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A virus-like particle-based connective tissue growth factor vaccine suppresses carbon tetrachloride-induced hepatic fibrosis in mice- Scientific Reports 6, Article number: 32155 (2016)
- doi:10.1038/srep32155
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Received:29 June 2015Accepted:03 August 2016Published online:26 August 2016
AbstractConnective tissue growth factor (CTGF) has been recognized as a central mediator and promising therapeutic target in hepatic fibrosis. In this study, we generated a novel virus-like particle (VLP) CTGF vaccine by inserting the 138–159 amino acid (aa) fragment of CTGF into the central c/e1 epitope of C-terminus truncated hepatitis B virus core antigen (HBc, aa 1–149) using a prokaryotic expression system. Immunization of BALB/c mice with the VLP vaccine efficiently elicited the production of anti-CTGF neutralizing antibodies. Vaccination with this CTGF vaccine significantly protected BALB/c mice from carbon tetrachloride (CCl4)-induced hepatic fibrosis, as indicated by decreased hepatic hydroxyproline content and lower fibrotic score. CCl4 intoxication-induced hepatic stellate cell activation was inhibited by the vaccination, as indicated by decreased α-smooth muscle actin expression and Smad2 phosphorylation. Vaccination against CTGF also attenuated the over-expression of some profibrogenic factors, such as CTGF, transforming growth factor-β1, platelet-derived growth factor-B and tissue inhibitor of metalloproteinase-1 in the fibrotic mouse livers, decreased hepatocyte apoptosis and accelerated hepatocyte proliferation in the fibrotic mouse livers. Our results clearly indicate that vaccination against CTGF inhibits fibrogenesis, alleviates hepatocyte apoptosis and facilitate hepatic regeneration. We suggest that the vaccine should be developed into an effective therapeutic measure for hepatic fibrosis.
IntroductionLiver fibrosis, a common pathological process in a broad spectrum of chronic liver diseases, is characterized by the accumulation of extracellular matrix (ECM) resulting from the activation and/or epithelial-to-mesenchymal transition (EMT) of liver cells such as hepatic stellate cells (HSCs), portal fibroblasts and potentially hepatocytes into ECM-producing cells. The transformation of the ECM-producing cells is dependent on a number of extracellular stimuli such as cytokines, growth factors, chemokines, integrins and cell-cell interactions1. In the last decade, connective tissue growth factor (CTGF, or CCN2) has been identified as a central mediator in tissue fibrosis, including hepatic fibrosis2,3.
CTGF/CCN2 is a 38-kDa multifunctional secretory protein that is involved in multiple cellular events such as cell survival, proliferation, differentiation, migration, adhesion, angiogenesis, skeletal development and tissue repair, and oncogenesis, and is critically involved in tissue fibrosis4,5. CTGF is produced by most major cell types in the liver, especially activated HSCs, in response to diverse stimuli and is up-regulated in fibrotic livers at both the mRNA and protein levels6,7. The transgenic expression of CTGF in mouse hepatocytes in vivo renders the livers more susceptible to the injurious actions of other fibrotic stimuli8. Additionally and perhaps more convincingly, inhibiting the expression of CTGF9,10,11,12 or blocking its biological activity13,14 ameliorates experimental hepatic fibrosis. Moreover, the profibrogenic role of CTGF in other tissues and organs has been verified5. Therefore, CTGF is considered to be a fibrogenic master switch and a potential therapeutic target for hepatic fibrosis.
Vaccines against pathological cytokines, growth factors and extracellular soluble proteins have been proposed as a novel class of therapeutics and have been investigated in a number of disease models and clinical trials15,16,17,18,19,20,21,22,23,24,25,26,27,28. By cross-linking21, 26,27,28 or creating fusion proteins15,16,17,18,19,20,22,23,24,25,26 with carrier proteins, the normally non-antigenic cytokines or growth factors can be converted into self-antigens to elicit specific antibodies (Abs) through immunization; consequently, the Abs can neutralize abnormally overproduced cytokines or growth factors and inhibit their deleterious effects in pathological tissues. In the present study, we prepared a virus-like particle (VLP) CTGF vaccine by inserting a CTGF-derived polypeptide (aa 138–159) into the major immunodominant region (MIR) of the C-terminus truncated hepatitis B virus core antigen (HBc), tested its antigenicity and verified its protective effect in CCl4-induced hepatic fibrosis in BALB/c mice.
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