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A role for intestinal alkaline phosphatase in preventing liver fibrosis.
Liu, Yang; Cavallaro, Paul M; Kim, Byeong-Moo; Liu, Tao; Wang, Hongyan; Kühn, Florian; Adiliaghdam, Fatemeh; Liu, Enyu; Vasan, Robin; Samarbafzadeh, Ehsan; Farber, Matthew Z; Li, Junhui; Xu, Meng; Mohad, Vidisha; Choi, Michael; Hodin, Richard A.
Afiliación
  • Liu Y; Department of General Surgery, Xi'an Jiaotong University Second Affiliated Hospital, Xi'an, China.
  • Cavallaro PM; Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, US.
  • Kim BM; Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, US.
  • Liu T; Division of Gastroenterology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, US.
  • Wang H; Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, US.
  • Kühn F; Department of Gastroenterological Surgery, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
  • Adiliaghdam F; Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, US.
  • Liu E; Department of Gastroenterological Surgery, People's Hospital of Liaoning Province, Shenyang, China.
  • Vasan R; Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, US.
  • Samarbafzadeh E; Department of General, Visceral, and Transplant Surgery, Ludwig-Maximilians-University Munich, Munich, Germany.
  • Farber MZ; Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, US.
  • Li J; Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, US.
  • Xu M; Department of Hepatobiliary Surgery, Qilu Hospital of Shandong University, Jian, China.
  • Mohad V; Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, US.
  • Choi M; Department of Surgery, University-Pittsburgh Medical Center, Pittsburgh, PA, US.
  • Hodin RA; Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, US.
Theranostics ; 11(1): 14-26, 2021.
Article en En | MEDLINE | ID: mdl-33391458
Rationale: Liver fibrosis is frequently associated with gut barrier dysfunction, and the lipopolysaccharides (LPS) -TLR4 pathway is common to the development of both. Intestinal alkaline phosphatase (IAP) has the ability to detoxify LPS, as well as maintain intestinal tight junction proteins and gut barrier integrity. Therefore, we hypothesized that IAP may function as a novel therapy to prevent liver fibrosis. Methods: Stool IAP activity from cirrhotic patients were determined. Common bile duct ligation (CBDL) and Carbon Tetrachloride-4 (CCl4)-induced liver fibrosis models were used in WT, IAP knockout (KO), and TLR4 KO mice supplemented with or without exogenous IAP in their drinking water. The gut barrier function and liver fibrosis markers were tested. Results: Human stool IAP activity was decreased in the setting of liver cirrhosis. In mice, IAP activity and genes expression decreased after CBDL and CCl4 exposure. Intestinal tight junction related genes and gut barrier function were impaired in both models of liver fibrosis. Oral IAP supplementation attenuated the decrease in small intestine tight junction protein gene expression and gut barrier function. Liver fibrosis markers were significantly higher in IAP KO compared to WT mice in both models, while oral IAP rescued liver fibrosis in both WT and IAP KO mice. In contrast, IAP supplementation did not attenuate fibrosis in TLR4 KO mice in either model. Conclusions: Endogenous IAP is decreased during liver fibrosis, perhaps contributing to the gut barrier dysfunction and worsening fibrosis. Oral IAP protects the gut barrier and further prevents the development of liver fibrosis via a TLR4-mediated mechanism.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fosfatasa Alcalina / Receptor Toll-Like 4 / Cirrosis Hepática Tipo de estudio: Etiology_studies Límite: Adult / Animals / Female / Humans / Male / Middle aged Idioma: En Revista: Theranostics Año: 2021 Tipo del documento: Article País de afiliación: China Pais de publicación: Australia
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fosfatasa Alcalina / Receptor Toll-Like 4 / Cirrosis Hepática Tipo de estudio: Etiology_studies Límite: Adult / Animals / Female / Humans / Male / Middle aged Idioma: En Revista: Theranostics Año: 2021 Tipo del documento: Article País de afiliación: China Pais de publicación: Australia