Spatiotemporal expression of matrix metalloproteinase-1 in progression of nonalcoholic steatohepatitis
Journal Title: Journal of Modern Human Pathology - Year 2016, Vol 1, Issue 2
Abstract
Human matrix metalloproteinase-1 (MMP-1) has been shown to contribute to the regression of experimental liver fibrosis when ectopically expressed in rodents. It remains unknown whether the same mechanism exists in chronic liver diseases in humans. This study was conducted to elucidate the functional contribution of MMP-1 to the pathophysiology of nonalcoholic steatohepatitis (NASH). Samples from 19 histologically proven NASH patients were examined together with normal liver specimens from four subjects. Expression of MMP-1, caveolin-1, active and latent forms of TGF-β, and type 1 procollagen was analyzed using immunohistochemical, western blotting and immunoelectron microscopic (IEM) examinations. In the early stage of NASH, MMP-1 was expressed predominantly in Kupffer cells and monocytes. Remarkable expression of MMP-1 and caveolin-1 was observed in hepatic progenitor cells (HPCs), hepatic stellate cells (HSC) and proliferating capillary endothelial cells in the advanced stage of NASH. MMP-1 immunostaining was significantly greater in advanced (p < 0.014) and early (p < 0.016) NASH than in control. IEM revealed MMP-1-immunoreactive products in HPCs/HSC/small hepatocytes. Active form of TGF-β and type I procollagen were detected at the edge of those capillary endothelial cells adjacent to the HPCs. MMP-1 expressed in HPCs/small hepatocytes/ capillary endothelial cells may contribute, at least in part, to the repair and regeneration of fibrotic liver through the caveolin-1 signal in the advanced stage of NASH.
Authors and Affiliations
Yokomori H, Inagaki Y, Ando W, Hara M, Komiyama T, Kojima S, Oda M, Kuroda H, Suzuki Y, Okazaki I
Metastatic epithelioid hemangioendothelioma to the bone marrow with associated myelofibrosis resembling primary myelofibrosis
Epithelioid hemangioendothelioma (EHE) is a low-grade malignant vascular endothelial tumor. EHE of the spleen is rare and most often represents metastasis of EHE from other sites, or disseminated disease or multifocal di...
Prevalence of diabetic ketoacidosis (DKA) and hyperglycaemic hyperosmolar syndrome (HHS) in emergency departments in Queensland, Australia
A retrospective evaluation was undertaken on the frequency of presentations of DKA and HHS to emergency departments to three major hospitals. Biochemical results, glucose and bicarbonate specifically, and pH, when availa...
Azathioprine induced Epstein-Barr virus positive mucocutaneous ulcer: A case report
Introduction: Epstein-Barr virus positive mucocutaneous ulcer (EBVMUC) is a rare, newly described provisional entity in the 2016 Update of World Health Organization classification of lymphoid neoplasms. The histomorpholo...
Atypical presentation of a desmoplastic small round cell tumor in the orbit: Case report and review of the literature
Desmoplastic small round cell tumor (DSRCT) is a rare malignant neoplasm. Typically it occurs in young adult males and involves the abdomen or pelvis. Other primary sites are uncommon. Only one other case of orbital DSRC...
Laparoscopic management of primary abdominal pregnancy located on the sigmoid colon: A case report
Abdominal pregnancy (AP) is rare with an estimated incidence of 1/10000 births and only 1.4% of ectopic pregnancies. Primary abdominal pregnancy (PAP) is the least common form of the AP. We present a case of PAP in a 22...