Endocrinology Vol. 138, No. 11 4683-4689
Copyright © 1997 by The Endocrine Society
Insulin-Like Growth Factors Stimulate Expression of Hepatocyte Growth Factor But Not Transforming Growth Factor ß1 in Cultured Hepatic Stellate Cells1
S. Skrtic,
V. Wallenius,
S. Ekberg,
A. Brenzel,
A. M. Gressner and
J.-O. Jansson
Research Center for Endocrinology and Metabolism (S.S., V.W., S.E.,
J.-O.J.), Sahlgrenska University Hospital, Göteborg S-413 45,
Sweden; and Department of Clinical Chemistry (A.B., A.M.G.),
Philipps-University, Marburg D-35033, Germany
Address all correspondence and requests for reprints to: John-Olov Jansson, Research Center for Endocrinology and Metabolism, Endocrine Division, Gröna Stråket 8, Sahlgrenska University Hospital, S-413 45 Göteborg, Sweden.
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Abstract
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Hepatic stellate cells (HSC) are located adjacent to hepatocytes and
produce hepatocyte growth factor (HGF) in the normal liver, whereas
transformed HSC in fibrotic livers produce transforming growth factor
ß1 (TGFß1), an inhibitor of hepatocyte
proliferation. In addition to the endocrine actions of hepatic
insulin-like growth factor-I (IGF-I), it also stimulates the
proliferation of HSC. In this study we found that addition of IGF-1
(20500 ng/ml) for 48 h to 2- to 7-day-old primary cultures of
rat HSC resulted in a time- and dose-dependent increase by 50190% of
the concentrations of immunoreactive HGF in the medium. The levels of
HGF as well as DNA synthesis measured as thymidine incorporation were
also enhanced by IGF-II and des(13)IGF-I, which has reduced binding
to IGF binding proteins. There was no consistent effect of the IGFs on
the levels of immunoreactive TGFß1 or on the total DNA
content of the cultures. There was no effect of human GH on medium
levels of HGF or TGFß1, thymidine incorporation, or total
DNA content. IGF-I increased the abundance of HGF messenger RNA, as
measured by the RNase protection/solution hybridization technique,
whereas there was no effect on TGFß1 or glyceraldehyde
phosphate dehydrogenase messenger RNA. The results suggest that IGFs
stimulate the production of HGF but not TGFß1 by HSC
in vitro.
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Introduction
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IT is well recognized that liver-derived
insulin-like growth factor-I (IGF-I) contributes a large part of
circulating IGF-I (1), and that it exerts endocrine effects on
peripheral tissues in conjunction with locally produced IGF-I (2, 3, 4).
On the other hand, few studies have addressed the possibility of local
effects of IGFs in the liver. Although IGF-I was originally identified
by its ability to stimulate proliferation of various cell types
in vitro (4), hepatocytes in vitro do not
proliferate in response to IGF-I (5). Moreover, the hepatocytes of the
normal liver have few IGF-I receptors (1, 6), arguing against autocrine
effects of hepatocyte-produced IGF. Instead, several reports indicate
that IGF-I can stimulate DNA synthesis of hepatic stellate cells (HSC;
also called Ito cells, lipocytes, and fat-storing cells) in
vitro (7, 8, 9, 10). It has also been shown that HSC in vitro
have specific IGF-I binding sites, immunoreactive type 1 IGF receptor
ß-subunits, and express type 1 IGF receptor messenger RNA (mRNA)
(11).
The HSC are parasinusoidal cells adjacent to the hepatocytes
(12, 13, 14). If the liver is damaged, the HSC are believed to transform to
myofibroblast-like cells that produce collagen and extracellular
matrix. Therefore, these cells may be of pathophysiological importance
in the development of liver cirrhosis (13, 14). The transformed HSC or
myofibroblast-like cells produce transforming growth factor
ß1 (TGFß1), which contributes to the
production of extracellular matrix by an autocrine effect.
TGFß1 also exerts paracrine effects on hepatocytes,
including growth inhibition and induction of apoptosis (13, 14, 15, 16).
