These findings are in line with the increase in MMP-2 activity reported in IL-6−/− mice upon CCl4 exposure, and the inhibitory effect of IL-6 on MMP-2 expression in hepatic myofibroblasts.31 Moreover, we also demonstrate that IL-6–dependent dysregulation of MMP-2 activity is responsible

for impaired liver regeneration, as shown by the beneficial effects of an MMP-2/MMP-9 inhibitor on cyclin D1 expression in CB2−/− mice. Taken together, these data further argue for a central role of IL-6 in the regenerative response promoted by CB2 receptors, and identify MMP-2 as a downstream target. Our data show that hepatocytes do not express CB2 receptors, indicating that paracrine interactions mediate the beneficial learn more impact of these receptors on hepatocyte injury and regeneration. It is well established that following acute liver injury, Kupffer cells rapidly release proinflammatory mediators, such as TNF-α and IL-6, that regulate hepatocyte death and proliferation. Accumulating evidence suggest that, apart from their fibrogenic properties, hepatic myofibroblasts click here are also central in the regulation of hepatocyte injury and regeneration.39-41 Indeed, at sites of injury, myofibroblasts produce bioactive mediators with antiapoptotic and mitogenic effects on hepatocytes, including TNF-α and IL-6.32 Macrophage culture experiments indicate that activation of CB2

receptors does not increase either TNF-α or IL-6 expression. These results suggest that macrophages are not responsible for the CB2-dependent production of these cytokines in the CCl4

model. In contrast, activation of CB2 receptors in cultured hepatic myofibroblasts leads to a concurrent increase in TNF-α and IL-6 expressions, associated with a down-regulation 上海皓元医药股份有限公司 of MMP-2 expression. These data therefore suggest that production of TNF-α by hepatic myofibroblasts may contribute to iNOS-dependent hepatoprotective effects mediated by CB2 receptors following acute liver injury. Similarly, and because hepatic myofibroblasts are the major source of MMP-2 during liver injury,32 our data also suggest that hepatic myofibroblasts may also be key contributors in the IL-6/MMP-2–dependent regenerative effects of CB2 receptors. Our results indicate that CB2 receptors expressed in hepatic myofibroblasts elicit dual beneficial properties, by producing hepatoprotective factors, and by triggering antifibrogenic effects following growth inhibition and apoptosis of hepatic myofibroblasts.17 In keeping with our results, hepatic myofibroblasts have been shown to display similar hepatoprotective and antifibrogenic effects following stimulation of IGF-1 receptors41 or neurotrophin p75NTR.39, 42 In conclusion, our data demonstrate that CB2 receptors reduce liver injury and promote liver regeneration following acute insult, by distinct paracrine mechanisms on hepatocytes originating from hepatic myofibroblasts.