[Effects of persistent Echinococcus multilocularis infections on hepatic fibrosis in mice]

H J Gao1,2,3,4,5, H S Pang1,5, X D Sun2

  • 1National Health Commission Key Laboratory of Echinococcosis Prevention and Control, Tibet Autonomous Region Centre for Disease Control and Prevention, Lhasa 850000, China.

Abstract

Insights

Persistent Echinococcus multilocularis infections promote liver fibrosis by increasing hepatic stellate cell proliferation and collagen deposition. This study highlights the infective stage

Area of Science:

  • Parasitology
  • Hepatology
  • Immunology

Background:

  • Alveolar echinococcosis, caused by Echinococcus multilocularis, is a severe parasitic disease characterized by liver damage.
  • Hepatic fibrosis is a key pathological feature of chronic liver diseases, including alveolar echinococcosis.
  • Understanding the mechanisms of liver fibrogenesis in E. multilocularis infections is crucial for effective treatment strategies.

Purpose of the Study:

  • To investigate the impact of persistent Echinococcus multilocularis infections on hepatic fibrosis in a mouse model.
  • To elucidate the role of hepatic stellate cells (HSCs) in the fibrotic process induced by E. multilocularis.
  • To provide insights into the pathogenesis of liver fibrogenesis and inform treatment approaches for alveolar echinococcosis.

Main Methods:

  • In vitro exposure of HSC-T6 and LX-2 cells to sera and parasite components (germinal cells, protoscoleces) from E. multilocularis-infected gerbils.
  • Measurement of cell proliferation using CCK-8 assay and quantification of collagen 1 (Col1) and α-smooth muscle actin (α-SMA) levels via ELISA.
  • Longitudinal analysis of serum Col1 and α-SMA concentrations and liver collagen deposition (Sirius red staining) in infected mice over 8 months.

Main Results:

  • Sera and parasite components from E. multilocularis-infected gerbils significantly promoted HSC proliferation in vitro.
  • Exposure to infected sera and parasite components led to increased Col1 and α-SMA levels in HSC culture supernatants.
  • Persistent E. multilocularis infection in mice resulted in elevated serum Col1 and α-SMA levels and significant collagen fiber deposition in the liver, peaking at 6-8 months post-infection.

Conclusions:

  • Persistent Echinococcus multilocularis infections stimulate hepatic stellate cell proliferation and induce key markers of liver fibrosis (Col1 and α-SMA).
  • The study demonstrates a direct link between E. multilocularis infection and the development of hepatic fibrosis.
  • The infective stage of E. multilocularis is identified as a critical period for the induction of hepatic fibrosis in alveolar echinococcosis.

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