TGF-β serves as a critical signaling determinant of liver progenitor cell activation and function
Year: 2026
Type: article
Abstract: When massive hepatic necrosis-associated (MHN-associated) acute liver failure (ALF) occurs following severe damage, liver progenitor cells (LPCs) exit quiescence and enter differentiation programs during which they acquire hepatocyte-like functions. How LPCs maintain quiescence under physiological conditions and orchestrate activation following MHN remains largely unknown. We elucidate an essential role of TGF-β in regulating LPC quiescence and activation. Spatial transcriptomics and single-cell sequencing revealed that LPCs receive multiple signals, particularly TGF-β, HGF, and EGF, from surrounding hepatic stellate cells and macrophages in patients and zebrafish with MHN-induced ALF. Physiologically, TGF-β inhibits LPC proliferation by blocking G1-to-S phase transition, an effect reversed by Smad7 overexpression in a murine injury model. We observed extensive LPC proliferation in patients with ALF despite strong TGF-β/phosphorylated SMAD signaling. Immunostaining revealed concurrent activation of HGF/MET, EGF/EGFR, and downstream STAT3/ERK pathways in LPCs. In vitro, HGF or EGF overcame TGF-β-mediated growth arrest and promoted LPC proliferation. Beyond acting as a mitogen, HGF additionally induced hepatocyte gene programs (e.g., Hnf4a, Hnf1a) in LPCs. Strikingly, TGF-β signaling was required for HGF-dependent hepatocyte gene induction, indicating a dual role in restraining LPC proliferation and promoting functional maturation. These findings position TGF-β as a context-dependent determinant of LPC activation and lineage specification during ALF.
DOI: 10.1172/jci199913
Institutions: Ningbo University, Heidelberg University, University Medical Centre Mannheim, Medizinische Fakultät Mannheim, Case Western Reserve University, University of Science and Technology of China, Anhui Medical University, First Affiliated Hospital of Anhui Medical University, Capital Medical University, Beijing YouAn Hospital, Ningbo University Affiliated Hospital, Ningbo First Hospital, University of Duisburg-Essen, German Cancer Research Center, National Center for Tumor Diseases, Shenzhen University of Advanced Technology, European Molecular Biology Laboratory, European Molecular Biology Laboratory
Language: English
Subfield: Hepatology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $5,200
Awards: G3658339769, G7996020678
OpenAlex ID: W7171585426
