Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Article
  • Published:

Mechanotransduction-modulated fibrotic microniches reveal the contribution of angiogenesis in liver fibrosis

Abstract

The role of pathological angiogenesis on liver fibrogenesis is still unknown. Here, we developed fibrotic microniches (FμNs) that recapitulate the interaction of liver sinusoid endothelial cells (LSECs) and hepatic stellate cells (HSCs). We investigated how the mechanical properties of their substrates affect the formation of capillary-like structures and how they relate to the progression of angiogenesis during liver fibrosis. Differences in cell response in the FμNs were synonymous of the early and late stages of liver fibrosis. The stiffness of the early-stage FμNs was significantly elevated due to condensation of collagen fibrils induced by angiogenesis, and led to activation of HSCs by LSECs. We utilized these FμNs to understand the response to anti-angiogenic drugs, and it was evident that these drugs were effective only for early-stage liver fibrosis in vitro and in an in vivo mouse model of liver fibrosis. Late-stage liver fibrosis was not reversed following treatment with anti-angiogenic drugs but rather with inhibitors of collagen condensation. Our work reveals stage-specific angiogenesis-induced liver fibrogenesis via a previously unrevealed mechanotransduction mechanism which may offer precise intervention strategies targeting stage-specific disease progression.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1: Establishment of the mechanotransduction-modulated fibrotic microniches (FμNs).
Figure 2: Characterization of the biomimetic FμNs.
Figure 3: Condensed collagen fibres as mechanical transducer to activate HSCs both in vitro and in vivo.
Figure 4: Collagen fibres function as mechanical transducer to activate HSCs through the DDR2-JAK2/PI3K/AKT-MYOCD pathway.
Figure 5: Anti-angiogenesis treatment in early-stage liver fibrosis.
Figure 6: Treatment of late-stage liver fibrosis by targeting vasculature and condensed collagen fibres.

Similar content being viewed by others

References

  1. Friedman, S. L., Sheppard, D., Duffield, J. S. & Violette, S. Therapy for fibrotic diseases: nearing the starting line. Sci. Transl. Med. 5, 167sr161 (2013).

    Google Scholar 

  2. DiPietro, L. A. Angiogenesis and scar formation in healing wounds. Curr. Opin. Rheumatol. 25, 87–91 (2013).

    Google Scholar 

  3. Hanumegowda, C., Farkas, L. & Kolb, M. Angiogenesis in pulmonary fibrosis: too much or not enough? Chest 142, 200–207 (2012).

    CAS  Google Scholar 

  4. Ehling, J. et al. CCL2-dependent infiltrating macrophages promote angiogenesis in progressive liver fibrosis. Gut 63, 1960–1971 (2014).

    CAS  Google Scholar 

  5. Thabut, D. & Shah, V. Intrahepatic angiogenesis and sinusoidal remodeling in chronic liver disease: new targets for the treatment of portal hypertension? J. Hepatol. 53, 976–980 (2010).

    Google Scholar 

  6. Tugues, S. et al. Antiangiogenic treatment with sunitinib ameliorates inflammatory infiltrate, fibrosis, and portal pressure in cirrhotic rats. Hepatology 46, 1919–1926 (2007).

    CAS  Google Scholar 

  7. Mejias, M. et al. Beneficial effects of Sorafenib on splanchnic, intrahepatic, and portocollateral circulations in portal hypertensive and cirrhotic rats. Hepatology 49, 1245–1256 (2009).

    CAS  Google Scholar 

  8. Karimian, G. et al. Attenuation of hepatic fibrosis through captopril and enalapril in the livers of bile duct ligated rats. Biomed. Pharmacother. 62, 312–316 (2008).

    CAS  Google Scholar 

  9. Patsenker, E. et al. Pharmacological inhibition of integrin αvβ3 aggravates experimental liver fibrosis and suppresses hepatic angiogenesis. Hepatology 50, 1501–1511 (2009).

    CAS  Google Scholar 

  10. Yang, L. et al. Vascular endothelial growth factor promotes fibrosis resolution and repair in mice. Gastroenterology 146, 1339–1350.e1 (2014).

