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Divisions of 1 Gastroenterology, Hepatology, and Nutrition, 2 Pathology, and 3 Developmental Biology, Children's Hospital Research Foundation and Department of Pediatrics, University of Cincinnati, Cincinnati, Ohio 45229-3039
The urokinase-type plasminogen activator
(uPA) plays a central role in liver repair. Nevertheless, the hepatic
overexpression of uPA results in panlobular injury and neonatal
mortality. Here, we define the molecular mechanisms of liver injury and
explore whether uPA can regulate liver repair independently of
plasminogen. To address the hypothesis that the liver injury in
transgenic mice results from the intracellular activation of
plasminogen by transgene-derived uPA (uPAT), we generated mice that
overexpress uPAT and lack functional plasminogen
(uPAT-Plg
). In these mice, loss of plasminogen abolished
the hepatocyte-specific injury and prevented the formation of
regenerative nodules displayed by uPAT littermates. Despite the
increased expression of hepatic uPA, livers of uPAT-Plg
mice were unable to clear necrotic cells and restore normal lobular organization after an acute injury. Notably, high levels of circulating uPA in uPAT-Plg
mice did not prevent the long-term
extrahepatic abnormalities previously associated with plasminogen
deficiency. These data demonstrate that plasminogen directs the
hepatocyte injury induced by uPAT and mediates the reparative
properties of uPA in the liver.
regeneration; urokinase; proliferation; hepatocyte; tissue remodeling
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