title: Augmenter of liver regeneration (ALR) may promote liver regeneration by reducing natural killer (NK) cell activity in human liver diseases.
abstract: Cytotoxicity of liver natural killer cells against regenerating hepatocytes has been reported as a possible mechanism of regeneration failure in fulminant hepatitis. An augmenter of liver regeneration (ALR) inhibits liver natural killer cell activity in rats. In this study, we measured hepatic expression of ALR mRNA, blood levels of ALR, and peripheral blood natural killer cell activity in patients with various types of acute liver disease to investigate the relationship between failure of liver regeneration and hepatic natural killer cells. Hepatic ALR mRNA expression was higher in liver disease patients than in non-liver disease controls, and a correlation was found between serum ALR values and hepatic levels of ALR mRNA. In acute liver injury, the serum ALR level also showed a negative correlation with NK activity. ALR was produced by and released from the liver at the time of hepatic injury. Our findings suggest that ALR may protect against failure of regeneration by inhibition of hepatic natural killer cell activity in acute liver injury.
authors.affiliation: First Department of Internal Medicine, Yamaguchi University, School of Medicine, Ube, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Tanigawa
authors.forename: I
authors.initials: I
authors.lastname: Sakaida
authors.forename: M
authors.initials: M
authors.lastname: Masuhara
authors.forename: M
authors.initials: M
authors.lastname: Hagiya
authors.forename: K
authors.initials: K
authors.lastname: Okita
mesh_terms: D000906:Antibodies / Q000032:analysis; D001706:Biopsy; D017931:DNA Primers / Q000737:chemistry; D004268:DNA-Binding Proteins / Q000097:blood* / Q000235:genetics / Q000276:immunology; D004797:Enzyme-Linked Immunosorbent Assay; D006801:Humans; D007694:Killer Cells, Natural / Q000502:physiology*; D017114:Liver Failure, Acute / Q000097:blood* / Q000473:pathology; D008115:Liver Regeneration; D009363:Neoplasm Proteins; D011379:Prognosis; D012333:RNA, Messenger / Q000096:biosynthesis / Q000235:genetics*; D012189:Retrospective Studies; D020133:Reverse Transcriptase Polymerase Chain Reaction; D016335:Zinc Fingers / Q000502:physiology*
chemical_list: D000906:Antibodies; D017931:DNA Primers; D004268:DNA-Binding Proteins; C120898:KMT2D protein, human; D009363:Neoplasm Proteins; D012333:RNA, Messenger