Transforming growth factor-β1 reduces apoptosis via autophagy activation in hepatic stellate cells

Autophagy is a metabolic process that is important in fibrogenesis, in which cellular components are degraded by lysosomal machinery. Transforming growth factor β1 (TGF-β1) is a potent fibrogenic cytokine involved in liver fibrosis; however, it remains elusive whether autophagy is regulated by TGF-β1 in this process. In the present study, the function of TGF-β1-mediated autophagy in the proliferation and apoptosis of hepatic stellate cells (HSCs) was investigated. A rat HSC cell line (HSC-T6) was incubated with or without TGF-β1 followed by bafilomycin A1, and microtubule-associated proteins 1A/1B light chain 3 (LC3) small interfering (si)RNA was used to inhibit autophagy in order to assess the association between TGF-β1 and autophagy. HSC-T6 cell transient transfection was accomplished with a pLVX-AcGFP-N1-rLC3B-encoding plasmid. An MTS assay and flow cytometry were utilized to detect proliferation and apoptosis of HSC-T6 cells. Quantitative polymerase chain reaction, immunofluorescence and western blot analysis were used to detect the presence of activation markers. Proliferation was increased and apoptosis was reduced in HSC-T6 cells treated with TGF-β1 compared with cells subjected to serum deprivation. However, when HSC-T6 cells were treated with bafilomycin A1 and LC3 siRNA, increased apoptosis and reduced proliferation were observed. In addition, protein and mRNA expression levels of the autophagy marker LC3 were significantly increased. GFP-LC3 punctate markings were more prolific following TGF-β1 treatment of HSC-T6 cells, indicating that TGF-β1 may rescue HSC-T6 cells from serum deprivation and reduce apoptosis via autophagy induction. The present study elucidated the possible functions of TGF-β1-mediated autophagy in the pathological process of liver fibrosis.


Introduction
Macroautophagy (hereafter referred to as autophagy) is an intracellular catabolic mechanism by which proteins, cellular organelles and invading microbes are degraded by lysosomal machinery (1). Autophagy is associated with aging, autoimmunity, infection, heart disease, cancer and neurodegenerative disorders (2), and shares certain regulatory pathways and molecular mechanisms with apoptosis (3).
While a number of studies examined autophagy in liver disease (4)(5)(6)(7), the relationship between autophagy and liver fibrosis has not been broadly investigated (8)(9)(10). Hernández-Gea et al (11) demonstrated that autophagy releases lipids that promote activated hepatic stellate cells (HSCs) to create fibrotic damage. In addition, Thoen et al (12) observed that autophagic flow increased following HSC activation in vitro, and that treatment with an autophagy inhibitor partially inhibited HSC activation. While there is support for the theory that autophagy is involved in HSC activation, the underlying molecular mechanisms remain elusive. Autophagy in liver cells may produce distinct physiological and pathological outcomes under different conditions. In the majority of types of liver disorders, including liver ischemia/reperfusion injury and fatty liver disease, and following liver transplantation, autophagy mainly serves a protective role in which it promotes lipid droplet degradation, decreases protein deposition and guards against cell apoptosis (13,14). However, these protective actions of autophagy may activate HSC proliferation by blocking apoptosis, leading to accelerated fibrotic progression (15).
HSC activation and proliferation is an essential mechanism for promoting liver fibrosis (16,17). TGF-β1 is important in HSC activation and proliferation, and TGF-β1 inhibitors have been demonstrated to reduce liver fibrosis in rodents. However, since TGF-β1 is a prototypical cytokine that regulates a plethora of cellular pathways, non-specific inhibition of TGF-β1 is likely to produce multiple unpredictable adverse effects, thereby limiting its application in humans (18).
TGF-β1 induces autophagy activation, which regulates cell proliferation and apoptosis in a cell type-dependent manner (19). In epithelial cells, TGF-β1-induced autophagy inhibited cell growth and promoted apoptosis. However, TGF-β1-induced autophagy inhibited apoptosis in mesenchymal cells (20). In the present study, the effect of TGF-β1 stimulation on autophagy activation in HSC-T6 cells and its regulatory role in HSC-T6 proliferation and apoptosis was investigated.

