Volume 28, Issue 4 pp. 723-730
Hepatology

Cross talk between toll-like receptor-4 signaling and angiotensin-II in liver fibrosis development in the rat model of non-alcoholic steatohepatitis

Yusaku Shirai

Yusaku Shirai

Third Department of Internal Medicine, Nara Medical University, Kashihara, Nara, Japan

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Hitoshi Yoshiji

Corresponding Author

Hitoshi Yoshiji

Third Department of Internal Medicine, Nara Medical University, Kashihara, Nara, Japan

Correspondence

Dr Hitoshi Yoshiji, Third Department of Internal Medicine, Nara Medical University, Shijo-cho 840, Kashihara, Nara 634-8522, Japan. Email: [email protected]

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Ryuichi Noguchi

Ryuichi Noguchi

Third Department of Internal Medicine, Nara Medical University, Kashihara, Nara, Japan

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Kosuke Kaji

Kosuke Kaji

Third Department of Internal Medicine, Nara Medical University, Kashihara, Nara, Japan

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Yosuke Aihara

Yosuke Aihara

Third Department of Internal Medicine, Nara Medical University, Kashihara, Nara, Japan

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Akitoshi Douhara

Akitoshi Douhara

Third Department of Internal Medicine, Nara Medical University, Kashihara, Nara, Japan

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Kei Moriya

Kei Moriya

Third Department of Internal Medicine, Nara Medical University, Kashihara, Nara, Japan

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Tadashi Namisaki

Tadashi Namisaki

Third Department of Internal Medicine, Nara Medical University, Kashihara, Nara, Japan

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Hideto Kawaratani

Hideto Kawaratani

Third Department of Internal Medicine, Nara Medical University, Kashihara, Nara, Japan

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Hiroshi Fukui

Hiroshi Fukui

Third Department of Internal Medicine, Nara Medical University, Kashihara, Nara, Japan

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First published: 09 January 2013
Citations: 43

Abstract

Background and Aim

The innate immune system, including toll-like receptor-4 (TLR4) signaling cascade and angiotensin-II (AT-II) play important roles in the progression of liver fibrosis development; the cross talk between TLR4 and AT-II has not been elucidated yet. The aim of the current study was to elucidate the effect of AT-II type 1 receptor blocker (ARB), on the liver fibrosis development, especially in conjunction with the interaction of TLR4 and AT-II in the rat model of non-alcoholic steatohepatitis.

Methods

Fischer 344 rats were fed a choline-deficient, l-amino-acid-defined diet for 8 weeks and the effects of losartan were elucidated in conjunction with activated hepatic stellate cells (Ac-HSC) activation, TLR4, nuclear factor-κB (NF-κB), and transforming growth factor-β (TGF-β) expressions. In vitro study was carried out to elucidate the effect of AT-II on several indices including TLR4, myeloid differentiation factor 88, NF-κB, and TGF-β expressions in the rat HSC.

Results

ARB markedly inhibited liver fibrosis development along with suppression of the number of Ac-HSC and TGF-β. These inhibitory effects of ARB were almost in parallel with suppression of the hepatic TLR4 and NF-κB expressions. This in vitro study showed that AT-II significantly augmented the TLR4 expression in a dose- and time-dependent manner via AT-II type 1 receptor in the Ac-HSC. AT-II also augmented the lipopolysaccharide-induced myeloid differentiation factor 88 (MyD88), NF-κB, and TGF-β and these increments were attenuated by treatment with ARB.

Conclusions

These studies indicated that the cross talk between TLR4 signaling cascade and AT-II plays a pivotal role in liver fibrosis development in non-alcoholic steatohepatitis.

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