One patient underwent liver transplantation One patient died fro

One patient underwent liver transplantation. One patient died from sepsis and complications of portal hypertension while awaiting liver transplantation. The probability of developing complicated liver disease within 5 years of the diagnosis of ASC was 25% (95% CI = 7%-70%; Fig. 2). The 5-year survival rate with the native liver from the time of the ASC diagnosis was 90% (95% CI = 47%-99%;

Fig. 3). We identified 44 patients with AIH. The incidence and prevalence of AIH per 100,000 children in Utah were 0.4 and 3.0, respectively. Complicated liver disease developed in 8 of the 44 AIH patients (18%) during follow-up. Three patients developed ascites, five developed esophageal varices, and three developed hepatic encephalopathy. Four patients required liver transplantation. There were no deaths. The probability of developing complicated liver disease within 5 years of

selleck chemical the diagnosis of AIH Talazoparib nmr was 15% (95% CI = 7%-33%; Fig. 2). The 5-year survival rate with the native liver from the time of the AIH diagnosis was 87% (95% CI = 71%-95%; Fig. 3). PSC, ASC, or AIH occurred in 39 of the 607 IBD patients (6.4%) overall. Liver disease was diagnosed a median of 1 month after the diagnosis of IBD (interquartile range = −35 to +48 months), as early as 10.2 years before IBD, and as late as 6.6 years after IBD (see Fig. 4 for details). PSC occurred in 28 of 607 IBD patients (4.6%), in 26 of 262 UC patients (9.9%), and in 2 of 317 CD patients (0.6%). ASC occurred in 9 of 607 IBD patients (1.5%), in 6 of 262 UC patients (2.3%), and in 3 of 317 CD patients (0.9%). AIH occurred in 2 of 607 IBD patients (0.3%), in 1 of 262 UC patients (0.4%), and in 1 of 317 CD

patients (0.3%). In summary, we selleckchem identified all cases of pediatric IBD, PSC, ASC, and AIH in Utah and described the intersection and co-occurrence of these related diseases in a population-based cohort of children. Our study has four major findings. First, we measured the incidence and prevalence of pediatric PSC, ASC, and AIH in Utah and provided estimates of disease frequency that were previously unreported. Second, we described the natural history and provided data on progression to complicated liver disease, and we added data to an area with data derived mostly from single-center reports. Third, we described characteristics of ASC patients and compared them to PSC and AIH populations, and we provided new insight into this subtype of liver disease. Fourth, we identified a high proportion of UC patients who progressed to complicated liver disease, and this has implications for the clinical care of UC patients. We calculated the incidence and point prevalence of the major immune-mediated diseases affecting children beyond the neonatal period. Our results largely mirror the incidence and prevalence from the few existing studies with pediatric data. The incidence of PSC was estimated to be 0.

Involvement of TRIF-dependent pathways in IL-28B production was s

Involvement of TRIF-dependent pathways in IL-28B production was shown by the significant inhibition of IL-28B with TRIF inhibitor. selleck Nevertheless, active HCV replication in the cells is not required. Based on our data, we considered that BDCA3+ DCs recognize HCV genome mainly by an endosome and TRIF-dependent mechanism. Although the results with UV-irradiated HCVcc, anti-CD81 blocking Ab,

and chloroquine were quite similar, the TRIF-specific inhibitor failed to suppress IL-28B from pDCs (Fig. 6, Fig. S9). In the coculture with JFH-transfected Huh7.5.1 cells, BDCA3+ DCs presumably receive some signals for IL-28B production by way of cell-to-cell dependent and independent mechanisms. In the present study, most of the stimuli to BDCA3+ DCs for IL-28B production may be the released HCVcc from Huh7.5.1 cells, judging from the inability of suppression with transwells. However, a contribution of contact-dependent mechanisms cannot be excluded in the coculture experiments. HCV genome is transmissible Selleckchem Wnt inhibitor from infected hepatocytes to uninfected ones through tight junction molecules, such as claudin-1 and occuludin. Further investigation is needed to clarify whether such cell-to-cell transmission of viral genome is operated or not in BDCA3+ DCs. The relationship

