Serum creatinine level (p = 0.01) was independently
related to mortality. Conclusion: TIPS placement effectively controlled ascites and is a reliable option or bridge therapy prior to liver transplantation for the management of refractory ascites in patients with liver cirrhosis. Key Word(s): 1. TIPS; 2. refractory ascites; 3. cirrhosis; Presenting Author: YANGYANG OUYANG Additional Authors: CHENGZHAO LIN, ZHE ZHANG, YIRONG CAO, YUANQIN ZHANG, SHIYAO CHEN, JIYAO WANG, SCOTTL. FRIEDMAN, JINSHENG GUO Corresponding Author: JINSHENG GUO Affiliations: Zhong Shan Hospital, Fu Dan University; Institutes of Biomedical Sciences, Fu Dan University; Mount Sinai Hospital Objective: Toll-like receptor 4 (TLR4) signaling contributes to the activation of hepatic stellate cells (HSC), the major fibrogenic cell type in injured liver, by promoting an inflammatory phenotype, fibrogenesis MEK inhibitor and cell survival. In our previous study immortalized mouse stellate cell lines that were TLR4 wild type (JS1) and TLR4 knockout (-/-) (JS2) were generated (Guo, et al. Hepatology, 2008). The aim of the present study was to investigate the differential gene expression in these cell lines with or without the stimulation by lipopolysacchirde (LPS), the exogenous TLR4 ligand, and high mobility group box 1 (HMGB1), a potential endogenous TLR4 ligand and damage pattern molecule that signals
the presence of necrosis (Zhang, et al, Lif Sci, 2012). Methods: JS1 and JS2 cells that were sub-cultured to 80% Selleck HM781-36B confluence were stimulated with normal saline vehicle (control), or 100 ng/ml LPS, or 100 ng/ml HMGB1 for 24 hours. The cells were collected with Trizol reagent for RNA extraction. The RNA extracts from the control, LPS and HMGB1 groups were hybridized on a 4644 K Agilent whole mouse genome oligo microarray for the gene expression analysis. Functional analysis of the microarray data was performed using KEGG analyses. Gene interaction network and co-expression network were
built on many the base of ontology and pathway analysis to which the differentially expressed genes attributed. Selected genes were validated by real-time polymerase chain reaction (RT-PCR), ELISA and/or Western Blot. Results: The gene expression profiles are different between JS1 and JS2 cells under basal condition and after stimulated with TLR4 ligands. The differentially expressed genes encode extracellular matrix and matrix remodeling proteins, growth factors and receptors, chemokines and receptors, inflammatory and immune related proteins, as well as transcriptional factors and important signaling molecules. In JS1 cells LPS upregulates genes that belong to the signaling pathways of Toll-like receptors, neurotrophic factor, immune, the spliceosome and nucleotide excision repair and downregulates PPAR signaling, with a variety of MHC molecules, MAPKs, Pik3r3, Prkca, Ikbkb as central regulatory factors.