PMID- 29507898 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2471-254X (Electronic) IS - 2471-254X (Linking) VI - 2 IP - 3 DP - 2018 Mar TI - Role of monocyte chemoattractant protein-1 in liver fibrosis with transient myeloproliferative disorder in down syndrome. PG - 230-236 LID - 10.1002/hep4.1150 [doi] AB - Liver fibrosis is a common complication associated with transient myeloproliferative disorder (TMD) in Down syndrome (DS). The exact molecular pathogenesis that regulates disease progression is largely unknown. We recently found serum and/or urinary monocyte chemoattractant protein-1 (MCP-1) as a novel biomarker of liver fibrosis. This study was an in vitro analysis to investigate the fibrogenic activity of MCP-1 using the collagen-producing LX-2 human hepatic stellate cell line. We also examined the fibrogenic activity of serum from a male neonate with DS in whom late-onset liver fibrosis developed even after the resolution of TMD. MCP-1 stimulated both cell growth and collagen synthesis of LX-2 in a dose-dependent manner. Patient serum obtained during the active disease phase significantly up-regulated fibrogenic activity, which was suppressed in the presence of MCP-1-blocking antibody. Transient transforming growth factor beta 1 stimulation primed LX-2 to induce prolonged hypersecretion of MCP-1 in the culture supernatant and in collagen synthesis, which was suppressed with MCP-1 blocking antibody as well. Conclusion: MCP-1 accounts for the prolonged activation of collagen-producing hepatic stellate cells in both a paracrine and autocrine manner, thereby promoting liver fibrosis. Anti-cytokine therapy targeting the fibrogenic cytokines of MCP-1, for example, herbal medicine, could provide a new therapeutic intervention for liver fibrosis associated with TMD in DS. (Hepatology Communications 2018;2:230-236). FAU - Kobayashi, Kenichiro AU - Kobayashi K AUID- ORCID: 0000-0001-5691-1928 AD - Department of Pediatrics Hyogo Kenritsu Amagasaki Sogo Iryo Center Amagasaki Japan. AD - Department of Pediatric Hematology and Oncology Research Kokuritsu Kenkyu Kaihatsu Hojin Kokuritsu Seiiku Iryo Kenkyu Center Tokyo Japan. FAU - Yoshioka, Takako AU - Yoshioka T AD - Department of Pathology Kokuritsu Kenkyu Kaihatsu Hojin Kokuritsu Seiiku Iryo Kenkyu Center Tokyo Japan. FAU - Miyauchi, Jun AU - Miyauchi J AD - Department of Pathology and Laboratory MedicineTokyo Shika Daigaku Ichikawa Sogo Byoin Ichikawa Japan. FAU - Nakazawa, Atsuko AU - Nakazawa A AD - Department of Pathology Kokuritsu Kenkyu Kaihatsu Hojin Kokuritsu Seiiku Iryo Kenkyu Center Tokyo Japan. AD - Department of Clinical Research Saitama Kenritsu Shoni Iryo Center Saitama Japan. FAU - Kiyokawa, Nobutaka AU - Kiyokawa N AD - Department of Pediatric Hematology and Oncology Research Kokuritsu Kenkyu Kaihatsu Hojin Kokuritsu Seiiku Iryo Kenkyu Center Tokyo Japan. FAU - Maihara, Toshiro AU - Maihara T AD - Department of Pediatrics Hyogo Kenritsu Amagasaki Sogo Iryo Center Amagasaki Japan. FAU - Usami, Ikuya AU - Usami I AD - Department of Pediatrics Hyogo Kenritsu Amagasaki Sogo Iryo Center Amagasaki Japan. LA - eng PT - Journal Article DEP - 20180201 PL - United States TA - Hepatol Commun JT - Hepatology communications JID - 101695860 PMC - PMC5831021 EDAT- 2018/03/07 06:00 MHDA- 2018/03/07 06:01 PMCR- 2018/02/01 CRDT- 2018/03/07 06:00 PHST- 2017/10/13 00:00 [received] PHST- 2017/12/14 00:00 [revised] PHST- 2017/12/27 00:00 [accepted] PHST- 2018/03/07 06:00 [entrez] PHST- 2018/03/07 06:00 [pubmed] PHST- 2018/03/07 06:01 [medline] PHST- 2018/02/01 00:00 [pmc-release] AID - HEP41150 [pii] AID - 10.1002/hep4.1150 [doi] PST - epublish SO - Hepatol Commun. 2018 Feb 1;2(3):230-236. doi: 10.1002/hep4.1150. eCollection 2018 Mar.