ECM1: A CTGF Binding Protein Inhibiting Ductular Reaction and Liver Fibrosis

Abstract

IntroductionExtracellular matrix protein 1 (ECM1) has inhibitory roles against transforming growth factor (TGF)β activation and liver fibrosis. We have identified ECM1 as binding protein for connective tissue growth factor (CTGF) in yeast two‐hybrid analysis. This study aims to determine whether ECM1 binding inhibits CTGF‐mediated ductular reaction and liver fibrosis.MethodsMice were fed with 3,5‐diethoxycarbonyl‐1,4‐dihydrocollidine (DDC) to induce ductular reaction and liver fibrosis. ECM1 was overexpressed in adenovirus and intravenously injected into animals before DDC feeding. ECM1 interaction with CTGF, and their effects on liver injury after DDC feeding were analyzed.ResultsECM1 downregulation was correlated with CTGF upregulation during DDC‐induced liver injury. ECM1 overexpression after DDC feeding caused low levels of EpCAM and Sox9 mRNAs, small areas of EpCAM+ cells, and few proliferating ductular epithelial cells in comparison to controls that received GFP adenovirus. Weak fibrogenesis was also observed in the Ecm1 overexpressing livers, as evidenced by low levels of fibrosis‐related genes, small fibrotic areas in staining with α smooth muscle actin antibody and Sirius red as well as low collagen production determined by hepatic hydroxyproline content. Finally, we found that ECM1 could interact with CTGF and integrin αvβ6 leading to low TGFβ activation in vitro and in vivo.ConclusionThese observations indicate that ECM1 is a novel binding protein for CTGF. Its overexpression significantly reduces DDC‐induced ductular reaction and fibrogenic reaction, supporting anti‐fibrotic potentials of this molecule for the treatment of chronic liver disease.Support or Funding InformationThis study is supported by National Institutes of Health NIAAA KO1AA024174 grant and Children Miracle Research Foundation grant awarded to L Pi.