    CAS  Google Scholar 

  11. Kantari-Mimoun, C. et al. Resolution of liver fibrosis requires myeloid cell-driven sinusoidal angiogenesis. Hepatology 61, 2042–2055 (2015).

    CAS  Google Scholar 

  12. Garcia-Tsao, G., Friedman, S., Iredale, J. & Pinzani, M. Now there are many (stages) where before there was one: in search of a pathophysiological classification of cirrhosis. Hepatology 51, 1445–1449 (2010).

    Google Scholar 

  13. Schaffner, F. & Poper, H. Capillarization of hepatic sinusoids in man. Gastroenterology 44, 239–242 (1963).

    CAS  Google Scholar 

  14. Xie, G. et al. Role of differentiation of liver sinusoidal endothelial cells in progression and regression of hepatic fibrosis in rats. Gastroenterology 142, 918–927.e6 (2012).

    Google Scholar 

  15. DeLeve, L. D. Liver sinusoidal endothelial cells in hepatic fibrosis. Hepatology 61, 1740–1746 (2015).

    CAS  Google Scholar 

  16. Rockey, D. C. Vascular mediators in the injured liver. Hepatology 37, 4–12 (2003).

    CAS  Google Scholar 

  17. Duscher, D. et al. Mechanotransduction and fibrosis. J. Biomech. 47, 1997–2005 (2014).

    Google Scholar 

  18. Kilarski, W. W. et al. Biomechanical regulation of blood vessel growth during tissue vascularization. Nat. Med. 15, 657–664 (2009).

    CAS  Google Scholar 

  19. Korff, T. & Augustin, H. G. Tensional forces in fibrillar extracellular matrices control directional capillary sprouting. J. Cell Sci. 112, 3249–3258 (1999).

    CAS  Google Scholar 

  20. Bishop, P. N. The role of extracellular matrix in retinal vascular development and preretinal neovascularization. Exp. Eye Res. 133, 30–36 (2015).

    CAS  Google Scholar 

  21. Kolodney, M. S. & Wysolmerski, R. B. Isometric contraction by fibroblasts and endothelial cells in tissue culture: a quantitative study. J. Cell Biol. 117, 73–82 (1992).

    CAS  Google Scholar 

  22. Prasain, N. & Stevens, T. The actin cytoskeleton in endothelial cell phenotypes. Microvasc. Res. 77, 53–63 (2009).

    CAS  Google Scholar 

  23. Melgar-Lesmes, P. et al. Vascular endothelial growth factor and angiopoietin-2 play a major role in the pathogenesis of vascular leakage in cirrhotic rats. Gut 58, 285–292 (2009).

    CAS  Google Scholar 

  24. Huynh, J. et al. Age-related intimal stiffening enhances endothelial permeability and leukocyte transmigration. Sci. Transl. Med. 3, 112ra122 (2011).

    Google Scholar 

  25. Tornavaca, O. et al. ZO-1 controls endothelial adherens junctions, cell–cell tension, angiogenesis, and barrier formation. J. Cell Biol. 208, 821–838 (2015).

    CAS  Google Scholar 

  26. Zhao, X. & Guan, J.-L. Focal adhesion kinase and its signaling pathways in cell migration and angiogenesis. Adv. Drug Deliv. Rev. 63, 610–615 (2011).

    CAS  Google Scholar 

  27. Wynn, T. A. Cellular and molecular mechanisms of fibrosis. J. Pathol. 214, 199–210 (2008).

    CAS  Google Scholar 

  28. Krizhanovsky, V. et al. Senescence of activated stellate cells limits liver fibrosis. Cell 134, 657–667 (2008).

    CAS  Google Scholar 

  29. Narine, K. et al. Growth factor modulation of fibroblast proliferation, differentiation, and invasion: implications for tissue valve engineering. Tissue Eng. 12, 2707–2716 (2006).

    CAS  Google Scholar 

  30. Weng, S., Shao, Y., Chen, W. & Fu, J. Mechanosensitive subcellular rheostasis drives emergent single-cell mechanical homeostasis. Nat. Mater. 15, 961–967 (2016).

