Effects and mechanism of adenovirus-mediated phosphatase and tension homologue deleted on chromosome ten gene on collagen deposition in rat liver fibrosis.

AIM: To evaluate the effects of phosphatase and tension homologue deleted on chromosome ten (PTEN) gene on collagen metabolism in hepatic fibrosis and the underlying mechanisms.
METHODS: Rat primary hepatic stellate cells (HSCs) and human LX-2 cells were transfected with adenovirus containing cDNA constructs encoding wild-type PTEN (Ad-PTEN), PTEN mutant G129E gene (Ad-G129E), and RNA interference constructs targeting the PTEN sequence PTEN short hairpin RNA to up-regulate and down-regulate the expression of PTEN. HSCs were assayed using fluorescent microscopy, real-time polymerase chain reaction, and western blotting. Moreover, a CCl4-induced rat hepatic fibrosis model was established to investigate the in vivo effects. Hematoxylin and eosin, and Masson's trichrome were used to assess the histological changes. The expression of collagen I and III was assessed using immunohistochemistry and western blot analysis.
RESULTS: Elevated expression of PTEN gene reduced serum levels of alanine transaminase and aspartate transaminase, decreased collagen deposition in the liver, and reduced hepatocyte necrosis. In contrast, knockdown of PTEN expression had an opposite effect, such as increased collagen deposition in the liver, and was molecularly characterized by the increased expression of matrix metalloproteinase (MMP)-13 (P < 0.01) and MMP-2 (P < 0.01), as well as decreased expression of the tissue inhibitor of metalloproteinase (TIMP)-1 (P < 0.01) and TIMP-2 (P < 0.01).
CONCLUSION: These data indicated that gene therapy using recombinant adenovirus encoding PTEN might be a novel way of treating hepatic fibrosis.

Core tip: Phosphatase and tension homologue deleted on chromosome ten (PTEN) has a negative relation with the activation and proliferation of hepatic stellate cells (HSCs), which is the central event in liver fibrogenesis as HSCs are the major source of collagens and matrix metalloproteinases in fibrotic liver. In this study, adenoviruses containing cDNA constructs encoding wild-type PTEN (Ad-PTEN) and PTEN mutant G129E gene (Ad-G129E) were constructed to over-express the PTEN gene in both rat primary HSCs and human LX-2 cells as well as in the CCl4-induced rat liver fibrosis model. The adenovirus-mediated over-expression of the PTEN gene attenuated extracellular matrix (ECM) synthesis (collagens I and III) and promoted ECM degradation, representing a possible novel anti-fibrosis therapy.

INTRODUCTION

Cirrhosis, with its manifestation of liver fibrosis, represents a major medical problem worldwide[1,2]. Hepatic stellate cells (HSCs) are one of the cell types that play a critical role in the development and maintenance of liver fibrosis. Under fibrogenic conditions, HSCs undergo a complex activation process with morphological and phenotypic changes from quiescent vitamin A-storing cells to activated myofibroblast-like cells under fibrogenic conditions, resulting in increased synthesis and deposition of extracellular matrix (ECM) components, such as collagen I[3,4].

Phosphatase and tension homologue deleted on chromosome ten (PTEN) is the first tumor-suppressing gene found to inhibit the proliferation and promote the apoptosis of tumor cells[5,6]. PTEN has pleiotropic effects including pulmonary fibrosis, renal fibrosis, and cardiac interstitial fibrosis[7-10]. The absence of PTEN in specific hepatic cells leads to not only hepatocellular carcinoma but also nonalcoholic steatohepatitis, which has been found to be associated with hepatic fibrosis[11].

A previous study showed that the expression of PTEN was decreased in rat fibrotic liver tissues and HSCs induced by bile duct ligation in vivo[12]. During the reversal of liver fibrosis, pretreated PTEN mRNA and protein expression normalized, showing the relationship between PTEN and the severity of rat hepatic fibrosis[13]. The study presented herein investigated the in vitro and in vivo effects of PTEN on liver fibrosis using adenoviral transduction of wild-type PTEN (Ad-PTEN), mutant PTEN (Ad-G129E), and PTEN short hairpin RNA (PTEN shRNA) to better characterize the molecular mechanisms of PTEN in liver fibrosis.

