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Am J Physiol Gastrointest Liver Physiol 273: G1094-G1100, 1997;
0193-1857/97 $5.00
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Vol. 273, Issue 5, G1094-G1100, November 1997

Pentoxifylline blocks hepatic stellate cell activation independently of phosphodiesterase inhibitory activity

Kwan S. Lee1,2, Howard B. Cottam3, Karl Houglum1, D. Bruce Wasson3, Dennis Carson3, and Mario Chojkier1

1 Department of Medicine, Veterans Affairs Medical Center, Center for Molecular Genetics; 3 The Sam and Rose Stein Institute for Research on Aging, University of California, San Diego, California 92161; and 2 Department of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea 135-270

Activated, but not quiescent, hepatic stellate cells (lipocytes) have a high level of collagen type I and smooth muscle actin (SMA) gene expression. Therefore, stellate cell activation is a critical step in hepatic fibrosis. The mechanisms leading to stellate cell activation in vivo are unknown. The characteristic hepatic oxidative stress cascade induced in rats by CCl4 markedly stimulated stellate cell entry into S phase, nuclear factor (NF)-kappa B activity, and c-myb expression. These changes were prevented by pentoxifylline, which also decreased CCl4-induced hepatic injury. As expected, cAMP-mediated phosphorylation of CREB-Ser133 was induced in vivo in stellate cells by pentoxifylline but not by its metabolite 5, an N-1 carboxypropyl derivative, which lacks phosphodiesterase inhibitory activity. Stellate cell nuclear extracts from CCl4-treated, but not from control, animals formed a complex with the critical promoter E box of the alpha -SMA gene, which was disrupted by c-myb antibodies and competed with by c-myb cognate DNA. Treatment with pentoxifylline or metabolite 5 prevented the molecular abnormalities characteristic of stellate cell activation induced by CCl4. These results suggest that induction of c-myb plays an important role in the in vivo activation of stellate cells. Pentoxifylline blocks stellate cell activation in vivo independently of its inhibitory effects on phosphodiesterases by interfering with the oxidative stress cascade and the activation of NF-kappa B and c-myb.

CREB phosphorylation; liver fibrogenesis; c-myb expression


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