Background and Aims: Changes in proteolytic activity are essential to liver fibrosis development. Proteases control not only matrix turnover but also, the activation and repression of growth factors and chemokines influencing disease progression. Beyond metalloproteases, our knowledge of the proteolytic enzymes contributing to liver fibrosis is limited. The importance of lysosomal protease cathepsin D (CtsD) in kidney fibrosis has been recently demonstrated but its role in liver fibrosis remains elusive. Thus, the aim of this study was to analyse CtsD cells-specific role during liver fibrosis. Method: To study the cell-specific role of CtsD we generated two novel knock-out mouse strains by breeding LysMCre (macrophages) or AlbuminCre (hepatocytes) mice with CtsD floxed mice. CtsD cellspecific deletion was confirmed in primary isolated hepatocytes and peritoneal macrophages by PCR and WB. Fibrosis was established chronically by CCl4 (0.5 μl/g) in CtsDAlbCre+/+ and CtsDAlbCre−/− or CtsDLysMCre+/+ and CtsDLysMCre−/−. Liver damage was determined by serum ALT and H&E staining. Fibrotic and inflammatory genes were determined by real-time-PCR in total liver. CtsB, CtsD and α-SMA were determined by immunohistochemistry or WB. Results: First we determined CtsD expression in WT after chronic CCl4 challenge, demonstrating CtsD presence in hepatocytes and macrophages. CtsD cell-specific deletion was validated by protein expression (WB) and floxed allele recombination (PCR), using primary mouse hepatocytes and peritoneal macrophages from CtsDAlbCre+/+ and CtsDLysMCre+/+ respectively and in comparison, with their floxed counterparts. To note, cathepsin B expression remained unaffected in hepatocytes or macrophages from CtsDAlbCre+/+ or CtsDLysMCre+/+ respectively. Neither CtsD deletion in macrophages nor in hepatocytes affected liver damage after chronic CCl4 administration. CtsD cell-specific deletion in macrophages, but not in hepatocytes, increased liver fibrosis as shown by an increase in Sirius red staining, alpha-SMA protein expression and increased hepatic alpha-SMA, TGF-beta and Col1A1 mRNA. Furthermore, inflammation was affected only in macrophage-CtsD deficient mice showing significant increase in CCL2, CCL3 and CCL4. Finally, lack of CtsD in macrophages during liver fibrosis resulted in an upregulation of MMPs, such as MMP7 and MMP13. Conclusion: Specific deletion of CtsD in macrophages, but no in hepatocytes, triggers upregulation of inflammation and matrix remodeling, leading to an amplification of the fibrotic response.

Resumen deTrabajo presentado en el The Digital International Liver Congress, celebrado del 27 al 29 de agosto de 2020