title: Effect of pirfenidone on rat hepatic stellate cell proliferation and collagen production.
abstract: OBJECTIVE
  Pirfenidone has been recently shown to reduce dimethynitrosamine-induced liver fibrosis in the rat, but no information are available on the effect of this drug on cultured hepatic stellate cells (HSC).
  
  
  METHODS
  HSC proliferation was evaluated by measuring bromodeoxyuridine incorporation; PDGF-receptor autophosphorylation, extracellular signal-regulated kinase (ERK1/2) and pp70(S6K) activation were evaluated by western blot; protein kinase C activation was evaluated by western blot and by ELISA; type I collagen accumulation and alpha1(I) procollagen mRNA expression were evaluated by ELISA and northern blot, respectively.
  
  
  RESULTS
  Pirfenidone significantly inhibited PDGF-induced HSC proliferation, starting at a concentration of 1 microM, with a maximal effect at 1000 microM, without affecting HSC viability and without inducing apoptosis. The inhibition of PDGF-induced HSC proliferation was associated neither with variations in PDGF-receptor autophosphorylation, or with ERK1/2 and pp70(S6K) activation. On the other hand, pirfenidone was able to inhibit PDGF-induced activation of the Na(+)/H(+) exchanger, which is involved in PDGF-induced HSC proliferation in HSC, with a maximal effect at 1000 microM and inhibited PDGF-induced protein kinase C activation. Pirfenidone 100 and 1000 microM inhibited type I collagen accumulation in the culture medium induced by transforming growth factor(beta1) by 54% and 92%, respectively, as well as TGF(beta1)-induced alpha1(I) procollagen mRNA expression.
  
  
  RESULTS
  Pirfenidone could be a new candidate for antifibrotic therapy in chronic liver diseases.
authors.affiliation: Department of Gastroenterology, University of Ancona, Ancona, Italy. a.disario@mta01.unian.it
authors.forename: Antonio
authors.initials: A
authors.lastname: Di Sario
authors.forename: Emanuele
authors.initials: E
authors.lastname: Bendia
authors.forename: Gianluca
authors.initials: G
authors.lastname: Svegliati Baroni
authors.forename: Francesco
authors.initials: F
authors.lastname: Ridolfi
authors.forename: Alessandro
authors.initials: A
authors.lastname: Casini
authors.forename: Elisabetta
authors.initials: E
authors.lastname: Ceni
authors.forename: Stefania
authors.initials: S
authors.lastname: Saccomanno
authors.forename: Marco
authors.initials: M
authors.lastname: Marzioni
authors.forename: Luciano
authors.initials: L
authors.lastname: Trozzi
authors.forename: Paola
authors.initials: P
authors.lastname: Sterpetti
authors.forename: Silvia
authors.initials: S
authors.lastname: Taffetani
authors.forename: Antonio
authors.initials: A
authors.lastname: Benedetti
mesh_terms: D000818:Animals; D000970:Antineoplastic Agents / Q000494:pharmacology*; D017209:Apoptosis / Q000187:drug effects; D002455:Cell Division / Q000187:drug effects; D002478:Cells, Cultured; D024042:Collagen Type I / Q000235:genetics* / Q000378:metabolism; D003470:Culture Media / Q000378:metabolism; D015870:Gene Expression / Q000187:drug effects; D022781:Hepatocytes / Q000166:cytology* / Q000187:drug effects / Q000378:metabolism*; D008297:Male; D019950:Mitogen-Activated Protein Kinase 1 / Q000378:metabolism; D048052:Mitogen-Activated Protein Kinase 3; D020928:Mitogen-Activated Protein Kinases / Q000378:metabolism; D010766:Phosphorylation / Q000187:drug effects; D010982:Platelet-Derived Growth Factor / Q000494:pharmacology; D011493:Protein Kinase C / Q000378:metabolism; D011728:Pyridones / Q000494:pharmacology*; D012333:RNA, Messenger / Q000032:analysis; D051381:Rats; D017207:Rats, Sprague-Dawley; D020797:Receptor, Platelet-Derived Growth Factor beta / Q000378:metabolism; D038762:Ribosomal Protein S6 Kinases, 70-kDa / Q000378:metabolism; D017923:Sodium-Hydrogen Exchangers / Q000378:metabolism; D016212:Transforming Growth Factor beta / Q000494:pharmacology; D053773:Transforming Growth Factor beta1
chemical_list: D000970:Antineoplastic Agents; D024042:Collagen Type I; D003470:Culture Media; D010982:Platelet-Derived Growth Factor; D011728:Pyridones; D012333:RNA, Messenger; D017923:Sodium-Hydrogen Exchangers; C508962:Tgfb1 protein, rat; D016212:Transforming Growth Factor beta; D053773:Transforming Growth Factor beta1; C093844:pirfenidone; D020797:Receptor, Platelet-Derived Growth Factor beta; D038762:Ribosomal Protein S6 Kinases, 70-kDa; C448959:ribosomal protein S6 kinase, 70kD, polypeptide 2; D011493:Protein Kinase C; D019950:Mitogen-Activated Protein Kinase 1; D048052:Mitogen-Activated Protein Kinase 3; D020928:Mitogen-Activated Protein Kinases