MATERIALS AND METHODS

Animals

Adult male Wistar rats weighing 350-400 g were obtained from the Experimental Animal Center of Hebei Medical University, Hebei Province, China. The study was performed in compliance with the national ethical guidelines for the care and use of laboratory animals, following the internationally accepted principles for laboratory animal use and care as found in the United States’ guidelines (National Institutes of Health publication #85-23, revised in 1985).

Isolation of rat primary HSCs and cell culture

Rat primary HSCs were isolated from normal healthy male Wistar rats using in situ recirculating perfusion technology, as described in a previous study[14]. Then, Dulbecco’s modified Eagle’s medium (DMEM) with 10% fetal bovine serum was used for cell culture; passages 2-3 were used in this study. Human LX-2 cells were obtained from Mount Sinai School of Medicine, authorized by Dr. Friedman.

Recombinant adenovirus and transfection

Adenovirus containing cDNA constructs encoding wild-type PTEN (Ad-PTEN) with green fluorescent protein (GFP), PTEN mutant G129E gene (Ad-G129E) with GFP, and the empty virus control (Ad-GFP) were kindly provided by Prof. Junshan Zhu from the Third Military Medical University in China. RNA interference targeting PTEN sequence shRNA with enhanced GFP was established by Wuhan Genesil Biotechnology Co., Ltd (Wuhan, China). The transfection was performed as described in a previous study[15].

The rat primary HSCs and human LX-2 cells were divided into five groups: (1) control group, with serum-free antibiotic-free DMEM; (2) Ad-GFP group, with Ad-GFP transfection; (3) Ad-PTEN group, with Ad-PTEN transfection; (4) Ad-G129E group, with Ad-G129E transfection; and (5) PTEN shRNA group, with PTEN shRNA transfection.

Real-time polymerase chain reaction assay

A real-time polymerase chain reaction assay was performed using a previously established protocol[13,16]. Primer Express 5.0 was used to design the following primers: PTEN (rat), forward 5’-GGAAAGGACGGACTGG TGTA-3’ and reverse 5’-GGAAAGGACGGACTGGT GTA-3’; PTEN (human), forward 5’-ACCGCCAAATTTAAT TGCAG-3’ and reverse 5’-GGGTCCTGAATTGGAGGAA T-3’; glyceraldehyde 3-phosphate dehydrogenase (GAPDH) (rat), forward 5’-GGCAAGTTCAACGGCA CAG-3’ and reverse 5’-CGCCAGTAGACTCCACGACAT-3’; and GAPDH (human), forward 5’-ACTTTGGTATCGTGG AAGGACT-3’ and reverse 5’-GTAGAGGCAGGGATGAT GTTCT-3’. The primers were synthesized by SBS Genetech Co., Ltd (Beijing, China). The mRNA expression of genes was normalized to GAPDH.

Western blot assay

Western blotting was performed as described in a previous study[12]. Anti-PTEN, anti-α-smooth muscle actin, anti-collagen I, anti-collagen III, anti-matrix metalloproteinase (anti-MMP)-13, anti-MMP-2, anti-tissue inhibitor of metalloproteinase (anti-TIMP)-1 and anti-TIMP-2 antibodies (1:200), and anti-GAPDH antibody (1:500) were used as primary antibodies.

Animal model

The CCl4-induced rat hepatic fibrosis model was established as described in a previous study[13]. Rats were randomly divided into pretreatment and treatment groups. Pretreatment with recombinant adenovirus (2 × 109 pfu/100 μL/rat) through tail vein injection was conducted on rats once a week by administering CCl4 for 7 wk. Treatment with adenovirus (2 × 109 pfu/100 μL/rat) through tail vein injection was performed on rats once a week starting in the fourth week postadministration of CCl4 for 4 wk. Recombinant adenoviruses used were Ad-GFP, Ad-PTEN, Ad-G129E, and PTEN shRNA.

Pathology and immunohistochemical and immunofluorescent staining on liver tissue

Hematoxylin and eosin (H&E) staining and Masson’s trichrome (MT) staining were performed to assess the histological changes and fibrosis in liver tissues. Immunohistochemical staining was used to further check the deposition of collagens I and III in the fibrotic liver; the procedure was performed as described in a previous study[12]. Immunofluorescent staining was also performed on frozen liver sections as described in a previous study to check the changes in the expression of PTEN in liver tissue[13].

