PMID- 27956229 OWN - NLM STAT- MEDLINE DCOM- 20170613 LR - 20220409 IS - 1528-0012 (Electronic) IS - 0016-5085 (Linking) VI - 152 IP - 5 DP - 2017 Apr TI - Milk Fat Globule-EGF Factor 8, Secreted by Mesenchymal Stem Cells, Protects Against Liver Fibrosis in Mice. PG - 1174-1186 LID - S0016-5085(16)35463-4 [pii] LID - 10.1053/j.gastro.2016.12.003 [doi] AB - BACKGROUND & AIMS: Mesenchymal stem cells (MSCs) mediate tissue repair and might be used to prevent or reduce liver fibrosis. However, little is known about the anti-fibrotic factors secreted from MSCs or their mechanisms. METHODS: Umbilical cord-derived MSCs (UCMSCs) were differentiated into hepatocyte-like cells (hpUCMSCs), medium was collected, and secretome proteins were identified and quantified using nanochip-liquid chromatography/quadrupole time-of-flight mass spectrometry. Liver fibrosis was induced in mice by intraperitoneal injection of thioacetamide or CCl(4); some mice were then given injections of secretomes or proteins. Liver tissues were collected and analyzed by histology or polymerase chain reaction array to analyze changes in gene expression patterns. We analyzed the effects of MSC secretomes and potential anti-fibrotic proteins on transforming growth factor beta 1 (TGFbeta1)-mediated activation of human hepatic stellate cell (HSC) lines (hTert-HSC and LX2) and human primary HSCs. Liver tissues were collected from 16 patients with liver cirrhosis and 16 individuals without cirrhosis (controls) in Korea and analyzed by immunohistochemistry and immunoblots. RESULTS: In mice with fibrosis, accumulation of extracellular matrix proteins was significantly reduced 3 days after injecting secretomes from UCMSCs, and to a greater extent from hpUCMSCs; numbers of activated HSCs that expressed the myogenic marker alpha-smooth muscle actin (alpha-SMA, encoded by ACTA2 [actin, alpha 2, smooth muscle]) were also reduced. Secretomes from UCMSCs, and to a greater extent from hpUCMSCs, reduced liver expression of multiple fibrotic factors, collagens, metalloproteinases, TGFbeta, and Smad proteins in the TGFbeta signaling pathways. In HSC cell lines and primary HSCs, TGFbeta1-stimulated upregulation of alpha-SMA was significantly inhibited (and SMAD2 phosphorylation reduced) by secretomes from UCMSCs, and to a greater extent from hpUCMSCs. We identified 32 proteins in secretomes of UCMSCs that were more highly concentrated in secretomes from hpUCMSCs and inhibited TGFbeta-mediated activation of HSCs. One of these, milk fat globule-EGF factor 8 (MFGE8), was a strong inhibitor of activation of human primary HSCs. We found MFGE8 to down-regulate expression of TGFbeta type I receptor by binding to alpha(v)beta(3) integrin on HSCs and to be secreted by MSCs from umbilical cord, teeth, and bone marrow. In mice, injection of recombinant human MFGE8 had anti-fibrotic effects comparable to those of the hpUCMSC secretome, reducing extracellular matrix deposition and HSC activation. Co-injection of an antibody against MFGE8 reduced the anti-fibrotic effects of the hpUCMSC secretome in mice. Levels of MFGE8 were reduced in cirrhotic liver tissue from patients compared with controls. CONCLUSIONS: MFGE8 is an anti-fibrotic protein in MSC secretomes that strongly inhibits TGFbeta signaling and reduces extracellular matrix deposition and liver fibrosis in mice. CI - Copyright (c) 2017 AGA Institute. Published by Elsevier Inc. All rights reserved. FAU - An, Su Yeon AU - An SY AD - Laboratory of Stem Cells and Tissue Regeneration, Department of Biotechnology, College of Life Sciences and Biotechnology, Korea University, Seoul, Republic of Korea. FAU - Jang, Yu Jin AU - Jang YJ AD - Laboratory of Stem Cells and Tissue Regeneration, Department of Biotechnology, College of Life Sciences and Biotechnology, Korea University, Seoul, Republic of Korea. FAU - Lim, Hee-Joung AU - Lim HJ AD - Laboratory of Stem Cells and Tissue Regeneration, Department of Biotechnology, College of Life Sciences and Biotechnology, Korea University, Seoul, Republic of Korea. FAU - Han, Jiyou AU - Han J AD - Laboratory of Stem Cells and Tissue Regeneration, Department of