In this study, using primary rat HSCs, we demonstrate that (1) whereas no Endo180 protein expression was observed in freshly isolated HSCs or during the first 3 days of culture, Endo180 protein was consistently detectable after 4 days in culture, and increased further during the following days, (2) low levels of Endo180 mRNA were detectable in isolated HSCs during the first two days of culture. However, a strong up-regulation of Endo180 mRNA expression in cells after 3 days in culture was further enhanced with increasing time in culture, (3) the increase in Endo180 protein levels ran parallel with a corresponding increase in HSC uptake of denatured collagen, (4) activation of rat HSCs was associated with enhanced degradation of internalized collagen, and (5) Endo180 is expressed by both human and rodent hepatic stellate cell lines. These findings have not been described previously. We cannot, however, rule out the possibility that Endo180 mRNA might be expressed at very low levels by the majority of quiescent HSCs or at higher levels by a minor subset of quiescent HSCs.
The increase in the ability of HSCs to endocytose collagen was strikingly similar to the increase in expression of Endo180, as transdifferentiation proceeded over time. This relation between endocytic activity and receptor expression, which was also seen in established hepatic cell lines, supports earlier observations indicating that Endo180 is the main and maybe the only receptor mediating endocytosis of collagen in activated HSCs [
13].
The functional importance of culture-induced up-regulation of Endo180 in the setting of liver injury is not clear at present. However, Endo180, if expressed by activated HSCs in injured livers, may have several potential functions in hepatic wound healing. The MMP-mediated cleavage of the fibrillar collagens results in the production of fragments which are rapidly denatured. Although collagen fragments thus formed can be further degraded by gelatinases [
45,
46], receptor-mediated endocytosis and lysosomal degradation of internalized collagen fragments by Endo180-expressing cells may also play a role in regulating the extracellular levels of collagens during tissue remodelling. Indeed, a recent study showed that collagen fragments generated by collagenase activity and heat-denatured collagen are taken up much more efficiently than intact collagen by Endo180-expressing cells [
12]. Findings showing that Endo180 is highly expressed in tissues undergoing active ECM remodelling (such as during embryological development [
5,
47], during early postnatal bone and cartilage growth [
9,
48], and during gingival wound healing [
49]) also points to its essential role in degradation of ECM. Moreover, several studies have shown that up-regulation of Endo180 in tumour cells [
50] and stromal cells such as myofibroblasts is highly correlated with the malignancy of various carcinomas [
51-
53], and there is further evidence that Endo180-mediated collagen clearance accounts for tumour progression [
50,
51,
53]. Endo180 expressed by activated HSCs may also play a role in promoting tumour invasion in the liver, given the fact that activated HSCs are a component of the stroma of hepatocellular carcinomas and can contribute to the tumour progression [
54-
56].