The role of AdipoR1 and AdipoR2 in liver fibrosis

Badr Alzahrani1, Tristan Iseli1, Mehdi Ramezani-Moghadam1

  • 1The Storr Liver Centre, Westmead Institute of Medical Research, University of Sydney at Westmead Hospital, Westmead, New South Wales 2145, Australia.

Insights

Adiponectin (APN) signaling limits liver fibrosis. AdipoR2, not AdipoR1, is the primary APN receptor on hepatic stellate cells, mediating APN's anti-fibrotic effects by modulating key fibrotic markers and cell behavior.

Area of Science:

  • Hepatology
  • Cell Biology
  • Molecular Medicine

Background:

  • Liver fibrosis, a precursor to cirrhosis and liver cancer, involves the excessive accumulation of extracellular matrix components.
  • Adiponectin (APN) signaling is recognized for its protective role against liver fibrosis, but the specific roles of its receptors, AdipoR1 and AdipoR2, remain unclear.

Purpose of the Study:

  • To determine which adiponectin receptor (AdipoR1 or AdipoR2) mediates the anti-fibrotic effects of APN in the liver.
  • To investigate the specific cellular and molecular mechanisms by which AdipoR1 and AdipoR2 influence liver fibrosis progression.

Main Methods:

  • Utilized AdipoR1 and AdipoR2 knockout (KO) mice in a carbon tetrachloride (CCl4)-induced liver fibrosis model.
  • Performed in vitro knockdown of AdipoR1 and AdipoR2 in primary hepatic stellate cells (HSCs) followed by APN treatment.
  • Assessed fibrosis severity using Sirius red staining and quantified gene expression of fibrotic markers (Col1-α1, TGFß-1, TIMP-1, IL-10, MMP-2, MMP-9) and HSC activation markers (α-SMA).

Main Results:

  • While AdipoR1 and AdipoR2 KO mice showed no significant difference in overall fibrosis, AdipoR2 KO mice exhibited an exacerbated fibrotic signature with increased expression of collagen, TGFß-1, TIMP-1, IL-10, MMP-2, and MMP-9.
  • In vitro, AdipoR1 and AdipoR2 knockdown did not impact HSC proliferation or TIMP-1 expression.
  • AdipoR2 knockdown significantly modulated Col1-α1 and α-SMA gene expression, impaired HSC migration, and altered AMPK activity, indicating a crucial role in HSC function.

Conclusions:

  • AdipoR2 is identified as the predominant adiponectin receptor on hepatic stellate cells mediating the anti-fibrotic actions of APN.
  • Targeting AdipoR2 may represent a therapeutic strategy for mitigating liver fibrosis progression.

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