Key result
Platelet aggregation induces hepatocyte apoptosis via the Fas-FasL pathway in a mouse model.
Why the study?
The relationship between platelet displacement and aggregation within the space of Disse and hepatocyte death in sinusoidal obstruction syndrome remained unclear.
Does recombinant soluble thrombomodulin or Fas/FasL antagonism prevent hepatocyte apoptosis in sinusoidal obstruction syndrome?
Does recombinant soluble thrombomodulin or Fas/FasL antagonism prevent hepatocyte apoptosis in sinusoidal obstruction syndrome?
Platelet aggregation induces hepatocyte apoptosis via the FasL-Fas pathway in sinusoidal obstruction syndrome, which can be mitigated by recombinant soluble thrombomodulin.
May link platelet FasL to hepatocyte apoptosis in murine SOS; leaves open clinical translation or therapeutic targeting.
Sinusoidal obstruction syndrome (SOS) is a fatal liver condition resulting from sinusoidal endothelial cell injury and hepatocyte death, following liver or hematopoietic stem cell transplantation as well as chemotherapy. We showed evidence of platelet displacement and aggregation within the space of Disse in SOS. However, the relationship between platelets and hepatocyte death remains unclear. Using a mouse SOS model by intraperitoneal monocrotaline (270 mg/kg; a pyrrolizidine alkaloide plant toxin) administration, we observed positive stains for terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL) and cleaved caspase-3, which are markers for apoptosis, in the liver by immunohistochemistry. At 48 h of the SOS liver, aggregated platelets and hepatocytes around zone 3 were found to express Fas ligand (FasL) and Fas, respectively. Human peripheral blood platelets, when aggregated, could induce expression of FASL on themselves and then lead to apoptosis in co-cultured HepG2 cells. Treatment of recombinant soluble thrombomodulin (rTM), an anticoagulant and vascular endothelium-protective drug, prevented the hepatocyte death in the SOS mice. These findings suggest that the prevention of platelet aggregation is a potential therapeutic intervention against hepatocyte death and severe liver damage in SOS.
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Higashi et al. (2025) studied Sinusoidal obstruction syndrome. Recombinant soluble thrombomodulin (rTM) and Fas/FasL antagonist (Kp7-6) vs. Control (PBS or no treatment) was evaluated on Hepatocyte apoptosis and FasL expression. Platelet aggregation in the space of Disse induces FasL expression on platelets, leading to hepatocyte apoptosis via the Fas-FasL pathway in a mouse model of sinusoidal obstruction syndrome.
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