In the intact liver, HSC contain a large part of the retinoic
acid stores of the body (12). The untransformed HSC may also exert
local paracrine effects in the intact liver, because they produce
hepatocyte growth factor (HGF) (17, 18, 19). HGF can exert substantial
mitogenic, motogenic, and morphogenic effects, mainly on cells of
epithelial origin such as hepatocytes (20, 21) and biliary epithelial
cells (22, 23). The aim of the present study was to investigate whether
IGF-I can affect the production and secretion of HGF and
TGFß1 from HSC in vitro.
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Materials and Methods
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Isolation and culture of HSC
Isolation and culture of rat HSC have previously been described
in detail (24). Briefly, 1-yr-old male Sprague-Dawley rats (BW 500700
g, Lippische Versuchtierzucht, Extertal, Germany) were used. The animal
studies were conducted in accordance with rules for the care and use of
laboratory animals, and the protocol was approved by the local
committee on animal care. Nonparenchymal liver cells were obtained by
the pronase-collagenase method, and HSC were further purified by a
single-step density gradient centrifugation with Nycodenz (analytical
grade; Nyegaard Co. AS, Oslo, Norway) as described previously (24). The
HSC were identified by their typical light microscopic appearance,
transmission electron microscopy, immunofluorescent staining for desmin
and vimentin, vitamin A-specific autofluorescence, by staining of fat
droplets with oil red O and negatively, by their inability to
phagocytose latex beads, to stain for peroxidase and to express Fc
receptors (25). The cell viability, checked by trypan blue exclusion,
was higher than 95%, and the mean purity of freshly isolated HSC was
90 ± 5%.
The cells were seeded on day 0 at a density of 40 x
103 cells/cm2 in either 6-well
10-cm2 plates or 75-cm2 flasks (for
determination of HGF and TGFß1 mRNA). The cells were
maintained as monolayers on plastic with DMEM containing
L-glutamine (4 mmol/l), penicillin (100 IU/ml),
streptomycin (100 µg/ml), 10% FCS (all from Boehringer Mannheim
GmbH, Mannheim, Germany), and insulin (0.02 U/ml from bovine pancreas;
Sigma, St. Louis, MO) and in a humidified atmosphere of 5%
CO2-95% air at 37 C. On day 1, about 16 h after
seeding, the medium was changed to 10% FCS. The purity was then higher
than 97%. During the experiments, the cells were exposed to IGFs or GH
in medium with 0.2% FCS or control medium with 0.2% FCS only. The
cultures were maintained in these media for 48 h before harvesting
of the media and the cells. Before the experiments, the cells had
mostly been serum starved in medium with 0.2% FCS for 24 h. The
cells exposed to IGF-I on days 13 had been exposed to 0.2% FCS for
8 h before the experiment.
Determination of HSC proliferation
Cells were seeded on day 0 at a density of 40 x
103 cells/2 cm2/ml medium (same medium as
above) in 24-well plates. After 24 h on day 1, the medium was
changed from 10% to 0.2% FCS. On day 2 (24 h later) IGF-I and other
factors were added. Control cultures received 0.2% or 10% FCS. After
a further 24 h (on day 3), 1 µCi/ml [3H]thymidine
was added to all groups. On day 4, medium was collected, cells were
washed three times in PBS, trypsinized, and aliquoted into two tubes,
one for measurement of incorporated [3H]thymidine into
DNA as previously described (26) and one for DNA measurement with
bisbenzimidazole as previously described (27).
Probe synthesis
A 646-bp complementary DNA (cDNA) fragment (corresponding to nt
16982343) of rat HGF transcript (28, 29) in a transcription vector
pGEM-3Z (Promega, Madison, WI) was used for antisense RNA probe
synthesis (29). The vector was linearized, and radiolabeled antisense
transcript was synthesized in vitro using T3 RNA polymerase
and [33P]UTP (2000 Ci/mmol, Amersham Int.,
Buckinghamshire, England). The full-length RNA probe was purified from
unincorporated radioactivity on a G-50 Sephadex spin column (Pharmacia,
Uppsala, Sweden). A 318-bp cDNA fragment of glyceraldehyde phosphate
dehydrogenase (GAPDH) corresponding to nt 367685 in pBluescript SK
(Stratagene, La Jolla, CA) was used for antisense RNA probe synthesis.