RESULTS

Establishment of adenoviral transfection to modulate the expression of PTEN

Adenoviral transfection using Ad-GFP was performed initially to establish the feasibility to modulate the expression of PTEN in rat primary HSCs and human LX-2 cells. This study showed that an adenovirus multiplicity of infection of 50 for 72 h gave the best transfection in rat primary HSCs (94.46% efficiency; Figure 1A) and human LX-2 cells (89.89% efficiency). At 72 h posttransfection, the mRNA and protein expression of PTEN in both rat primary HSCs and human LX-2 cells significantly increased in the Ad-PTEN group (mRNA: 1.698, 1.547 and protein: 1.91 ± 0.09, 2.13 ± 0.01, respectively) and Ad-G129E group (mRNA: 1.624, 1.479 and protein: 1.74 ± 0.08, 1.98 ± 0.12, respectively) compared with the Ad-GFP group (mRNA: 0.994, 0.998 and protein: 1.15 ± 0.04, 1.21 ± 0.14, respectively)(P < 0.01), and significantly decreased in the PTEN shRNA group (mRNA: 0.357, 0.548 and protein: 0.56 ± 0.04, 0.58 ± 0.13, respectively) (Figure 1B and C).

Figure 1

Effective modulation of the expression of phosphatase and tension homologue deleted on chromosome ten in vitro and in vivo. A: Representative immunofluorescent image showing adenoviral transfection efficiency using Ad-GFP in rat primary HSCs; B: The mRNA expression of PTEN was quantitated for rat primary HSCs (left panel) and human LX-2 cells (right panel). Data are expressed as a relative value, and the error bars represent SE; C: Representative western blot showing the protein expression of PTEN (left panel), quantitated and expressed as relative optical density. The error bars represent SE. bP < 0.01 vs the control group; dP < 0.01 vs the Ad-GFP group; D: Representative western blot showing that the protein expression of PTEN in rat livers treated with Ad-PTEN was significantly enhanced in pre 1 wk, pre 3 wk, pre 5 wk, and pre 7 wk, compared with the Ad-GFP and control CCl4 groups. n = 3 for all experiments. GFP: Green fluorescent protein; HSCs: Hepatic stellate cells; PTEN: Phosphatase and tension homologue deleted on chromosome ten.

PTEN negatively regulated collagen metabolism

Collagen deposition in fibrotic liver tissues mainly comprised collagens I and III. The protein expression of collagens I and III in rat primary HSCs was found to be significantly decreased in the Ad-PTEN (0.32 ± 0.05 and 0.18 ± 0.02, respectively) and Ad-G129E groups compared with the CCl4 control and Ad-GFP groups (Figure 2A and B). In contrast, the expression of collagens I and III significantly increased in the PTEN shRNA group compared with the CCl4 control and Ad-GFP groups. A similar tendency was also found in experiments using human LX-2 cells (Figure 2A and C).

Figure 2

Phosphatase and tension homologue deleted on chromosome ten has a negative effect on collagen deposition in vitro. A: Representative western blots of factors involved in the metabolism of fibrosis at 72 h posttransfection are shown in (A) and quantitated for rat primary HSCs in (B) and for human HSC LX2 cells in (C). Data in (B) and (C) are represented as mean ± SE. n = 3 for all groups. bP < 0.01 vs the control group; cP < 0.05 vs Ad-PTEN group; dP < 0.01 vs the Ad-GFP group. HSC: Hepatic stellate cell; PTEN: Phosphatase and tension homologue deleted on chromosome ten.

MMP-13 and MMP-2 play a critical role in the metabolism of collagens I and III. In rat primary HSCs, a significantly higher expression of MMP-13 and MMP-2 was found in the Ad-PTEN and Ad-G129E groups compared with the PTEN shRNA and CCl4 control groups. As expected, the expression of MMP-13 and MMP-2 was significantly reduced in the PTEN shRNA group compared with the control and Ad-GFP groups (Figure 2A and B). Similar regulation of MMP-13 and MMP-2 was also found using human LX-2 cells (Figure 2A and C).

The degree of collagen deposition was due to the balance between collagenases and their inhibitors. The inhibitors of MMP-13 and MMP-2 were additionally measured by western blotting at 72 h posttransfection in both rat primary HSCs and human LX2 HSCs. The expression of TIMP-1 and TIMP-2 was significantly down-regulated by Ad-PTEN and Ad-G129E compared with the CCl4 control and Ad-GFP groups (Figure 2A and B). Transfection of PTEN shRNA up-regulated these inhibitors of collagenases compared with the control and Ad-GFP groups (Figure 2).

