Antagonizing Activin A/p15<sup>INK4b</sup> Signaling as Therapeutic Strategy for Liver Disease

Background/Aim: Activin A is involved in the pathogenesis of human liver diseases, but its therapeutic targeting is not fully explored. Here, we tested the effect of novel, highly specific small-molecule-based activin A antagonists (NUCC-474/555) in improving liver regeneration following partial hep...

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Main Authors: Sowmya Mekala, Ravi Rai, Samantha Loretta Reed, Bill Bowen, George K. Michalopoulos, Joseph Locker, Reben Raeman, Michael Oertel
Format: Article
Language:English
Published: MDPI AG 2024-04-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/13/7/649
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author Sowmya Mekala
Ravi Rai
Samantha Loretta Reed
Bill Bowen
George K. Michalopoulos
Joseph Locker
Reben Raeman
Michael Oertel
author_facet Sowmya Mekala
Ravi Rai
Samantha Loretta Reed
Bill Bowen
George K. Michalopoulos
Joseph Locker
Reben Raeman
Michael Oertel
author_sort Sowmya Mekala
collection DOAJ
description Background/Aim: Activin A is involved in the pathogenesis of human liver diseases, but its therapeutic targeting is not fully explored. Here, we tested the effect of novel, highly specific small-molecule-based activin A antagonists (NUCC-474/555) in improving liver regeneration following partial hepatectomy and halting fibrosis progression in models of chronic liver diseases (CLDs). Methods: Cell toxicity of antagonists was determined in rat hepatocytes and Huh-7 cells using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-2H-tetrazolium bromide assay. Hepatocytes and hepatic stellate cells (HSCs) were treated with activin A and NUCC-555 and analyzed by reverse transcription–polymerase chain reaction and immunohistochemistry. Partial hepatectomized Fisher (F)344 rats were treated with NUCC-555, and bromodeoxyuridine (BrdU) incorporation was determined at 18/24/36/120/240 h. NUCC-555 was administered into thioacetamide- or carbon tetrachloride-treated F344 rats or C57BL/6 mice, and the fibrosis progression was studied. Results: NUCC-474 showed higher cytotoxicity in cultured hepatic cells; therefore, NUCC-555 was used in subsequent studies. Activin A-stimulated overexpression of cell cycle-/senescence-related genes (e.g., <i>p15<sup>INK4b</sup></i>, <i>DEC1</i>, <i>Glb1</i>) was near-completely reversed by NUCC-555 in hepatocytes. Activin A-mediated HSC activation was blocked by NUCC-555. In partial hepatectomized rats, antagonizing activin A signaling resulted in a 1.9-fold and 2.3-fold increase in BrdU<sup>+</sup> cells at 18 and 24 h, respectively. Administration of NUCC-555 in rats and mice with progressing fibrosis significantly reduced collagen accumulation (7.9-fold), HSC activation indicated by reduced alpha smooth muscle actin<sup>+</sup> and vimentin<sup>+</sup> cells, and serum aminotransferase activity. Conclusions: Our studies demonstrate that activin A antagonist NUCC-555 promotes liver regeneration and halts fibrosis progression in CLD models, suggesting that blocking activin A signaling may represent a new approach to treating people with CLD.
