Basic Study
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Mar 21, 2017; 23(11): 2002-2011
Published online Mar 21, 2017. doi: 10.3748/wjg.v23.i11.2002
Antioxidant axis Nrf2-keap1-ARE in inhibition of alcoholic liver fibrosis by IL-22
Ya-Hui Ni, Li-Juan Huo, Ting-Ting Li
Li-Juan Huo, Ya-Hui Ni, Ting-Ting Li, Department of Gastroenterology, First Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi Province, China
Author contributions: Ni YH contributed to the design, performance and analysis of the study, data interpretation, and preparation of the paper; Huo LJ provided experimental guidance, funding and equipment; Li TT participated in the experimental design and discussion of findings; all authors approved the final version of the article to be published.
Conflict-of-interest statement: The authors declare that no conflict of interest exists in this study.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Li-Juan Huo, MD, Department of Gastroenterology, First Hospital of Shanxi Medical University, 85 South JieFang Road, Taiyuan 030001, Shanxi Province, China. mymail5296@163.com
Telephone: +86-351-4639796 Fax: +86-351-4639796
Received: November 9, 2016
Peer-review started: November 13, 2016
First decision: December 19, 2016
Revised: January 7, 2017
Accepted: February 17, 2017
Article in press: February 17, 2017
Published online: March 21, 2017
Processing time: 129 Days and 23.7 Hours
Abstract
AIM

To explore the effect of interleukin (IL)-22 on in vitro model of alcoholic liver fibrosis hepatic stellate cells (HSCs), and whether this is related to regulation of Nrf2-keap1-ARE.

METHODS

HSC-T6 cells were incubated with 25, 50, 100, 200 and 400 μmol/L acetaldehyde. After 24 and 48 h, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay was used to detect proliferation of HSCs to choose the best concentration and action time. We used the optimal concentration of acetaldehyde (200 μmol/L) to stimulate HSCs for 24 h, and treated the cells with a final concentration of 10, 20 or 50 ng/mL IL-22. The cell proliferation rate was detected by MTT assay. The cell cycle was analyzed by flow cytometry. The expression of nuclear factor-related factor (Nrf)2 and α-smooth muscle antigen was detected by western blotting and immunocytochemistry. The levels of malondialdehyde (MDA) and glutathione (GSH) were measured by spectrophotometry.

RESULTS

In the MTT assay, when HSCs were incubated with acetaldehyde, activity and proliferation were higher than in the control group, and were most obvious after 48 h treatment with 200 μmol/L acetaldehyde. The number of cells in G0/G1 phases was decreased and the number in S phase was increased in comparison with the control group. When treated with different concentrations of IL-22, HSC-T6 cell activity and proliferation rate were markedly decreased in a dose-dependent manner, and cell cycle progression was arrested from G1 to S phase. Western blotting and immunocytochemistry demonstrated that expression of Nrf2 total protein was not significantly affected. Expression of Nrf2 nuclear protein was low in the control group, increased slightly in the model group (or acetaldehyde-stimulated group), and increased more obviously in the IL-22 intervention groups. The levels of MDA and GSH in the model group were significantly enhanced in comparison with those in the control group. In cells treated with IL-22, the MDA level was attenuated but the GSH level was further increased. These changes were dose-dependent.

CONCLUSION

IL-22 inhibits acetaldehyde-induced HSC activation and proliferation, which may be related to nuclear translocation of Nrf2 and increased activity of the antioxidant axis Nrf2-keap1-ARE.

Keywords: Interleukin-22; Alcoholic liver fibrosis; Hepatic stellate cells; Nrf2; Oxidative stress

Core tip: We successfully established an in vitro cell model of alcoholic liver fibrosis (ALF). We investigated the influence of interleukin (IL)-22 on ALF and the possible mechanism involved. To our knowledge, this is the first study to confirm the inhibitory effect of IL-22 on ALF at the cellular level. We found that the effect was at least partly related to promotion of nuclear translocation of nuclear factor-related factor (Nrf)2 and increased activity of the antioxidant axis Nrf2-keap1-ARE. We aimed to provide a new target for research on ALF and new drug development.