Materials and methods
Cell culture. The activated rat HSC-T6 cell line with SV40 transfection was provided as a gift by Professor Lie-Ming Xu (Division of Liver Diseases, Shanghai University of Traditional Chinese Medicine, Shanghai, China). Cells were cultured in Dulbecco's modified Eagle's medium (HyClone, Logan, UT, USA) supplemented with 100 U/ml penicillin, 100 U/ml streptomycin, and 10% fetal bovine serum (FBS; HyClone). Cells were incubated at 37˚C with 5% CO 2 in a humidified incubator and medium was replaced every two days.
RNA isolation and quantitative polymerase chain reaction (qPCR). Total RNA from cultured cells was extracted using TRIzol reagent (Invitrogen Life Technologies, Carlsbad, CA, USA). RNA was reverse-transcribed using SuperScript II Reverse Transcriptase (Invitrogen, Life Technologies) at 65˚C for 5 min, 42˚C for 50 min, and 70˚C for 15 min. Gene-specific primers (MAP1LC3) used in the present study were purchased from Invitrogen and had the following sequences: Map1LC3, reverse ACCAAGCCTTCTTCCTCC and forward GCTCTTCTATTTCAAGTCCCTA; GADPH, reverse ATG GTG GTGA AGACG GTA a nd for wa rd GGCACAGTCAAGGCTGAGAATG. Maxima ® SYBR Green qPCR Master Mix (Thermo Fisher Scientific, Waltham, MA, USA), cDNA template, and primer were mixed at a final volume of 20 µl and subjected to qPCR in an ABI 7500 Real-Time PCR system (Applied Biosystems, Foster City, CA, USA). Data were analyzed using the ΔΔ threshold (Ct) method, and Ct values were normalized to GAPDH, which served as an internal control.

Statistical analysis.
All experiments were repeated a minimum of three times. All data are expressed as the mean ± standard error. Differences between groups were assessed using one-way analysis of variance or independent sample t-test. All statistical analyses were performed using SPSS, version 17.0 (SPSS, Inc., Chicago, IL, USA), and P<0.05 was considered to represent a statistically significant difference.

Results
TGF-β1 ameliorates HSC-T6 apoptosis induced by serum deprivation. The MTS assay was utilized to determine the viability of HSC-T6 cells under various treatment conditions. The viability of cells in medium containing 10% FBS was stable for the 24-h experimental period, while the viability of cells in serum-free medium was significantly reduced in a time-dependent manner. Of note, treatment with TGF-β1 (10 ng/ml) significantly ameliorated this serum deprivation-induced reduction in cell viability (Fig. 1A). Western blots were then conducted to determine protein expression levels of caspase-3, a key regulator of apoptosis. The results indicated that TGF-β1 treatment significantly reduced serum deprivation-induced caspase-3 expression (Fig. 1B), in line with the effect of TGF-β1 on cell viability. In addition, flow cytometry was used to study the effect of TGF-β1 on cell apoptosis. The results indicated that serum deprivation induced significant cell apoptosis, which was ameliorated by TGF-β1 treatment (Fig. 1C).
TGF-β1 induces mRNA expression of the autophagic marker Map1LC3. The levels of LC3II, a proteolytic product of the Map1LC3 protein, is closely associated with the number of autophagic lysosomes present, and is widely used as a molecular marker for autophagy (21). In the present study, mRNA expression levels of Map1LC3 in HSC-T6 cells were analyzed under various treatment conditions. HSC-T6 cells  were incubated in 10% FBS or serum-free medium with different concentrations of TGF-β1 (0, 2, 5, 10, 15 ng/ml) for 4 h. qPCR results indicated that serum deprivation induced Map1LC3 mRNA expression in HSC-T6 cells, and TGF-β1 treatment further elevated the levels in a dose-dependent manner ( Fig. 2A). LC3 mRNA expression levels were then determined in HSC-T6 cells treated with 10 ng/ml TGF-β1 for various time periods. From 2 to 12 h, TGF-β1 stimulated higher levels of LC3 mRNA expression than those stimulated by serum deprivation alone (Fig. 2B).
TGF-β1 increases LC3II protein levels. Levels of LC3II protein were also measured by western blot analysis to enable further consideration of the effect of TGF-β1 on autophagy in HSC-T6 cells. The cells subjected to western blotting were treated under similar conditions to those used in the Map1LC3 mRNA expression analysis. 4-h serum deprivation significantly increased LC3II protein levels in HSC-T6 cells compared with levels in FBS-cultured cells, and TGF-β1 treatment further elevated the LC3II protein levels in a dose-dependent manner (Fig. 3A). In the time-course study, it was observed that from 2 to 12 h, TGF-β1 (10 ng/ml) treatment increased LC3II protein levels to a greater extent than serum deprivation alone (Fig. 3B). The results indicated that the LC3II protein levels were associated with Map1LC3 mRNA expression.

