Pharmacological treatments for non-
alcoholic steatohepatitis (NASH) are still unsatisfactory.
Fibrosis is the most significant predictor of mortality and many
anti-fibrotic agents are under evaluation. Herein, we assessed in vitro the effects of the FXR agonist
obeticholic acid (OCA) and the dual FXR/TGR5 agonist
INT-767 in a well-established co-culture NASH model. Co-cultures of human
hepatoma and hepatic stellate (HSCs) cells were exposed to
free fatty acids (FFAs) alone or in combination with OCA or
INT-767.
mRNA expression of HSCs activation markers and FXR engagement were evaluated at 24, 96 and 144 hours.
Collagen deposition and
metalloproteinase 2 and 9 (MMP2-9) activity were compared to
tropifexor and
selonsertib. FFAs induced
collagen deposition and MMP2-9 activity reduction. Co-treatment with OCA or
INT-767 did not affect ACTA2 and COL1A1 expression, but significantly reduced FXR and induced SHP expression, as expected. OCA induced a dose-dependent reduction of
collagen and induced MMP2-9 activity. Similarly,
INT-767 induced
collagen reduction at 96 h and a slight increase in MMP2-9.
Tropifexor and
Selonsertib were also effective in
collagen reduction but showed no modulation of MMP2-9. All tested compounds reduced
collagen deposition. OCA exerted a more potent and long-lasting effect, mainly related to modulation of
collagen turn-over and MMP2-9 activity.