Chemerin-156 is the Active Isoform in Human Hepatic Stellate Cells

The chemokine chemerin exists as C-terminally processed isoforms whose biological functions are mostly unknown. A highly active human chemerin variant (huChem-157) was protective in experimental hepatocellular carcinoma (HCC) models. Hepatic stellate cells (HSCs) are central mediators of hepatic fibrogenesis and carcinogenesis and express the chemerin receptors chemokine-like receptor 1 (CMKLR1) and G protein-coupled receptor 1 (GPR1). Here we aimed to analyse the effect of chemerin isoforms on the viability, proliferation and secretome of the human HSC cell line LX-2. Therefore, huChem-157, 156 and 155 were over-expressed in LX-2 cells, which have low endogenous chemerin levels. HuChem-157 produced in LX-2 cells activated CMKLR1 and GPR1, and huChem-156 modestly induced GPR1 signaling. HuChem-155 is an inactive chemerin variant. Chemerin isoforms had no effect on cell viability and proliferation. Cellular expression of the fibrotic proteins galectin-3 and alpha-smooth muscle actin was not regulated by any chemerin isoform. HuChem-156 increased IL-6, IL-8 and galectin-3 in cell media. HuChem-157 was ineffective, and accordingly, did not enhance levels of these proteins in media of primary human hepatic stellate cells when added exogenously. These analyses provide evidence that huChem-156 is the biologic active chemerin variant in hepatic stellate cells and acts as a pro-inflammatory factor.


Introduction
Chemerin is a multifunctional protein with high expression in adipocytes and hepatocytes [1]. Chemokine-like receptor 1 (CMKLR1) and G Protein-Coupled Receptor 1 (GPR1) are functional chemerin receptors [2,3]. CMKLR1 is expressed by various tissues and cells including cells of the innate and adaptive immune system [4]. According to the Human Protein Atlas, GPR1 mRNA was hardly detectable in immune cells [5] and a separate study could not identify GPR1 mRNA in macrophages [6]. In murine peritoneal exudate cells, GPR1 mRNA was 0.02 to 0.03% of CMKLR1 mRNA levels [7]. In adipose tissues, GPR1 mRNA was highly abundant in the stromal vascular cell fraction, which is composed of fibroblasts, mesenchymal stem cells, endothelial cells, as well as smooth muscle cells and macrophages [8,9]. Chemerin is a well described chemoattractant and can act via both receptors to stimulate chemotaxis of immune or non-immune cells [1, [10][11][12].
Immune cells in the tumor microenvironment can promote or suppress cancer growth [13,14]. In melanoma chemerin increased the ratio of anti-cancerous to pro-cancerous immune cells and elicited an anti-tumor response [15]. The chemerin induced shift from a tumor-promoting to a

Overexpression of Chemerin Isoforms in LX-2 Cells
LX-2 cells were transfected with the recombinant plasmids to overexpress chemerin variants. A chemerin antibody, which reacts with all isoforms, was used for immunoblot analysis. Chemerin was barely detectable in cell lysates of LX-2 cells transfected with the insertless vector ( Figure 1a). In LX-2 cells transfected with the recombinant plasmids, huChem-155 and huChem-157 proteins were similarly abundant, while huChem-156 was less strongly expressed ( Figure 1a). The observation that huChem-155 was well recognized by the chemerin antibody suggests that the apparent lower abundance of huChem-156 protein was not a technical issue related to the ability of the antibody to detect different forms of chemerin. The recombinant chemerin isoforms were detected at 24, 48 and Consistent with these results, chemerin mRNA levels were also increased in LX-2 cells transfected with the recombinant plasmids (Figure 1g-i). Expression of chemerin mRNA was highest in huChem-156 producing LX-2 cells at 24 h post-transfection. At subsequent time points, chemerin mRNA levels were comparable in the LX-2 cells transfected with the recombinant plasmids, and were significantly higher than in the control transfected cells (Figure 1g-i).
While we cannot rule out differential antigenicity of the individual chemerin forms with respect to the detection antibodies used in these analyses, the apparent disparity in the relative protein and mRNA levels for the transfected cells suggests that posttranscriptional and/or posttranslational mechanisms contribute to lower cellular and soluble huChem-156 protein (Figure 1a-f).