between IL-28B expression and the induction of ISGs has been drawing much research attention. In primary human hepatocytes, it is reported that HCV primarily induces IFN-λ, instead of type-I IFNs, subsequently enhancing ISG expression.7 Of particular interest is that

the level of hepatic IFN-λs is closely correlated with the strength of ISG response.26 These reports strongly suggest that hepatic IFN-λs are a crucial driver of ISG induction and subsequent HCV eradication. Besides, it is likely that BDCA3+ DCs, as a bystander IFN-λ producer in the liver, have a significant impact on hepatic ISG induction. In support of this possibility, we demonstrated in this study that BDCA3+ DCs are capable of producing large amounts of IFN-λs in response to HCV, thereby inducing ISGs in the coexisting liver cells. Controversial results have been reported regarding the relationship between IL28B genotypes and the levels of IL-28 expression. Nevertheless, in chronic hepatitis C patients with IL-28B major genotype, the IL-28 transcripts in PBMCs are reported selleck compound to be higher than those with minor genotype.2 In this study, by focusing on a prominent IFN-λ producer (BDCA3+ DCs) and using the assay specific for IL-28B, we showed that the subjects with IL-28B major genotype could respond to HCV by releasing more IL-28B. Of interest, such a superior capacity of BDCA3+ DCs was observed only in response to HCV but not to poly IC. Since the pathways downstream of TLR3-TRIF leading to IL-28B in BDCA3+ DCs should be the same, either HCV or poly IC stimulation, two plausible explanations exist for such a distinct IL-28B response.

All tests of significance were two-tailed and P < 005 was consid

All tests of significance were two-tailed and P < 0.05 was considered statistically significant. The cumulative incidence curve was determined by the Kaplan-Meier method, and differences among groups were assessed using the log-rank test. Factors associated with HCC risk were determined by the Cox proportional hazard model. As covariates in the multivariate stepwise Cox model, age, sex, stage of liver fibrosis, grade of histological Deforolimus datasheet activity, presence of hepatic steatosis, serum albumin levels, γ-glutamyl transpeptidase (γ-GTP) level, fasting

blood sugar levels, platelet counts, pre-IFN ALT levels, pre-IFN AFP levels, post-IFN ALT levels, post-IFN AFP levels, and virological response were included. HCC development was the dependent variable. Time zero was defined as the time of primary liver biopsy. The proportional assumption was supported by log[-log(survival)] versus log(time) plots that showed parallel lines. Statistical analyses were performed using the Statistical Package for the Social Sciences software v. 18.0 (SPSS, Chicago, IL). Table 1 shows patient characteristics at the time of enrollment. During follow-up, HCC developed in 179 patients. The cumulative incidence of HCC for 5 and 10 years was 6.5% and

15.0%, respectively. The final virological response to IFN therapy was determined in all patients. The overall rate of SVRs was 50.2% (913/1818). The cumulative incidence in SVRs was 2.3% and 5.5%, respectively, Talazoparib chemical structure which was significantly lower than that in non-SVRs (6.9% and 21.9%, respectively; log-rank test, P < 0.0001). Univariate analysis demonstrated factors that increase the risk for HCC development (Table 2). According to multivariate stepwise Cox analysis, older age, male gender, advanced fibrosis, check details severe steatosis, lower serum albumin levels, non-SVR, and higher post-IFN treatment ALT and AFP levels, but not pre-IFN treatment ALT and AFP levels, were identified as independent factors that were significantly associated with HCC development (Table 2). Because our

