Acceleration of TAA-Induced liver fibrosis by stress exposure is associated with upregulation of nerve growth factor and glycopattern deviations

Abstract

Liver fibrosis results from many chronic injuries and may often progress to cirrhosis andhepatocellular carcinoma (HCC). In fact, up to 90% of HCC arise in a cirrhotic liver. Conversely,stress is implicated in liver damage, worsening disease outcome. Hence, stress could play a role indisrupting liver homeostasis, a concept that has not been fully explored. Here, in a murine modelof TAA-induced liver fibrosis we identified nerve growth factor (NGF) to be a crucial regulatorof the stress-induced fibrogenesis signaling pathway as it activates its receptor p75 neurotrophinreceptor (p75NTR), increasing liver damage. Additionally, blocking the NGF decreased liver fibrosiswhereas treatment with recombinant NGF accelerated the fibrotic process to a similar extent thanstress challenge. We further show that the fibrogenesis induced by stress is characterized by specificchanges in the hepatoglycocode (increased β1,6GlcNAc-branched complex N-glycans and decreasedcore 1 O-glycans expression) which are also observed in patients with advanced fibrosis compared topatients with a low level of fibrosis. Our study facilitates an understanding of stress-induced liverinjury and identify NGF signaling pathway in early stages of the disease, which contributes to theestablished fibrogenesis.