Sympathetic nervous system inhibition increases hepatic progenitors and reduces liver injury
Article first published online: 30 DEC 2003
Copyright © 2003 American Association for the Study of Liver Diseases
Volume 38, Issue 3, pages 664–673, September 2003
How to Cite
Oben, J. A., Roskams, T., Yang, S., Lin, H., Sinelli, N., Li, Z., Torbenson, M., Huang, J., Guarino, P., Kafrouni, M. and Diehl, A. M. (2003), Sympathetic nervous system inhibition increases hepatic progenitors and reduces liver injury. Hepatology, 38: 664–673. doi: 10.1053/jhep.2003.50371
- Issue published online: 30 DEC 2003
- Article first published online: 30 DEC 2003
- Manuscript Accepted: 4 JUN 2003
- Manuscript Received: 4 MAR 2003
- Supported by NIH NIAAA RO1-10154 (to A.M.D.), NIAAA RO1-12059 (to A.M.D.), and F.W.O. Vlaanderen G.0139.00N (to T.R.).
Recovery from liver damage might be enhanced by encouraging repopulation of the liver by endogenous hepatic progenitor cells. Oval cells are resident hepatic stem cells that promote liver regeneration and repair. Little is known about the mediators that regulate the accumulation of these cells in the liver. Parasympathetic nervous system inhibition reduces the number of oval cells in injured livers. The effect of sympathetic nervous system (SNS) inhibition on oval cell number is not known. Adrenergic inhibition mobilizes hematopoietic precursors into the circulation and has also been shown to promote liver regeneration. Thus, we hypothesized that SNS inhibition would promote hepatic accumulation of oval cells and reduce liver damage in mice fed antioxidant-depleted diets to induce liver injury. Our results confirm this hypothesis. Compared with control mice that were fed only the antioxidant-depleted diets, mice fed the same diets with prazosin (PRZ, an α-1 adrenoceptor antagonist) or 6-hydroxydopamine (6-OHDA, an agent that induces chemical sympathectomy) had significantly increased numbers of oval cells. Increased oval cell accumulation was accompanied by less hepatic necrosis and steatosis, lower serum aminotransferases, and greater liver and whole body weights. Neither PRZ nor 6-OHDA affected the expression of cytokines, growth factors, or growth factor receptors that are known to regulate progenitor cells. In conclusion, stress-related sympathetic activity modulates progenitor cell accumulation in damaged livers and SNS blockade with α-adrenoceptor antagonists enhances hepatic progenitor cell accumulation.