    CAS  Google Scholar 

  31. Wang, Y. et al. Visualizing the mechanical activation of Src. Nature 434, 1040–1045 (2005).

    CAS  Google Scholar 

  32. Ouyang, M., Sun, J., Chien, S. & Wang, Y. Determination of hierarchical relationship of Src and Rac at subcellular locations with FRET biosensors. Proc. Natl Acad. Sci. USA 105, 14353–14358 (2008).

    CAS  Google Scholar 

  33. Ikeda, K. et al. Discoidin domain receptor 2 interacts with Src and Shc following its activation by type I collagen. J. Biol. Chem. 277, 19206–19212 (2002).

    CAS  Google Scholar 

  34. Pellicoro, A., Ramachandran, P., Iredale, J. P. & Fallowfield, J. A. Liver fibrosis and repair: immune regulation of wound healing in a solid organ. Nat. Rev. Immunol. 14, 181–194 (2014).

    CAS  Google Scholar 

  35. Olaso, E. et al. DDR2 receptor promotes MMP-2-mediated proliferation and invasion by hepatic stellate cells. J. Clin. Invest. 108, 1369–1378 (2001).

    CAS  Google Scholar 

  36. Leitinger, B. Discoidin domain receptor functions in physiological and pathological conditions. Int. Rev. Cell Mol. Biol. 310, 39–87 (2014).

    CAS  Google Scholar 

  37. Payne, L. S. & Huang, P. H. Discoidin domain receptor 2 signaling networks and therapy in lung cancer. J. Thorac. Oncol. 9, 900–904 (2014).

    CAS  Google Scholar 

  38. Abdalla, M., Goc, A., Segar, L. & Somanath, P. R. Akt1 mediates α-smooth muscle actin expression and myofibroblast differentiation via myocardin and serum response factor. J. Biol. Chem. 288, 33483–33493 (2013).

    CAS  Google Scholar 

  39. Sohrabpour, A. A., Mohamadnejad, M. & Malekzadeh, R. Review article: the reversibility of cirrhosis. Aliment. Pharmacol. Ther. 36, 824–832 (2012).

    CAS  Google Scholar 

  40. Barry-Hamilton, V. et al. Allosteric inhibition of lysyl oxidase-like-2 impedes the development of a pathologic microenvironment. Nat. Med. 16, 1009–1017 (2010).

    CAS  Google Scholar 

  41. Chaudhuri, O. et al. Extracellular matrix stiffness and composition jointly regulate the induction of malignant phenotypes in mammary epithelium. Nat. Mater. 13, 970–978 (2014).

    CAS  Google Scholar 

  42. Engler, A. et al. Substrate compliance versus ligand density in cell on gel responses. Biophys. J. 86, 617–628 (2004).

    CAS  Google Scholar 

  43. Simonetto, D. A. et al. Chronic passive venous congestion drives hepatic fibrogenesis via sinusoidal thrombosis and mechanical forces. Hepatology 61, 648–659 (2015).

    CAS  Google Scholar 

  44. Mederacke, I. et al. High-yield and high-purity isolation of hepatic stellate cells from normal and fibrotic mouse livers. Nat. Protoc. 10, 305–315 (2015).

    CAS  Google Scholar 

  45. Yang, Y., Wang, K., Gu, X. & Leong, K. W. Biophysical regulation of cell behavior—cross talk between substrate stiffness and nanotopography. Engineering 3, 36–54 (2017).

    CAS  Google Scholar 

  46. Wang, B. et al. Substrate stiffness orchestrates epithelial cellular heterogeneity with controlled proliferative pattern via E-cadherin/β-catenin mechanotransduction. Acta Biomater. 41, 169–180 (2016).

    CAS  Google Scholar 

  47. Zhao, H. et al. Microengineered in vitro model of cardiac fibrosis through modulating myofibroblast mechanotransduction. Biofabrication 6, 045009 (2014).

    Google Scholar 

  48. Kızılel, S., Sawardecker, E., Teymour, F. & Pérez-Luna, V. H. Sequential formation of covalently bonded hydrogel multilayers through surface initiated photopolymerization. Biomaterials 27, 1209–1215 (2006).

