Abstract
Hepatic stellate cells (HSCs) have a central pathogenetic role in the development of liver fibrosis. However, their fibrosis-independent and homeostatic functions remain poorly understood 1-5. Here we demonstrate that genetic depletion of HSCs changes WNT activity and zonation of hepatocytes, leading to marked alterations in liver regeneration, cytochrome P450 metabolism and injury. We identify R-spondin 3 (RSPO3), an HSC-enriched modulator of WNT signalling, as responsible for these hepatocyte-regulatory effects of HSCs. HSC-selective deletion of Rspo3 phenocopies the effects of HSC depletion on hepatocyte gene expression, zonation, liver size, regeneration and cytochrome P450-mediated detoxification, and exacerbates alcohol-associated and metabolic dysfunction-associated steatotic liver disease. RSPO3 expression decreases with HSC activation and is inversely associated with outcomes in patients with alcohol-associated and metabolic dysfunction-associated steatotic liver disease. These protective and hepatocyte-regulating functions of HSCs via RSPO3 resemble the R-spondin-expressing stromal niche in other organs and should be integrated into current therapeutic concepts.
Original language | English |
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Article number | 2823 |
Pages (from-to) | 752-761 |
Journal | Nature |
Volume | 640 |
DOIs | |
Publication status | Published - 12 Mar 2025 |
Keywords / Materials (for Non-textual outputs)
- Animals
- Fatty Liver/pathology
- Female
- Hepatic Stellate Cells/metabolism
- Hepatocytes/metabolism
- Humans
- Liver Regeneration
- Liver/cytology
- Male
- Mice
- Organ Size
- R-Spondins
- Thrombospondins/metabolism
- Wnt Signaling Pathway