A 200-bp cDNA fragment of rat (nt 10031203) was generated by RT-PCR
and TA cloned into pCRII (In Vitrogen Co., San Diego, CA), then
linearized with XbaI, and an antisense probe was synthesized
in vitro using Sp6 RNA polymerase.
RNA isolation and RNase protection assay
To stop the assays, medium was aspirated, the cell layer washed
twice with HBSS, the flasks put on ice, and guanidine thio-cyanate
solution 2 ml/flask was added. A rubber policeman was used to collect
the cells, which were then transferred to a 15-ml Falcon tube and
frozen in liquid nitrogen. Total RNA was isolated as previously
described (30). For the RNase protection assay (kit 1440; Ambion,
Austin, TX), samples of 20 µg of total cellular RNA were hybridized
at 45 C overnight with 5 x 105 cpm of the rat HGF RNA
antisense probe, then digested with RNase. The RNA:RNA hybrids were
precipitated, resuspended, and separated on an 8% polyacrylamide/7
M urea gel. The signal from protected fragments was
quantified on a PhosphoImager (Molecular Dynamics, Sunnyvale, CA). The
areas of the bands were quantified by the PhosphoImager software.
Measurement of immunoreactive HGF and TGFß1
When the cell culture was stopped, the medium was
aspirated and centrifuged at 3300 x g for 20 min at 4
C. The supernatant was collected and frozen at -70 C. For the
measurement of immunoreactive rat HGF, an ELISA from the Institute of
Immunology Co. Ltd., Tokyo, Japan was used (31). Briefly, 50 µl
sample medium, in duplicate, was dispensed into a 96-well plate,
precoated with a monoclonal antibody against human HGF (31). Rat HGF
standard solution was provided by the manufacturer for a standard
curve. The plate was then incubated overnight at room temperature,
washed thereafter, and incubated with an antirat HGF rabbit polyclonal
Ab, which was then visualized by a peroxidase-labeled antirabbit goat
Ig. Absorbance was monitored with an ELISA spectrophotometer at 490 nm.
For the measurement of total content of TGFß1, an ELISA
(G1230; Promega) was used. The ELISA is specific for the
TGFß1 isoform, and the antibodies in the ELISA
cross-react between rat and human. Samples were diluted 1:1 in DPBS and
transiently acidified with 1 N HCl. Neutral pH was restored
with 1 N NaOH. Thereafter, 100 µl sample in duplicate was
dispensed into a 96-well plate that was coated in advance with a
TGFß1 monoclonal antibody. Recombinant human
TGFß1 standard solution was provided by the manufacturer
for a standard curve. The plate was then incubated at room temperature
for 90 min, washed, and incubated with anti-TGFß1
polyclonal antibody for another 2 h at room temperature. After one
more wash, a peroxidase-labeled anti-TGFß1 polycolonal
antibody immunoglobulin was added, followed by incubation with a
chromogenic substrate and subsequent measurement in an ELISA
spectrophotometer at 450 nm.
Statistical analysis
Values are given as means ± SEM. Comparisons
between two groups were made by Students t test.
Comparisons between more than two groups were made by one-way ANOVA
followed by Student-Newman-Keuls multiple range test for pairwise
contrasts among a group of means. Overall significance between groups
was calculated by two-way ANOVA. Significances between groups were also
calculated using the nonparametric tests. The Kruskal-Wallis test was
followed by Mann-Whitneys U test for pairwise comparison
between groups. When the nonparametrical calculations gave similar
results as the parametric tests, only results from the latter are
reported.
