The mechanism of serotonin 5-HT 2 receptor subtype-stimulated DNA synthesis and proliferation was investigated in primary cultures of adult rat hepatocytes to elucidate the intracellular signal transduction pathways. DNA synthesis and proliferation were detected in hepatocyte parenchymal cells grown in serumfree, defined medium containing 5-HT ( Under normal physiological conditions, the mature rat liver is quiescent and does not proliferate. However, the liver has a remarkable capacity to regenerate. For example, after 70% partial hepatectomy, the remaining hepatocytes proliferate to restore the liver to its original mass within 2 weeks. 1) Among the many growth-promoting factors important for liver regeneration, platelet-derived serotonin (5-hydroxytryptamine; 5-HT) is directly involved in liver regeneration. [2][3][4][5] In addition to its role as a neurotransmitter, 5-HT also functions as a hormone with various peripheral effects. 5-HT mediates many types of biological responses such as platelet aggregation, vascular constriction, and cell proliferation and mediates a diverse array of responses by interacting with 5-HT receptor subtypes in mammals.6) Seven receptor classes including 14 subtypes of 5-HT receptors have been identified, reflecting the diversity of 5-HT actions. With the exception of the 5-HT 3 receptors, which are ligand-gated ion channels, all known 5-HT receptors are G-protein-coupled receptors that are positively linked to phosphatidylinositol turnover or cAMP production and further linked to a variety of downstream pathways. 7,8) In a previous report, we demonstrated that 5-HT-induced hepatocyte DNA synthesis and proliferation are mediated through 5-HT 2B receptors. 9) Moreover, 5-HT 2B receptor-mediated hepatocyte mitogenesis involves activation of the Gq/ phospholipase C (PLC) pathway and the epidermal growth factor (EGF)/transforming growth factor (TGF)-α receptor tyrosine kinase (RTK)/phosphatidylinositol 3-kinase (PI3K)/ extracellular signal-regulated kinase (ERK)2/mammalian target of rapamycin (mTOR) pathway. However, how these two signaling pathways are associated with each other remains unknown. We hypothesized that 5-HT 2B receptor stimulation induces secretion of a putative primary mitogen via the Gq/ PLC pathway in hepatocytes, followed by induction of DNA synthesis and proliferation that is mediated by the EGF/TGF-α RTK/PI3K/ERK2/mTOR pathway.
9)To test this model, demonstrating that treatment of primary cultured hepatocytes with 5-HT or the selective 5-HT 2B receptor agonist BW723C86 10) leads to an increase in secretion of a putative primary mitogen is important. If so, determining how autocrine secretion of this mitogen via 5-HT 2B receptor activation is regulated is also important. Here we show that in primary cultured hepatocytes, 5-HT or BW723C86 induces autocrine secretion of TGF-α, which then activates EGF/ TGF-α RTK/PI3K/ERK2/mTOR signaling to induce DNA synthesis and proliferation.