Analysis of Chemerin Isoform Activity and Chemerin Receptor Expression
Chemerin receptor activation was measured using supernatants of LX-2 cells 24 h posttransfection. Both CMKLR1 and GPR1 were activated by cell culture medium of huChem-157 overexpressing cells (Figure 2a,b). In contrast, huChem-156 did not activate CMKLR1 and only Consistent with these results, chemerin mRNA levels were also increased in LX-2 cells transfected with the recombinant plasmids (Figure 1g-i). Expression of chemerin mRNA was highest in huChem-156 producing LX-2 cells at 24 h post-transfection. At subsequent time points, chemerin mRNA levels were comparable in the LX-2 cells transfected with the recombinant plasmids, and were significantly higher than in the control transfected cells (Figure 1g-i).
While we cannot rule out differential antigenicity of the individual chemerin forms with respect to the detection antibodies used in these analyses, the apparent disparity in the relative protein and mRNA levels for the transfected cells suggests that posttranscriptional and/or posttranslational mechanisms contribute to lower cellular and soluble huChem-156 protein (Figure 1a-f).

Analysis of Chemerin Isoform Activity and Chemerin Receptor Expression
Chemerin receptor activation was measured using supernatants of LX-2 cells 24 h post-transfection. Both CMKLR1 and GPR1 were activated by cell culture medium of huChem-157 overexpressing cells ( Figure 2a,b). In contrast, huChem-156 did not activate CMKLR1 and only modestly activated GPR1 (p = 0.06; Figure 2a,b). HuChem-155 was inactive with respect to either receptor (Figure 2a  Previous work by our group showed that CMKLR1 protein was expressed by primary human hepatic stellate cells (HSCs) [26]. Consistent with this, CMKLR1 protein was readily detected in HSC and LX-2 cells in the current study ( Figure 2c). Reverse transcription-PCR revealed that GPR1 mRNA was present in human adipose tissues, but not in human liver or primary human hepatocytes ( Figure  2d). Accordingly, GPR1 mRNA was not detectable in the human hepatocyte cell lines HepG2 and Huh7, nor was it detected in human monocytes (Figure 2d). In contrast GPR1 mRNA was readily detected in LX-2 and HSC cells (Figure 2d).
Two different GPR1 antibodies were employed to determine GPR1 protein levels. Both detected GPR1 in HepG2 and Huh7 cells and in primary human hepatocytes indicating potential problems with the specificities of the antibodies (Supplementary Figure 1).

Effect of Chemerin Isoforms on Proliferation and Cytotoxicity in LX-2 Cells
Proliferation of HSCs is a characteristic of activated cells and contributes to liver diseases [22]. Cell numbers were counted 24, 48 and 72 h post-transfection and growth rates were not affected by the chemerin variants (Figure 3a and Supplementary Table 1). Soluble levels of lactate dehydrogenase as a measure of cytotoxicity were comparable between the cells transfected with the different Previous work by our group showed that CMKLR1 protein was expressed by primary human hepatic stellate cells (HSCs) [26]. Consistent with this, CMKLR1 protein was readily detected in HSC and LX-2 cells in the current study ( Figure 2c). Reverse transcription-PCR revealed that GPR1 mRNA was present in human adipose tissues, but not in human liver or primary human hepatocytes ( Figure 2d). Accordingly, GPR1 mRNA was not detectable in the human hepatocyte cell lines HepG2 and Huh7, nor was it detected in human monocytes ( Figure 2d). In contrast GPR1 mRNA was readily detected in LX-2 and HSC cells (Figure 2d).
Two different GPR1 antibodies were employed to determine GPR1 protein levels. Both detected GPR1 in HepG2 and Huh7 cells and in primary human hepatocytes indicating potential problems with the specificities of the antibodies (Supplementary Figure S1).

Effect of Chemerin Isoforms on Proliferation and Cytotoxicity in LX-2 Cells
Proliferation of HSCs is a characteristic of activated cells and contributes to liver diseases [22]. Cell numbers were counted 24, 48 and 72 h post-transfection and growth rates were not affected by the chemerin variants (Figure 3a and Supplementary Table S1). Soluble levels of lactate dehydrogenase as a measure of cytotoxicity were comparable between the cells transfected with the different plasmids at each time point (Figure 3b and Supplementary Table S2). Overexpression of the chemerin isoforms did not affect cell morphology, which was investigated by light microscopy (Figure 3c). plasmids at each time point (Figure 3b and Supplementary table 2). Overexpression of the chemerin isoforms did not affect cell morphology, which was investigated by light microscopy (Figure 3c).

