Chronic liver diseases account for two million deaths a year, half of which can be attributed to liver fibrosis. The later stage of fibrosis, cirrhosis, leads to serious complications such as liver failure, portal hypertension, and represents a risk factor for developing hepatocellular carcinoma. Chronic liver disease can have multiple causes: alcohol, viral hepatitis, metabolic-associated fatty liver disease or drug induced liver injury. Independent of the etiology, activated hepatic stellate cells are the major source of excessive extracellular-matrix deposition that drives fibrosis. An increasing body of evidence suggest that upon resolution of liver inflammation, activated stellate cells can either undergo senescence, apoptosis, or revert to quiescence (i.e. homeostasis, unactivated). Hence, understanding molecular mechanisms driving and maintaining stellate cell quiescence is key and could potentially lead to novel fibrosis treatments.
Stellate cells are liver stromal cells that are in close contact with hepatocytes, liver sinusoidal endothelial cells and resident macrophages of the liver, the Kupffer cells (KCs). Recent studies have highlighted the important crosstalk between KCs and stellate cells. Our group showed that at steady state, they are always paired with one another. Moreover, upon KC depletion, stellate cells attract monocytes and promote their differentiation into KCs, highlighting the interconnectivity of these cells. A crucial part of this process is the BMP9/ALK1 signaling axis. In the liver stellate cells are the only source of BMP9 whilst KCs express the receptor ALK1. Importantly, while quiescent stellate cells are always paired with KCs, several studies have reported that profibrogenic activated stellate cells are instead paired with inflammatory macrophages. This suggests that stellate cell micro-environment forms a niche providing signals that imprint their identity and/or function.
In this project, our overall objective is to decipher stellate cell niche to understand which signals are important to drive and maintain their quiescent identity. This study aims at investigating the crosstalk between stellate cells and KCs in the liver.