Protective role of antithrombin in mouse models of liver injury

Autor: Javier Corral, Raúl Teruel, Irene Martínez-Martínez, María Eugenia de la Morena-Barrio, Vicente Vicente, José A. Guerrero, Isabel Arcas, Constantino Martínez
Rok vydání: 2012
Předmět:
Zdroj: Journal of hepatology. 57(5)
ISSN: 1600-0641
Popis: Background & Aims Coagulopathy caused by an imbalance of hemostatic factors is associated with the pathophysiology of liver disease. We have investigated the role of antithrombin (AT), a key anticoagulant serpin, in the onset of liver disease. Methods Liver injury was induced by CCl 4 injection and bile duct ligation (BDL) in wild type (WT) and AT-deficient ( AT +/− ) mice. Twenty-four hours after CCl 4 treatment, aspartate-transaminase, alanine-transaminase, liver lesion size, leukocyte infiltration, and apoptosis were reduced in WT animals compared to AT +/− mice. Results Administration of exogenous AT in AT +/− animals did not restore the values observed in WT mice, suggesting that intrahepatic AT might also offer protection against CCl 4 . In the BDL model, increased liver injury was also evident in AT +/− compared to WT mice. An 85kDa covalent complex involving AT was identified in immunoblottings of liver lysates from CCl 4 -treated animals. This complex was also present in anoikis hepatocytes and H 2 O 2 -treated HepG2 cells, suggesting a role for AT in apoptosis. Expression of recombinant WT–AT by HEK-EBNA cells increased cell survival while expression of AT mutants, ΔR393 and R47C, did not modify viability. Finally, plasma anti-FXa activity was attenuated by liver injury, with AT +/− animals showing a greater reduction than WT mice. Conclusions Our study reveals a protective role of AT against liver injury due to its recognized anticoagulant and anti-inflammatory action. AT may also act via a previously unrecognized antiapoptotic effect. The clinical implications of AT deficiency in patients with liver disease should be further addressed.
Databáze: OpenAIRE