apoptosis of cultured rat hepatocytes. (HEPATOLOGY Activin A, an autocrine factor produced by hepato-1996;23:288-293.) cytes, inhibits mitogen-stimulated DNA synthesis and induces apoptotic death of cultured rat hepatocytes. Several lines of evidence indicate that norepinephrine (NE), as a comitogenic growth factor, alters the balance beCellular proliferation is controlled by positive and tween growth stimulation and inhibition and acts as a negative growth regulators. Hepatocytes provide an trigger for the initiation of hepatocyte proliferation. In ideal system for the study of cell growth because of the present study, we examined whether NE modulated special characteristics: they exist in a quiescent state the effects of activin A on rat hepatocytes in primary in the normal adult animal, yet they are capable of culture. Activin A, at a concentration of 10 09 mol/L, extensive, coordinated proliferation following partial blocked the effect of epidermal growth factor (EGF) on hepatectomy. 1,2 Control of cell growth during liver re-
DNA synthesis, that was assessed by measuring [ 3 H]generation has been studied extensively both in vivo thymidine incorporation and nuclear labeling, almost and in vitro and synthesis of various growth stimulacompletely, and NE reversed the inhibitory effect of activin A on DNA synthesis. This effect of NE was dose-tors of hepatocyte growth is induced during liver regendependent, being significant at concentrations of 10 06 eration. Transforming growth factor a that shares the mol/L and above, but was overcome by higher concentra-same receptors as epidermal growth factor (EGF), is tions of activin A, and was attenuated by prazosin, but synthesized as an autocrine factor in parenchymal liver not by yohimbine or propranolol. NE exerted its effect cells, 3 while hepatocyte growth factor is delivered via during the first 24 hours of culture, but was ineffective the endocrine mechanism and is synthesized in nonwhen added after 24 hours. EGF augmented the release parenchymal cells, 4-7 that subsequently synthesize of follistatin, an activin-binding protein known to block transforming growth factor b, a potent inhibitor of hethe action of activin A, by hepatocytes and NE did not patocyte growth. 8 Norepinephrine (NE), as a comitoaffect the amount of follistatin they released. In addition genic growth factor, has the potential to enhance the to inhibiting DNA synthesis by hepatocytes cultured with EGF, activin A induced death of hepatocytes cul-mitogenic effects of various growth stimulators. Blocktured in the absence of EGF. The nuclear morphology ade of a 1 -adrenergic receptors by prazosin attenuated of cells cultured with activin A alone was strikingly the DNA synthesis peak seen during liver regenerachanged compared with untreated control cells and tion, 9 that shows clearly that a 1 -adrenergic agonists marked identation of the nuclear membranes and mod-play a critical role during the early stage of liver regenerate chromatin condensation were observed. Fragmen-eration. NE also reduced ...