PTEN had a protective effect on CCl4-induced rat liver fibrosis

The increased expression of PTEN gene in the Ad-PTEN and Ad-G129E groups was significantly reduced, whereas the reduced PTEN gene expression in the PTEN shRNA group was increased, along with the serum levels of alanine transaminase and aspartate transaminase compared with the CCl4 control and Ad-GFP groups, indicating improved liver function (Tables 1 and 2).

Table 1

Impact of adenovirus-mediated phosphatase and tension homologue deleted on chromosome ten on liver function in rat liver fibrosis induced by CCl4 in prevention groups at different time points

Group	ALT (U/L)	AST (U/L)	ALB (g/L)	TBIL (μmol/L)	DBIL (μmol/L)
Pre 1 wk
Control	58.09 ± 6.54	147.23 ± 10.25	28.95 ± 2.14	2.15 ± 0.54	1.12 ± 0.32
CCl4	414.45 ± 29.37	339.12 ± 45.37	27.20 ± 2.35	2.12 ± 0.38	1.70 ± 0.21
Ad-GFP	426.24 ± 30.76	289.37 ± 20.76	27.92 ± 3.12	2.13 ± 0.31	1.56 ± 0.12
Ad-PTEN	404.23 ± 26.78	283.76 ± 23.45a	29.12 ± 4.25	1.98 ± 0.34	1.42 ± 0.31
Ad-G129E	409.98 ± 43.24	289.76 ± 35.43a	28.82 ± 3.23	2.00 ± 0.34	1.50 ± 0.21
PTEN shRNA	2970.11 ± 267.34b	1690.25 ± 200.34b	27.10 ± 3.23	4.03 ± 0.78b	2.67 ± 0.56b
Pre 3 wk
Control	60.71 ± 5.34	150.54 ± 12.34	27.65 ± 3.28	2.34 ± 0.23	1.28 ± 0.77
CCl4	532.21 ± 34.02	804.12 ± 67.34	25.31 ± 4.32	17.31 ± 1.21	7.78 ± 2.01
Ad-GFP	589.34 ± 26.45	787.45 ± 43.21	26.70 ± 3.15	15.04 ± 2.12	7.34 ± 1.29
Ad-PTEN	422.37 ± 34.23a	478.43 ± 50.34a	27.31 ± 2.43	5.78 ± 1.01a	3.24 ± 0.78a
Ad-G129E	506.45 ± 57.32	526.43 ± 32.98a	26.59 ± 1.37	10.54 ± 2.76a	6.21 ± 2.37
PTEN shRNA	3440.32 ± 342.32b	3090.39 ± 228.23b	24.41 ± 2.34b	28.37 ± 4.78b	14.56 ± 2.42b
Pre 5 wk
Control	59.22 ± 7.34	145.38 ± 11.32	28.37 ± 2.56	2.34 ± 0.78	1.43 ± 0.22
CCl4	672.34 ± 17.37	817.56 ± 46.32	26.70 ± 3.02	15.23 ± 2.78	7.65 ± 1.22
Ad-GFP	597.45 ± 33.21	753.24 ± 32.12	26.30 ± 1.76	16.30 ± 3.56	8.72 ± 2.11
Ad-PTEN	456.43 ± 32.12a	566.76 ± 53.21a	28.54 ± 2.12a	9.31 ± 2.12a	4.50 ± 0.89a
Ad-G129E	492.37 ± 40.65a	705.43 ± 63.21a	27.21 ± 1.35	10.56 ± 1.23a	5.61 ± 1.23a
PTEN shRNA	2060.21 ± 325.34b	2490.34 ± 532.12b	24.23 ± 1.23b	17.31 ± 2.67b	9.45 ± 2.12b
Pre 7 wk
Control	60.21 ± 3.19	152.12 ± 15.34	28.34 ± 1.15	2.38 ± 0.59	1.48 ± 0.26
CCl4	605.23 ± 85.37	1110.32 ± 215.32	22.76 ± 3.21	15.26 ± 1.23	8.65 ± 0.32
Ad-GFP	623.45 ± 56.34	1134.23 ± 121.24	23.43 ± 1.21	14.87 ± 1.02	9.34 ± 0.98
Ad-PTEN	456.45 ± 32.12a	183.23 ± 34.23a	26.73 ± 2.23a	4.32 ± 0.97	2.62 ± 0.42
Ad-G129E	545.87 ± 43.21a	694.32 ± 25.34a	25.63 ± 1.23a	4.56 ± 0.32	2.54 ± 0.23
PTEN shRNA	1825.23 ± 28.23b	1878.45 ± 56.87b	21.90 ± 3.23b	17.23 ± 3.56b	9.08 ± 1.32b

