PMID- 32699656 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 2160-4150 (Print) IS - 2160-4150 (Electronic) IS - 2160-4150 (Linking) VI - 9 IP - 3 DP - 2020 TI - ATSC transplantation contributes to liver regeneration following paracetamol-induced acute liver injury through differentiation into hepatic-like cells. PG - 36-56 AB - INTRODUCTION: Drug-induced liver injury (DILI) is a leading cause of acute liver injury (ALI). Acetaminophen (also termed paracetamol), can often be found in drugs that may be abused (i.e., prescription for pain relief). Animal experiments have shown that mesenchymal stem cell transplantation can ameliorate or even reverse hepatic injury. MATERIAL AND METHODS: ALI was induced in Wistar rats using paracetamol. ATSCs were transplanted via the intravenous, portal vein, or intrahepatic route directly onto the liver parenchyma. Histological evaluation was conducted to assess drug-induced injury following transplantation. Fluorescence in situ hybridization (FISH) was used to verify the location of stem cells on the liver parenchyma. The effect of those cells on liver regeneration was tested by immunohistochemistry for hepatic growth factor (HGF). In addition, reverse transcription-quantitative PCR (qRT-PCR) was used to assess hepatic growth factor (HGF), hepatic nuclear factor 4alpha (HNF4alpha), cytochrome P450 1A2 (CYP1A2) and alpha-fetoprotein (AFP) mRNA expression. RESULTS: Immunohistochemical staining for HGF was stronger in the transplanted groups than that in the control group (P<0.001). HNF4alpha and HGF mRNA levels were increased on day 7 following transplantation (P<0.001 and P=0.009, respectively). CYP1A2 mRNA levels were also increased (P=0.013) in the intravenous groups, while AFP levels were higher in the intrahepatic groups (P=0.006). ATSC transplantation attenuates ALI injury and promotes liver regeneration. Furthermore, expression of specific hepatic enzymes points to ATSC hepatic differentiation. CONCLUSION: The study showed the positive effects of transplanted adipose tissue stem cells (ATSCs) on liver regeneration (LG) through hepatotrophic factors. Furthermore, increased expression of hepatic specific proteins was recorded in ATSC transplanted groups that indicate stem cells differentiation into hepatic cells. CI - AJSC Copyright (c) 2020. FAU - Feretis, Themistoklis AU - Feretis T AD - 1st Department of Propaedeutic Surgery, Medical School, National Kapodistrian University of Athens, Hippocratio Hospital Athens 11527, Greece. AD - Experimental, Educational Research Center, ELPEN Pharmaceuticals 190 09 Pikermi, Greece. FAU - Katselis, Charalampos AU - Katselis C AD - 1st Department of Propaedeutic Surgery, Medical School, National Kapodistrian University of Athens, Hippocratio Hospital Athens 11527, Greece. AD - Experimental, Educational Research Center, ELPEN Pharmaceuticals 190 09 Pikermi, Greece. FAU - Papanikolaou, Ioannis G AU - Papanikolaou IG AD - 1st Department of Propaedeutic Surgery, Medical School, National Kapodistrian University of Athens, Hippocratio Hospital Athens 11527, Greece. AD - Experimental, Educational Research Center, ELPEN Pharmaceuticals 190 09 Pikermi, Greece. FAU - Apostolou, Konstantinos AU - Apostolou K AD - 1st Department of Propaedeutic Surgery, Medical School, National Kapodistrian University of Athens, Hippocratio Hospital Athens 11527, Greece. AD - Experimental, Educational Research Center, ELPEN Pharmaceuticals 190 09 Pikermi, Greece. FAU - Tsikalakis, Spyridon AU - Tsikalakis S AD - Department of Pathology, Medical School, National Kapodistrian University of Athens, Hippocratio Hospital Athens 11527, Greece. FAU - Toutouzas, Konstantinos G AU - Toutouzas KG AD - 1st Department of Propaedeutic Surgery, Medical School, National Kapodistrian University of Athens, Hippocratio Hospital Athens 11527, Greece. FAU - Theodoropoulos, George AU - Theodoropoulos G AD - 1st Department of Propaedeutic Surgery, Medical School, National Kapodistrian University of Athens, Hippocratio Hospital Athens 11527, Greece. FAU - Trigka, Eleni Andrianna AU - Trigka EA AD - Department of Pathology, Medical School, National Kapodistrian University of Athens, Hippocratio Hospital Athens 11527, Greece. FAU - Saetta, Angelica A AU - Saetta AA AD - Department of Pathology, Medical School, National Kapodistrian University of Athens, Hippocratio Hospital Athens 11527, Greece. FAU - Alexakis, Nicholas AU - Alexakis N AD - 1st Department of Propaedeutic Surgery, Medical School, National Kapodistrian University of Athens, Hippocratio Hospital Athens 11527, Greece. FAU - Konstandoulakis, Manousos AU - Konstandoulakis M AD - 1st Department of Propaedeutic Surgery, Medical School, National Kapodistrian University of Athens, Hippocratio Hospital Athens 11527, Greece. FAU - Tsarea, Kalliopi AU - Tsarea K AD - Experimental, Educational Research Center, ELPEN Pharmaceuticals 190 09 Pikermi, Greece. FAU - Karamperi, Maria AU - Karamperi M AD - Experimental, Educational Research Center, ELPEN Pharmaceuticals 190 09 Pikermi, Greece. FAU - Kletsas, Dimitrios AU - Kletsas D AD - Laboratory of Cell Proliferation & Ageing, Institute of Biology NCSR 'Demokritos' Athens 15310, Greece. FAU - Patsouris, Efstratios AU - Patsouris E AD - Department of Pathology, Medical School, National Kapodistrian University of Athens, Hippocratio Hospital Athens 11527, Greece. FAU - Manouras, Andreas AU - Manouras A AD - 1st Department of Propaedeutic Surgery, Medical School, National Kapodistrian University of Athens, Hippocratio Hospital Athens 11527, Greece. FAU - Zografos, Georgios C AU - Zografos GC AD - 1st Department of Propaedeutic Surgery, Medical School, National Kapodistrian University of Athens, Hippocratio Hospital Athens 11527, Greece. FAU - Papalois, Apostolos AU - Papalois A AD - 1st Department of Propaedeutic Surgery, Medical School, National Kapodistrian University of Athens, Hippocratio Hospital Athens 11527, Greece. AD - Experimental, Educational Research Center, ELPEN Pharmaceuticals 190 09 Pikermi, Greece. AD - European University Cyprus, Medical School Nicosia 2404, Cyprus. LA - eng PT - Journal Article DEP - 20200615 PL - United States TA - Am J Stem Cells JT - American journal of stem cells JID - 101578936 PMC - PMC7364386 OTO - NOTNLM OT - Adipose tissue stem cells OT - acute liver injury OT - cytochrome P450 1A2 OT - drug-induced liver injury OT - hepatic growth factor OT - hepatic nuclear factor 4 OT - liver regeneration OT - alpha-fetoprotein COIS- None. EDAT- 2020/07/24 06:00 MHDA- 2020/07/24 06:01 PMCR- 2020/06/15 CRDT- 2020/07/24 06:00 PHST- 2020/04/08 00:00 [received] PHST- 2020/05/12 00:00 [accepted] PHST- 2020/07/24 06:00 [entrez] PHST- 2020/07/24 06:00 [pubmed] PHST- 2020/07/24 06:01 [medline] PHST- 2020/06/15 00:00 [pmc-release] PST - epublish SO - Am J Stem Cells. 2020 Jun 15;9(3):36-56. eCollection 2020.