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Am J Physiol Gastrointest Liver Physiol (October 12, 2006). doi:10.1152/ajpgi.00137.2006
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Submitted on March 27, 2006
Accepted on August 5, 2006

The Beneficial Effect of Glatiramer Acetate (Copaxone®) on Immune Modulation of Experimental Hepatic fibrosis

Amjad Horani1, Nidal Muhanna2, Orit Pappo3, Alaa Melhem4, Carlos E. Alvarez5, Sarit Doron1, Wehbi Wehbi2, Karussis Dimitrios6, Scott L. Friedman5, and Rifaat Safadi7*

1 Liver and Gastroenterology Units, Division of Medicine, Hadassah University Hospital, Jerusalem, Israel, JERUSALEM, Israel
2 LIVER AND GASTROENTEROLOGY UNITS, HADASSAH UNIVERSITY HOSPITAL, Jerusalem, Israel
3 Pathology Department, Hadassah University Hospital, Jerusalem, Israel
4 Liver and Gastroenterology Units, Division of Medicine, Hadassah University Hospital, JERUSALEM, Israel
5 Division of Liver Diseases, The Mount Sinai School of Medicine, ny, New York, United States
6 Division of Neurology, Hadassah University Hospital, Jerusalem, Israel
7 LIVER AND GASTROENTEROLOGY UNITS, HADASSAH UNIVERSITY HOSPITAL, JERUSALEM, Israel; Liver and Gastroenterology Units, Division of Medicine, Hadassah University Hospital, JERUSALEM, Israel

* To whom correspondence should be addressed. E-mail: safadi{at}hadassah.org.il.

While CD8-subsets activate hepatic-fibrosis; natural-killer (NK) cells exhibit anti-fibrotic activity. Glatiramer-acetate (GA) is immune-modulator for multiple-sclerosis. We assessed the potential impact of GA on mouse hepatic-fibrogenesis. Methods: Hepatic-fibrosis was induced in C57Bl/6-mice by intra-peritoneal (IP) administration of carbon-tetrachloride (CCl4) for 6-weeks. Within the last 2-weeks, animals were also treated either with GA (200micrograms/day) IP or medium, and were compared to naive and fibrotic mice. Eight-animals were included in each group. Results: GA markedly attenuated fibrosis. GA markedly attenuated fibrosis without altering reactive-oxygen-species production. By morphometric measurement of Sirius red-stained tissue sections: the relative fibrosis area decreased from 5.28%±0.32 in the untreated CCl4 group, compared with 2.01±0.28 in CCl4-treated animals that also received GA (p<0.0001), compared with 0.38±0.07 in naive mice. Alpha-smooth-muscle-actin immunoblotting and mRNA expression revealed a similar pattern. Serum aminotransferase and necro-inflammatory-score were markedly elevated, to the same extent in both CCl4-treated groups. Fibrosis induction was associated with a significant increase in CD8-subsets and a decrease in CD4-T-cells. Following GA-treatment, however, NK content, CD4+CD25+FoxP3+ cells, hepatic expression of tumor-necrosis-factor-related-apoptosis-inducing-ligand (TRAIL) as well as apoptosis of hepatic-stellate- cells (HSC) were all increased. Serum IL-10 levels markedly rose, whereas IL-4 fell. The in vitro activation of human HSC co-cultured with HCV-derived peripheral- blood-lymphocytes decreased when lymphocytes were pre incubated with GA before co-culture. Conclusion: In an animal model of hepatic fibrosis, GA has an anti-fibrotic effect associated with decreased CD8 cells and reduced serum IL-4 levels and increased NK cells, CD4+ CD25+FoxP3+ cells, TRAIL and elevated serum IL-10 levels.




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R. Safadi, E. Zigmond, O. Pappo, Z. Shalev, and Y. Ilan
Amelioration of hepatic fibrosis via beta-glucosylceramide-mediated immune modulation is associated with altered CD8 and NKT lymphocyte distribution
Int. Immunol., August 13, 2007; (2007) dxm069v1.
[Abstract] [Full Text] [PDF]




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