Data are presented as mean ± SD for n = 3.

P < 0.01 vs CCl4, Ad-GFP;

P < 0.05 vs CCl4, Ad-GFP, Ad-PTEN. ALB: Albumin; ALT: Alanine transaminase; AST: Aspartate transaminase; DBIL: Direct bilirubin; PTEN: Phosphatase and tension homologue deleted on chromosome ten; TBIL: Total bilirubin.

Table 2

Impact of adenovirus-mediated phosphatase and tension homologue deleted on chromosome ten on liver function in rat liver fibrosis induced by CCl4 in treatment groups at different time points

Group	ALT (U/L)	AST (U/L)	ALB (g/L)	TBIL (μmol/L)	DBIL (μmol/L)
Tre 1 wk
Control	57.78 ± 8.23	146.78 ± 12.23	27.99 ± 1.18	2.49 ± 0.55	1.65 ± 0.36
CCl4	684.32 ± 78.34	840.32 ± 32.25	25.26 ± 3.25	15.45 ± 3.23	6.56 ± 1.12
Ad-GFP	645.65 ± 34.26	832.12 ± 40.32	24.54 ± 1.21	14.31 ± 1.21	7.21 ± 2.12
Ad-PTEN	384.98 ± 36.23b	398.43 ± 43.23b	27.60 ± 2.34b	11.21 ± 1.21b	5.32 ± 1.46b
Ad-G129E	495.34 ± 45.12b	546.32 ± 32.12b	26.12 ± 2.43	13.23 ± 2.12	7.86 ± 1.23b
PTEN shRNA	2030.31 ± 112.34a	1730.54 ± 87.34a	24.12 ± 2.34a	34.21 ± 5.34a	17.23 ± 2.12a
Tre 2 wk
Control	57.46 ± 3.58	142.34 ± 10.24	29.15 ± 3.21	2.68 ± 0.74	1.55 ± 0.46
CCl4	712.34 ± 34.54	843.23 ± 54.32	26.32 ± 1.34	14.32 ± 5.32	8.32 ± 2.12
Ad-GFP	697.45 ± 45.76	876.34 ± 33.32	25.79 ± 2.32	13.34 ± 2.13	7.86 ± 1.23
Ad-PTEN	338.12 ± 12.34b	407.34 ± 32.12b	27.56 ± 3.23b	6.56 ± 1.21b	3.72 ± 0.78b
Ad-G129E	364.32 ± 34.56b	408.67 ± 23.78b	27.21 ± 1.22b	10.32 ± 1.21b	5.34 ± 1.09b
PTEN shRNA	2040.21 ± 126.32a	1860.32 ± 210.32a	25.60 ± 3.12a	27.12 ± 4.21a	14.78 ± 2.12a
Tre 3 wk
Control	58.54 ± 6.58	148.45 ± 13.27	29.12 ± 3.15	2.12 ± 0.21	1.48 ± 0.24
CCl4	1892.32 ± 113.12	2018.32 ± 123.45	22.14 ± 1.23	8.18 ± 1.10	5.21 ± 0.65
Ad-GFP	1746.32 ± 98.23	1879.23 ± 119.34	23.10 ± 2.13	9.12 ± 1.23	5.72 ± 0.54
Ad-PTEN	524.35 ± 34.12b	690.35 ± 54.23b	27.30 ± 3.21b	6.45 ± 0.32b	4.12 ± 0.54b
Ad-G129E	576.23 ± 43.21b	820.43 ± 67.32b	25.20 ± 1.21b	8.12 ± 0.87b	4.89 ± 0.81b
PTEN shRNA	1937.56 ± 32.21a	2390.32 ± 112.23a	21.34 ± 2.34a	10.76 ± 1.23a	6.10 ± 0.54a
Tre 4 wk
Control	62.31 ± 8.12	155.37 ± 13.27	29.91 ± 3.12	2.49 ± 0.32	1.65 ± 0.21
CCl4	594.39 ± 32.18	1110.32 ± 89.34	23.45 ± 2.12	17.32 ± 2.32	9.28 ± 1.23
Ad-GFP	576.45 ± 23.43	886.43 ± 45.67	22.79 ± 1.21	13.45 ± 2.45	7.12 ± 1.34
Ad-PTEN	490.32 ± 32.23b	528.34 ± 32.12b	25.31 ± 3.21b	7.34 ± 1.21b	4.65 ± 0.98b
Ad-G129E	530.23 ± 22.56b	628.43 ± 45.34b	25.12 ± 1.23b	10.54 ± 2.32b	6.54 ± 1.21b
PTEN shRNA	1148.32 ± 54.32a	1270.34 ± 121.28a	20.37 ± 3.12a	26.32 ± 3.56a	14.56 ± 2.13a

