Estimating Drug Efficacy with a Diet-Induced NASH Model in Chimeric Mice with Humanized Livers

Nonalcoholic fatty liver disease/steatohepatitis (NAFLD/NASH) is the most common liver disorder in developed countries. Although many new therapeutics for NASH are present in the drug development pipeline, there are still no approved drugs. One of the reasons that makes NASH drug development challen...

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Autores principales: Keishi Kisoh, Go Sugahara, Yuko Ogawa, Suzue Furukawa, Yuji Ishida, Takeshi Okanoue, Michinori Kohara, Chise Tateno
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:65006a448cac4620b052520da4f8a0a42021-11-25T16:50:07ZEstimating Drug Efficacy with a Diet-Induced NASH Model in Chimeric Mice with Humanized Livers10.3390/biomedicines91116472227-9059https://doaj.org/article/65006a448cac4620b052520da4f8a0a42021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9059/9/11/1647https://doaj.org/toc/2227-9059Nonalcoholic fatty liver disease/steatohepatitis (NAFLD/NASH) is the most common liver disorder in developed countries. Although many new therapeutics for NASH are present in the drug development pipeline, there are still no approved drugs. One of the reasons that makes NASH drug development challenging is the lack of appropriate animal NASH models that resolve issues arising from inter-species differences between humans and rodents. In the present study, we developed a choline-deficient, L-amino-acid-defined, high-fat-diet (CDAHFD)-induced human NASH model using human liver chimeric mice. We demonstrated human hepatocyte injury by an elevation of plasma human alanine aminotransferase 1 in mice fed CDAHFD. Histological analysis showed that CDAHFD feeding induced similar histological changes to human NASH patients, including ballooning, inflammation, apoptosis, regeneration of human hepatocytes, and pericellular and perisinusoidal fibrosis. The chimeric mice fed CDAHFD were treated with a peroxisome-proliferator-activated receptor α/δ agonist, Elafibranor. Elafibranor ameliorated steatosis, ballooning of hepatocytes, and preserved fibrosis progression. We developed a novel humanized NASH model that can elucidate pathophysiological mechanisms and predict therapeutic efficacy in human NASH. This model will be useful in exploring new drugs and biomarkers in the early stages of human NASH.Keishi KisohGo SugaharaYuko OgawaSuzue FurukawaYuji IshidaTakeshi OkanoueMichinori KoharaChise TatenoMDPI AGarticlehuman liver chimeric miceNAFLD/NASHballooning hepatocytesMallory–Denk bodyhuman disease animal modelBiology (General)QH301-705.5ENBiomedicines, Vol 9, Iss 1647, p 1647 (2021)
institution DOAJ
collection DOAJ
language EN
topic human liver chimeric mice
NAFLD/NASH
ballooning hepatocytes
Mallory–Denk body
human disease animal model
Biology (General)
QH301-705.5
spellingShingle human liver chimeric mice
NAFLD/NASH
ballooning hepatocytes
Mallory–Denk body
human disease animal model
Biology (General)
QH301-705.5
Keishi Kisoh
Go Sugahara
Yuko Ogawa
Suzue Furukawa
Yuji Ishida
Takeshi Okanoue
Michinori Kohara
Chise Tateno
Estimating Drug Efficacy with a Diet-Induced NASH Model in Chimeric Mice with Humanized Livers
description Nonalcoholic fatty liver disease/steatohepatitis (NAFLD/NASH) is the most common liver disorder in developed countries. Although many new therapeutics for NASH are present in the drug development pipeline, there are still no approved drugs. One of the reasons that makes NASH drug development challenging is the lack of appropriate animal NASH models that resolve issues arising from inter-species differences between humans and rodents. In the present study, we developed a choline-deficient, L-amino-acid-defined, high-fat-diet (CDAHFD)-induced human NASH model using human liver chimeric mice. We demonstrated human hepatocyte injury by an elevation of plasma human alanine aminotransferase 1 in mice fed CDAHFD. Histological analysis showed that CDAHFD feeding induced similar histological changes to human NASH patients, including ballooning, inflammation, apoptosis, regeneration of human hepatocytes, and pericellular and perisinusoidal fibrosis. The chimeric mice fed CDAHFD were treated with a peroxisome-proliferator-activated receptor α/δ agonist, Elafibranor. Elafibranor ameliorated steatosis, ballooning of hepatocytes, and preserved fibrosis progression. We developed a novel humanized NASH model that can elucidate pathophysiological mechanisms and predict therapeutic efficacy in human NASH. This model will be useful in exploring new drugs and biomarkers in the early stages of human NASH.
format article
author Keishi Kisoh
Go Sugahara
Yuko Ogawa
Suzue Furukawa
Yuji Ishida
Takeshi Okanoue
Michinori Kohara
Chise Tateno
author_facet Keishi Kisoh
Go Sugahara
Yuko Ogawa
Suzue Furukawa
Yuji Ishida
Takeshi Okanoue
Michinori Kohara
Chise Tateno
author_sort Keishi Kisoh
title Estimating Drug Efficacy with a Diet-Induced NASH Model in Chimeric Mice with Humanized Livers
title_short Estimating Drug Efficacy with a Diet-Induced NASH Model in Chimeric Mice with Humanized Livers
title_full Estimating Drug Efficacy with a Diet-Induced NASH Model in Chimeric Mice with Humanized Livers
title_fullStr Estimating Drug Efficacy with a Diet-Induced NASH Model in Chimeric Mice with Humanized Livers
title_full_unstemmed Estimating Drug Efficacy with a Diet-Induced NASH Model in Chimeric Mice with Humanized Livers
title_sort estimating drug efficacy with a diet-induced nash model in chimeric mice with humanized livers
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/65006a448cac4620b052520da4f8a0a4
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