Abstract

ObjectiveExcessive alcohol consumption injures the liver resulting in various liver diseases including liver cirrhosis. Advanced liver disease continues to be a major challenge to human health. Liver stem/progenitor cells (LSPCs) are tissue specific precursors with a distinct capacity of multi-lineage differentiation. These precursor cells may play an important role in the process of tissue injury repair and pathological transition of liver structures. At the present time, knowledge about the effect of alcohol on LSPC function during the development of alcoholic liver disease remains absent. This study was conducted to investigate changes in LSPC activity of proliferation and differentiation following alcohol exposure. The disruption of cell signaling mechanisms underlying alcohol-induced alteration of LSPC activities was also examined.MethodsPrimary and immortalized human liver stem cells (HL1-1 cells and HL1-hT1 cells, respectively) were cultured in media optimized for cell proliferation and hepatocyte differentiation in the absence and presence of ethanol. Changes in cell morphology, proliferation and differentiation were determined. Functional disruption of cell signaling components following alcohol exposure was examined.ResultsEthanol exposure suppressed HL1-1 cell growth [as measured by cell 5-bromo-2-deoxyuridine (BrdU) incorporation] mediated by epidermal growth factor (EGF) or EGF plus interleukin-6 (IL-6) in an ethanol dose-dependent manner. Similarly, ethanol inhibited BrdU incorporation into HL1-hT1 cells. Cyclin D1 mRNA expression by HL1-hT1 cells was suppressed when cells were cultured with 50 and 100 mM ethanol. Ethanol exposure induced morphological change of HL1-1 cells toward a myofibroblast-like phenotype. Furthermore, ethanol down-regulated E-cadherin expression while increasing collagen I expression by HL1-1 cells. Ethanol also stimulated Snail transcriptional repressor (Snail) and α-smooth muscle actin (α-SMA) gene expression by HL1-1 cells.ConclusionThese results demonstrate that the direct effect of alcohol on LSPCs is inhibiting their proliferation and promoting mesenchymal transition during their differentiation. Alcohol interrupts LSPC differentiation through interfering Snail signaling.

Highlights

  • Alcohol is the most frequently abused substance worldwide

  • Ethanol stimulated Snail transcriptional repressor (Snail) and α-smooth muscle actin (α-SMA) gene expression by HL1-1 cells. These results demonstrate that the direct effect of alcohol on liver stem/progenitor cells (LSPCs) is inhibiting their proliferation and promoting mesenchymal transition during their differentiation

  • Pathological examinations have observed that proliferation of liver stem/progenitor cells (LSPCs) is activated in patients with chronic liver diseases including those caused by excessive alcohol consumption [6,7,8,9]

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Summary

Introduction

Excessive alcohol consumption severely injures the liver, causing hepatitis, liver steatosis, fibrosis, and cirrhosis. Since alcohol causes severe metabolic disorder and functional derangement in hepatocytes, the role of hepatocyte proliferation in repairing alcoholic liver injury is restricted [2,5]. Pathological examinations have observed that proliferation of liver stem/progenitor cells (LSPCs) is activated (ductular reaction) in patients with chronic liver diseases including those caused by excessive alcohol consumption [6,7,8,9]. The proliferative activation of LSPCs suggests that these precursors may play a significant role in the process of injury repair and tissue reconstruction in the diseased liver. Mechanisms underlying alcohol-induced injury to mature hepatocytes have been studied extensively. Information about the effect of alcohol on LSPC homeostasis and activity during the development of alcoholic liver disease remains scant

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