Abstract
Background
Peritoneal dialysis (PD) is essential for patients with end-stage renal disease. Peritoneal fibrosis (PF) is a complex inflammatory, fibrogenic process. No effective treatments are available to prevent these processes. Hepatocyte growth factor (HGF) possesses anti-inflammatory and anti-fibrotic properties. The aim of this study was to analyze whether HGF suppresses MGO-induced peritoneal inflammation and fibrosis in a mouse model.
Methods
PF was induced by intraperitoneal (IP) injections of MGO for 14 days. C57/BL/6 mice were divided into three groups: Sham group (only vehicle); Sham + MGO group (PF induced by MGO); and HGF + MGO group (PF mice treated with recombinant human-HGF). PF was assessed from tissue samples by Masson’s trichrome staining. Inflammation and fibrosis-associated factors were assessed by immunohistochemistry and quantitative real-time PCR.
Results
MGO-injected mice showed significant thickening of the submesothelial compact zone with PF. Treatment with HGF significantly reduced PM thickness and suppressed the expression of collagen I and III and α-SMA. Expression of profibrotic and proinflammatory cytokines (TGF-β, TNF-α, IL-1β) was reduced by HGF treatment. The number of macrophages, and M1 and M2 macrophage-related markers, such as CD86, CD206, and CD163, was reduced in HGF + MGO mice.
Conclusion
HGF attenuates MGO-induced PF in mice. Furthermore, HGF treatment reduces myofibroblast and macrophage infiltration, and attenuates the upregulated expression of proinflammatory and profibrotic genes in peritoneal tissues. HGF might be an effective approach to prevent the development of PF in patients undergoing PD.
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References
Robinson BM, et al. Factors affecting outcomes in patients reaching end-stage kidney disease worldwide: differences in access to renal replacement therapy, modality use, and haemodialysis practices. Lancet. 2016;388:294–306.
Morgan LW, et al. Glucose degradation products (GDP) retard remesothelialization independently of D-glucose concentration. Kidney Int. 2003;64:1854–66.
Williams JD, et al. Morphologic changes in the peritoneal membrane of patients with renal disease. J Am Soc Nephrol. 2002;13:470–9.
Witowski J, et al. Prolonged exposure to glucose degradation products impairs viability and function of human peritoneal mesothelial cells. J Am Soc Nephrol. 2001;12:2434–41.
Margetts PJ, et al. Transient overexpression of TGF-β1 induces epithelial mesenchymal transition in the rodent peritoneum. J Am Soc Nephrol. 2005;16:425–36.
Thomas AH, et al. Collagen fragments modulate innate immunity. Exp Biol Med (Maywood). 2007;232:406–11.
Epstein FH, et al. Transforming growth factor β in tissue fibrosis. N Engl J Med. 1994;331:1286–92.
Padwal M, et al. Matrix metalloproteinase 9 is associated with peritoneal membrane solute transport and induces angiogenesis through β-catenin signaling. Nephrol Dial Transplant. 2017;32:50–61.
Fielding CA, et al. Interleukin-6 signaling drives fibrosis in unresolved inflammation. Immunity. 2014;40:40–50.
Zhou Q, et al. Preventing peritoneal membrane fibrosis in peritoneal dialysis patients. Kidney Int. 2016;90:515–24.
Li Q, et al. A pathogenetic role for M1 macrophages in peritoneal dialysis-associated fibrosis. Mol Immunol. 2018;94:131–9.
Nagai T, et al. Linagliptin ameliorates methylglyoxal-induced peritoneal fibrosis in mice. PLoS ONE. 2016;11:e0160993.
Kitamura M, et al. Epigallocatechin gallate suppresses peritoneal fibrosis in mice. Chem Biol Interact. 2012;195:95–104.
Hirahara I, et al. Methylglyoxal induces peritoneal thicking by mesenchymal-like mesothelial cells in rats. Nephrol Dial Transplant. 2009;24:437–47.
Nita I, et al. Hepatocyte growth factor secreted by bone marrow stem cell reduce ER stress and improves repair in alveolar epithelial II cells. Sci Rep. 2017;7:41901.
Komaki Y, et al. Hepatocyte growth factor facilitates esophageal mucosal repair and inhibits the submucosal fibrosis in a rat model of esophageal ulcer. Digestion. 2019;99:227–38.
Wang Z, et al. Antifibrotic effects of hepatocyte growth factor on endothelial-to-mesenchymal transition via transforming growth factor-betal(TGF-β1)/smad and Akt/mTOR/P70S6K signaling pathways. Ann Transplant. 2018;23:1–10.
Rodgers JT, et al. HGFA is an injury-regulated systemic factor that induces the transition of stem cells into GAlert. Cell Rep. 2017;19:479–86.
Yu MA, et al. HGF and BMP-7 ameliorate high glucose-induced epithelial-to-mesenchymal transition of peritoneal mesothelium. J Am Soc Nephrol. 2009;20:567–81.
Shinohara M, et al. Overexpression of glyoxalase-I in bovine endothelial cells inhibits intracellular advanced glycation endproduct formation and prevents hyperglycemia-induced increases in macromolecular endocytosis. J Clin Invest. 1998;101:1142–7.
Mizuno S, et al. HGF reduces advancing lung fibrosis in mice: a potential role for MMP-dependent myofibroblast apoptosis. FASEB J. 2005. https://doi.org/10.1096/fj.04-1535fje.
Mizuno S, et al. Hepatocyte growth factor suppresses interstitial fibrosis in a mouse model of obstructive nephropathy. Kidney Int. 2001;59:1304–14.
Schievenbusch S, et al. Profiling of anti-fibrotic signaling by hepatocyte growth factor in renal fibroblasts. Biochem Biophys Res Commun. 2009;385:55–61.
