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Vol. 305, Issue 2, 417-425, May 2003
Department of Pharmacology and Toxicology, Michigan State
University, East Lansing, Michigan
Bacterial lipopolysaccharide (LPS) is a potent inflammatory agent
capable of producing liver injury, the pathogenesis of which depends on
numerous mediators, including thrombin. Previous studies showed that
thrombin promotes LPS-induced liver injury independent of its ability
to form fibrin clots. In isolated, buffer-perfused livers from
LPS-treated rats, thrombin added to the perfusion buffer caused
dose-dependent liver injury with an EC50 value of 0.4 nM,
consistent with activation by thrombin of a protease-activated receptor
(PAR). Actions of thrombin at PARs can be mimicked by thrombin
receptor-activating peptides (TRAPs). TRAPs for PAR-1 reproduced the
injury caused by thrombin in isolated livers, suggesting that one
mechanism by which thrombin promotes LPS-induced liver injury is by
activating PAR-1. Immunocytochemistry demonstrated the presence of
PAR-1 on sinusoidal endothelial cells and Kupffer cells but not on
parenchymal cells or neutrophils. Previous studies showed that thrombin
interacts with neutrophils in the genesis of liver injury after LPS
treatment. To explore this interaction further, the influence of
thrombin on mediators that modulate neutrophil function were evaluated.
Inhibition of thrombin in LPS-treated rats prevented liver injury but
did not prevent up-regulation of cytokine-induced neutrophil
chemoattractant-1, macrophage inflammatory protein-2, or intercellular
adhesion molecule-1. Thrombin inhibition did, however, prevent
neutrophil (PMN) degranulation in vivo as measured by plasma elastase
levels. In addition, elastase concentration was increased in the
perfusion medium of livers isolated from LPS-treated rats and perfused
with TRAPs. These results suggest that activation of PAR-1 after LPS
exposure promotes PMN activation and hepatic parenchymal cell injury.
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