Pharmacological Mobilization of Endogenous Bone Marrow Stem Cells Promotes Liver Regeneration after Extensive Liver Resection in Rats

Sci Rep. 2018 Feb 26;8(1):3587. doi: 10.1038/s41598-018-21961-2.

Abstract

Rapid regeneration of the remnant liver is critical for preventing liver failure and promoting recovery after extensive liver resection. Numerous studies have demonstrated the involvement of bone marrow-derived stem cells in liver regeneration and the potential benefits of bone marrow stem cell therapy. To avoid the preparation of stem cells, we proposed in this study to mobilize endogenous bone marrow stem cells pharmacologically with a combination of AMD3100 (A), an antagonist of CXCR4 and low-dose FK506 (F). Here we show that AF combination therapy significantly increased lineage negative (Lin-) CD34+ and Lin-CD133+ stem cells in peripheral blood and enhanced recruitment of CD133+ cells into the remnant liver in a rat model of 85% partial hepatectomy. Recruiting CD133+ stem cells in the remnant liver was associated with increased proliferation of hepatic oval cells and paralleled the increased SDF-1, CXCR4 and HGF expression. Importantly, AF combination therapy increased the number of Ki67 positive hepatocytes and BrdU incorporation in the remnant liver and improved serum levels of albumin. Our results demonstrate that pharmacological mobilization of endogenous bone marrow stem cells with AF combination therapy can enhance endogenous stem cell mobilization to promote liver regeneration and improve liver function after extensive hepatectomy.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • AC133 Antigen / metabolism
  • Alanine Transaminase / blood
  • Animals
  • Antigens, CD34 / metabolism
  • Aspartate Aminotransferases / blood
  • Benzylamines
  • Bone Marrow Cells / metabolism*
  • Calcineurin Inhibitors / pharmacology
  • Cell Proliferation / drug effects
  • Chemokine CXCL12 / metabolism
  • Cyclams
  • Drug Therapy, Combination
  • Female
  • Hematopoietic Stem Cell Mobilization / methods*
  • Hepatectomy / rehabilitation*
  • Hepatocyte Growth Factor / metabolism
  • Heterocyclic Compounds / pharmacology
  • Liver Regeneration / drug effects*
  • Liver Regeneration / physiology*
  • Male
  • Rats
  • Rats, Inbred Lew
  • Receptors, CXCR4 / antagonists & inhibitors
  • Receptors, CXCR4 / metabolism
  • Serum Albumin / analysis
  • Stem Cells / metabolism*
  • Tacrolimus / pharmacology
  • Treatment Outcome

Substances

  • AC133 Antigen
  • Antigens, CD34
  • Benzylamines
  • CXCL12 protein, rat
  • Calcineurin Inhibitors
  • Chemokine CXCL12
  • Cxcr4 protein, rat
  • Cyclams
  • Heterocyclic Compounds
  • Prom1 protein, rat
  • Receptors, CXCR4
  • Serum Albumin
  • Hepatocyte Growth Factor
  • Aspartate Aminotransferases
  • Alanine Transaminase
  • plerixafor
  • Tacrolimus