Effect of Chemerin Isoforms on Alpha-Smooth Muscle Actin and Galectin-3
Alpha-smooth muscle actin (α-SMA) is a marker of activated HSCs [22,28]. Expression of the different chemerin isoforms did not change α-SMA protein 24, 48 and 72 h post-transfection (Figure 4a-c). Galectin-3 is a key factor in organ fibrosis [29] and, despite unchanged cellular levels, galectin-3 was  Pentraxin 3 is produced by activated HSCs and modulates cytokine and chemokine production [31]. None of the chemerin isoforms affected pentraxin 3 levels in the cell supernatants, which was measured 24, 48 and 72 h after transfection (Supplementary Table 3).

Secretome of Primary Human HSCs and LX-2 cells
Contrary to expectations, huChem-157, which is the most active chemerin isoform [1,10], did not affect IL-6, IL-8 or galectin-3 in LX-2 cell media. To further investigate this finding, experiments with primary human HSCs were performed. Firstly, the secretome of LX-2 cells and primary HSCs was compared by the use of a human Cytokine Array, which contained 105 different capture antibodies (Figure 6a-c). This experiment indicated that LX-2 cells produced a greater variety of these soluble molecules. Interestingly, IL-6 could only be detected in supernatants of the primary HSCs, which also had increased levels of pentraxin 3. IL-8 may be higher in supernatants of the LX-2 cell line. While this screening experiment produced interesting preliminary results, confirmatory analysis was needed to prove a possible differential abundance of further soluble factors between HSCs and LX-2 cells (Figure 6a,b). Pentraxin 3 is produced by activated HSCs and modulates cytokine and chemokine production [31]. None of the chemerin isoforms affected pentraxin 3 levels in the cell supernatants, which was measured 24, 48 and 72 h after transfection (Supplementary Table S3).

Secretome of Primary Human HSCs and LX-2 cells
Contrary to expectations, huChem-157, which is the most active chemerin isoform [1,10], did not affect IL-6, IL-8 or galectin-3 in LX-2 cell media. To further investigate this finding, experiments with primary human HSCs were performed. Firstly, the secretome of LX-2 cells and primary HSCs was compared by the use of a human Cytokine Array, which contained 105 different capture antibodies (Figure 6a-c). This experiment indicated that LX-2 cells produced a greater variety of these soluble molecules. Interestingly, IL-6 could only be detected in supernatants of the primary HSCs, which also had increased levels of pentraxin 3. IL-8 may be higher in supernatants of the LX-2 cell line. While this screening experiment produced interesting preliminary results, confirmatory analysis was needed to prove a possible differential abundance of further soluble factors between HSCs and LX-2 cells (Figure 6a,b). To provide evidence for a differential abundance of some soluble molecules between HSCs and LX-2 cells, these proteins were measured in the media of LX-2 cells and primary HSCs isolated from the liver of three different patients by ELISAs. IL-6 and pentraxin 3 were indeed about 6-fold and 30fold higher in the primary cells, respectively (Figure 7a

Effect of huChem-157 on IL-6, IL-8, Pentraxin 3 and Galectin-3 in Primary Human HSCs
The primary HSCs of three donors were incubated in medium supplemented with recombinant huChem-157 (120, 240, 360, 480 and 600 ng/mL) for 24 h. Analysis of IL-6, IL-8, pentraxin 3 and galectin-3 in the supernatants showed that none of these soluble mediators was impacted by the huChem-157 (Figure 8a-d). To provide evidence for a differential abundance of some soluble molecules between HSCs and LX-2 cells, these proteins were measured in the media of LX-2 cells and primary HSCs isolated from the liver of three different patients by ELISAs. IL-6 and pentraxin 3 were indeed about 6-fold and 30-fold higher in the primary cells, respectively (Figure 7a To provide evidence for a differential abundance of some soluble molecules between HSCs and LX-2 cells, these proteins were measured in the media of LX-2 cells and primary HSCs isolated from the liver of three different patients by ELISAs. IL-6 and pentraxin 3 were indeed about 6-fold and 30fold higher in the primary cells, respectively (Figure 7a,b). IL-8 was nevertheless similar in both cell types (Figure 7c). Galectin-3 (not included in the Cytokine Array) was about 8-fold increased in the supernatants of LX-2 cells compared to the primary HSCs (Figure 7d). Chemerin may be higher in the primary cell supernatant (Figure 7e).