multivariate analysis identified post-IFN treatment ALT and AFP levels as independent factors associated with HCC risk, we determined the cutoff values of these factors for predicting the development of HCC by receiver operator characteristics (ROC) analysis. The area under the ROC curve for post-IFN treatment ALT and AFP levels were higher than that for pre-IFN treatment ALT and AFP levels, suggesting that quantification of post-IFN treatment ALT and AFP levels rather than pre-IFN treatment levels of these values is useful for predicting HCC (Fig. 1A). From this ROC analysis, ALT <40 IU/L and AFP <6.0 ng/mL were identified as cutoff values. Negative predictive values were extremely high at 0.960 in each value, suggesting patients with ALT and/or AFP levels below these cutoff values are at a lower risk for HCC. As shown in Fig.

Another miRNA significantly altered in response to 2/3 PH was miR

Another miRNA significantly altered in response to 2/3 PH was miR-378 (Fig. 2A). In contrast to miR-21, miR-378 expression declined after 2/3 PH, suggesting that it might inhibit a proliferation-promoting gene (Fig. 4A). Loss of miR-378 expression in livers of Dgcr8del/fl, Alb-Cre+/− mice

lacking oval cells indicated that it functions predominantly in hepatocytes in the liver (Fig. 4B). Among 64 genes predicted as targets of miR-378 in both mice and humans, four genes were previously reported to have a positive effect on cell proliferation (Supporting Information Table 3). Intriguingly, one of these genes, Odc1, encodes a polyamine-synthesizing enzyme that is needed for efficient and timely DNA synthesis in liver regeneration.28 Furthermore, Odc1 had find more the highest score and free energy of the predicted conserved miR-378 target genes with established proliferation-promoting function (Supporting Information Fig. 4B, Supporting Information Table 3). Using the

HSP inhibitor experimental strategy described above, we found that miR-378 inhibits Odc1 by direct targeting of a complementary sequence in its 3′UTR (Fig. 4C). These results suggest that efficient liver regeneration may involve release of Odc1 from repression by miR-378. Although miRNAs are known to regulate cell proliferation, little information exists on the miRNAs and their target genes involved in regeneration of the liver or other organs. We investigated this question by generating mice with hepatocyte-specific inactivation of DGCR8, an essential component of the microprocessor complex. DGCR8 anchors the primary miRNA transcript for cleavage by Drosha. Thus, DGCR8 acts upstream of Dicer and its deficiency leads to disruption of processing of miRNAs, not other small RNAs.17 In line with recent findings of impaired proliferation in DGCR8-deficient

mouse embryonic stem cells,29 we found that initiation of DNA synthesis was delayed in DGCR8-deficient hepatocytes after 2/3 PH. This finding suggested that miRNAs regulate hepatocyte G1 to S phase progression during liver regeneration. To identify miRNAs regulating the regenerative capabilities of hepatocytes, we screened for miRNA expression changes in livers of selleck compound adult wildtype mice after 2/3 PH. Because the miRNAs reported as promoters of proliferation in mouse embryonic stem cells are not expressed in hepatocytes, it was not surprising that none of these miRNAs was induced by 2/3 PH. Instead, we specifically found increased levels of miR-21, an established promoter of proliferation that is expressed at high levels in many types of cancer.20 Prompted by stringent target gene prediction we found that Btg2 is a direct target of miR-21. Moreover, our data suggest that increased miR-21 expression serves to antagonize the cell cycle inhibitor Btg2 during liver regeneration.

After specimen preparation, cylinders of composite resin were pre

After specimen preparation, cylinders of composite resin were prepared and immediately cemented onto the ceramic. A shear test was performed. Results: One-way ANOVA indicated a statistically significant difference among the groups (p= 0.0019). The mean shear bond strengths (MPa) were: Gr1 = 4.7 ± 0.8,b Gr2 = 4.6 ± 0.9,b Gr3 = 6.4 ± 1.0,a Gr4 = 6.5 ± 1.8,a Gr5 = 6 ± 1.3ab (same superscript letter indicates statistical similarity). Adhesive fracture Nivolumab in vitro between the ceramic and resin cement was the most common failure. No complete cohesive fracture

