Beta-catenin activation promotes liver regeneration after acetaminophen-induced injury

U Apte, S Singh, G Zeng, B Cieply, MA Virji… - The American journal of …, 2009 - Elsevier
U Apte, S Singh, G Zeng, B Cieply, MA Virji, T Wu, SPS Monga
The American journal of pathology, 2009Elsevier
Acute liver failure (ALF) remains a disease with poor patient outcome. Improved prognosis is
associated with spontaneous liver regeneration, which supports the relevance of exploring
'regenerative'therapies. Therefore, the role of the Wnt/β-catenin pathway in liver
regeneration following ALF was investigated. ALF was induced in mice by acetaminophen
overdose, which is also a leading cause of liver failure in patients. β-catenin distribution was
also studied in liver sections from acetaminophen-induced ALF patients. A nonlethal dose of …
Acute liver failure (ALF) remains a disease with poor patient outcome. Improved prognosis is associated with spontaneous liver regeneration, which supports the relevance of exploring ‘regenerative’ therapies. Therefore, the role of the Wnt/β-catenin pathway in liver regeneration following ALF was investigated. ALF was induced in mice by acetaminophen overdose, which is also a leading cause of liver failure in patients. β-catenin distribution was also studied in liver sections from acetaminophen-induced ALF patients. A nonlethal dose of acetaminophen, which induces liver regeneration, led to stabilization and activation of β-catenin for 1 to 12 hours. These data were also verified by increased expression of the β-catenin surrogate target glutamine synthetase. β-Catenin activation occurred secondary to the inactivation of glycogen synthase kinase-3β and an increase in levels of casein kinase 2α, and led to increased cyclin-D1, another known β-catenin target. These observations were next substantiated in β-catenin conditional-null mice (β-catenin-null), which show dampened regeneration after acetaminophen injury following induction of CYP2e1/1a2 expression. In light of decreased acetaminophen injury in β-catenin-null mice despite CYP induction, equitoxic studies in control mice were performed. Significant differences in regeneration persisted following comparable injury in β-catenin-null and control animals. Retrospective analysis of liver samples from acetaminophen-overdose patients demonstrated a positive correlation between nuclear β-catenin, proliferation, and spontaneous liver regeneration. Thus, our studies demonstrate early activation of β-catenin signaling during acetaminophen-induced injury, which contributes to hepatic regeneration.
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