PBI-4050 Decreases Hepatic Stellate Cell Activation and Ameliorates Fibrosis in Carbon Tetrachloride (CCl4)-Induced Hepatic Fibrosis Model François Sarra-Bournet, Brigitte Grouix, Kathy Hince, Alexandra Felton, Mikaël Tremblay, Shaun Abbott, Jean-Simon Duceppe, Boulos Zacharie, Pierre Laurin and Lyne Gagnon PROMETIC BIOSCIENCES INC., LAVAL, QUÉBEC,CANADA p=0.020 Untreated TGF-β1 0.75 Statistics: Student’s t-test p=0.004 0.75 0.50 0.25 CCl4 CCl4 + CCl4 + PBI-4050 PBI-4050 (100 mg/kg) (200 mg/kg) 1.00 p=0.036 NS 0.75 0.50 0.25 CCl4 CCl4 + CCl4 + PBI-4050 PBI-4050 (100 mg/kg) (200 mg/kg) p=0.028 1.00 p=0.002 0.75 0.50 Control CCl4 + CCl4 + PBI-4050 PBI-4050 (100 mg/kg) (200 mg/kg) CCl4 p=0.0001 0.25 1.00 0.75 p=0.022 p=0.041 Sham 0.50 0.25 CCl4 CCl4 + CCl4 + PBI-4050 PBI-4050 (100 mg/kg) (200 mg/kg) Control CCl4 2.0 Relative Quantitation 0.25 0.00 TGF-β1 TGF-β1 + PBI-4050 CTGF 1.00 1.5 p=0.017 p=0.027 NS 1.0 0.5 0.0 Control 0.75 CCl4 CCl4+ CCl4+ PBI-4050 PBI-4050 (100 mg/kg) (200 mg/kg) p=0.001 Magnification 100X 0.25 p=0.0001 Collagen Deposition 0.00 TGF-β1 TGF-β1 + PBI-4050 mRNA expression 1.25 PPARγ p=0.015 1.5 1.0 0.5 NS 1.00 p=0.006 p=0.001 0.75 0.50 p=0.0001 0.25 Control Untreated TGF-β1 TGF-β1 + PBI-4050 1.5 p=0.0005 1.0 p=0.0001 0.5 0.0 0.00 0.0 Histomorphometry 2.0 % Collagen in Liver Untreated CCl4 CCl4 + CCl4 + PBI-4050 PBI-4050 (100 mg/kg) (200 mg/kg) ug Hydroxyproline/mg Liver 0.50 CCl4 + CCl4 + PBI-4050 PBI-4050 (100 mg/kg) (200 mg/kg) PPARγ p=0.0041 1.25 CCl4 CCl4 + PBI-4050 p=0.006 Untreated p=0.008 0.00 Control 0.50 Relative Quantitation TIMP-1 1.25 0.00 0.00 Control MMP-2 1.25 NS Remodeling Markers α-SMA Immunohistochemistry Staining Relative Quantitation Euthanasia and fibrosis evaluation (IHC, qPCR, histology) p=0.008 p=0.023 0.00 Control 1.00 Relative Quantitation Oral administration of vehicle or PBI-4050 (100 or 200 mg/kg, day 1 to 58) 0.25 Snail1 1.25 2.0 Day 59 or 87 0.50 TGF-β1 + PBI-4050 p=0.012 Day 1 p=0.001 0.00 0.00 IP injection of 2 ml/kg of CCl4 10% in olive oil, twice a week for 7 weeks C57BL6/J male 0.75 p=0.004 1.00 CTGF (Day 87) 1.25 Relative Quantitation p=0.028 1.00 p=0.005 Snail1 1.25 Relative Quantitation 0.50 Relative Quantitation Relative Quantitation 0.75 0.25 α-SMA 1.25 1.00 Profibrotic/EMT Markers Relative Quantitation α-SMA 1.25 METHODS In vitro human HSC activation: Serumstarved HSC cells were treated with or without PBI-4050 (500 µM) and TGF-β1 (10 ng/ml) for 24 h, and qPCR analysis of relative gene expression was performed with TaqMan© Gene Expression Assay. CCl4-induced liver fibrosis study: PBI-4050 REDUCES FIBROSIS IN LIVER OF CCl4-TREATED MICE PBI-4050 REDUCES TGF-β1INDUCED ACTIVATION OF HSC Relative Quantitation Hepatic stellate cells (HSC) are considered a key player in the fibrogenic process of the liver. In response to liver injury, HSC become activated and transdifferentiate into myofibroblast-like cells which display increased proliferation and collagen synthesis. PBI-4050 is a first-in-class anti-fibrotic compound presently in clinical phase II trial in metabolic syndrome associated with diabetes and in idiopathic pulmonary fibrosis. In the present study, we investigated whether treatment with PBI-4050 could decrease in vitro HSC activation and prevent CCl4-induced fibrosis in mice. RESULTS Relative Quantitation BACKGROUND AND AIM 0.50 Hydroxyproline Content 0.45 NS p=0.0381 0.40 0.35 p=0.0001 0.30 0.25 Control CCl4 CCl4 + CCl4 + PBI-4050 PBI-4050 (100 mg/kg) (200 mg/kg) Control CCl4 CCl4 + CCl4 + PBI-4050 PBI-4050 (100 mg/kg) (200 mg/kg) CONCLUSIONS This study demonstrates that PBI-4050: ► Reduces HSC activation ► Reduces liver fibrosis by decreasing overexpression/overproduction of: profibrotic/EMT markers remodeling markers collagen deposition These results suggest that PBI-4050 offers the potential as a novel therapy for hepatic fibrosis.
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