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Results
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Effect of IGF-I on HGF production
It is known that the properties of cultures of HSC on a plastic
surface may vary between cell isolations. In Fig. 1
, HSC from three separate isolations
were exposed to either IGF-I (100 ng/ml) or control medium during days
24 of culture. The concentrations of HGF, as measured by ELISA, in
the culture media were normalized to the DNA content in each culture to
eliminate the possible influence of cell number on the HGF levels. The
levels of the control cultures varied between 7 and 450 pg/µg DNA. We
also observed that the stimulatory effect of IGF-I varied between
different experiments. In Exp 1, the increase was significant when
using the nonparametric Mann-Whitney U test for pairwise
comparison between groups, but not when using the parametric Students
t test. In Exps 2 and 3, the stimulatory effect was
significant with both parametric and nonparametric tests. There was an
overall significant effect of IGF-I in all three experiments as
calculated by two-way ANOVA (P < 0.001). In the
experiment shown in Fig. 2
, A and B,
doses of 100 and 500 ng/ml of IGF-I enhanced the HGF content in the
medium significantly (P < 0.01), whereas there was no
significant effect of 20 ng/ml (Fig. 2A
). The thymidine incorporation
was stimulated significantly by 20 (P < 0.05), 100,
and 500 ng/ml (P < 0.01) of IGF-I (Fig. 2B
). In this
and other experiments, there were no marked or consistent differences
between the dose-response curves for these two parameters.

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Figure 1. Content of immunoreactive rat HGF (nanogram per
microgram DNA) in supernatant of cultured HSC that were incubated with
IGF-I (100 ng/ml) or control medium on days 24 of culture.
Bars represent cultures. Data from three different
experiments from three separate HSC isolations and each treatment group
were run in triplicate. Means ± SEM of three wells
are shown. *, P < 0.05; **, P
< 0.01 compared with control cultures (Students t
test).
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Figure 2. Effects of incubation of HSC on days 24 of
culture with different doses of IGF. HSC were incubated with control
medium or IGF-I (20500 ng/ml) at 24 days of age. A, Content of
immunoreactive rat HGF in supernatant of HSC. B,
[3H]Thymidine incorporation into DNA as a determinant of
DNA synthesis in HSC cultures. Each point represents mean ±
SEM for three culture wells. **, P <
0.01 compared with control cultures (ANOVA followed by
Student-Newman-Keuls multiple range test).
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HGF stimulation by IGF-I: effects of culture age and incubation
time
In the next experiment, we tested whether culture age is a
determinant of the effect of IGF-I on the content of HGF in the culture
medium of HSC. For comparison, the content of immunoreactive
TGFß1 was measured in the medium with an ELISA, and cell
number was estimated by measurement of DNA content in the cultures.
Exposure of HSC to IGF-I (100 ng/ml) for 2 days caused a significant
increase in the release of immunoreactive HGF in cell cultures that
were 24, 35, 46, or 57 days of age. In this experiment, no
effect of IGF-I was seen in a 1- to 3-day-old HSC culture (Fig. 3A
). In other experiments, however, we
saw a stimulatory effect of IGF-I also in these newly seeded cells (not
shown). To verify that the stimulatory effect of IGF-I on HGF is
specific and not due to a nonspecific overall increase in protein
production, the content of total TGFß1, another important
growth factor released from HSC, was measured in the culture medium
with an ELISA. As shown in Fig. 3B
, there was no such stimulatory
effect of IGF-I on TGFß1 content at different culture
ages, except at days 24, when a significant effect (P
= 0.0495) was calculated with Students t test (Fig. 3B
).
However, there was no significant overall effect of IGF-I at the
different culture ages according to two-way ANOVA. There was no
significant effect of IGF-I on total DNA content in the cultures (Fig. 3C
), suggesting that the effect of IGF-I on immunoreactive HGF in the
medium was not due to an increased number of HSC capable of HGF
production. Calculations with two-way ANOVA indicated that the culture
content of HGF and TGFß1 as well as DNA varied as a
function of culture age (P < 0.001 for all three
parameters). Comparisons between individual groups showed that the
levels of HGF, TGFß1, and DNA per culture generally
increased with increasing culture age.

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Figure 3. Effect of IGF-I on HSC of different ages.
Numbers under panels indicate culture age at which cells
were incubated with or without IGF-I (100 ng/ml). A, Content of
immunoreactive rat HGF in supernatants of HSC. B, Content of
immunoreactive TGFß1 in supernatant of cultures. C, Total
content of DNA in HSC cultures. Each bar represents mean ±
SEM for three culture wells. *, P <
0.05; **, P < 0.01 compared with control cultures
(Students t test).
