Liver regeneration requires Yap1-TGFβ-dependent epithelial-mesenchymal transition in hepatocytes
Open accessAbstract
Background & Aims Chronic failure of mechanisms that promote effective regeneration of dead hepatocytes causes replacement of functional hepatic parenchyma with fibrous scar tissue, ultimately resulting in cirrhosis. Therefore, defining and optimizing mechanisms that orchestrate effective regeneration might prevent cirrhosis. We hypothesized that effective regeneration of injured livers requires hepatocytes to evade the growth-inhibitory actions of TGFβ, since TGFβ signaling inhibits mature hepatocyte growth but drives cirrhosis pathogenesis. Methods Wild-type mice underwent 70% partial hepatectomy (PH); TGFβ expression and signaling were evaluated in intact tissue and primary hepatocytes before, during, and after the period of maximal hepatocyte proliferation that occurs from 24–72 h after PH. To determine the role of Yap1 in regulating TGFβ signaling in hepatocytes, studies were repeated after selectively deleting Yap1 from hepatocytes of Yap1 flox/flox mice. Results TGFβ expression and hepatocyte nuclear accumulation of pSmad2 and Yap1 increased in parallel with hepatocyte proliferative activity after PH. Proliferative hepatocytes also upregulated Snai1 , a pSmad2 target gene that promotes epithelial-to-mesenchymal transition (EMT), suppressed epithelial genes, induced myofibroblast markers, and produced collagen 1α1. Deleting Yap1 from hepatocytes blocked their nuclear accumulation of pSmad2 and EMT-like response, as well as their proliferation. Conclusion Interactions between the TGFβ and Hippo-Yap signaling pathways stimulate hepatocytes to undergo an EMT-like response that is necessary for them to grow in a TGFβ-enriched microenvironment and regenerate injured livers. Lay summary The adult liver has an extraordinary ability to regenerate after injury despite the accumulation of scar-forming factors that normally block the proliferation and reduce the survival of residual liver cells. We discovered that liver cells manage to escape these growth-inhibitory influences by transiently becoming more like fibroblasts themselves. They do this by reactivating programs that are known to drive tissue growth during fetal development and in many cancers. Understanding how the liver can control programs that are involved in scarring and cancer may help in the development of new treatments for cirrhosis and liver cancer.
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Mice with liver-specific deletion of Yap or Yap and Taz suffer significantly blunted liver weight restoration after PHx.
“Mice with liver-specific deletion of Yap or Yap and Taz suffer significantly blunted liver weight restoration after PHx (55, 56).”
From Senescent hepatic stellate cells promote liver regeneration through IL-6 and ligands of CXCR2 (2022) · cites this paper as [55]
The Results section reports that hepatocyte-specific Yap1 deletion reduced hepatocyte proliferation by about 50% at 48 hours after partial hepatectomy. It does not report significantly blunted liver-weight restoration, and the Animal Experiments section describes no combined Yap1/Taz deletion. Page numbers are unavailable in our copy. (LLM, conf=0.86)
Experimental — accuracy not yet measuredLiver-specific deletion of Yap or Yap and Taz significantly blunts liver weight restoration after PHx, similar to IL-6-knockout mice.
“Mice with liver-specific deletion of Yap or Yap and Taz suffer significantly blunted liver weight restoration after PHx (55, 56), similar to IL-6–knockout mice (39).”
From Senescent hepatic stellate cells promote liver regeneration through IL-6 and ligands of CXCR2 (2022) · cites this paper as [55]
The Results section reports that hepatocyte-specific Yap1 deletion reduced hepatocyte proliferation by about 50% at 48 hours after partial hepatectomy. It does not report liver-weight restoration or test combined Yap1/Taz deletion. The IL-6-knockout comparison has a separate citation in the citing sentence and is not attributed to this paper. (LLM, conf=0.87)
Experimental — accuracy not yet measuredHepatocytes underwent an EMT-like response to enable them to grow in a TGFβ-enriched microenvironment.
“Hepatocytes also underwent an EMT (epithelial-mesenchymal transition)-like response to enable them to grow in a TGFβ-enriched microenvironment.108”
From Distinct hepatocyte identities in liver homeostasis and regeneration (2023) · cites this paper as [108]
A recent update to the theory is that hepatocytes transiently undergo reprogramming (EMT, or fetal gene expression) as they proliferate.
“A recent update to this theory is that hepatocytes transiently undergo reprogramming (EMT, or fetal gene expression) as they proliferate.104,108”
From Distinct hepatocyte identities in liver homeostasis and regeneration (2023) · cites this paper as [108]
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Research works printed but not linked: 39
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- Authors
- Oh, S.-H., Swiderska-Syn, M., Jewell, M. L., Premont, R. T., & Diehl, A. M.
- Affiliations
- Duke University (US)
- Corresponding author
- Diehl, Anna Mae
- Venue
- Journal of Hepatology
- Publisher
- Elsevier BV
- Published
- 2018-08
- Volume
- 69
- Issue
- 2
- Pages
- 359-367
- ISSN
- 0168-8278 (ISSN-L)
- PMC
- PMC6349217
- OpenAlex
- W2803790195
- Cited by
- 148
- References
- 42
- Citations by year
- 2026: 7 · 2025: 21 · 2024: 19 · 2023: 24 · 2022: 23 · 2021: 16 · 2020: 20 · 2019: 15 · 2018: 3
- FWCI
- 8.46
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Journal of Hepatology (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- NIH (R56 DK106633, R01 DK077794, R37 AA010154)
- Topics
- Health Sciences › Medicine › Hepatology › Liver physiology and pathology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Hippo pathway signaling and YAP/TAZ
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › TGF-β signaling in diseases
- Keywords
- liver regeneration, YAP, TGF-beta signaling, epithelial-mesenchymal transition, hepatocytes, partial hepatectomy, liver cirrhosis, Hippo signaling pathway, SNAI1, Smad2, hepatocyte proliferation, myofibroblasts
- MeSH terms
- YAP-Signaling Proteins, Animals, Liver Regeneration, Phosphoproteins, Signal Transduction, Transforming Growth Factor beta, Mice, Knockout, Cell Cycle Proteins, Hepatocytes, Adaptor Proteins, Signal Transducing, Cell Proliferation, Mice, Epithelial-Mesenchymal Transition
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