The pathophysiology of non-alcoholic steatohepatitis (NASH) should be approached as a multifactorial process. In several stages of NASH, a link between disease progression and hepatic microvasculature changes can be made. In this study we investigated the role of angiogenesis in two mice models for NASH, and the effect of a preventive and therapeutic anti-angiogenic treatment in a diet-induced mouse model for NASH. Protein and RNA levels of angiogenic and inflammatory factors were significantly up-regulated in the liver of C56BL/6 and db/db mice with NASH at different time-points. To examine the effect of angiogenic factors on the disease progression of NASH, a prevention and treatment study was set-up, blocking the placental growth factor (PlGF) or vascular endothelial growth factor receptor 2 (VEGFR2). Our study showed that αVEGFR2 treatment prevents the progression of NASH by attenuating steatosis and inflammation, both in a preventive and therapeutic set-up. Thereby confirming the hypothesis that angiogenic factors play an early role in the disease progression from steatosis to NASH. Anti-PlGF (αPlGF) did not significantly improve liver histology. Vascular corrosion casting showed a more disrupted liver vasculature in mice with NASH compared to controls. Treatment with αVEGFR2 showed an improvement of the liver vasculature. Moreover, fat-laden primary hepatocytes treated with αVEGFR2 stored significantly less lipids. Conclusion:Our results demonstrate that there is an increased expression of angiogenic factors in the liver in different mice models for NASH. We found that VEGFR2 blockage attenuates steatosis and inlammation in a diet-induced mouse model for NASH in a preventive and therapeutic setting. Our findings warrant further investigation of the role of angiogenesis in the pathophysiology in NASH.
Vernon G., Baranova A., Younossi Z. M., Systematic review: the epidemiology and natural history of non-alcoholic fatty liver disease and non-alcoholic steatohepatitis in adults : Systematic review: epidemiology of NAFLD and NASH, 10.1111/j.1365-2036.2011.04724.x
McCullough, J Cllin Gastroenterol, 40, S17 (2006)
Lam, Ann Hepatol, 8, S51 (2009)
James Oliver F.W., Day Christopher P., Non-alcoholic steatohepatitis (NASH): a disease of emerging identity and importance, 10.1016/s0168-8278(98)80073-1
Tilg Herbert, Moschen Alexander R., Evolution of inflammation in nonalcoholic fatty liver disease: The multiple parallel hits hypothesis, 10.1002/hep.24001
Heindryckx Femke, Mertens Koen, Charette Nicolas, Vandeghinste Bert, Casteleyn Christophe, Van Steenkiste Christophe, Slaets Dominique, Libbrecht Louis, Staelens Steven, Starkel Peter, Geerts Anja, Colle Isabelle, Van Vlierberghe Hans, Kinetics of angiogenic changes in a new mouse model for hepatocellular carcinoma, 10.1186/1476-4598-9-219
Geerts Anja M., De Vriese An S., Vanheule Eline, Van Vlierberghe Hans, Mortier Siska, Cheung Kin-Jip, Demetter Pieter, Lameire Norbert, De Vos Martine, Colle Isabelle, Increased angiogenesis and permeability in the mesenteric microvasculature of rats with cirrhosis and portal hypertension: an in vivo study, 10.1111/j.1478-3231.2006.01308.x
Van Steenkiste Christophe, Ribera Jordi, Geerts Anja, Pauta Montse, Tugues Sònia, Casteleyn Christophe, Libbrecht Louis, Olievier Kim, Schroyen Ben, Reynaert Hendrik, van Grunsven Leo A., Blomme Bram, Coulon Stephanie, Heindryckx Femke, De Vos Martine, Stassen Jean Marie, Vinckier Stefan, Altamirano Jose, Bataller Ramón, Carmeliet Peter, Van Vlierberghe Hans, Colle Isabelle, Morales-Ruiz Manuel, Inhibition of placental growth factor activity reduces the severity of fibrosis, inflammation, and portal hypertension in cirrhotic mice, 10.1002/hep.24238