at the ceramic or composite cylinders was noted. Conclusion: Within the limitations of this study, additional surface treatment with air abrasion before and after sintering GSK-3 inhibition provided a significant increase in bond strength. Tribochemical silica coating before sintering was not effective as a surface treatment. “
“Denture base resins have the potential to cause cytotoxicity in vivo, and the mechanical properties of resins are affected by water sorption. There is a correlation between residual monomer and water sorption. Thus, the purpose of this study was to evaluate water sorption and cytotoxicity of light-activated urethane dimethacrylate (UDMA) denture base resin compared to a conventional heat-activated

polymethyl methacrylate (PMMA) resin. Two denture base resins, heat-activated PMMA (Meliodent) and light-activated UDMA (Eclipse), were used in this study. Cytotoxicity

(5 × 1 mm2) and water sorption (1 × 1 mm2) specimens were made following selleck inhibitor the manufacturers’ instructions (n = 10). Cytotoxicity tests of denture base resins were performed according to ISO10993–5:1999, and water sorption was evaluated according to ISO 1567:1997. ANOVA tests were employed for evaluating data (α = 0.05). There was no cytotoxic effect in either the PMMA or UDMA group. In addition, contrary to short-term water storage, a significantly lower water sorption value was shown for UDMA resins compared to PMMA resins in both 3- and 6-month storage periods (p = 0.043 and p = 0.002, respectively). The tested denture base materials adhered to the ISO standards for both cytotoxicity and water sorption. The cytotoxicity of the light-activated UDMA resin tested was statistically similar to that of the heat-activated PMMA resin; however, the UDMA resin exhibited decreased water sorption in long-term water storage. “
“This article describes the evolution of a computer-aided design/computer-aided manufacturing (CAD/CAM) process where ceramic paste is deposited in a layer-by-layer sequence using a computer numerical control machine to build up core and fixed partial denture (FPD) structures (robocasting).

862, the field of qHBsAg research has been active Specifically,

862, the field of qHBsAg research has been active. Specifically, qHBsAg has shown to be correlated with intrahepatic covalently closed circular DNA (cccDNA),6, 7 and subsequent studies have lent further support to a correlation between qHBsAg and serum HBV DNA levels.8, 9 To date, the potential role of qHBsAg in antiviral therapy monitoring has been studied largely in patients receiving pegylated interferon (PEG-IFN).10-12 Moucari et al.13 reported that an early drop in qHBsAg was highly predictive of a sustained

virological response (SVR) in HBeAg(−) patients. This was similar to the results obtained by Brunetto et al.,14 who found that an on-treatment decline of qHBsAg was significantly associated with sustained HBsAg clearance. In selleck compound contrast to studies of PEG-IFN, there is a relative paucity of data concerning qHBsAg levels in patients receiving oral nucleos(t)ide analogues. The effects of adefovir and lamivudine (LAM) on qHBsAg have been analyzed in several studies; the potency of these agents in decreasing qHBsAg levels was low.4, 6, 9 Among patients taking entecavir (ETV), which is a potent and

preferred first-line agent, little is known about qHBsAg; in two studies, the clinical utility of qHBsAg was not demonstrated.15, 16 The quantitative MDX-1106 hepatitis B e antigen (qHBeAg) titer has been introduced and evaluated as a surrogate marker of on-treatment response. In patients receiving conventional interferon, PEG-IFN, or LAM, a decrease in qHBeAg levels during antiviral therapy might have predictive value in determining find more the clinical course and the occurrence of viral breakthrough.17-21 However, no study exploring qHBeAg changes in patients receiving ETV

