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TGF? inhibition restores a regenerative response in acute liver injury by suppressing paracrine senescence.


ABSTRACT: Liver injury results in rapid regeneration through hepatocyte proliferation and hypertrophy. However, after acute severe injury, such as acetaminophen poisoning, effective regeneration may fail. We investigated how senescence may underlie this regenerative failure. In human acute liver disease, and murine models, p21-dependent hepatocellular senescence was proportionate to disease severity and was associated with impaired regeneration. In an acetaminophen injury mouse model, a transcriptional signature associated with the induction of paracrine senescence was observed within 24 hours and was followed by one of impaired proliferation. In mouse genetic models of hepatocyte injury and senescence, we observed transmission of senescence to local uninjured hepatocytes. Spread of senescence depended on macrophage-derived transforming growth factor-?1 (TGF?1) ligand. In acetaminophen poisoning, inhibition of TGF? receptor 1 (TGF?R1) improved mouse survival. TGF?R1 inhibition reduced senescence and enhanced liver regeneration even when delivered beyond the therapeutic window for treating acetaminophen poisoning. This mechanism, in which injury-induced senescence impairs liver regeneration, is an attractive therapeutic target for developing treatments for acute liver failure.

SUBMITTER: Bird TG 

PROVIDER: S-EPMC6420144 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature

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TGFβ inhibition restores a regenerative response in acute liver injury by suppressing paracrine senescence.

Bird Thomas G TG   Müller Miryam M   Boulter Luke L   Vincent David F DF   Ridgway Rachel A RA   Lopez-Guadamillas Elena E   Lu Wei-Yu WY   Jamieson Thomas T   Govaere Olivier O   Campbell Andrew D AD   Ferreira-Gonzalez Sofía S   Cole Alicia M AM   Hay Trevor T   Simpson Kenneth J KJ   Clark William W   Hedley Ann A   Clarke Mairi M   Gentaz Pauline P   Nixon Colin C   Bryce Steven S   Kiourtis Christos C   Sprangers Joep J   Nibbs Robert J B RJB   Van Rooijen Nico N   Bartholin Laurent L   McGreal Steven R SR   Apte Udayan U   Barry Simon T ST   Iredale John P JP   Clarke Alan R AR   Serrano Manuel M   Roskams Tania A TA   Sansom Owen J OJ   Forbes Stuart J SJ  

Science translational medicine 20180801 454


Liver injury results in rapid regeneration through hepatocyte proliferation and hypertrophy. However, after acute severe injury, such as acetaminophen poisoning, effective regeneration may fail. We investigated how senescence may underlie this regenerative failure. In human acute liver disease, and murine models, p21-dependent hepatocellular senescence was proportionate to disease severity and was associated with impaired regeneration. In an acetaminophen injury mouse model, a transcriptional si  ...[more]

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