Extrahepatic cholangiocarcinoma: Current status of endoscopic approach and additional therapies 166 - Sorbonne Université
Journal Articles World journal of hepatology Year : 2021

Extrahepatic cholangiocarcinoma: Current status of endoscopic approach and additional therapies 166

Abstract

Background: Liver fibrosis can result in end-stage liver failure and death.Aim: To examine human liver fibrogenesis and anti-fibrotic therapies, we evaluated the three dimensional ex vivo liver slice (LS) model.Methods: Fibrotic liver samples (F0 to F4 fibrosis stage according to the METAVIR score) were collected from patients after liver resection. Human liver slices (HLS) were cultivated for up to 21 days. Hepatitis C virus (HCV) infection, alcohol (ethanol stimulation) and steatosis (palmitate stimulation) were examined in fibrotic (F2 to F4) liver slices infected (or not) with HCV. F0-F1 HLS were used as controls. At day 0, either ursodeoxycholic acid (choleretic and hepatoprotective properties) and/or α-tocopherol (antioxidant properties) were added to standard of care on HLS and fibrotic liver slices, infected (or not) with HCV. Expression of the biomarkers of fibrosis and the triglyceride production were checked by quantitative reverse transcription polymerase chain reaction and/or enzyme-linked immunosorbent assay.Results: The cultures were viable in vitro for 21 days allowing to study fibrosis inducers and to estimate the effect of anti-fibrotic drugs. Expression of the biomarkers of fibrosis and the progression to steatosis (estimated by triglycerides production) was increased with the addition of HCV and /or ethanol or palmitate. From day 15 of the follow-up studies, a significant decrease of both transforming growth factor β-1 and Procol1A1 expression and triglycerides production was observed when a combined anti-fibrotic treatment was applied on HCV infected F2-F4 LS cultures.Conclusion: These results show that the human three dimensional ex vivo model effectively reflects the in vivo processes in damaged human liver (viral, alcoholic, nonalcoholic steatohepatitis liver diseases) and provides the proof of concept that the LS examined model permits a rapid evaluation of new anti-fibrotic therapies when used alone or in combination.
Fichier principal
Vignette du fichier
WJH-13-187.pdf (13.39 Mo) Télécharger le fichier
Origin Publication funded by an institution

Dates and versions

hal-03169165 , version 1 (15-03-2021)

Identifiers

Cite

Daria Kartasheva-Ebertz, Jesintha Gaston, Loriane Lair-Mehiri, Pierre-Philippe Massault, Olivier Scatton, et al.. Extrahepatic cholangiocarcinoma: Current status of endoscopic approach and additional therapies 166. World journal of hepatology, 2021, 13 (2), pp.187-217. ⟨10.4254/wjh.v13.i2.166⟩. ⟨hal-03169165⟩
70 View
64 Download

Altmetric

Share

More