Schuppan D., Hahn E. G., Stein H. In situ hybridization for procollagen types I, III and IV mRNA in normal and fibrotic rat liver: evidence for predominant expression in nonparenchymal liver cells. Hepatology. 1989 Jul;10(1):84–92. doi: 10.1002/hep.1840100117. [DOI] [PubMed] [Google Scholar]
- Park C. H., Bacon B. R., Brittenham G. M., Tavill A. S. Pathology of dietary carbonyl iron overload in rats. Lab Invest. 1987 Nov;57(5):555–563. [PubMed] [Google Scholar]
- Parola M., Leonarduzzi G., Biasi F., Albano E., Biocca M. E., Poli G., Dianzani M. U. Vitamin E dietary supplementation protects against carbon tetrachloride-induced chronic liver damage and cirrhosis. Hepatology. 1992 Oct;16(4):1014–1021. doi: 10.1002/hep.1840160426. [DOI] [PubMed] [Google Scholar]
- Pietrangelo A., Gualdi R., Casalgrandi G., Geerts A., De Bleser P., Montosi G., Ventura E. Enhanced hepatic collagen type I mRNA expression into fat-storing cells in a rodent model of hemochromatosis. Hepatology. 1994 Mar;19(3):714–721. doi: 10.1002/hep.1840190325. [DOI] [PubMed] [Google Scholar]
- Pietrangelo A., Rocchi E., Casalgrandi G., Rigo G., Ferrari A., Perini M., Ventura E., Cairo G. Regulation of transferrin, transferrin receptor, and ferritin genes in human duodenum. Gastroenterology. 1992 Mar;102(3):802–809. doi: 10.1016/0016-5085(92)90161-q. [DOI] [PubMed] [Google Scholar]
- Pietrangelo A., Rocchi E., Ferrari A., Ventura E., Cairo G. Regulation of hepatic transferrin, transferrin receptor and ferritin genes in human siderosis. Hepatology. 1991 Dec;14(6):1083–1089. [PubMed] [Google Scholar]
- Pietrangelo A., Rocchi E., Schiaffonati L., Ventura E., Cairo G. Liver gene expression during chronic dietary iron overload in rats. Hepatology. 1990 May;11(5):798–804. doi: 10.1002/hep.1840110513. [DOI] [PubMed] [Google Scholar]
- Rocchi E., Borghi A., Paolillo F., Pradelli M., Casalgrandi G. Carotenoids and liposoluble vitamins in liver cirrhosis. J Lab Clin Med. 1991 Aug;118(2):176–185. [PubMed] [Google Scholar]
- Rocchi E., Gibertini P., Cassanelli M., Pietrangelo A., Borghi A., Ventura E. Serum ferritin in the assessment of liver iron overload and iron removal therapy in porphyria cutanea tarda. J Lab Clin Med. 1986 Jan;107(1):36–42. [PubMed] [Google Scholar]
- Rojkind M., Valadez G. Regulation of fibroblast proliferation by Kupffer cells and monocytes. Ciba Found Symp. 1985;114:208–221. doi: 10.1002/9780470720950.ch14. [DOI] [PubMed] [Google Scholar]
- Shiratori Y., Geerts A., Ichida T., Kawase T., Wisse E. Kupffer cells from CCl4-induced fibrotic livers stimulate proliferation of fat-storing cells. J Hepatol. 1986;3(3):294–303. doi: 10.1016/s0168-8278(86)80481-0. [DOI] [PubMed] [Google Scholar]
- Tavill A. S., Sharma B. K., Bacon B. R. Iron and the liver: genetic hemochromatosis and other hepatic iron overload disorders. Prog Liver Dis. 1990;9:281–305. [PubMed] [Google Scholar]
- Weintraub L. R., Goral A., Grasso J., Franzblau C., Sullivan A., Sullivan S. Collagen biosynthesis in iron overload. Ann N Y Acad Sci. 1988;526:179–184. doi: 10.1111/j.1749-6632.1988.tb55504.x. [DOI] [PubMed] [Google Scholar]
- Weintraub L. R., Goral A., Grasso J., Franzblau C., Sullivan A., Sullivan S. Pathogenesis of hepatic fibrosis in experimental iron overload. Br J Haematol. 1985 Feb;59(2):321–331. doi: 10.1111/j.1365-2141.1985.tb02997.x. [DOI] [PubMed] [Google Scholar]
- Zender R. Analyse de l'hydroxyproline urinire. Clin Chim Acta. 1972 Mar;37:263–269. doi: 10.1016/0009-8981(72)90440-8. [DOI] [PubMed] [Google Scholar]