CCL2-dependent infiltrating macrophages promote angiogenesis in progressive liver fibrosis.

CCL2-dependent infiltrating macrophages promote angiogenesis in progressive liver fibrosis.
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DOI:
10.1136/gutjnl-2013-306294
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发表时间:
2014-12
期刊:
Gut
影响因子:
24.5
通讯作者:
Tacke F
Tacke F
中科院分区:
医学1区
文献类型:
--
作者:
Ehling J;Bartneck M;Wei X;Gremse F;Fech V;Möckel D;Baeck C;Hittatiya K;Eulberg D;Luedde T;Kiessling F;Trautwein C;Lammers T;Tacke F

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In chronic liver injury, angiogenesis, the formation of new blood vessels from pre-existing ones, may contribute to progressive hepatic fibrosis and to development of hepatocellular carcinoma. Although hypoxia-induced expression of vascular endothelial growth factor (VEGF) occurs in advanced fibrosis, we hypothesized that inflammation may endorse hepatic angiogenesis already at early stages of fibrosis. Angiogenesis in livers of c57BL/6 mice upon carbon tetrachloride (CCl4) or bile duct ligation (BDL) induced chronic hepatic injury was non-invasively monitored using in vivo contrast-enhanced micro-computed tomography (CT) and ex vivo anatomical μCT after hepatic Microfil perfusion. Functional contributions of monocyte-derived macrophage subsets for angiogenesis were explored by pharmacological inhibition of CCL2 using the Spiegelmer mNOX-E36. Contrast-enhanced in vivo μCT imaging allowed non-invasively monitoring the close correlation of angiogenesis, reflected by functional hepatic blood vessel expansion, with experimental fibrosis progression. On a cellular level, inflammatory monocyte-derived macrophages massively accumulated in injured livers, co-localized with newly formed vessels in portal tracts and exhibited pro-angiogenic gene profiles including up-regulated VEGF and MMP9. Functional in vivo and anatomical ex vivo μCT analyses demonstrated that inhibition of monocyte infiltration by targeting the chemokine CCL2 prevented fibrosis-associated angiogenesis, but not fibrosis progression. Monocyte-derived macrophages primarily fostered sprouting angiogenesis within the portal vein tract. Portal vein diameter as a measure of portal hypertension depended on fibrosis, but not on angiogenesis. Inflammation-associated angiogenesis is promoted by CCL2-dependent monocytes during fibrosis progression. Innovative in vivo μCT methodology can accurately monitor angiogenesis and anti-angiogenic therapy effects in experimental liver fibrosis.
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