Biotechnology, College of Life Sciences and Biotechnology, Korea University, Seoul, Republic of Korea. FAU - Lee, Jaehun AU - Lee J AD - Laboratory of Stem Cells and Tissue Regeneration, Department of Biotechnology, College of Life Sciences and Biotechnology, Korea University, Seoul, Republic of Korea. FAU - Lee, Gyunggyu AU - Lee G AD - Laboratory of Stem Cells and Tissue Regeneration, Department of Biotechnology, College of Life Sciences and Biotechnology, Korea University, Seoul, Republic of Korea. FAU - Park, Ji Young AU - Park JY AD - Laboratory of Stem Cells and Tissue Regeneration, Department of Biotechnology, College of Life Sciences and Biotechnology, Korea University, Seoul, Republic of Korea. FAU - Park, Seo-Young AU - Park SY AD - Laboratory of Stem Cells and Tissue Regeneration, Department of Biotechnology, College of Life Sciences and Biotechnology, Korea University, Seoul, Republic of Korea. FAU - Kim, Ji Hyang AU - Kim JH AD - Biotechnology Research Institute, HurimBioCell Inc., Seoul, Republic of Korea. FAU - Do, Byung-Rok AU - Do BR AD - Biotechnology Research Institute, HurimBioCell Inc., Seoul, Republic of Korea. FAU - Han, Choongseong AU - Han C AD - Department of Oral Medicine and Oral Diagnosis, Seoul National University Dental Hospital, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Republic of Korea; Nexel, Co., Ltd, Seoul, Republic of Korea. FAU - Park, Hee-Kyung AU - Park HK AD - Department of Oral Medicine and Oral Diagnosis, Seoul National University Dental Hospital, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Republic of Korea. FAU - Kim, Ok-Hee AU - Kim OH AD - Department of Surgery, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Daejeon, Republic of Korea. FAU - Song, Myeong Jun AU - Song MJ AD - Division of Hepatology, Department of Internal Medicine, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Daejeon, Republic of Korea. FAU - Kim, Say-June AU - Kim SJ AD - Department of Surgery, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Daejeon, Republic of Korea. FAU - Kim, Jong-Hoon AU - Kim JH AD - Laboratory of Stem Cells and Tissue Regeneration, Department of Biotechnology, College of Life Sciences and Biotechnology, Korea University, Seoul, Republic of Korea. Electronic address: jhkim@korea.ac.kr. LA - eng PT - Journal Article DEP - 20161209 PL - United States TA - Gastroenterology JT - Gastroenterology JID - 0374630 RN - 0 (Antigens, Surface) RN - 0 (Integrin alphaVbeta3) RN - 0 (MFGE8 protein, human) RN - 0 (Mfge8 protein, mouse) RN - 0 (Milk Proteins) RN - 0 (Receptors, Transforming Growth Factor beta) RN - 0 (Smad2 Protein) RN - 0 (TGFB1 protein, human) RN - 0 (Tgfb1 protein, mouse) RN - 0 (Transforming Growth Factor beta1) RN - 075T165X8M (Thioacetamide) RN - 9007-34-5 (Collagen) RN - CL2T97X0V0 (Carbon Tetrachloride) RN - EC 3.4.- (Metalloproteases) SB - IM CIN - Gastroenterology. 2017 Apr;152(5):943-946. PMID: 28259796 CIN - Gastroenterology. 2017 Apr;152(5):1244. PMID: 28273437 MH - Animals MH - Antigens, Surface/*metabolism MH - Carbon Tetrachloride/toxicity MH - Cell Line MH - Collagen/metabolism MH - Extracellular Matrix/metabolism MH - Hepatic Stellate Cells MH - Hepatocytes MH - Humans MH - Integrin alphaVbeta3/metabolism MH - Liver Cirrhosis/chemically induced/*metabolism/pathology MH - Male MH - Mesenchymal Stem Cells/metabolism MH - Metabolome MH - Metalloproteases/metabolism MH - Mice MH - Milk Proteins/*metabolism MH - Receptors, Transforming Growth Factor beta/metabolism MH - Smad2 Protein/metabolism MH - Thioacetamide/toxicity MH - Transforming Growth Factor beta1/metabolism OTO - NOTNLM OT - Decorin OT - MMP OT - Mouse Model OT - Signal Transduction EDAT- 2016/12/14 06:00 MHDA- 2017/06/14 06:00 CRDT- 2016/12/14 06:00 PHST- 2016/03/14 00:00 [received] PHST- 2016/11/16 00:00 [revised] PHST- 2016/12/03 00:00 [accepted] PHST- 2016/12/14 06:00 [pubmed] PHST- 2017/06/14 06:00 [medline] PHST- 2016/12/14 06:00 [entrez] AID - S0016-5085(16)35463-4 [pii] AID - 10.1053/j.gastro.2016.12.003 [doi] PST - ppublish SO - Gastroenterology. 2017 Apr;152(5):1174-1186. doi: 10.1053/j.gastro.2016.12.003. Epub 2016 Dec 9.