therapy has yet been conducted. Recent investigations of qHBsAg have suggested its potential for wider applications encompassing the natural course of HBV.22, 23 These studies have demonstrated significant differences in qHBsAg across the different phases of HBV infection over a long time period. Moreover, Thompson et al.24 reported differences in the correlations between qHBsAg and HBV DNA in HBeAg(+) patients and HBeAg(−) patients in conjunction with qHBeAg. Their results have provided new insights into viral pathogenesis. However, temporal data describing in detail the correlation between qHBsAg/qHBeAg and HBV DNA in patients treated with antivirals have yet to be published. In this study, we systematically analyzed the profiles of serial qHBsAg as well as qHBeAg in patients receiving ETV, and we investigated the clinical utility of these quantitative serological markers. Here we provide additional temporal information on the correlation between qHBsAg and HBV DNA as part of a broader attempt to elucidate their dynamic relationship during antiviral therapy.

862, the field of qHBsAg research has been active Specifically,

862, the field of qHBsAg research has been active. Specifically, qHBsAg has shown to be correlated with intrahepatic covalently closed circular DNA (cccDNA),6, 7 and subsequent studies have lent further support to a correlation between qHBsAg and serum HBV DNA levels.8, 9 To date, the potential role of qHBsAg in antiviral therapy monitoring has been studied largely in patients receiving pegylated interferon (PEG-IFN).10-12 Moucari et al.13 reported that an early drop in qHBsAg was highly predictive of a sustained

virological response (SVR) in HBeAg(−) patients. This was similar to the results obtained by Brunetto et al.,14 who found that an on-treatment decline of qHBsAg was significantly associated with sustained HBsAg clearance. In Compound Library in vitro contrast to studies of PEG-IFN, there is a relative paucity of data concerning qHBsAg levels in patients receiving oral nucleos(t)ide analogues. The effects of adefovir and lamivudine (LAM) on qHBsAg have been analyzed in several studies; the potency of these agents in decreasing qHBsAg levels was low.4, 6, 9 Among patients taking entecavir (ETV), which is a potent and

preferred first-line agent, little is known about qHBsAg; in two studies, the clinical utility of qHBsAg was not demonstrated.15, 16 The quantitative LEE011 hepatitis B e antigen (qHBeAg) titer has been introduced and evaluated as a surrogate marker of on-treatment response. In patients receiving conventional interferon, PEG-IFN, or LAM, a decrease in qHBeAg levels during antiviral therapy might have predictive value in determining selleck products the clinical course and the occurrence of viral breakthrough.17-21 However, no study exploring qHBeAg changes in patients receiving ETV

therapy has yet been conducted. Recent investigations of qHBsAg have suggested its potential for wider applications encompassing the natural course of HBV.22, 23 These studies have demonstrated significant differences in qHBsAg across the different phases of HBV infection over a long time period. Moreover, Thompson et al.24 reported differences in the correlations between qHBsAg and HBV DNA in HBeAg(+) patients and HBeAg(−) patients in conjunction with qHBeAg. Their results have provided new insights into viral pathogenesis. However, temporal data describing in detail the correlation between qHBsAg/qHBeAg and HBV DNA in patients treated with antivirals have yet to be published. In this study, we systematically analyzed the profiles of serial qHBsAg as well as qHBeAg in patients receiving ETV, and we investigated the clinical utility of these quantitative serological markers. Here we provide additional temporal information on the correlation between qHBsAg and HBV DNA as part of a broader attempt to elucidate their dynamic relationship during antiviral therapy.

2A] and a higher dying risk (adjusted HR = 137 for XPC-LG and ad

2A] and a higher dying risk (adjusted HR = 1.37 for XPC-LG and adjusted HR = 1.51 for XPC-GG; Table 5), particularly under high AFB1 exposure conditions (Fig. 2B,C). Furthermore, some evidence of multiplicative interaction was found for XPC genotypes Selleckchem Ku0059436 and AFB1 exposure years (Pinteraction = 0.012; Table 5). Because our previous study showed that the XPD codon 751 polymorphism, another DNA repair

