Elsevier

Journal of Hepatology

Volume 33, Issue 5, November 2000, Pages 725-732
Journal of Hepatology

Enhanced synthesis and reduced metabolism of endothelin-1 (ET-1) by hepatocytes - an important mechanism of increased endogenous levels of ET-1 in liver cirrhosis

https://doi.org/10.1016/S0168-8278(00)80302-5Get rights and content

Abstract

Background/Aims: Hepatic concentration of endothelin-1 (ET-1) is increased in human and experimental liver cirrhosis. Because of its potent actions in the liver, ET-1 has been suggested to play an important role in the pathophysiology of cirrhosis. Since hepatocytes are the major cell type to metabolize ET-1, we investigated whether their reduced capacity to degrade ET-1 is a mechanism of its elevated levels in cirrhosis.

Methods: The expression of ET-1 receptors, ET-1 and endothelin converting enzyme (ECE), and metabolism of ET-1 and ECE activity were compared in hepatocytes isolated from control and carbon tetrachloride-induced cirrhotic rats.

Results: ET-1 receptor density and receptor-mediated internalization of ET-1 were significantly increased in cirrhotic hepatocytes relative to the control cells. However, compared to control hepatocytes, metabolism of ET-1 by the cirrhotic cells was reduced significantly. Interestingly, hepatocytes were found to contain preproET-1 mRNA, ECE-1 mRNA and ET-1. PreproET-1 mRNA and ET-1 levels were increased in cirrhotic hepatocytes but their ECE mRNA and ECE activity were not altered.

Conclusions: These results provide the first evidence that hepatocytes have the ability to synthesize ET-1 and demonstrate that decreased metabolism and enhanced synthesis of ET-1 in hepatocytes are an important mechanism of its elevated levels in cirrhosis.

Section snippets

Materials and Methods

Rat (1–39) big ET-1 (Sigma, St Louis, MO, USA); collagenase CLS1 (Worthington, Freehold, NJ, USA); William's medium E, penicillin G, streptomycin and fetal bovine serum (GibcoBRL, Grand Island, NY, USA); endothelin-1, sarafotoxin S6c and BQ-123 (American Peptide, Sunnyvale, CA, USA); [125I] endothelin-1 (2200 Ci/mmol) (DuPont-NEN, Boston, MA, USA) were purchased from the indicated sources.

Morphology of cultured hepatocytes

The size of cirrhotic hepatocytes was significantly smaller than that of control cells (21±1.2 μM versus 28±1.6 μM; p<0.01) (Fig. 2). Interestingly, unlike the control cells that formed well-organized plates, cirrhotic hepatocytes tended to aggregate during culture.

ET-1 and ECE in the liver and hepatocytes

The concentrations of ET-1 in plasma and livers of cirrhotic rats were respectively 1.5- and 3-fold higher than in control rats (Table 1). The increase in hepatic ET-1 concentration was consistent with an increase in preproET-1 mRNA

Discussion

Hepatic ET-1 levels increase in cirrhotic rats 3., 21. and humans 4., 20.. Enhanced hepatic synthesis of ET-1 seems to be its main cause, as indicated by higher concentration of hepatic venous ET-1 than portal venous ET-1 in cirrhotic patients (20). This investigation has demonstrated that enhanced synthesis and reduced metabolism of ET-1 in hepatocytes can be an important mechanism of elevated endogenous and circulating ET-1 in cirrhosis. Previously, preproET-1 mRNA transcript could not be

Acknowledgements

Supported by a VA Merit award and a grant DK 54411–01 from the NIH to CRG. We thank Ms. Lori Perez and Mr. McKinley Blair for excellent technical assistance and Dr. Xuedong Chi for Western blot analysis.

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