Normal liver regeneration after partial hepatectomy
is a growth hormone (GH) dependent process in animal models. In transgenic mice
expressing excess GH antagonist, not only is hepatocyte proliferation markedly
decreased and delayed, but there is a pronounced early mortality of over 40%. We
sought to explain the molecular basis for this using a panel of C57BL/6 mice
harbouring different GH receptor mutants which delete key signalling domains.
We found virtually complete mortality in the absence of GH receptor (ghr-/-), while mice disabled for all
JAK2 signalling (box1-/-), and mice
disabled for JAK2 dependent STAT5 signalling (ghr391-/-) showed no mortality. Ghr-/-
mortality was associated with increased apoptosis and expression of NK and NKT and
macrophage cell markers, together with decreased phospho-jun level. Through
microarray transcript profiling, we had identified a set of GH-regulated genes
triggered by a novel Src/ERK pathway independent of JAK2, and within this
restricted set we found H2-Bl (in humans, HLA-G), a key immunotolerance
molecule protecting the foetal allograft from NK/NKT and macrophage cell
attack. Since these cells are instrumental in failure of liver regeneration, we
replaced the absent H2-Bl by administration of a H2-Bl adenoviral expression
vector, and found that this (but not GFP-adenovirus) recovered liver
regeneration, decreased apoptosis and largely prevented mouse mortality in ghr-/- mice. This study demonstrates
that the key immunotolerance protein H2-Bl/HLA-G is essential for survival
after partial hepatectomy in C57BL/6 mice, and its induction by GH explains the
requirement for GH in survival after liver resection.