EFFECT OF PIRFENIDONE, A NOVEL ANTIFIBROTIC AGENT, ON PDGF-INDUCED INTRACELLULAR SIGNALING IN RAT HEPATIC STELLATE CELLS A. Di Sario, E. Bendia, G. Svegliati Baroni, S. Saccomanno 1, R. Ridolfi, U. Ugili t, L. Trozzi, A.M. Jezequel I, A. Benedetti Gastroenterology, University of Ancona, Ancona, Italy. 1Exp. Pathology, University of Ancona, Ancona, Italy. Pirfenidone (5 methyl-l-phonyl-2-(1H)-pyridone) is a potentially useful novel broad spectrum anfifibrotic agent which has been shown to inhibit fibroblast proliferation in response to nmneaetm growth factors, and to produce antitibrotic effects in a variety of nninml models. Aim of this study was to evaluate the effect o f pirfenidone on PDGF-mediated intracellular events in activated rat hepatic stellate cells (HSC). Incubation of HSC with PDGF-BB induced a six-fold increase in cell proliferation, evaluated by measuring bmmodeoxyur id i~ (BrdU) incorporation (12.4--t:I.2 vs 2.15±1.2 % BrdU positive cells in controls, P<0.001). The contemporaff incubation with pirfenidone, significantly inhibited PDGF-indueed HSC proliferation starting at a concentration of 1 pM (7.0~1.6; P<0.01), with a maximal effect at 1000 ~ (1.9-a:0.4; P<0.001). Measmement of LDH release in the culture medium, Uypan blue exclusion test and electron microscopy showed no cytotoxic effect of pirfenidone at coneenlrations that inhibited HSC proliferation (1, 10, 100, 500 and 1000 ldVl). The inhibition of P D G F i n d m ~ HSC proliferation was not associated with variations in PDGF-receptor autophosphorylation. Moreover, incubation with pirfenidoue did not inhibit PDGF-induced ERKI aml ERK2 activation, as well as pTOS6k (a downstream component of the PI-3 kinn.qe pathway) phosphorylation. On the contrary, piffenidone was able to inhibit PDGF-indueed activation of the Na+/H + exchange, which plays an important role in regadafing PDGF-induced HSC proliferation, with a maximal effect at I000 pM. These results suggest that l~fenidone could be a new candidate for antifibmtic thexa W in chronic liver diseases. Molecular and cell biology (gene expression, signalling, fibrosis)
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