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Research Article

Human Hepatocellular response in Cholestatic Liver Diseases

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Article: 2247576 | Received 01 Jun 2023, Accepted 09 Aug 2023, Published online: 20 Aug 2023
 

ABSTRACT

Primary biliary cholangitis (PBC) and primary sclerosing cholangitis (PSC), the most common types of cholestatic liver disease (CLD), result in enterohepatic obstruction, bile acid accumulation, and hepatotoxicity. The mechanisms by which hepatocytes respond to and cope with CLD remain largely unexplored. This study includes the characterization of hepatocytes isolated from explanted livers of patients with PBC and PSC. We examined the expression of hepatocyte-specific genes, intracellular bile acid (BA) levels, and oxidative stress in primary-human-hepatocytes (PHHs) isolated from explanted livers of patients with PBC and PSC and compared them with control normal human hepatocytes. Our findings provide valuable initial insights into the hepatocellular response to cholestasis in CLD and help support the use of PHHs as an experimental tool for these diseases.

GRAPHICAL ABSTRACT

Disclosure statement

A.S.‐G is an inventor on a patent application that describes the use of transcription factors in treating chronic liver failure (US20140249209). E.N.T. and A.S.‐G. are inventors of a provisional patent application related to methods to enhance hepatic functions in human failing livers (PCT/US2020/055500). A.S.‐G. is a co‐founder and has a financial interest in Von Baer Wolff, Inc. a company focused on biofabrication of autologous human hepatocytes from stem cells technology. A.S.‐G. and A.O. are co‐founders and have a financial interest in Pittsburgh ReLiver Inc, a company focused on reprogramming hepatocytes in liver failure. All interests are managed by the Conflict of Interest Office at the University of Pittsburgh in accordance with their policies.

Supplementary material

Supplemental data for this article can be accessed online at https://doi.org/10.1080/15476278.2023.2247576

Abbreviations

CLD=

Cholestatic Liver Disease

PBC=

Primary Biliary Cholangitis

PSC=

Primary Sclerosing Cholangitis

UDCA=

Ursodeoxycholic Acid

BA=

Bile Acid

ESLD=

End-stage Liver Disease

PHH=

Primary Human Hepatocyte

FBS=

Fetal Bovine Serum

Npcs=

Non-Parenchymal Cells

HNF4α=

Hepatocyte Nuclear Factor 4 Alpha

CYP7A1=

Cholesterol 7 Alpha-Hydroxylase

Pparα=

Peroxisome Proliferator-Activated Receptor-Alpha

PXR=

Pregnane X Receptor

FXR=

Farnesoid X Receptor

LXR=

Liver X Receptor

UGT1A1=

UDP-Glucuronosyltransferase 1–1

NRF2=

Nuclear Factor Erythroid 2–Related Factor 2

GPX4=

Glutathione Peroxidase 4

CAR=

Chimeric Antigen Receptor

MDR1=

Multidrug Resistance 1

MDR3=

Multidrug Resistance 3

MRP2=

Multidrug Resistance-Associated Protein 2

BSEP=

Bile Salt Export Pump

NTCP=

Na+ -Taurocholate Cotransporting Polypeptide

Additional information

Funding

This work was supported by the NIH grants DK099257 and TR003289 to A.S.-G., DK096990 to A.S.-G, and DK117881, DK119973, and TR002383 to A.S.-G. This work was also supported by NIH grant P30DK120531 to the Human Synthetic Liver Biology Core (A.S.-G.) and the Pittsburgh Liver Research Center (PLRC).