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. 2017 Aug 30;2017:4256352. doi: 10.1155/2017/4256352

Table 1.

Common complete and auxiliary mitogens.

Factor Origin Target
Complete mitogens
HGF Mainly stellate cells HGF directly regulates hepatocyte DNA synthesis and cell proliferation by blinding to its receptor c-met.
EGF Brunner's gland in the duodenum They provoke hepatocyte proliferation mainly through the Ras-MAPK signaling pathway by binding to their identical receptor and may compensate for each other to some degree in the process.
TGF-α Hepatocytes
Auxiliary mitogens
Bile acids Hepatocytes and cholangicytes Appropriate concentration of BAs may promote liver regeneration mainly via farnesoid X receptor (FXR) signaling pathways to stimulate the expression of FoxM1b, a key regulator of cell cycle, to participate in cells proliferation [31].
NE Nerve system NE may amplify the effect of EGF and HGF by acting on the α1-adrenergic receptor associated with Gαh, a G protein [32, 33], and besides, it could induced the expression of Smad7 to abolish activin A-induced growth inhibition of hepatocyte by activation of NF-κB [34].
VEGF Hepatocytes VEGF family, particularly VEGF-A, is strongly upregulated in hepatocytes during the regenerative process and may facilitate proliferation of sinusoidal endothelial cells and hepatocytes 48 h following PHx [35].
Insulin Pancreatic islets Insulin could contribute to liver regeneration despite not being a primary mitogen and its proliferative effect mainly mediated through insulin receptors (IRs) that shift to nucleus to activate inositol 1,4,5,-trisphosphate- (InsP3-) dependent Ca2+ signaling pathways [36].
IGF-1 Liver IGF-I works as a booster to liver regeneration by upregulation of HGF and downregulation of transforming growth factor beta 1(TGF-β1), a repressor of proliferation, and decreased level of IGF-I could impair the regenerative process [37].
Estrogen Reproductive system Estrogen has been shown to promote hepatocyte proliferation mainly through estrogen receptor alpha (ERα) [38]. Moreover, the estrogen level could be influenced by IL-6 and there may be crosstalk between estrogen signaling and IL-6 signaling pathways [39].
Serotonin (5-hydroxytryptamine, 5HT) Enterochromaffin cells Serotonin, via HT receptor 2 (HTR2), has been reported to contribute to liver regeneration [40]. And it was found that liver regeneration would be arrested when ketanserin was administrated to block 5-HT2, a subtype of 5-HT, approximately at the G1/S transition point [41].