Data are presented as mean ± SD for n = 3.

P < 0.05 vs CCl4, Ad-GFP, Ad-PTEN;

P < 0.01 vs CCl4, Ad-GFP. ALB: Albumin; ALT: Alanine transaminase; AST: Aspartate transaminase; DBIL: Direct bilirubin; PTEN: Phosphatase and tension homologue deleted on chromosome ten; TBIL: Total bilirubin.

H&E and MT staining confirmed that the increased expression of PTEN in the Ad-PTEN and Ad-G129E groups led to reduced hepatocyte necrosis and collagen deposition in liver tissue compared with that in the control groups (Figure 3). Immunofluorescent staining for PTEN was performed to see whether the improved pathology was associated with changes in the expression of the PTEN gene. It was found that the expression of the PTEN gene significantly increased with Ad-PTEN and Ad-G129E recombinant adenovirus in both the prevention and treatment groups (Figure 3).

Figure 3

Phosphatase and tension homologue deleted on chromosome ten has protective effects on CCl4-induced rat hepatic fibrosis in vivo. H&E stain (× 200) and MT stain (× 200) showed reduced hepatic cell necrosis and collagen deposition in liver tissue by over-expressed PTEN gene in Ad-PTEN and Ad-G129E groups. Immunofluorescent staining for PTEN (green) showed increased PTEN expression with Ad-PTEN and Ad-G129E recombinant adenovirus in both the prevention group or the treatment group. Immunohistochemical staining (bottom 2 rows) showed decreased collagen I and collagen III expression in hepatic tissues (× 400) with over-expression of PTEN induced by exogenous wild-type PTEN or G129E gene, whereas collagen I and collagen III expressions was reduced by PTEN shRNA. H&E: Hematoxylin and eosin; MT: Masson’s trichrome; PTEN: Phosphatase and tension homologue deleted on chromosome ten.

Moreover, the total protein was isolated from liver tissues in each group, and western blot analysis of the expression of PTEN was performed. Consistent with the findings from previous studies[13], the protein expression of PTEN was significantly decreased in rats treated with CCl4. The protein expression of PTEN was significantly increased in rats treated with Ad-PTEN in the pretreatment and treatment groups compared with the control group (Figure 1D).

Then, western blot analysis was performed to check the protein expression of collagens I and III in the rat liver tissue at each time point. Compared with the Ad-GFP group, the expression of collagens I and III significantly decreased with the enhanced expression of PTEN in the Ad-PTEN group at pre 3 wk, pre 7 wk, pre 1 wk, and pre 4 wk (Figure 4). In contrast, the reduced expression of PTEN with PTEN shRNA significantly increased the expression of collagens I and III (Figure 4).

Figure 4

Phosphatase and tension homologue deleted on chromosome ten reduced collagen deposition in CCl4-induced fibrotic hepatic tissues. Representative western blot of collagen I (A) and collagen III (B) expressions. Collagen I and collagen III expressions were quantitated in the bottom panels and represented as mean ± SE. bP < 0.01 vs the control group; dP < 0.01 vs the Ad-GFP group. PTEN: Phosphatase and tension homologue deleted on chromosome ten.

