Objective
Smoothened (SMO), a co-receptor of the Hedgehog (Hh) pathway, promotes fibrogenic repair of chronic liver injury. We investigated the roles of SMO+ myofibroblasts (MF) in liver regeneration by conditional deletion of SMO in αSMA+ cells after partial hepatectomy (PH).
Design
αSMA-Cre-ERT2×SMO/flox mice were treated with vehicle (Veh) or tamoxifen (TMX), and sacrificed 24 to 96 hrs post-PH. Regenerating livers were analyzed for proliferation, progenitors, and fibrosis by qRT-PCR and quantitative-IHC. Results were normalized to liver-segments resected at PH. For lineage-tracing studies, αSMA-Cre-ERT2×ROSA-Stop-flox-YFP mice were treated with Veh or TMX; livers were stained for YFP, and hepatocytes isolated 48 and 72 hrs post-PH were analysed for YFP by FACS.
Results
Post-PH, Veh-αSMA-SMO mice increased expression of Hh-genes, transiently accumulated MF, fibrosis, and liver progenitors, and ultimately exhibited proliferation of hepatocytes and cholangiocytes. In contrast, TMX-αSMA-SMO mice showed loss of whole liver SMO expression, repression of Hh-genes, enhanced accumulation of quiescent HSC but reduced accumulation of MF, fibrosis, and progenitors, as well as inhibition of hepatocyte and cholangiocyte proliferation, and reduced recovery of liver weight. In TMX-αSMA-YFP mice, many progenitors, cholangiocytes, and up to 25% of hepatocytes were YFP+ by 48-72 h after PH, indicating that liver epithelial cells were derived from αSMA-YFP+cells.
Conclusion
Hedgehog signaling promotes transition of quiescent hepatic stellate cells to fibrogenic MF, some of which become progenitors that regenerate the liver epithelial compartment after PH. Hence, scarring is a component of successful liver regeneration.