gene involved in NER, modifies HCC risk in the Guangxi population,7 we explored possible interactions between XPC and XPD in 618 cases and 712 controls who had been previously studied.7 Because of the small number of subjects with both the homozygotes of the XPD codon 751 Gln alleles (XPD-GG) and XPC-GG, the combination

of these two genes was divided into four strata (Table 6). We found that individuals with both XPC-LG/GG and genotypes of the XPD codon 751 Gln alleles (XPD-LG/GG), in comparison with those with both XPC-LL and homozygotes of the XPD codon 751 Lys alleles (XPD-LL), might face a higher HCC risk (adjusted OR = 2.02, 95% CI = 1.42-2.87). A likelihood ratio test showed that there were multiplicatively interactive effects of XPC and XPD on the HCC risk (Pinteraction = 0.019). The most common cause of HCC is AFB1 exposure via the consumption of corn and groundnuts, which are Seliciclib primary food types for the Guangxi population, and HCC is one of the major cancer types in the Guangxi Zhuang Autonomous Region of China.1 Our previous studies5-7, 25, 27 and this study also show that HCC patients have more AFB1 exposure years and higher AFB1 exposure levels; moreover, we found that HCC risk is associated with different AFB1 exposure statuses. AFB1 is an important chemical carcinogen that is mainly metabolized by

cytochrome P450 into the genotoxic metabolic AFB1 epoxide; this selleck can bind to DNA, cause the formation of AFB1 guanine adducts, and induce DNA damage, including base damage and oxidative DNA damage that can be repaired by the NER pathway.2-4 XPC is an important DNA damage recognition molecule involved in the detection of a variety of DNA adducts formed by exogenous carcinogens such as AFB1.8-10 Some recent studies have shown that defects in XPC are related to many types of malignant tumors.21, 29 For example, Takebayashi et al.21 analyzed the loss of heterozygosity of XPC in sporadic ovarian, colon, and lung carcinomas. Their results showed that a deficiency of XPC results in the carcinogenesis of human tumors. Transgenic mouse studies have also revealed a predisposition to many types of tumors in XPC gene knockout mice.30 Our data also imply that a deficiency of XPC function promotes the carcinogenesis of HCC induced by AFB1 exposure. These results suggest that the XPC gene plays an important role in the prevention of DNA damage–mediated malignant tumor occurrence.

MTS assays showed that a low dose of LY2109761 (1 μM) did not sig

MTS assays showed that a low dose of LY2109761 (1 μM) did not significantly inhibit cell growth (Supporting Fig. 6E), but was sufficient to overcome miR-216a/217-induced sorafenib resistance in PLC/PRF/5-miR-216a/217 cells (Fig. 6D). Using an orthotopic model of liver tumor established by surgical implantation of PLC/PRF/5-miR-216a/217 tumor cubes into the liver of the recipient mouse,

Antiinfection Compound Library chemical structure it was demonstrated that sorafenib (20 mg/kg) plus LY2109761 (10 mg/kg) significantly inhibited tumor growth, when compared with sorafenib alone (Fig. 6E). More important, when bioluminescent signals from lung metastases were assessed to determine the metastatic ability of PLC/PRF/5-miR-216a/217 cells, it was observed that sorafenib plus LY2109761 significantly reduced mean bioluminescent signals of lung metastases, selleck chemicals compared with treatment with sorafenib alone (Fig. 6F). The data further indicate that blocking the TGF-β pathway can overcome miR-216a/217-induced sorafenib resistance and tumor metastases in HCC. There are reports demonstrating the deregulation of miRNAs in HCC. However, miRNAs that play a specific

