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Sulodexide attenuates liver fibrosis in mice by restoration of differentiated liver sinusoidal endothelial cell - 26/02/23

Doi : 10.1016/j.biopha.2023.114396 
Ru Huang a, 1, Juan Deng a, 1, Chang-Peng Zhu b, Shu-Qing Liu b, Ya-Lu Cui b, Fei Chen b, Xin Zhang b, Xia Tao c, , Wei-Fen Xie a, b, d,
a Department of Gastroenterology, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai 200092, China 
b Department of Gastroenterology, Changzheng Hospital, Naval Medical University, Shanghai 200003, China 
c Department of Pharmacology, Changzheng Hospital, Naval Medical University, Shanghai 200003, China 
d Shanghai Institute of Stem Cell Research and Clinical Translation, Shanghai 200120, China 

Correspondence to: Department of Pharmacy, Changzheng Hospital, Naval Medical University, Shanghai 200003, China.Department of Pharmacy, Changzheng Hospital, Naval Medical UniversityShanghai200003China⁎⁎Corresponding author at: Department of Gastroenterology, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai 200092, China.Department of Gastroenterology, Shanghai East Hospital, School of Medicine, Tongji UniversityShanghai200092China

Abstract

Sulodexide is a heparinoid compound with wide-ranging pharmacological activities. However, the effect of sulodexide on liver fibrogenesis has not been reported. In this study, we aim to evaluate the therapeutic potential of sulodexide in mouse model of liver fibrosis and explore the underlying antifibrotic mechanisms. We found that sulodexide treatment significantly attenuated thioacetamide (TAA) and 3,5-diethoxycarbonyl-1,4-dihydrocollidine (DDC)-induced liver fibrosis in mice. Transcriptome analysis revealed that sulodexide treatment downregulated fibrosis-related genes and liver sinusoidal endothelial cells (LSECs) capillarization-associated genes in fibrotic livers. Immunohistochemistry confirmed that the increased expression of LSEC capillarization-related genes (CD34, CD31 and Laminin) in liver fibrotic tissues was reduced by sulodexide treatment. Scanning electron microscopy showed that LSECs fenestrations were preserved upon sulodexide treatment. Quantitative real-time PCR and immunofluorescence demonstrated that the expression of mesenchymal markers was downregulated by sulodexide administration, suggesting sulodexide inhibited endothelial-mesenchymal transition of LSECs during liver fibrosis. Furthermore, sulodexide administration protected primary LSECs from endothelial dysfunction in vitro. In conclusion, sulodexide attenuated liver fibrosis in mice by restoration of differentiated LSECs, indicating that sulodexide treatment may present as a potential therapy for patients with liver fibrosis.

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Graphical Abstract




 : 

Schematics of the mechanism by which sulodexide improves liver fibrosis in mice. During liver fibrogenesis, LSECs undergo capillarization and EndMT, which promote the activation of HSCs and progression of liver fibrosis. Sulodexide inhibited LSEC capillarization and endothelial-to-mesenchymal transition, protecting liver from further damage.


Schematics of the mechanism by which sulodexide improves liver fibrosis in mice. During liver fibrogenesis, LSECs undergo capillarization and EndMT, which promote the activation of HSCs and progression of liver fibrosis. Sulodexide inhibited LSEC capillarization and endothelial-to-mesenchymal transition, protecting liver from further damage.ga1

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Highlights

Sulodexide attenuates liver fibrosis in mice.
Sulodexide treatment reduces toxin-induced LSEC capillarization.
Sulodexide treatment blunts LSEC EndMT during liver fibrosis.

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Abbreviations : α-SMA, Col1a1, DDC, EC, ECM, eNOS, HSC, LSEC, NASH, NO, NPC, PSC, TAA, Tgfβ

Keywords : Liver fibrosis, Sulodexide, Anticoagulants, Liver sinusoidal endothelial cell capillarization, Endothelial-mesenchymal transition, Endothelial dysfunction


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