Kitade Mitsuteru, Yoshiji Hitoshi, Kojima Hideyuki, Ikenaka Yasuhide, Noguchi Ryuichi, Kaji Kosuke, Yoshii Junichi, Yanase Koji, Namisaki Tadashi, Asada Kiyoshi, Yamazaki Masaharu, Tsujimoto Tatsuhiro, Akahane Takemi, Uemura Masahito, Fukui Hiroshi, Leptin-mediated neovascularization is a prerequisite for progression of nonalcoholic steatohepatitis in rats, 10.1002/hep.21338
Cayon, Rev Esp Enferm Dig, 100, 212 (2008)
Kitade Mitsuteru, Yoshiji Hitoshi, Noguchi Ryuichi, Ikenaka Yasuhide, Kaji Kosuke, Shirai Yusaku, Yamazaki Masaharu, Uemura Masahito, Yamao Junichi, Fujimoto Masao, Mitoro Akira, Toyohara Masahisa, Sawai Masayoshi, Yoshida Motoyuki, Morioka Chie, Tsujimoto Tatsuhiro, Kawaratani Hideto, Fukui Hiroshi, Crosstalk between angiogenesis, cytokeratin-18, and insulinresistance in the progression of non-alcoholic steatohepatitis, 10.3748/wjg.15.5193
Coulon Stephanie, Francque Sven, Colle Isabelle, Verrijken An, Blomme Bram, Heindryckx Femke, De Munter Steffi, Prawitt Janne, Caron Sandrine, Staels Bart, Van Vlierberghe Hans, Van Gaal Luc, Geerts Anja, Evaluation of inflammatory and angiogenic factors in patients with non-alcoholic fatty liver disease, 10.1016/j.cyto.2012.05.001
Rinella Mary E., Elias Marc S., Smolak Robin R., Fu Tao, Borensztajn Jayme, Green Richard M., Mechanisms of hepatic steatosis in mice fed a lipogenic methionine choline-deficient diet, 10.1194/jlr.m800042-jlr200
Tjwa Marc, Luttun Aernout, Autiero Monica, Carmeliet Peter, VEGF and PlGF: two pleiotropic growth factors with distinct roles in development and homeostasis, 10.1007/s00441-003-0776-3
McCuskey Robert S., Ito Yoshiya, Robertson Graham R., McCuskey Margaret K., Perry Michael, Farrell Geoffrey C., Hepatic microvascular dysfunction during evolution of dietary steatohepatitis in mice, 10.1002/hep.20302
Van Steenkiste Christophe, Trachet Bram, Casteleyn Christophe, van Loo Denis, Van Hoorebeke Luc, Segers Patrick, Geerts Anja, Van Vlierberghe Hans, Colle Isabelle, Vascular corrosion casting: analyzing wall shear stress in the portal vein and vascular abnormalities in portal hypertensive and cirrhotic rodents, 10.1038/labinvest.2010.138
Taura Kojiro, De Minicis Samuele, Seki Ekihiro, Hatano Etsuro, Iwaisako Keiko, Osterreicher Christoph H., Kodama Yuzo, Miura Kouichi, Ikai Iwao, Uemoto Shinji, Brenner David A., Hepatic Stellate Cells Secrete Angiopoietin 1 That Induces Angiogenesis in Liver Fibrosis, 10.1053/j.gastro.2008.07.065
Chaparro, Ann Hepatol, 6, 208 (2010)
Tam Joshua, Duda Dan G., Perentes Jean Y., Quadri Rehan S., Fukumura Dai, Jain Rakesh K., Blockade of VEGFR2 and Not VEGFR1 Can Limit Diet-Induced Fat Tissue Expansion: Role of Local versus Bone Marrow-Derived Endothelial Cells, 10.1371/journal.pone.0004974
Imhof Beat A, Aurrand-Lions Michel, Angiogenesis and inflammation face off, 10.1038/nm0206-171
Li Zheng Zheng, Berk Michael, McIntyre Thomas M., Feldstein Ariel E., Hepatic Lipid Partitioning and Liver Damage in Nonalcoholic Fatty Liver Disease : ROLE OF STEAROYL-CoA DESATURASE, 10.1074/jbc.m807616200
Rizki Gizem, Arnaboldi Lorenzo, Gabrielli Bianca, Yan Jim, Lee Gene S., Ng Ray K., Turner Scott M., Badger Thomas M., Pitas Robert E., Maher Jacquelyn J., Mice fed a lipogenic methionine-choline-deficient diet develop hypermetabolism coincident with hepatic suppression of SCD-1, 10.1194/jlr.m600198-jlr200
Rivera Chantal A., Adegboyega Patrick, van Rooijen Nico, Tagalicud Arlene, Allman Monique, Wallace Matthew, Toll-like receptor-4 signaling and Kupffer cells play pivotal roles in the pathogenesis of non-alcoholic steatohepatitis, 10.1016/j.jhep.2007.04.019
Bibliographic reference
Coulon, Stéphanie ; Legry, Vanessa ; Heindryckx, Femke ; Van Steenkiste, Christophe ; Casteleyn, Christophe ; et. al. Role of vascular endothelial growth factor in the pathophysiology of non-alcoholic steatohepatitis in two mice models. In: Hepatology, Vol. 57, no. 5, p. 1793-1805 (2013)