TGF-β2 silencing to target biliary-derived liver diseases

Anne Dropmann1, Steven Dooley2, Bedair Dewidar1,3

  • 1Molecular Hepatology-Alcohol Associated Diseases, Department of Medicine II, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.

Gut
|January 30, 2020
PubMed
Abstract

Insights

Transforming growth factor beta 2 (TGF-β2) silencing ameliorates liver fibrosis in a mouse model of cholestatic liver disease. Targeting TGF-β2 offers a promising therapeutic strategy for early-stage biliary liver diseases like PSC and PBC.

Area of Science:

  • Hepatology and Immunology
  • Molecular Biology and Genetics

Background:

  • Transforming growth factor beta 2 (TGF-β2) is deregulated in rodent and human liver diseases, particularly cholestatic conditions.
  • Previous studies suggested TGF-β2 involvement in biliary-derived liver diseases.
  • Upregulated TGFB2 expression was observed in liver tissue of patients with primary sclerosing cholangitis (PSC) and primary biliary cholangitis (PBC).

Purpose of the Study:

  • To investigate the therapeutic potential of targeting TGF-β2 in early-stage biliary liver disease.
  • To analyze the effects of TGF-β2 silencing on the fibrotic and inflammatory niche in a mouse model.

Main Methods:

  • Utilized MDR2 knockout (KO) mice, a model for human cholestatic liver disease.
  • Administered TGF-β2-directed antisense oligonucleotides (AON) to blunt TGF-β2 expression in MDR2-KO mice.
  • Analyzed molecular, cellular, and tissue-level changes related to fibrosis and inflammation.

Main Results:

  • TGF-β2 silencing significantly reduced collagen deposition, hydroxyproline content, and alpha-smooth muscle actin (αSMA) expression, indicating reduced fibrogenesis.
  • AON treatment led to induced PPAR-gamma (PparG) expression without adverse effects on healthy livers.
  • Gene expression analysis revealed AON-specific regulatory effects on inflammatory markers (Ccl3, Ccl4, Ccl5, Mki67, Notch3).
  • TGF-β2 silencing modulated immune cell infiltration, decreasing CD45+ cells while increasing F4/80+ cells (including eosinophils).
  • A positive correlation between TGFB2 and CD45 expression was found in PSC/PBC patients.

Conclusions:

  • TGF-β2 silencing effectively ameliorates liver fibrogenesis in a cholestatic liver disease model.
  • The study provides a mechanistic explanation for TGF-β2's role in liver fibrosis.
  • These findings support TGF-β2 as a direct therapeutic target for drug development in biliary liver diseases.