Inhibition of hepatic stellate cells proliferation by mesenchymal stem cells and the possible mechanisms
Abstract
AIM: During fibrosis, hepatic stellate cells (HSCs) undergo a complex activation process characterized by increased proliferation and extracellular matrix deposition. Previous studies have suggested that mesenchymal stem cells (MSCs) may ameliorate fibrogenesis and represent a promising strategy for cell therapy. However, the underlying mechanisms are not fully understood. METHODS: Hepatic stellate cells were treated with or without MSCs. Then cell proliferation and cell cycle were analyzed. Production of soluble factors by MSCs and its relation with cell proliferation suppression was evaluated by transwell co-culture and RNA interference. Effects of MSCs on the gene expression of collagen were also evaluated. RESULTS: MSCs induced G(0)/G(1) arrest of HSCs growth partly through secreting soluble factors TGF-beta3 and HGF, which resulted in up-regulation of p21(Cip1) and p27(Kip1) expression and down-regulation of cyclinD1. MSCs inhibited the phosphorylation of extracellular signal-regulated kinase (ERK) 1/2 and reduced gene expression of collagen type I and III. MSCs did not reverse the proliferation and collagen type I gene expression of HSCs provoked by PDGF. CONCLUSIONS: The growth inhibition of HSCs induced by MSCs through an arrest in the G(0)/G(1) phase of the cell cycle is partially mediated by secretion of TGF-beta3 and HGF. MSCs inhibit HSCs activation through decreasing phosphorylation of extracellular signal-regulated kinase (ERK) 1/2. These results further support MSCs may be used as a novel therapy for treating fibrotic diseases in human.
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AT-MSC-derived TGF-β3 and HGF induce G0/G1 cell cycle arrest in HSCs by upregulating CDK inhibitors p27Kip1 and p21Cip1 and decreasing ERK1/2 phosphorylation, which is associated with the MEK/ERK pathway.
“AT-MSC-derived TGF-β3 and HGF have been reported to induce G0/G1 cell cycle arrest in HSCs by upregulating cyclin-dependent kinase (CDK) inhibitors, such as p27Kip1 and p21Cip1, and decreasing extracellular signal-regulated kinase (ERK) 1/2 phosphorylation, which is associated with the MEK/ERK pathway [183].”
From Mechanisms, efficacy, and future perspectives of cellular-based therapies for liver fibrosis/cirrhosis: focusing on mesenchymal stromal cells (2025) · cites this paper as [183]
Cites
Liver fibrosis – from bench to bedside
Friedman, S. L. (2003) · Journal of Hepatology · doi:10.1016/s0168-8278(02)00429-4 · Cited by 1,780 · see citing works
Human mesenchymal stem cells exert potent antitumorigenic effects in a model of Kaposi's sarcoma
Khakoo, A. Y., Pati, S., Anderson, S. A., Reid, W., Elshal, M. F., Rovira, I. I., Nguyen, A. T., Malide, D., Combs, C. A., Hall, G., et al. (2006) · The Journal of Experimental Medicine · doi:10.1084/jem.20051921 · Cited by 747 · see citing works
Horowitz, J. C., Lee, D. Y., Waghray, M., Keshamouni, V. G., Thomas, P. E., Zhang, H., Cui, Z., & Thannickal, V. J. (2004) · Journal of Biological Chemistry · doi:10.1074/jbc.m306248200 · Cited by 239 · see citing works
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Mesenchymal stem cell secretome for regenerative medicine: Where do we stand?
Trigo, C. M., Rodrigues, J. S., Camões, S. P., Solá, S., & Miranda, J. P. (2025) · Journal of Advanced Research · doi:10.1016/j.jare.2024.05.004 · Cited by 205 · see citing works
“In particular, TGF-b 3 and HGF secreted by AT-MSCs induced G 0 /G 1 arrest of HSC growth through the upregulation of p27 Kip1 and p21 Cip1 expression and downregulation of cyclin D1 [192].”
Mesenchymal stromal cells in hepatic fibrosis/cirrhosis: from pathogenesis to treatment
Yang, X., Li, Q., Liu, W., Zong, C., Wei, L., Shi, Y., & Han, Z. (2023) · Cellular & Molecular Immunology · doi:10.1038/s41423-023-00983-5 · Cited by 120 · see citing works
Pan, X., Gao, T., & Wang, B. (2025) · Cell & Bioscience · doi:10.1186/s13578-025-01520-9 · Cited by 2 · see citing works
“As for the indirect interplay, MSC-derived trophic factors, including Milk fat globule-EGF factor 8 (MFGE8), TGF-β3, HGF, IL-10, and TNF-α, suppress the proliferation and activation of HSCs, while HGF and NGF induce the apoptosis of aHSCs [181–183].”
- Authors
- Wang, J., Bian, C., Liao, L., Zhu, Y., Li, J., Zeng, L., & Zhao, R. C.
- Affiliations
- Chinese Academy of Medical Sciences & Peking Union Medical College (CN)
- Corresponding author
- Li, Jing
- Zhao, Robert Chunhua
- Venue
- Hepatology Research
- Publisher
- Wiley
- Published
- 2009-11-30
- Volume
- 39
- Issue
- 12
- Pages
- 1219-1228
- ISSN
- 1386-6346 (ISSN-L)
- 1872-034X
- OpenAlex
- W2124850986
- Cited by
- 54
- References
- 3
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 8 · 2022: 3 · 2021: 5 · 2020: 4 · 2019: 4 · 2018: 3 · 2017: 5 · 2016: 1 · 2015: 5 · 2014: 4 · 2013: 1 · 2012: 3
- FWCI
- 1.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Hepatology Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Hepatology › Liver physiology and pathology
- Health Sciences › Medicine › Genetics › Mesenchymal stem cell research
- Health Sciences › Medicine › Epidemiology › Liver Disease Diagnosis and Treatment
- Keywords
- hepatic stellate cells, mesenchymal stem cells, liver fibrosis, cell proliferation inhibition, G0/G1 cell cycle arrest, TGF-beta3, hepatocyte growth factor, p21, p27, cyclin D1, ERK1/2 phosphorylation, collagen expression, platelet-derived growth factor, cell therapy
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