Abstract

We previously described a selective bile duct ligation model to elucidate the process of hepatic fibrogenesis in children with biliary atresia or intrahepatic biliary stenosis. Using this model, we identified changes in the expression of alpha smooth muscle actin (α-SMA) both in the obstructed parenchyma and in the hepatic parenchyma adjacent to the obstruction. However, the expression profiles of desmin and TGF-β1, molecules known to be involved in hepatic fibrogenesis, were unchanged when analyzed by semiquantitative polymerase chain reaction (RT-PCR). Thus, the molecular mechanisms involved in the modulation of liver fibrosis in this experimental model are not fully understood. This study aimed to evaluate the molecular changes in an experimental model of selective bile duct ligation and to compare the gene expression changes observed in RT-PCR and in real-time quantitative PCR (qRT‐PCR). Twenty-eight Wistar rats of both sexes and weaning age (21-23 days old) were used. The rats were separated into groups that were assessed 7 or 60 days after selective biliary duct ligation. The expression of desmin, α-SMA and TGF-β1 was examined in tissue from hepatic parenchyma with biliary obstruction (BO) and in hepatic parenchyma without biliary obstruction (WBO), using RT-PCR and qRT‐PCR. The results obtained in this study using these two methods were significantly different. The BO parenchyma had a more severe fibrogenic reaction, with increased α-SMA and TGF-β1 expression after 7 days. The WBO parenchyma presented a later, fibrotic response, with increased desmin expression 7 days after surgery and increased α-SMA 60 days after surgery. The qRT‐PCR technique was more sensitive to expression changes than the semiquantitative method.

Highlights

  • The mechanisms leading to increased collagen production and liver parenchyma fibrosis are poorly understood [1]

  • The qRT-PCR evaluation of the same gene revealed an increase in desmin expression in the without biliary obstruction (WBO) parenchyma 7 days (P=0.002) and 60 days (P=0.018) after surgery compared with the control group

  • The role of paracrine and endocrine mechanisms in www.bjournal.com.br liver fibrosis progression has been proposed by many investigators [5,6,7]

Read more

Summary

Introduction

The mechanisms leading to increased collagen production and liver parenchyma fibrosis are poorly understood [1] These phenomena are commonly observed in children with biliary atresia, in whom the evolution to biliary cirrhosis and hepatic failure creates a need for liver transplantation in the majority of patients, even after a successful Kasai portoenterostomy [2]. Intra- or extra-hepatic stenosis of the bile ducts is frequent and may lead to secondary biliary cirrhosis and the need for retransplantation [3,4] It is unknown whether biliary stenosis involving isolated segments or lobes can affect the adjacent unobstructed lobes by paracrine or endocrine signaling, leading to fibrosis in the neighboring parenchyma [5,6,7]. We observed that biliary proliferation and portal fibrosis occurred in both the cholestatic and the unobstructed lobes of the liver in response to biliary obstruction [1]

Objectives
Methods
Results
Conclusion
Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call