PMID- 30695023 OWN - NLM STAT- MEDLINE DCOM- 20191104 LR - 20200309 IS - 1545-7885 (Electronic) IS - 1544-9173 (Print) IS - 1544-9173 (Linking) VI - 17 IP - 1 DP - 2019 Jan TI - Insulin resistance disrupts epithelial repair and niche-progenitor Fgf signaling during chronic liver injury. PG - e2006972 LID - 10.1371/journal.pbio.2006972 [doi] LID - e2006972 AB - Insulin provides important information to tissues about feeding behavior and energy status. Defective insulin signaling is associated with ageing, tissue dysfunction, and impaired wound healing. In the liver, insulin resistance leads to chronic damage and fibrosis, but it is unclear how tissue-repair mechanisms integrate insulin signals to coordinate an appropriate injury response or how they are affected by insulin resistance. In this study, we demonstrate that insulin resistance impairs local cellular crosstalk between the fibrotic stroma and bipotent adult liver progenitor cells (LPCs), whose paracrine interactions promote epithelial repair and tissue remodeling. Using insulin-resistant mice deficient for insulin receptor substrate 2 (Irs2), we highlight dramatic impairment of proregenerative fibroblast growth factor 7 (Fgf7) signaling between stromal niche cells and LPCs during chronic injury. We provide a detailed account of the role played by IRS2 in promoting Fgf7 ligand and receptor (Fgfr2-IIIb) expression by the two cell compartments, and we describe an insulin/IRS2-dependent feed-forward loop capable of sustaining hepatic re-epithelialization by driving FGFR2-IIIb expression. Finally, we shed light on the regulation of IRS2 and FGF7 within the fibrotic stroma and show-using a human coculture system-that IRS2 silencing shifts the equilibrium away from paracrine epithelial repair in favor of fibrogenesis. Hence, we offer a compelling insight into the contribution of insulin resistance to the pathogenesis of chronic liver disease and propose IRS2 as a positive regulator of communication between cell types and the transition between phases of stromal to epithelial repair. FAU - Manzano-Nunez, Fatima AU - Manzano-Nunez F AD - CIBERDEM (Centro de Investigacion Biomedica en Red de Diabetes y Enfermedades Metabolicas Asociadas), Madrid, Spain. AD - Centro de Investigacion Principe Felipe, Valencia, Spain. FAU - Arambul-Anthony, Maria Jose AU - Arambul-Anthony MJ AD - CIBERDEM (Centro de Investigacion Biomedica en Red de Diabetes y Enfermedades Metabolicas Asociadas), Madrid, Spain. AD - Centro de Investigacion Principe Felipe, Valencia, Spain. FAU - Galan Albinana, Amparo AU - Galan Albinana A AD - Centro de Investigacion Principe Felipe, Valencia, Spain. FAU - Leal Tassias, Aranzazu AU - Leal Tassias A AD - Centro de Investigacion Principe Felipe, Valencia, Spain. FAU - Acosta Umanzor, Carlos AU - Acosta Umanzor C AD - CIBERDEM (Centro de Investigacion Biomedica en Red de Diabetes y Enfermedades Metabolicas Asociadas), Madrid, Spain. AD - Centro de Investigacion Principe Felipe, Valencia, Spain. FAU - Borreda Gasco, Irene AU - Borreda Gasco I AD - Instituto Valenciano de Patologia, Universidad Catolica de Valencia San Vicente Martir, Valencia, Spain. FAU - Herrera, Antonio AU - Herrera A AD - Centro de Investigacion Principe Felipe, Valencia, Spain. FAU - Forteza Vila, Jeronimo AU - Forteza Vila J AD - Centro de Investigacion Principe Felipe, Valencia, Spain. AD - Instituto Valenciano de Patologia, Universidad Catolica de Valencia San Vicente Martir, Valencia, Spain. FAU - Burks, Deborah J AU - Burks DJ AD - CIBERDEM (Centro de Investigacion Biomedica en Red de Diabetes y Enfermedades Metabolicas Asociadas), Madrid, Spain. AD - Centro de Investigacion Principe Felipe, Valencia, Spain. FAU - Noon, Luke A AU - Noon LA AUID- ORCID: 0000-0002-0502-4322 AD - CIBERDEM (Centro de Investigacion Biomedica en Red de Diabetes y Enfermedades Metabolicas Asociadas), Madrid, Spain. AD - Centro de Investigacion Principe Felipe, Valencia, Spain. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190129 PL - United States TA - PLoS Biol JT - PLoS biology JID - 101183755 RN - 0 (FGF7 protein, human) RN - 0 (Fgf7 protein, mouse) RN - 0 (IRS2 protein, human) RN - 0 (Insulin) RN - 0 (Insulin Receptor Substrate Proteins) RN - 0 (Irs2 protein, mouse) RN - 0 (Receptors, Fibroblast Growth Factor) RN - 126469-10-1 (Fibroblast Growth Factor 7) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Animals MH - Chemical and Drug Induced Liver Injury, Chronic/*metabolism MH - Disease Models, Animal MH - Epithelial Cells/metabolism MH - Fibroblast Growth Factor 7/*metabolism/physiology MH - Glucose/metabolism MH - Humans MH - Insulin/metabolism MH - Insulin Receptor Substrate Proteins/genetics/*metabolism/physiology MH - Insulin Resistance/physiology MH - Liver/metabolism MH - Mice MH - Receptors, Fibroblast Growth Factor/metabolism MH - Signal Transduction/physiology MH - Stem Cells/metabolism/physiology PMC - PMC6368328 COIS- The authors have declared that no competing interests exist. EDAT- 2019/01/30 06:00 MHDA- 2019/11/05 06:00 PMCR- 2019/01/29 CRDT- 2019/01/30 06:00 PHST- 2018/07/30 00:00 [received] PHST- 2019/01/08 00:00 [accepted] PHST- 2019/02/08 00:00 [revised] PHST- 2019/01/30 06:00 [pubmed] PHST- 2019/11/05 06:00 [medline] PHST- 2019/01/30 06:00 [entrez] PHST- 2019/01/29 00:00 [pmc-release] AID - pbio.2006972 [pii] AID - 10.1371/journal.pbio.2006972 [doi] PST - epublish SO - PLoS Biol. 2019 Jan 29;17(1):e2006972. doi: 10.1371/journal.pbio.2006972. eCollection 2019 Jan.