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In another experiment, 4-day-old HSC were incubated with or
without IGF-I at days 24 (Fig. 4
).
During this period, samples were taken from the supernatant after 0,
12, 24, 36, and 48 h of incubation. HGF accumulated during the
incubation period in both the IGF-I-stimulated cultures and the control
cultures. In this experiment, the levels were not significantly higher
in the IGF-I-treated cultures until after 3648 h of incubation with
IGF-I (Fig. 4
). In another experiment, there was a 2-fold difference
between the IGF-I-treated cultures and control cultures already after
24 h (data not shown).

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Figure 4. Accumulation of immunoreactive rat HGF in medium
from HSC incubated with or without IGF-I (100 ng/ml) on days 24 of
culture. Samples were taken from supernatant at 0, 12, 24, 36, and
48 h after start of experiment. Each point represents mean ±
SEM for three medium samples. **, P <
0.01 compared with control cultures (ANOVA followed by
Student-Newman-Keuls multiple range test).
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Effects of different IGF forms and GH on HGF secretion
In the next experiment, we tested the effects of incubation of 100
ng/ml of different IGF variants on the medium content of HGF and
TGFß1 and DNA synthesis and total DNA content in 2- to
4-day-old cultures of HSC. IGF-I caused a 2-fold increase in the HGF
content in the medium (Fig. 5A
). A
similar effect was obtained by adding desIGF-I (100 ng/ml). IGF-II (100
ng/ml) also significantly increased HGF concentration but to a smaller
degree than IGF-I and desIGF-I. In contrast, there was no significant
effect of human GH (hGH) (50 ng/ml) on HGF secretion. The total level
of immunoreactive TGFß1 in the culture medium was not
significantly affected by the various forms of IGF or by hGH (Fig. 5B
).
Therefore, the borderline significant stimulation (P =
0.0495) of TGFß1 by IGF-I on days 24 seen in Fig. 3B
could not be repeated in this experiment. The incorporation of
[3H]thymidine into DNA was also measured to evaluate DNA
synthesis (Fig. 5C
). There was a significant increase in DNA synthesis,
measured as [3H]thymidine incorporation, in the cultures
that were treated with IGF-I and desIGF-I. In contrast, the DNA content
(Fig. 5D
) was not affected by the different forms of IGF within the
time period of exposure, indicating that the stimulatory effects on
accumulation of immunoreactive HGF (Fig. 5A
) are not due to an
increased number of cells that can express HGF. There was no
significant effect of hGH (50 ng/ml) on DNA synthesis (Fig. 5C
) or
total DNA content (Fig. 5D
).

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Figure 5. Effects of incubation of HSC on days 24 of
culture with different forms of IGF and with GH. HSC were incubated
with control medium, IGF-I (100 ng/ml), desIGF-I (100 ng/ml), IGF-II
(100 ng/ml), or hGH (50 ng/ml) of 24 days of age. A, Content of
immunoreactive rat HGF in supernatant of HSC. B, Content of total
TGFß1 in supernatant of HSC. C,
[3H]Thymidine incorporation into DNA as a determinant of
DNA synthesis in HSC cultures. D, Total DNA content in HSC. Each bar
represents mean ± SEM for three culture wells. ***,
P < 0.001 compared with control cultures (ANOVA
followed by Student-Newman-Keuls multiple range test).
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Effects of IGF-I on rat HGF mRNA levels
We next wanted to investigate whether the stimulatory effect
of IGF-I on HGF content in medium of HSC was accompanied by an increase
in steady state levels of mRNA, which could facilitate production and
secretion of HGF. Therefore, an RNase protection assay with a 650-bp
rat-specific complementary RNA probe was used for determination of HGF
mRNA. A typical RNase protection assay gel is shown in Fig. 6A
. In 5- to 7-day-old HSC cultures
incubated with IGF-I (100 ng/ml) for 48 h, there was a marked
increase in the intensity of the HGF mRNA band compared with HSC
exposed to control medium. In the latter cells, the intensity of the
band was close to the detection limit (Fig. 6A
). The determinations of
HGF mRNA were repeated in three different experiments with similar
results, i.e. more intense bands after incubation with IGF-I
than in control cultures (Table 1
). To
verify that the effect of IGF-I on HGF mRNA is specific, we measured
TGFß1 and GAPDH transcripts with 200- and 145-bp
rat-specific probes, respectively, in a RNase protection assay. As
shown in Fig. 6B
, there were no marked differences between the
IGF-I-treated HSC cultures and the control cultures.