role in the early recurrence and metastases of HCC have not been well documented.[3, 4] In this study, we demonstrated that the expression of miR-216a/217 was markedly increased in HCC tissue from patients with early recurrence. Furthermore, up-regulation of the miR-216a/217 cluster in a panel of liver selleck chemical cancer cells and HCC patients with early recurrent disease was associated with a more prominent EMT phenotype and poorer disease-free survival (DFS). These clinical observations corroborated well with the in vitro and in vivo findings reported in the present article using experimental animals and human HCC cell lines. By examining the expression of HCC-related miRNAs between precancerous and cancerous liver tissues, an earlier study reported that miR-216a and miR-224 were significantly up-regulated in HCC tissues, and the elevation of miR-216a was mainly identified in male patients. To address the observed

gender difference, these researchers showed that pri-miR-216a is activated transcriptionally by the androgen pathway in a ligand-dependent manner, and the TSLC1 tumor suppressor, mRNA, was shown to be a target for miR-216a. It was also reported that the reduction of TSLC1 (CADM1) expression correlated with the up-regulation of miR-216a.[16] When the expression of CADM1 was determined in an HCC gene-expression database reported on previously by us[9] and in the Instructional Systems Technology (IST) online system (a repository of genomics database; http://www.medisapiens.com/ist-online-overview/), it was demonstrated that the expression of CADM1 was up-regulated in HCC patients with early recurrent disease (Supporting Figs. 4D and 9A).

Materials and methods are described in Supporting Materials and M

Materials and methods are described in Supporting Materials and Methods. Consistent with previous reports,7 we observed increased CTGF messenger RNA (mRNA) levels in HCC tissues, compared with samples from individuals with healthy or only small changes in liver function tests (Supporting Fig. 1A). Interestingly, CTGF expression was also elevated in samples of peritumoral noncirrhotic and cirrhotic liver tissues (Supporting Fig. 1A,B).

Treatment with EGFR ligands activated EGFR phosphorylation and elicited a time- and dose-dependent increase in CTGF mRNA in Hep3B cells, which was abolished by the EGFR inhibitor, PD153035 (Fig. 1A). Similar observations were made in Huh7 cells (not shown). selleck chemical CTGF expression by EGFR triggering likely involved transcriptional activation, because it was

prevented by actinomycin-D (Act-D) (Fig. Dorsomorphin order 1A). CTGF protein was increased also in cells and conditioned media (Fig. 1B). CTGF gene transcription upon EGFR triggering was further demonstrated in HCC cells transfected with a CTGF promoter-luciferase reporter construct (Fig. 1C). Previously, we described the existence of an autocrine loop in HCC involving AR release and EGFR stimulation.14, 15 Currently, we observe that AR knockdown significantly reduces CTGF expression, suggesting an important role for AR in the basal expression of CTGF (Fig. 1D). Next, we examined whether EGFR activation could lead to CTGF expression in nontransformed human liver parenchymal cells. According to previous findings in rat hepatocytes,16 we observed that TGF-β stimulated CTGF expression in human hepatocytes, and that activation of EGFR by AR and heparin-binding epidermal growth factor (HB-EGF) treatment shared this effect (Fig. 2A,B). Different transcription factors and coactivators participate in the complex regulation

of the CTGF promoter, among them antimothers against decapentaplegic homolog 2/3, activator protein 1 (AP-1), and YAP/TEAD (TEA domain), play important roles in basal and/or growth-factor–triggered CTGF expression.4, 16-19 YAP was recently identified as an oncogene overexpressed in liver cancer,12, 13, 20 and three selleck chemicals llc putative YAP/TEAD-binding sites (TB1, TB2, and TB3) exist in the human CTGF promoter (Fig. 3A).18, 19 This led us to test first whether these motifs were involved in basal CTGF expression in HCC cells. Though mutation of the most 5′ TB element (TB1) did not change reporter gene activity, mutation of the two adjacent TB sites, TB2 and TB3, caused a significant reduction in basal CTGF promoter activity (Fig. 3B). Conversely, mutation of the AP-1 site, present in our CTGF promoter construct, did not affect basal activity in Hep3B cells (Fig. 3B). Similar findings were obtained in HepG2 cells (Fig.