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spelling doaj.art-645a524c9cd2403da680adf786157b772024-04-12T13:16:38ZengMDPI AGCells2073-44092024-04-0113764910.3390/cells13070649Antagonizing Activin A/p15<sup>INK4b</sup> Signaling as Therapeutic Strategy for Liver DiseaseSowmya Mekala0Ravi Rai1Samantha Loretta Reed2Bill Bowen3George K. Michalopoulos4Joseph Locker5Reben Raeman6Michael Oertel7Department of Pathology, Division of Experimental Pathology, University of Pittsburgh, 200 Lothrop Street—BST S-404, Pittsburgh, PA 15261, USADepartment of Pathology, Division of Experimental Pathology, University of Pittsburgh, 200 Lothrop Street—BST S-404, Pittsburgh, PA 15261, USADepartment of Pathology, Division of Experimental Pathology, University of Pittsburgh, 200 Lothrop Street—BST S-404, Pittsburgh, PA 15261, USADepartment of Pathology, Division of Experimental Pathology, University of Pittsburgh, 200 Lothrop Street—BST S-404, Pittsburgh, PA 15261, USADepartment of Pathology, Division of Experimental Pathology, University of Pittsburgh, 200 Lothrop Street—BST S-404, Pittsburgh, PA 15261, USADepartment of Pathology, Division of Experimental Pathology, University of Pittsburgh, 200 Lothrop Street—BST S-404, Pittsburgh, PA 15261, USADepartment of Pathology, Division of Experimental Pathology, University of Pittsburgh, 200 Lothrop Street—BST S-404, Pittsburgh, PA 15261, USADepartment of Pathology, Division of Experimental Pathology, University of Pittsburgh, 200 Lothrop Street—BST S-404, Pittsburgh, PA 15261, USABackground/Aim: Activin A is involved in the pathogenesis of human liver diseases, but its therapeutic targeting is not fully explored. Here, we tested the effect of novel, highly specific small-molecule-based activin A antagonists (NUCC-474/555) in improving liver regeneration following partial hepatectomy and halting fibrosis progression in models of chronic liver diseases (CLDs). Methods: Cell toxicity of antagonists was determined in rat hepatocytes and Huh-7 cells using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-2H-tetrazolium bromide assay. Hepatocytes and hepatic stellate cells (HSCs) were treated with activin A and NUCC-555 and analyzed by reverse transcription–polymerase chain reaction and immunohistochemistry. Partial hepatectomized Fisher (F)344 rats were treated with NUCC-555, and bromodeoxyuridine (BrdU) incorporation was determined at 18/24/36/120/240 h. NUCC-555 was administered into thioacetamide- or carbon tetrachloride-treated F344 rats or C57BL/6 mice, and the fibrosis progression was studied. Results: NUCC-474 showed higher cytotoxicity in cultured hepatic cells; therefore, NUCC-555 was used in subsequent studies. Activin A-stimulated overexpression of cell cycle-/senescence-related genes (e.g., <i>p15<sup>INK4b</sup></i>, <i>DEC1</i>, <i>Glb1</i>) was near-completely reversed by NUCC-555 in hepatocytes. Activin A-mediated HSC activation was blocked by NUCC-555. In partial hepatectomized rats, antagonizing activin A signaling resulted in a 1.9-fold and 2.3-fold increase in BrdU<sup>+</sup> cells at 18 and 24 h, respectively. Administration of NUCC-555 in rats and mice with progressing fibrosis significantly reduced collagen accumulation (7.9-fold), HSC activation indicated by reduced alpha smooth muscle actin<sup>+</sup> and vimentin<sup>+</sup> cells, and serum aminotransferase activity. Conclusions: Our studies demonstrate that activin A antagonist NUCC-555 promotes liver regeneration and halts fibrosis progression in CLD models, suggesting that blocking activin A signaling may represent a new approach to treating people with CLD.https://www.mdpi.com/2073-4409/13/7/649liver regenerationcell cycle arrestsenescenceactivin antagonistliver fibrosis
spellingShingle Sowmya Mekala
Ravi Rai
Samantha Loretta Reed
Bill Bowen
George K. Michalopoulos
Joseph Locker
Reben Raeman
Michael Oertel
Antagonizing Activin A/p15<sup>INK4b</sup> Signaling as Therapeutic Strategy for Liver Disease
Cells
liver regeneration
cell cycle arrest
senescence
activin antagonist
liver fibrosis
title Antagonizing Activin A/p15<sup>INK4b</sup> Signaling as Therapeutic Strategy for Liver Disease
title_full Antagonizing Activin A/p15<sup>INK4b</sup> Signaling as Therapeutic Strategy for Liver Disease
title_fullStr Antagonizing Activin A/p15<sup>INK4b</sup> Signaling as Therapeutic Strategy for Liver Disease
title_full_unstemmed Antagonizing Activin A/p15<sup>INK4b</sup> Signaling as Therapeutic Strategy for Liver Disease
title_short Antagonizing Activin A/p15<sup>INK4b</sup> Signaling as Therapeutic Strategy for Liver Disease
title_sort antagonizing activin a p15 sup ink4b sup signaling as therapeutic strategy for liver disease
topic liver regeneration
cell cycle arrest
senescence
activin antagonist
liver fibrosis
url https://www.mdpi.com/2073-4409/13/7/649
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