35 First, BDL was performed in TLR4-WT and TLR4-MT mice, which were sacrificed after 3 weeks. Histological analysis revealed reduced fibrosis in TLR4-MT mice versus TLR4-WT mice (Fig. 6A,B; Sirius red and H&E, respectively), and this was consistent with recently published data.11 A more detailed analysis of the hepatic vasculature revealed

that vWF-positive endothelial cell density learn more was markedly increased in TLR4-WT mice after BDL in a manner that corresponded to the degree of liver fibrosis (Fig. 6C,D). Corroborative results were obtained with an additional endothelial cell marker, aquaporin-122 (Supporting Fig. 6). Furthermore, the diminished fibrosis that was observed in BDL TLR4-MT mice corresponded to diminished vascular density in these mice. Concordant results were also observed in TLR4-WT and TLR4-MT mice who underwent analysis after CCl4-induced liver fibrosis, and they further substantiated the role of LEC TLR4 in fibrosis-associated angiogenesis (Fig. 7A,B depicts fibrosis as assessed by Sirius red staining, Fig. 7C,D depicts vascular density based on vWF-positive endothelial cell staining, and Supporting Fig. 6C,D depicts aquaporin-1–positive vascular density in CCl4 mice). Because gut-derived LPS traverses directly into the liver via the portal vein, effects Smoothened Agonist of the TLR4 pathway on liver function and pathobiology are an emerging area of interest. In turn, changes in

vascular function and structure are increasingly recognized to be closely linked to liver injury and fibrosis.36 Our present work makes a number of important observations that link TLR4 to angiogenesis and liver fibrosis. Specifically, our study provides the following new findings: (1) TLR4 is expressed in LECs and contributes to

cirrhosis-associated angiogenesis in liver, (2) TLR4 angiogenic signaling in LECs occurs through the MyD88-dependent MCE公司 pathway, (3) TLR4 angiogenesis is associated with MMP2-mediated LEC matrix invasion, and (4) inhibition of TLR4 inhibits angiogenesis in parallel with fibrosis in murine models of liver injury and cirrhosis and provides an important link between the two processes. TLR4 is a pattern recognition molecule that detects specific proteins derived from bacteria, viruses, and fungi and therefore plays a key role in innate immunity.37 TLR4, in particular, detects LPS from the cell wall of gram-negative bacteria.38 Although most extensively studied in traditional blood immune cells, LPS binding to the endothelial cell surface may regulate endothelial cell immune function through the TLR4–myeloid differentiation 2–CD14 complex.39-41 Our study adds to the current paradigms of TLR4 function in endothelial cells by revealing that TLR4-induced activation of LECs leads to angiogenesis. Indeed, LECs from TLR4-MT mice revealed prominent defects in angiogenic function as revealed by a number of complementary in vivo and in vitro assays, including tubulogenesis, aortic sprouting, and Matrigel plug assays.