K+‐channel inhibition reduces portal perfusion pressure in fibrotic rats and fibrosis associated characteristics of hepatic stellate cells

Liver International - Tập 35 Số 4 - Trang 1244-1252 - 2015
Christian Freise1, Silke Heldwein2,1, Ulrike Erben1, Joachim Hoyer3, Ralf Köhler4, Korinna Jöhrens5, Eleonora Patsenker6, Martin Rühl1, Daniel Seehofer7, Felix Stickel6, Rajan Somasundaram1
1Department of Gastroenterology Infectiology and Rheumatology Charité – University Medicine Berlin Campus Benjamin Franklin Berlin Germany
2Department of Clinical Research ‐ Hepatology University of Berne Berne Switzerland
3Department of Internal Medicine and Nephrology, University Hospital, Philipps-University, Marburg, Germany
4I+CS and ARAID Aragon Institute of Health Sciences Zaragoza 50009 Spain
5Department of Pathology Charité ‐ University Medicine Berlin Campus Charité Mitte Berlin Germany
6Department of Clinical Research - Hepatology; University of Berne; Berne Switzerland
7Department of General Visceral and Transplantation Surgery Charité – University Medicine Berlin Campus Virchow Klinikum Berlin Germany

Tóm tắt

AbstractBackground & AimsIn liver fibrosis, activated hepatic stellate cells (HSC) secrete excess extracellular matrix, thus, represent key targets for antifibrotic treatment strategies. Intermediate‐conductance Ca2 + ‐activated K+‐channels (KCa3.1) are expressed in non‐excitable tissues affecting proliferation, migration and vascular resistance rendering KCa3.1 potential targets in liver fibrosis. So far, no information about KCa3.1 expression and their role in HSC exists. Aim was to quantify the KCa3.1 expression in HSC depending on HSC activation and investigation of antifibrotic properties of the specific KCa3.1 inhibitor TRAM‐34 in vitro and in vivo.MethodsKCa3.1 expression and functionality were studied in TGF‐β1–activated HSC by quantitative real time PCR, western‐blot and patch‐clamp analysis respectively. Effects of TRAM‐34 on HSC proliferation, cell cycle and fibrosis‐related gene expression were assessed by [3H]‐thymidine incorporation, FACS‐analysis and RTPCR respectively. In vivo, vascular resistance and KCa3.1 gene and protein expression were determined in bile duct ligated rats by in situ liver perfusion, Taqman PCR and immunohistochemistry respectively.ResultsFibrotic tissues and TGF‐β1‐activated HSC exhibited higher KCa3.1‐expressions than normal tissue and untreated cells. KCa3.1 inhibition with TRAM‐34 reduced HSC proliferation by induction of cell cycle arrest and reduced TGF‐β1‐induced gene expression of collagen I, alpha‐smooth muscle actin and TGF‐β1 itself. Furthermore, TRAM‐34 blocked TGF‐β1‐induced activation of TGF‐β signalling in HSC. In vivo, TRAM‐34 reduced the thromboxane agonist‐induced portal perfusion pressure.ConclusionInhibition of KCa3.1 with TRAM‐34 downregulates fibrosis‐associated gene expression in vitro, and reduces portal perfusion pressure in vivo. Thus, KCa3.1 may represent novel targets for the treatment of liver fibrosis.

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