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Figure 6. PhosphoImage scans of RNase protection assays of
total RNA from a representative culture of HSC incubated with control
medium (C) or IGF-I (100 ng/ml) for 48 h on days 24. A,
Measurement of HGF mRNA with a 650- bp unprotected rat-specific probe.
B, Measurement of TGFß1 mRNA with a 200-bp rat-specific
TGFß1 probe and of GAPDH mRNA with a 145-bp rat GAPDH
probe.
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Table 1. Results of quantification of PhosphoImage scans of
RNase protection assays of total RNA from three cultures of HSC
incubated with control medium or IGF-1 (100 ng/ml) for 48 h on
days 24
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Discussion
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The present results showed that IGFs, including IGF-I,
increased the content of immunoreactive HGF in the medium of primary
cultures of HSC. Moreover, IGF-I enhanced the levels of HGF mRNA in the
HSC. Taken together, these results suggest that IGF-I stimulates the
cellular HGF synthesis at a pretranslatory level and that the enhanced
HGF levels in the medium after IGF treatment are due to enhanced
secretion from the cells. The stimulation of HGF by IGF is probably not
only due to the stimulatory effect on DNA synthesis in HSC shown in
this study and reported previously (7, 8, 9, 13), because the amount of
DNA per culture had virtually not yet been affected during the
comparatively short 2-day incubation of this study. In line with this,
IGF-I treatment also increased the ratio between immunoreactive HGF and
DNA content in HSC cultures. Our finding that IGF-I did not
consistently affect the medium concentration of TGFß1 or
the abundance of TGFß1 or GAPDH mRNA indicates that the
increases in HGF production and release are specific.
It is well known that incubation of HSC on plastic in vitro
results in spontaneous transformation to myofibroblast-like cells (13, 14). This transformation is accompanied by decreased HGF mRNA levels
(17, 18) and also increased production of TGFß1 (13, 14, 32). There is no evidence that the stimulatory effect of IGF on HGF
production observed in this study was due to inhibited transformation,
because the TGFß1 expression was unchanged. Moreover, the
HSC used in this study may have been too young to have been
substantially transformed. It has been reported previously that the HSC
have reached an early stage of transformation by days 57,
i.e. the oldest HSC culture age in this study (32). The lack
of transformation in this study may gain support from the finding that
the levels of HGF immunoreactivity were markedly (10- to 25-fold)
higher than the TGFß1 immunoreactivity even at a culture
age of 7 days, i.e. the latest time studied. There was a
culture age-dependent increase in the levels of DNA and probably also
the number of HSC before day 7. However, proliferation of HSC has been
observed before morphological signs of cell transformation occur
(32).
There are some previous reports on factors that can regulate HGF
production in HSC as well as fibroblasts. TGFß1 decreases
the levels of HGF mRNA in HSC (18) and HGF mRNA and protein levels in
fibroblasts (21). TGFß inhibitory elements have been shown to be
present together with several other regulatory elements in the promotor
sequence of the HGF gene (33, 34, 35). Therefore, IGF-I and
TGFß1 may have opposite effects on HGF expression in HSC.
The levels of IGFBP-3 mRNA in endothelial cells have also been reported
to be enhanced by IGF-I and suppressed by TGFß1 (36). In
fibroblasts, there are several as yet unidentified factors besides
TGFß1 that influence HGF expression (21, 37). However, it
is uncertain to what extent these results apply to the liver. IGFs have
been shown to regulate the expression of several genes (see Ref. 38 and
references therein). There are few reports so far about elements with
connections to IGF effects in the HGF gene promotor region
(33, 34, 35).