TGF-β1 inhibits HSC-T6 cell apoptosis through induction of autophagy.
To evaluate the role of autophagy in the anti-apoptotic effect of TGF-β1 in serum-deprived HSC-T6 cells, the effect of the specific autophagy inhibitor bafilomycin A1 and the effect of LC3 gene knockdown were assessed. Bafilomycin A1 treatment significantly reduced the inhibitory effect of TGF-β1 on cleaved caspase-3 expression (Fig. 4A). In addition, HSC-T6 cells were transfected with a specific LC3 small interfering (si)RNA for 24-48 h in order to knockdown the LC3 gene (Fig. 4B). When serum-deprived cells were treated with TGF-β1, cells transfected with LC3 siRNA displayed visibly increased cleaved caspase-3 levels compared with cells transfected with the vector without TGF-β1 treatment (Fig. 4C). The effect of LC3 knockdown on cell apoptosis was also evaluated using flow cytometry. The anti-apoptotic effect of TGF-β1 in serum-deprived HSC-T6 cells was significantly reduced in cells transfected with LC3 siRNA (Fig. 4D). These results implied that TGF-β1 acted through autophagy activation to ameliorate serum deprivation-induced apoptosis in HSC-T6 cells.

Discussion
In the present study, serum deprivation was noted to significantly increase levels of apoptosis in HSC-T6 cells, accompanied by autophagy activation (measured by LC3II levels and protein aggregation). It was also demonstrated that TGF-β1 ameliorated serum deprivation-induced apoptosis via activation of autophagy. TGF-β1, which is one of the strongest inducers of extracellular matrix (ECM) production, serves a central purpose in the process of fibrogenesis in fibrotic diseases (22,23). TGF-β1 exhibits pro-apoptotic or anti-apoptotic effects depending on the cell type, in addition to other factors (24,25). The pro-apoptotic effects of TGF-β1 are well documented in various cell types, including immune cells (26) and epithelial cells (27). However, TGF-β1 has also been demonstrated to inhibit apoptosis in certain cell types, including murine macrophages (28), mesenchymal cells (29), fibroblasts and myofibroblasts (30). In the present study, TGF-β1 was demonstrated to protect HSC-T6 cells against the apoptosis and total cell death caused by serum deprivation.
Multiple previous studies have demonstrated the central role of TGF-β1 in the initiation and development of liver fibrosis: One study indicated that TGF-β1 simultaneously induces autophagy and apoptosis in mammary epithelial cells (19). However, in mesangial cells, TGF-β1-induced autophagy has been demonstrated to produce anti-apoptotic effects (20). Upon activation of autophagy, the cytoplasmic protein form of LC3 (LC3I) is processed and recruited to autophagosomes, where LC3II is generated by site-specific proteolysis and lipidation near the C-terminus. Thus, the formation of cellular autophagosome punctate containing LC3II is a marker of autophagic activation. The results of the current study indicated that TGF-β1 treatment increased LC3 mRNA expression in serum-deprived HSC-T6 cells in a concentration-and time-dependent manner. In addition, TGF-β1 increased LC3II protein levels in a similar manner.
Autophagy can be monitored by GFP-LC3 labeling, in which formation of autophagosome punctate containing GFP-LC3 is detected by indirect immunofluorescence staining or direct fluorescence microscopy (21). In the present study, this method was used to observe that in HSC-T6 cells transiently transfected with GFP-LC3, LC3 punctate aggregated around the nuclear membrane. TGF-β1 treatment led to the relocation of LC3 from the cytoplasm to the caryotheca, indicating that TGF-β1 induces autophagy in HSC-T6 cells.
Autophagy is closely associated with apoptosis and shares similar signaling pathways and stimulating factors, differing only in the threshold values (3). In general, the relationship between autophagy and apoptosis is mutual inhibition. Autophagy activation may inhibit cell apoptosis, but excessive autophagy may cause autophagic cell death (31). TGF-β1 is an important regulator of autophagy and apoptosis (32,33), and in the present study, it was demonstrated that in serum-deprived cells, incubation with TGF-β1 significantly suppressed cleaved caspase-3 expression levels. Blocking autophagy activation with bafilomycin A1 or LC3 siRNA significantly reduced the inhibitory effect of TGF-β1 on cleaved caspase-3 expression. TGF-β1 regulates autophagy through both SMAD and non-SMAD signaling pathways (33); however, the precise mechanism by which TGF-β1 regulates autophagy in HSC-T6 cells requires further research.
In conclusion, the present study demonstrated that TGF-β1 ameliorated apoptosis in serum-deprived HSC-T6 cells via a mechanism mediated by autophagy activation. Further studies are required to elucidate the mechanism by which TGF-β1 activates autophagy in HSC-T6 cells in vitro and in vivo.