Single-cell fixed RNA profiling uncovers SEMA4D and LMCD1 as therapeutic targets in a liver fibrosis model

Pham Minh Duc1, Le Thi Thanh Thuy2, Hoang Hai2

  • 1Department of Hepatology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan; Division of Gastroenterology, Department of Internal Medicine, Hanoi Medical University, Hanoi, Vietnam; Department of Gastroenterology, Hanoi Medical University Hospital, Hanoi, Vietnam.

Abstract

Insights

Single-cell fixed RNA profiling identified semaphorin-4D (SEMA4D) and LIM and cysteine-rich domains 1 (LMCD1) as key targets for liver fibrosis. Blocking SEMA4D reduced fibrosis in mice, showing therapeutic potential.

Area of Science:

  • Single-cell transcriptomics
  • Liver disease research
  • Drug target identification

Background:

  • Liver fibrosis is a progressive condition characterized by scar tissue accumulation.
  • Novel therapeutic targets are needed to treat liver fibrosis effectively.
  • Single-cell fixed RNA profiling (FLEX) offers high-resolution RNA expression analysis in frozen tissues.

Purpose of the Study:

  • To apply FLEX to a mouse model of liver fibrosis to identify antifibrotic targets.
  • To generate a single-cell atlas of liver fibrosis progression and regression.
  • To validate SEMA4D and LMCD1 as potential therapeutic targets.

Main Methods:

  • Induction of liver fibrosis in mice using thioacetamide, followed by regression assessment.
  • Single-cell RNA profiling using FLEX on liver tissues.
  • Molecular validation including immunoblotting, immunohistochemistry, gene manipulation, and analysis of human liver samples.

Main Results:

  • Profiling of approximately 40,000 liver cells revealed 10 major cell types and identified scar-resolving genes and restored cellular functions during regression.
  • Monocyte-derived macrophages secrete semaphorin-4D (SEMA4D), which promotes fibrosis by acting on hepatic stellate cells (HSCs).
  • LIM and cysteine-rich domains 1 (LMCD1) was enriched in fibrotic HSCs and promoted fibrosis via AKT/mTOR signaling. SEMA4D blockade attenuated fibrosis in vivo.

Conclusions:

  • FLEX analysis provided a high-resolution atlas of liver fibrosis, revealing critical transcriptional programs and cell-cell interactions.
  • SEMA4D and LMCD1 were identified as promising therapeutic targets for liver fibrosis.
  • Expression of SEMA4D and LMCD1 correlated with fibrosis severity in human liver diseases (MASLD and HCV).

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