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TNF-α/IL-1β-licensed hADSCs alleviate cholestatic liver injury and fibrosis in mice via COX-2/PGE2 pathway
Open accessAbstract
Background: Adipose tissue-derived stem cell (ADSC) transplantation has been shown to be effective for the management of severe liver disorders. Preactivation of ADSCs enhanced their therapeutic efficacy. However, these effects have not yet been examined in relation to cholestatic liver injury. Methods: In the present study, a cholestatic liver injury model was established by bile duct ligation (BDL) in male C57BL/6 mice. Human ADSCs (hADSCs) with or without tumor necrosis factor-alpha (TNF-α) and interleukin-1beta (IL-1β) pretreatment were administrated into the mice via tail vein injections. The efficacy of hADSCs on BDL-induced liver injury was assessed by histological staining, real-time quantitative PCR (RT-qPCR), Western blot, and enzyme-linked immune sorbent assay (ELISA). In vitro, the effects of hADSC conditioned medium on the activation of hepatic stellate cells (HSCs) were investigated. Small interfering RNA (siRNA) was used to knock down cyclooxygenase-2 (COX-2) in hADSCs. Results: TNF-α/IL-1β preconditioning could downregulate immunogenic gene expression and enhance the engraftment efficiency of hADSCs. Compared to control hADSCs (C-hADSCs), TNF-α/IL-1β-pretreated hADSCs (P-hADSCs) significantly alleviated BDL-induced liver injury, as demonstrated by reduced hepatic cell death, attenuated infiltration of Ly6G + neutrophils, and decreased expression of pro-inflammatory cytokines TNF-α, IL-1β, C-X-C motif chemokine ligand 1 (CXCL1), and C-X-C motif chemokine ligand 2 (CXCL2). Moreover, P-hADSCs significantly delayed the development of BDL-induced liver fibrosis. In vitro, conditioned medium from P-hADSCs significantly inhibited HSC activation compared to that from C-hADSCs. Mechanistically, TNF-α/IL-1β upregulated COX-2 expression and increased prostaglandin E2 (PGE2) secretion. The blockage of COX-2 by siRNA transfection reversed the benefits of P-hADSCs for PGE2 production, HSC activation, and liver fibrosis progression. Conclusion: In conclusion, our results suggest that TNF-α/IL-1β pretreatment enhances the efficacy of hADSCs in mice with cholestatic liver injury, partially through the COX-2/PGE2 pathway.
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“It has been demonstrated that IFN-γ, TNF-α, IL-1β, or IFN-α2-primed MSCs or MSC-CM have increased anti-inflammatory and anti-fibrotic effects [349–351].”
From Mechanisms, efficacy, and future perspectives of cellular-based therapies for liver fibrosis/cirrhosis: focusing on mesenchymal stromal cells (2025) · cites this paper as [351]
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An, P., Wei, L.-L., Zhao, S., Sverdlov, D. Y., Vaid, K. A., Miyamoto, M., Kuramitsu, K., Lai, M., & Popov, Y. V. (2020) · Nature Communications · doi:10.1038/s41467-020-16092-0 · Cited by 319 · cited 1×
“The broken balance between extracellular matrix (ECM) degradation and deposition promoted the initiation of liver fibrosis [55, 56].”
BackgroundPathogenesis of cholestatic liver disease and therapeutic approaches
Hirschfield, G. M., Heathcote, E. J., & Gershwin, M. E. (2010) · Gastroenterology · doi:10.1053/j.gastro.2010.09.004 · Cited by 287
Ghallab, A., Hofmann, U., Sezgin, S., Vartak, N., Hassan, R., Zaza, A., Godoy, P., Schneider, K. M., Guenther, G., Ahmed, Y. A., et al. (2019) · Hepatology · doi:10.1002/hep.30213 · Cited by 101
Xu, J., Chen, P., Yu, C., Shi, Q., Wei, S., Li, Y., Qi, H., Cao, Q., Guo, C., Wu, X., et al. (2022) · The FASEB Journal · doi:10.1096/fj.202101868rrr · Cited by 58
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Cited by
Sorted by citations
Pan, X., Gao, T., & Wang, B. (2025) · Cell & Bioscience · doi:10.1186/s13578-025-01520-9 · Cited by 2
“It has been demonstrated that IFN-γ, TNF-α, IL-1β, or IFN-α2-primed MSCs or MSC-CM have increased anti-inflammatory and anti-fibrotic effects [349–351].”
Metadata
- Authors
- Luan, X., Chen, P., Li, Y., Yuan, X., Miao, L., Zhang, P., Cao, Q., Song, X., & Di, G.
- Affiliations
- Qingdao University (CN)
- Haier Group (China) (CN)
- Corresponding author
- Di, Guohu
- Venue
- Stem Cell Research & Therapy
- Published
- 2023-04-24
- Volume
- 14
- Issue
- 1
- Pages
- 100-100
- ISSN
- 1757-6512 (ISSN-L)
- PMC
- PMC10127380
- OpenAlex
- W4366823121
- Cited by
- 25
- References
- 4
- Citations by year
- 2026: 8 · 2025: 6 · 2024: 9 · 2023: 2
- FWCI
- 4.33
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Stem Cell Research & Therapy (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Key R&D Program of China Grants (2018YFA0109800)
- Postdoctoral Research Foundation of China (No.2019M652328)
- Shandong Provincial Natural Science Foundation grant (ZR2022MH183)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Mesenchymal stem cell research
- Health Sciences › Medicine › Hepatology › Liver physiology and pathology
- Health Sciences › Medicine › Surgery › Organ Transplantation Techniques and Outcomes
- Keywords
- adipose-derived stem cells, cholestatic liver injury, liver fibrosis, cyclooxygenase-2, prostaglandin E2, hepatic stellate cell activation, bile duct ligation, stem cell transplantation, neutrophil infiltration, immunogenicity, engraftment
- MeSH terms
- Animals, Cholestasis, Fibrosis, Humans, Ligands, Liver, Liver Cirrhosis, Male, Mice, Inbred C57BL, Tumor Necrosis Factor-alpha, Dinoprostone, Culture Media, Conditioned, Chemokines, Mice, Cyclooxygenase 2, Chemical and Drug Induced Liver Injury, Chronic
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