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Am J Physiol Cell Physiol (January 16, 2008). doi:10.1152/ajpcell.00457.2007
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Submitted on October 2, 2007
Accepted on January 10, 2008

CXCR2 agonists in ADPKD liver cyst fluids promote cell proliferation

Claudia Amura1, Kelley S. Brodsky1, Berenice Gitomer1, Kimberly K. McFann1, Gwendal Lazennec2, Matthew T. Nichols1, Alkesh Jani1, Robert W. Schrier1, and R. Brian Doctor1*

1 Medicine, UCHSC, Denver, Colorado, United States
2 Endocrinology, INSERM, Montpellier, France

* To whom correspondence should be addressed. E-mail: brian.doctor{at}uchsc.edu.

Autosomal dominant polycystic kidney disease (ADPKD) is a highly prevalent genetic disease that results in cyst formation in kidney and liver. Cytokines and growth factors secreted by the cyst lining epithelia are positioned to initiate autocrine/paracrine signaling and promote cyst growth. Comparative analyses of human kidney and liver cyst fluids revealed disparate cytokine/growth factor profiles. CXCR2 agonists, including interleukin-8 (IL-8), epithelial neutrophil activating peptide (ENA78), growth related oncogne alpha (GRO{alpha}), are potent proliferative agents that were found at high levels in liver but not kidney cyst fluids. Liver cysts are lined by epithelial cells derived from the intrahepatic bile duct (i.e. cholangiocytes). In polarized pkd2(WS25/-) mouse liver cyst epithelial monolayers, CXCR2 agonists were released both apically and basally, indicating they may act both on the endothelial and epithelial cells within or lining the cyst wall. IL-8 and human liver cyst fluid induced cell proliferation of HMEC-1 cells, a human microvascular endothelial cell line, and Mz-ChA1 cells, a human cholangiocyte cell model. IL-8 expression can be regulated by specific stresses. Hypoxia and mechanical stretch, two likely stressors acting on the liver cyst epithelia, significantly increased IL-8 secretion and promoter activity. AP-1, c/EBP and NF{kappa}B were required but not sufficient to drive the stress-induced increase in IL-8 transcription. An upstream element between -272 and -1,481 bp allowed for the stress-induced increase in IL-8 transcription. These studies support the hypothesis that CXCR2 signaling promotes ADPKD liver cyst growth.




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[Abstract] [Full Text] [PDF]




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