Chen YT, et al. Lineage tracing reveals distinctive fates for mesothelial cells and submesothelial fibroblasts during peritoneal injury. J Am Soc Nephrol. 2014;25:2847–58.
Zhang X, et al. Type I collagen or gelatin stimulates mouse peritoneal macrophages to aggregate and produce pro-inflammatory molecules through upregulated ROS levels. Int Immunopharmacol. 2019;76:105845.
Yang AH, et al. Myofibroblastic conversion of mesothelial cells. Kidney Int. 2003;63:1530–9.
Azuma J, et al. Angiogenic and antifibrotic actions of hepatocyte growth factor improve cardiac dysfunction in porcine ischemic cardiomyopathy. Gene Ther. 2006;13:1206–13.
Yung S, et al. Impact of a low-glucose peritoneal dialysis regimen on fibrosis and inflammation biomarkers. Perit Dial Int. 2015;35:147–58.
Matsuoka T, et al. Hepatocyte growth factor prevents peritoneal fibrosis in an animal model of encapsulating peritoneal sclerosis. J Nephrol. 2008;21:64–73.
Ido A, et al. Pharmacokinetic study of recombinant human hepatocyte growth factor administered in a bolus intravenously or via portal vein. Hepatol Res. 2004;30:175–81.
Jiang D, et al. Protective action of hepatocyte growth factor on transforming growth factor β-1-induced α-smooth muscle actin and extracellular matrix in cultured human peritoneal fibroblasts. Case Reports Clin Pract Rev. 2010;16:250–4.
Lee HA, et al. Ethyl acetate extract from Asparagus cochinchinensis exerts anti-inflammatory effects in LPS-stimulated RAW264.7 macrophage cells by regulating COX-2/iNOS, inflammatory cytokine expression, MAP kinase pathways, the cell cycle and anti-oxidant activity. Mol Med Rep. 2017;15:1613–23.
Kigerl KA, et al. Identification of two distinct macrophage subsets with divergent effects causing either neurotoxicity or regeneration in the injured mouse spinal cord. J Neurosci. 2009;29:13435–44.
Wijesundera KK, et al. M1- and M2-macrophage polarization in rat liver cirrhosis induced by thioacetamide (TAA), focusing on Iba1 and galectin-3. Exp Mol Pathol. 2014;96:382–92.
Chen S, Lu Z, et al. Cathelicidin-WA polarizes E. coli K88-induced M1 macrophage to M2-like macrophage in RAW264.7 cells. Int Immunopharmacol. 2018;54:52–9.
Zhao Y, et al. Comparison of the characteristics of macrophages derived from murine spleen, peritoneal cavity, and bone marrow. J Zhejiang Univ Sci B. 2017;18:1055–63.
Mlambo NC, et al. Increased levels of transforming growth factor beta 1 and basic fibroblast growth factor in patients on CAPD: a study during non-infected steady state and peritonitis. Inflammation. 1999;23:131–9.
Bellón T, et al. Alternative activation of macrophages in human peritoneum: implications for peritoneal fibrosis. Nephrol Dial Transplant. 2011;26:2995–3005.
Beilmann M, Vande Woude GF, Dienes HP, Schirmacher P. Hepatocyte growth factor-stimulated invasiveness of monocytes. Blood. 2000;95:3964–9.
Jiang Q, et al. Differential responsiveness of cord and adult blood monocytes to hepatocyte growth factor. Clin Exp Immunol. 2001;125:222–8.
Chen Q, et al. Induction of met proto-oncogene (hepatocyte growth factor receptor) expression during human monocyte-macrophage differentiation. Cell Growth Differ. 1996;7:821–32.
Galimi F, et al. Hepatocyte growth factor is a regulator of monocyte- macrophage function. J Immunol. 2001;166:1241–7.
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10157_2021_2067_MOESM1_ESM.pptx
Experimental protocol of the animal model of peritoneal fibrosis and the administration of recombinant-hepatocyte growth factor (HGF). The mice were divided into three groups (n = 5 per group). Peritoneal fibrosis was induced by intraperitoneal injection of methylglyoxal (MGO) (40 mM) for 14 consecutive days (a). All mice were implanted with an osmotic pump subcutaneously on the back. The contents of the pump were saline or HGF (b). Body weight loss was attenuated by HGF (*p< 0.05 vs. Sham+MGO) (c) (PPTX 2828 KB)
10157_2021_2067_MOESM2_ESM.pptx
Serum hepatocyte growth factor (HGF) concentration and proliferation cell nuclear antigen (PCNA) expression in liver tissue of mice with peritoneal fibrosis. Comparison of concentrations of serum HGF released from intraperitoneal osmotic pump versus subcutaneous osmotic pump on day 7 (n = 3) (a). PCNA immunohistochemical analysis of liver tissue was performed to confirm HGF release from the osmotic pump (n = 5) (b) (*p < 0.01, **p < 0.05) (PPTX 436 KB)
10157_2021_2067_MOESM3_ESM.pptx
Expression of c-MET and phospho-c-MET in the peritoneal membrane of mice.c-MET and phospho-c-MET in the peritoneal membrane were compared by western blotting. β-actin was used as a loading control for western blot (n = 3) (PPTX 107 KB)
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Yoshimine, H., Tanoue, S., Ibi, Y. et al. Hepatocyte growth factor ameliorates methylglyoxal-induced peritoneal inflammation and fibrosis in mouse model. Clin Exp Nephrol 25, 935–943 (2021). https://doi.org/10.1007/s10157-021-02067-y
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DOI: https://doi.org/10.1007/s10157-021-02067-y