Cyclooxygenase-2 expression in hepatocytes attenuates non-alcoholic steatohepatitis and liver fibrosis in mice

Omar Motiño1, Noelia Agra1, Rocío Brea Contreras1

  • 1Instituto de Investigaciones Biomédicas (IIB) "Alberto Sols", CSIC-UAM, Arturo Duperier 4, 28029 Madrid, Spain.

Insights

Constitutive hepatocyte cyclooxygenase-2 (COX-2) expression ameliorates non-alcoholic steatohepatitis (NASH) and liver fibrosis in mice. This protective role involves reducing inflammation, oxidative stress, and apoptosis, suggesting COX-2 induction may benefit NASH/NAFLD progression.

Area of Science:

  • Hepatology
  • Molecular Biology
  • Inflammation Research

Background:

  • Cyclooxygenase-2 (COX-2) role in liver diseases is recognized, but its specific involvement in non-alcoholic steatohepatitis (NASH) pathogenesis remains unclear.
  • Understanding COX-2's function in hepatocytes is crucial for elucidating NASH and hepatic fibrosis development.

Purpose of the Study:

  • To investigate the role of COX-2 expression specifically in hepatocytes during the development and progression of NASH and liver fibrosis.
  • To determine if constitutive hepatocyte COX-2 expression impacts the severity of NASH and CCl4-induced liver fibrosis in a mouse model.

Main Methods:

  • Utilized hepatocyte-specific COX-2 transgenic mice (hCOX-2-Tg) and wild-type (Wt) littermates.
  • Established NASH model using a methionine-choline deficient (MCD) diet and liver fibrosis model using carbon tetrachloride (CCl4) injection.
  • Assessed steatosis, inflammation, oxidative stress, apoptosis, and fibrosis markers.

Main Results:

  • hCOX-2-Tg mice on MCD diet exhibited reduced steatosis, ballooning, and inflammation compared to Wt mice, with decreased macrophage infiltration and pro-inflammatory cytokines.
  • MCD diet-induced oxidative stress and hepatic apoptosis were significantly attenuated in hCOX-2-Tg mice.
  • CCl4-treated hCOX-2-Tg mice showed significantly lower fibrosis stages, collagen content, and pro-fibrogenic markers than Wt controls.

Conclusions:

  • Constitutive hepatocyte COX-2 expression ameliorates NASH and liver fibrosis in mice.
  • This protective effect is mediated by reduced inflammation, oxidative stress, apoptosis, and modulated hepatic stellate cell activation.
  • COX-2 induction may play a protective role in the progression of NASH and non-alcoholic fatty liver disease (NAFLD).