    Google Scholar 

  49. Gutekunst, S. B. et al. Influence of the PDMS substrate stiffness on the adhesion of Acanthamoeba castellanii. Beilstein J. Nanotech. 5, 1393–1398 (2014).

    Google Scholar 

  50. Dobin, A. et al. STAR: ultrafast universal RNA-seq aligner. Bioinformatics 29, 15–21 (2013).

    CAS  Google Scholar 

  51. Wang, L. et al. DEGseq: an R package for identifying differentially expressed genes from RNA-seq data. Bioinformatics 26, 136–138 (2010).

    Google Scholar 

  52. Kee, K. et al. Human DAZL, DAZ and BOULE genes modulate primordial germ cell and haploid gamete formation. Nature 462, 222–225 (2009).

    CAS  Google Scholar 

  53. Zeng, Y. et al. Injectable microcryogels reinforced alginate encapsulation of mesenchymal stromal cells for leak-proof delivery and alleviation of canine disc degeneration. Biomaterials 59, 53–65 (2015).

    CAS  Google Scholar 

  54. Speier, S. et al. Noninvasive high-resolution in vivo imaging of cell biology in the anterior chamber of the mouse eye. Nat. Protoc. 3, 1278–1286 (2008).

    CAS  Google Scholar 

  55. Zhao, H. et al. Bi-content micro-collagen chip provides contractility-based biomechanical readout for phenotypic drug screening with expanded and profiled targets. Lab Chip 15, 3481–3494 (2015).

    CAS  Google Scholar 

Download references

Acknowledgements

We would like to acknowledge the sequencing core facility, NIKON Biological Imaging Center, Animal Core Facility and Center of Biomedical Analysis at Tsinghua University for technical assistance. This work is financially supported by the National Natural Science Foundation of China (81522022) and National Key R&D Program of China (2017YFA0104901).

Author information

Authors and Affiliations

Authors

Contributions

L.L., Z.Y. and Y.D. conceived and designed the experiments; L.L. conducted the in vitro FμN experiments with help from H.Z., L.Zhu and B.W.; H.Y., B.W. and L.Zhou helped to establish the hydrogel system and performed the AFM experiments, while Y.S. and T.X. provided technical support; D.L. helped in flow analysis; Z.Y. and L.L. designed and performed the mouse experiments and data processing; Bioinformatics analysis was performed by L.L. and Y.X.; W.H. and C.H. provided clinical consultation; L.L., Z.Y. and Y.D. wrote the manuscript, which W.H., C.H., H.Y., X.Y. helped to revise; Y.D. is the principal investigator of the supporting grants.

Corresponding author

Correspondence to Yanan Du.

Ethics declarations

Competing interests

The authors declare no competing financial interests.

Supplementary information

Supplementary Information

Supplementary Information (PDF 2793 kb)

Supplementary Information

Supplementary movie 1 (MP4 48722 kb)

Supplementary Information

Supplementary movie 2 (MP4 4434 kb)

Supplementary Information

Supplementary movie 3 (MP4 5042 kb)

Supplementary Information

Supplementary movie 4 (MP4 16961 kb)

Supplementary Information

Supplementary movie 5 (MP4 12312 kb)

Supplementary Information

Supplementary movie 6 (MP4 8414 kb)

Supplementary Information

Supplementary movie 7 (MP4 2734 kb)

Supplementary Information

Supplementary table 1 (XLSX 3355 kb)

Supplementary Information

Supplementary table 2 (XLSX 64 kb)

Supplementary Information

Supplementary table 3 (XLSX 43 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Liu, L., You, Z., Yu, H. et al. Mechanotransduction-modulated fibrotic microniches reveal the contribution of angiogenesis in liver fibrosis. Nature Mater 16, 1252–1261 (2017). https://doi.org/10.1038/nmat5024

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/nmat5024

This article is cited by

Search

Quick links

Nature Briefing: Translational Research

Sign up for the Nature Briefing: Translational Research newsletter — top stories in biotechnology, drug discovery and pharma.

Get what matters in translational research, free to your inbox weekly. Sign up for Nature Briefing: Translational Research