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ARTICLE |

Acute-Phase Hepatocytes Regulate Liver Sinusoidal Cell Mediator Production

Paul Bankey, MD, PhD; Morton Prager, PhD; Dana Geldon; Scott Taylor; Kendra McIntyre
Arch Surg. 1994;129(11):1166-1171. doi:10.1001/archsurg.1994.01420350064008.
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Background:  Overproduction of liver sinusoidal cell (LCS) mediators in response to endotoxemia or gramnegative infection that follows tissue injury may contribute to hepatic dysfunction.

Objective:  To better define the role of hepatocytederived acute-phase reactants in the regulation of sinusoidal cell mediator production following sequential insults, we tested the hypothesis that interleukin-6 (IL-6) prestimulation alters hepatocyte regulation of lipopolysaccharide (LPS)-stimulated sinusoidal cell tumor necrosis factor (TNF), IL-6, and nitric oxide production.

Methods:  Hepatocytes and LSCs were isolated from Wistar rats, and in vitro responses were compared between LSCs alone and hepatocyte-LSC cocultures. Cocultures and LSCs alone were sequentially stimulated with IL-6 (5000 U/mL) then LPS (dose-response), and culture supernatants were analyzed for TNF (L929 cytolysis), IL-6 (7TD1 proliferation), and nitric oxide (Griess reaction). Induction of acute-phase protein synthesis by the stimulation of hepatocytes with IL-6 and dexamethasone (0.1 μmol/L) was assayed by methionine radiolabeling and SDS-PAGE (sodium dodecyl sulfate—polyacrylamide gel electrophoresis). Coculture levels of messenger RNA for TNF-α and IL-6 were examined by RNA extraction and reverse transcriptase polymerase chain reaction with specific primers.

Results:  Interleukin-6 and dexamethasone signal hepatocyte acute-phase protein synthesis. Prestimulation of cocultures, but not of LSCs alone, with IL-6 inhibits LPS-stimulated IL-6 and nitric oxide production significantly. Bioactivity of TNF is reduced to a lesser extent. Polymerase chain reaction analysis demonstrated similar levels of TNF and IL-6 message following sequential stimulation.

Conclusions:  Interleukin-6–stimulated acute-phase hepatocytes limit LPS-stimulated coculture cytokine bioactivity and nitric oxide production. This hepatocyte response may provide a local counterregulatory mechanism to limit LSC-mediated injury.(Arch Surg. 1994;129:1166-1171)

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