It has been shown in several reports that IGFs can stimulate DNA
synthesis of HSC in vitro during the first week after
seeding (7, 8, 9) and after several passages when the cells are more
myofibroblast-like (10). Moreover, newly seeded and transformed HSC
express IGF-I receptors (11). The present results show that IGFs
stimulate both HGF production, i.e. a differentiated effect
of HSC, and proliferation of HSC, and that these effects were exerted
at approximately the same doses. In myoblasts, the stimulatory effects
of IGF-I on proliferation and markers of differentiation are exerted at
markedly different doses (39). In cultured HSC, TGFß1
seems to suppress both HGF expression (18) and DNA synthesis (32, 40),
giving another example of parallel regulation of these two
parameters.
It is incompletely investigated whether the stimulatory effect of IGFs
on HGF production in vitro shown in this study reflects a
similar effect in vivo, although we have reported such a
stimulatory effect of IGF-I in regenerating liver in one study (29).
The HSC seem to contribute the major part of the HGF produced by the
intact liver (17, 18, 19), whereas Maher (19) reported that the endothelial
cells may cause the increased HGF production after hepatectomy or liver
injury. The IGF-producing hepatocytes are located in close proximity to
the HSC in the liver (12) and this may facilitate a paracrine
interaction between these two cell types. In fact, the HSC could be
exposed to very high levels of IGF-I in vivo, raising the
possibility that there may be additional modulatory influences that
counteract IGF in the intact liver. IGF-binding proteins produced by
various cell types in the liver (10, 41, 42, 43, 44) could modulate the effects
of IGF on HSC in vivo.
In vitro, it has been reported by Pinzani et al.
(10) that rat HSC transformed by two to three passages in
vitro produce IGF-binding proteins, but no IGF-binding proteins
were found in medium of human HSC (45). The present results do not
support a modulatory influence of IGF-binding proteins on
IGF-stimulated HGF expression and DNA synthesis in comparatively young,
untransformed rat HSC. The effects of desIGF-I and IGF-I on these
parameters were of similar magnitude, despite the fact that desIGF has
markedly impaired affinity to IGF-binding proteins (46).
Little is known about the possible role of HGF production by HSC
in vivo. The HGF produced by HSC of intact livers (17, 18, 19)
probably does not exert endocrine effects, because the levels of
circulating HGF are very low in these animals (20, 21, 37, 47). In the
liver, HGF has been shown to stimulate proliferation and morphogenesis
of biliary epithelial cells (22, 23) in addition to its well-known
effects on hepatocytes (20, 21, 37). In contrast, HGF does not seem to
affect the proliferation of parasinusoidal cells such as endothelial or
Kupffer cells or the HSC themselves (19). The bioactivity of HGF
in vivo is in all probability also regulated at a
posttranslatory level by several factors in vivo. These
factors include binding to extracellular matrix, and bioactivation of
prepro HGF by proteases that may be produced by target cells of HGF
action including the hepatocytes (48). In addition, the responsiveness
of the target cells may be modulated at the HGF receptor or
postreceptor level (20, 21, 48).
We found no effects of treatment of HSC with human GH on HGF
accumulation or thymidine incorporation. These results are in line with
the finding that there are much fewer GH binding sites on
nonparenchymal than on parenchymal cells of the rat liver (44, 49).
It has previously been shown that HSC, a cell type located adjacent to
the hepatocytes in the liver (12), have IGF receptors and proliferate
in response to IGF (8, 9, 11). It is generally assumed that HSC are the
main producers of the potent hepatocyte mitogen HGF in the intact liver
(17, 19). The results of the present study suggest that IGF can also
stimulate HGF production and release by HSC in vitro.
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Acknowledgments
|
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Excellent technical assistance was provided by Brigitte
Heitmann, Birgit Lahme, and Helén Rawet.
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Footnotes
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1 This work was supported by the Swedish Medical Research Council
(NOREF>9894), Deutsche Forschungsgesellschaft (g 463/92), Söderberg
Foundation, Lundberg Foundation, Nordisk Insulin Foundation, Swedish
Medical Society and Göteborg Medical Society. It was presented in
part at the 10th International Congress of Endocrinology in San
Francisco, California, June 1215, 1996 (Abstract P2232). 
Received February 17, 1997.
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