Loss of Prolyl-Hydroxylase 1 Protects against Biliary Fibrosis via Attenuated Activation of Hepatic Stellate Cells

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Moritz J Strowitzki - , University Hospital Heidelberg (Author)
  • Johanna Kirchberg - , University Hospital Heidelberg (Author)
  • Christopher Tuffs - , University Hospital Heidelberg (Author)
  • Maximilian Schiedeck - , University Hospital Heidelberg (Author)
  • Alina S Ritter - , University Hospital Heidelberg (Author)
  • Marvin Biller - , University Hospital Heidelberg (Author)
  • Jonathan M Harnoss - , University Hospital Heidelberg (Author)
  • Felix Lasitschka - , University Hospital Heidelberg (Author)
  • Thomas Schmidt - , University Hospital Heidelberg (Author)
  • Praveen Radhakrishnan - , University Hospital Heidelberg (Author)
  • Alexis Ulrich - , University Hospital Heidelberg (Author)
  • Martin Schneider - , University Hospital Heidelberg (Author)

Abstract

Liver fibrosis, eventually progressing to cirrhosis necessitating liver transplantation, poses a significant clinical problem. Oxygen shortage (hypoxia) and hypoxia-inducible transcription factors (HIFs) have been acknowledged as important drivers of liver fibrosis. The significance of oxygen-sensing HIF prolyl-hydroxylase (PHD) enzymes in this context has, however, remained elusive. In this study, we demonstrate that loss of PHD1 (PHD1-/-) attenuates the development of liver fibrosis in mice subjected to chronic bile duct injury, induced by 3,5-diethoxycarbonyl-1,4-dihydrocollidine. This effect was accompanied with reduced recruitment of inflammatory leukocytes and attenuated occurrence of profibrotic myofibroblasts in PHD1-/- livers. Further analyses focused on the significance of PHD1 in the activation of hepatic stellate cells (HSCs), which represent the driving force in liver fibrosis. Primary HSCs isolated from PHD1-/- mice displayed significantly attenuated myofibroblast differentiation and profibrogenic properties compared with HSCs isolated from wild-type mice. Consistently, the expression of various profibrogenic and promitogenic factors was reduced in PHD1-/- HSCs, without alterations in HIF-1α protein levels. Of importance, PHD1 protein was expressed in HSCs within human livers, and PHD1 transcript expression was significantly increased with disease severity in hepatic tissue from patients with liver fibrosis. Collectively, these findings indicate that PHD1 deficiency protects against liver fibrosis and that these effects are partly due to attenuated activation of HSCs. PHD1 may represent a therapeutic target to alleviate liver fibrosis.

Details

Original languageEnglish
Pages (from-to)2826-2838
Number of pages13
JournalThe American journal of pathology
Volume188
Issue number12
Publication statusPublished - Dec 2018
Peer-reviewedYes
Externally publishedYes

External IDs

Scopus 85056793808

Keywords

Sustainable Development Goals

Keywords

  • Animals, Bile Ducts/metabolism, Cells, Cultured, Fibrosis/metabolism, Hepatic Stellate Cells/metabolism, Humans, Hypoxia-Inducible Factor-Proline Dioxygenases/metabolism, Liver Cirrhosis/metabolism, Mice, Mice, Knockout, Procollagen-Proline Dioxygenase/metabolism, Severity of Illness Index