DISCUSSION

Hepatic fibrosis is the accumulation of ECM in response to chronic liver injury that ultimately leads to cirrhosis[1,2]. Cirrhosis is associated with increased morbidity and mortality and results in substantial economic and social costs. At present, no effective therapy is available to treat or reverse hepatic fibrosis.

Under chronic injury, HSCs are activated to produce more ECM, mainly comprised of collagens I and III in the liver tissue. Moreover, HSCs also regulate the balance of MMPs and TIMPs, which determines the degree of collagen deposition in the liver[1,17-19]. PTEN has been found to be involved in myocardial fibrosis, renal fibrosis, and lung fibrosis[8-10]. A previous study found that higher expression of PTEN reduced the number of activated HSCs to negatively regulate fibrogenesis in vivo[12,13]. This suggested that PTEN may also regulate the accumulation of ECM components in liver fibrosis because ECM is mainly produced from activated HSCs[1].

The expression of PTEN was modulated in this study using recombinant adenovirus that either increased or reduced the expression of PTEN. This study showed that reducing the expression of PTEN conferred worsened liver fibrosis through its modulation of collagens I and III, MMP-13 and MMP-2, and TIMP-1 and TIMP-2. These PTEN-dependent changes in collagen, collagenases, and collagenase inhibitors reduced collagen deposition that was associated with CCl4-induced liver fibrosis.

The human homologue of rat MMP-13 is MMP-1 and is expressed by HSCs, fibroblasts, Kupffer cells, and so forth[20]. MMP-13 remodels the surrounding tissue to clear room for deposition of newly synthesized ECM. The activity of MMP-13 can be inhibited by TIMP-1[21]. MMP-2 mainly serves to degrade the collagen in the basement membrane[22]. TIMP-2 is essential for MMP-2 activation, as it can bind to pro-MMP-2 and then combine with MT1-MMP to activate pro-MMP-2. However, over-expressed TIMP-2 can inhibit MMP-2 activity, causing excessive collagen deposition[20,23]. In this study, MMP-13 and MMP-2, the major collagenases involved in collagen degradation[24,25], increased with a high expression level of the PTEN gene, which also down-regulated the expression of TIMP-1 and TIMP-2. The lower expression of PTEN could invert the ratio of MMP-13/TIMP-1 and MMP-2/TIMP-2 and cause severe collagen deposition. These data suggested that PTEN might regulate hepatic collagen metabolism through regulation of MMP-13, MMP-2, TIMP-1, and TIMP-2.

Gene therapy using adenovirus vector has been shown to be effective in modulating the expression of a gene of interest[26-28]. In this study, treatment with recombinant adenovirus carrying a highly expressed PTEN gene in rats with CCl4-induced hepatic fibrosis improved the liver function and reduced the collagen deposition in liver tissue.

In conclusion, these data demonstrated that PTEN might affect collagen deposition in the liver through MMP-13, MMP-2, TIMP-1, and TIMP-2. Gene therapy using recombinant adenovirus encoding wild-type PTEN may represent a novel way for treating hepatic fibrosis.

COMMENTS

Background

Phosphatase and tension homologue deleted on chromosome ten (PTEN) plays an essential role in the activation of hepatic stellate cells (HSCs), which are the major source of collagens and matrix metalloproteinases in the fibrotic liver. Liver fibrosis results from the excessive deposition of extracellular matrix (ECM) components, mainly comprising collagens I and III, which are produced by HSCs.

Research frontiers

Previous studies have shown that PTEN had a negative relation with the activation and proliferation of HSCs, which is the central event in liver fibrogenesis. The collagen synthesis could be inhibited by over-expression of the PTEN gene. Adenoviruses containing cDNA constructs encoding wild-type PTEN (Ad-PTEN) and PTEN mutant G129E gene (Ad-G129E) were used in both rat primary HSCs and human LX-2 cells, as well as in the CCl4-induced rat liver fibrosis model.

Innovations and breakthroughs

Recent reports highlighted the importance of collagen metabolism in HSCs. This novel study reported that the adenovirus-mediated over-expression of the PTEN gene could attenuate ECM synthesis and promote ECM degradation, which represents a potential tool for novel anti-fibrosis therapies.

Applications

The results of this study indicated that the over-expressed PTEN gene might represent a novel tool for the treatment and reversal of hepatic fibrosis.

Peer-review

It’s an interesting topic about effects of the PTEN gene on collagen metabolism in hepatic fibrosis and the underlying mechanisms.