Estrogen Regulation of Hepatic Growth

描述（由申请人提供）：肝病是美国发病率和死亡率的常见原因;约400，000例患者患有由各种病因引起的慢性肝病，并且发病率正在上升。每年有超过25，000名患者死于肝功能障碍的并发症，仅在等待肝移植时就有1700人死亡。肝脏生长紊乱可引起肝肿瘤。此外，作为主要的代谢器官，肝脏暴露于环境和内源性毒素，需要持续的修复和再生。使用斑马鱼（Danio rerio）模型，我们已经成功地阐明了Wnt信号在肝脏发育和再生中的高度特异性调节作用，在脊椎动物物种中保守，并建立了一个模型，以发现新的治疗毒性肝损伤的方法。我们最近完成了化学遗传筛选，以确定斑马鱼肝脏发育的调节因子;我们以前已经成功地使用这种方法来阐明造血的保守修饰剂，其中之一目前正在进行I期临床试验。通过这种筛选方法，我们发现雌激素是肝脏规格和生长的重要调节剂。雌激素是一种具有良好特征的转录调节因子，其经常与癌症进展相关，并且可能与对治疗的反应相对应。此外，异种雌激素，天然存在的和模拟雌激素在细胞中作用的人造化合物，已被证明可调节生殖器官的发育和功能，并有助于癌症形成和治疗。我们的长期目标是了解雌激素化合物影响肝脏的分子和细胞机制。我们的目标是描述雌激素暴露对发育过程中肝脏生长、损伤后再生和癌变的功能影响。我们的中心假设是，雌激素通过与其他信号通路，特别是Wnt信号通路的相互作用，对肝脏产生时间和细胞类型特异性影响。这一假设来自我们自己的筛查结果和随后的初步数据以及临床观察和癌症研究。我们工作的基本原理是，详细了解雌激素对肝脏生长的影响，将有助于对怀孕期间和儿童早期的营养和暴露提出建议，并揭示肝癌预防和治疗的潜在新靶点。在具体目标1中，我们试图确定内胚层特化和肝脏形成过程中雌激素信号传导的作用、时机和靶点;这些研究将利用发育过程中雌激素水平和信号传导的化学和遗传修饰，并利用广泛的表型、组织学和功能方法。在具体目标2中，我们将研究雌激素活性是否对器官再生和癌症生长产生影响;我们将使用先前设计的肝损伤的手术和化学模型以及斑马鱼肝癌模型来检查雌激素调节对肝脏结构和功能的恢复或破坏的影响。

DESCRIPTION (provided by applicant): Liver disease is a common cause of morbidity and mortality in the United States; approximately 400,000 patients suffer from chronic liver disease, caused by a variety of etiologies, and the incidence is rising. More than 25,000 patients die each year from complications of liver dysfunction, 1700 alone while awaiting liver trans- plant. Perturbations of liver growth can cause hepatic neoplasia. In addition, as the primary metabolic organ, the liver is exposed to both environmental and endogenous toxins, necessitating ongoing repair and regeneration. Using the zebrafish (Danio rerio) model, we have successfully elucidated a highly specific regulatory role for Wnt signaling in both liver development and regeneration, conserved across vertebrate species, and established a model to discover novel therapeutics for toxic liver injury. We recently completed a chemical genetic screen to identify regulators of liver development in zebrafish; we have successfully used this approach previously to elucidate conserved modifiers of hematopoiesis, one of which is currently in a phase I clinical trial. Through this screening methodology, we have discovered that estrogen is an important modifier of liver specification and growth. Estrogen is a well-characterized transcriptional regulator, which is frequently associated with cancer progression and may correspond with response to therapy. Furthermore, xenoestrogens, both naturally occurring and manufactured compounds that mimic the action of estrogen in the cell, have been shown to modulate the development and function of reproductive organs, as well as contribute to both cancer formation and therapy. Our long-term goal is to understand the molecular and cellular mechanisms by which estrogenic compounds affect the liver. Our objective here is to characterize the functional implications of estrogen exposure on liver growth during development, in regeneration after injury, and in carcinogenesis. Our central hypothesis is that estrogen exerts time and cell-type specific effects on the liver through interaction with other signaling pathways, particularly Wnt signaling. This hypothesis has been derived from our own screening results and subsequent preliminary data as well as clinical observations and cancer studies. The rationale for our work is that a detailed understanding of the impact of estrogen on liver growth will enable recommendations regarding nutrition and exposure during pregnancy and in early childhood, and reveal potential new targets for liver cancer prevention and treatment. In Specific Aim 1, we seek to define the role, timing, and targets of estrogen signaling during endoderm specification and liver formation; these studies will make use of both chemical and genetic modification of estrogen levels and signaling over the course of development, and utilize an extensive array of phenotypic, histological and functional methodologies. In Specific Aim 2, we will investigate whether estrogenic activity has an impact on organ regeneration and cancer growth; we will use previously devised surgical and chemical models of liver injury and a zebrafish liver cancer model to examine the effect of estrogen modulation on the recovery or destruction of hepatic structure and function.