[HTML][HTML] Hepatic stellate cell hypertrophy is associated with metabolic liver fibrosis

C Hoffmann, NEH Djerir, A Danckaert, J Fernandes… - Scientific Reports, 2020 - nature.com
C Hoffmann, NEH Djerir, A Danckaert, J Fernandes, P Roux, C Charrueau, AM Lachagès…
Scientific Reports, 2020nature.com
Hepatic fibrosis is a major consequence of chronic liver disease such as non-alcoholic
steatohepatitis which is undergoing a dramatic evolution given the obesity progression
worldwide, and has no treatment to date. Hepatic stellate cells (HSCs) play a key role in the
fibrosis process, because in chronic liver damage, they transdifferentiate from a “quiescent”
to an “activated” phenotype responsible for most the collagen deposition in liver tissue.
Here, using a diet-induced liver fibrosis murine model (choline-deficient amino acid-defined …
Abstract
Hepatic fibrosis is a major consequence of chronic liver disease such as non-alcoholic steatohepatitis which is undergoing a dramatic evolution given the obesity progression worldwide, and has no treatment to date. Hepatic stellate cells (HSCs) play a key role in the fibrosis process, because in chronic liver damage, they transdifferentiate from a “quiescent” to an “activated” phenotype responsible for most the collagen deposition in liver tissue. Here, using a diet-induced liver fibrosis murine model (choline-deficient amino acid-defined, high fat diet), we characterized a specific population of HSCs organized as clusters presenting simultaneously hypertrophy of retinoid droplets, quiescent and activated HSC markers. We showed that hypertrophied HSCs co-localized with fibrosis areas in space and time. Importantly, we reported the existence of this phenotype and its association with collagen deposition in three other mouse fibrosis models, including CCl4-induced fibrosis model. Moreover, we have also shown its relevance in human liver fibrosis associated with different etiologies (obesity, non-alcoholic steatohepatitis, viral hepatitis C and alcoholism). In particular, we have demonstrated a significant positive correlation between the stage of liver fibrosis and HSC hypertrophy in a cohort of obese patients with hepatic fibrosis. These results lead us to conclude that hypertrophied HSCs are closely associated with hepatic fibrosis in a metabolic disease context and may represent a new marker of metabolic liver disease progression.
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