Inhibition of metalloprotease hyperactivity in cystic cholangiocytes halts the development of polycystic liver diseases.

Abstract

OBJECTIVE:

Polycystic liver diseases (PCLDs) are genetic disorders characterised by progressive bile duct dilatation and/or cyst development. Their pathogenesis is a consequence of hyperproliferation, hypersecretion and microRNA alterations in cholangiocytes. Here we evaluate the role of matrix metalloproteases (MMPs) in the hepatic cystogenesis of PCLDs.

DESIGN:

Metalloprotease activity was measured by microfluorimetric assays in normal and polycystic cholangiocyte cultures from humans and rats, and gene expression by real time quantitative PCR. The role of cytokines, oestrogens and growth factors present in the cystic fluid of PCLD patients was evaluated for MMP activity. The MMP inhibitor marimastat was examined for cystic expansion in vitro and in polycystic kidney (PCK) rats.

RESULTS:

Polycystic human and rat cholangiocytes displayed increased MMP activity, which was associated with increased mRNA levels of different MMPs. Interleukin (IL)-6 and IL-8, and 17β-oestradiol, all stimulated MMP activity in human cholangiocytes. The presence of antibodies against IL-6 and/or IL-8 receptor/s inhibited baseline MMP hyperactivity of polycystic human cholangiocytes but had no effect on normal human cholangiocytes. MMP-3 was overexpressed in cystic cholangiocytes from PCLD human and PCK rat livers by immunohistochemistry. Marimastat reduced MMP hyperactivity of polycystic human and rat cholangiocytes and blocked the cystic expansion of PCK cholangiocytes cultured in three-dimensions. Chronic treatment of 8-week-old PCK rats with marimastat inhibited hepatic cystogenesis and fibrosis.

CONCLUSIONS:

PCLDs are associated with cholangiocyte MMP hyperactivity resulting from autocrine/paracrine stimulation by IL-6 and IL-8. Inhibition of this MMP hyperactivity with marimastat decreased hepatic cystogenesis in vitro and in an animal model of PCLD, offering a potential therapeutic tool.

• Authors: Aura D Urribarri, Patricia Munoz-Garrido, María J Perugorria, Oihane Erice, Maite Merino-Azpitarte, Ander Arbelaiz, Elisa Lozano, Elizabeth Hijona, Raúl Jiménez-Agüero, Maite G Fernandez-Barrena, Juan P Jimeno, Marco Marzioni, Jose J G Marin, Tatyana V Masyuk, Nicholas F LaRusso, Jesús Prieto, Luis Bujanda, Jesús M Banales
• Journal: Gut (Gut) Vol. 63 Issue 10 Pg. 1658-67 (Oct 2014) ISSN: 1468-3288 [Electronic] England
• PMID: 24436140 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Chemical References

• Cytokines
• Enzyme Inhibitors
• Hydroxamic Acids
• marimastat
• Metalloendopeptidases

Topics

• Animals
• Bile Ducts (enzymology, pathology)
• Blotting, Western
• Cell Culture Techniques
• Cysts (enzymology, prevention & control)
• Cytokines (metabolism)
• Cytophotometry
• Enzyme Inhibitors (pharmacology)
• Enzyme-Linked Immunosorbent Assay
• Fluorescent Antibody Technique
• Humans
• Hydroxamic Acids (pharmacology)
• Immunohistochemistry
• Liver (pathology)
• Liver Diseases (enzymology, prevention & control)
• Male
• Metalloendopeptidases (antagonists & inhibitors)
• Rats
• Real-Time Polymerase Chain Reaction