Hepatic production of PGE2 in cirrhosis.
(A) Plasma PGE2 from portal, hepatic, and peripheral blood from 17 patients undergoing TIPS. (B) Representative pathway of PGE2 synthase. (C) Western blot protein expression of COX-1 within cirrhotic and healthy livers with results normalised to expression of the reference protein GAPDH (n = 3 per group). Immunohistochemical analyses in healthy and cirrhotic livers and healthy kidneys (with representative photos in Fig. S4) of (D) mPGES1 synthase expression, (E) mPGES2, and (F) cPGES. Digital H-Scores presented for liver sections stained with each antibody for 3 groups (kidney n = 1, healthy liver n = 3, cirrhotic liver n = 10). COX, cyclooxygenase; cPGES, cytosolic PGE synthase; mPGES, microsomal PGE synthase; PGE2, prostaglandin E2; TIPS, transjugular intrahepatic portosystemic shunt insertion.