Discussion
The results from the present study provide evidence that huChem-156 up-regulates the cytokine IL-6, the chemokine IL-8 and the fibrotic protein galectin-3 in the human hepatic stellate cell line LX-2. In contrast, huChem-157, which is generally regarded as the most active isoform [1, 10], was ineffective in the cell line. Moreover, recombinant huChem-157 could not induce these soluble proteins in primary human HSCs.
Myofibroblasts are central players in organ fibrosis and chemerin released by these cells functions as a chemoattractant for tumor cells [12,25]. The autocrine/paracrine effects of chemerin on myofibroblasts are less well understood. Hepatic stellate cells express both functional chemerin receptors. This was shown for CMKLR1 in a previous study [26] and for GPR1 in the present analysis although only mRNA expression has been analyzed to date. Thus, these cells are likely responsive to chemerin. It should be noted that GPR1 mRNA was detected in LX-2 cells, primary HSCs and adipose tissues, the latter of which served as a positive control. Primary human hepatocytes and monocytes did not express GPR1 mRNA. These findings are in agreement with previous reports showing expression of GPR1 in fat tissues and myofibroblasts and a lack of GPR1 in monocytes [6,7,9]. CMKLR1 is expressed on hepatocytes and hepatic Kupffer cells, which represent liver resident macrophages [26]. The physiological and pathophysiological relevance of the more restricted expression of GPR1 in liver cells needs further research.
The LX-2 cell line retains key features of primary HSCs. Global gene expression analysis revealed a 98.7% similarity in gene expression between LX-2 cells and primary HSCs [28]. Herein we showed that LX-2 cells have lower levels of soluble IL-6, pentraxin 3 and possibly chemerin and greatly elevated concentrations of galectin-3 than the primary HSCs. IL-8 was comparable between both cell types. Considering the key function of galectin-3, IL-6, chemerin and pentraxin-3 in inflammation and cancer [16,29,[31][32][33], the altered secretome may be a consequence of malignant cell transformation. This hypothesis needs to be tested in future studies.
The primary goal of the present work was to clarify the effects of chemerin in HSCs. Therefore, the active isoforms huChem-157 and huChem-156 and the inactive isoform huChem-155 were

Discussion
The results from the present study provide evidence that huChem-156 up-regulates the cytokine IL-6, the chemokine IL-8 and the fibrotic protein galectin-3 in the human hepatic stellate cell line LX-2. In contrast, huChem-157, which is generally regarded as the most active isoform [1, 10], was ineffective in the cell line. Moreover, recombinant huChem-157 could not induce these soluble proteins in primary human HSCs.
Myofibroblasts are central players in organ fibrosis and chemerin released by these cells functions as a chemoattractant for tumor cells [12,25]. The autocrine/paracrine effects of chemerin on myofibroblasts are less well understood. Hepatic stellate cells express both functional chemerin receptors. This was shown for CMKLR1 in a previous study [26] and for GPR1 in the present analysis although only mRNA expression has been analyzed to date. Thus, these cells are likely responsive to chemerin. It should be noted that GPR1 mRNA was detected in LX-2 cells, primary HSCs and adipose tissues, the latter of which served as a positive control. Primary human hepatocytes and monocytes did not express GPR1 mRNA. These findings are in agreement with previous reports showing expression of GPR1 in fat tissues and myofibroblasts and a lack of GPR1 in monocytes [6,7,9]. CMKLR1 is expressed on hepatocytes and hepatic Kupffer cells, which represent liver resident macrophages [26]. The physiological and pathophysiological relevance of the more restricted expression of GPR1 in liver cells needs further research.
The LX-2 cell line retains key features of primary HSCs. Global gene expression analysis revealed a 98.7% similarity in gene expression between LX-2 cells and primary HSCs [28]. Herein we showed that LX-2 cells have lower levels of soluble IL-6, pentraxin 3 and possibly chemerin and greatly elevated concentrations of galectin-3 than the primary HSCs. IL-8 was comparable between both cell types. Considering the key function of galectin-3, IL-6, chemerin and pentraxin-3 in inflammation and cancer [16,29,[31][32][33], the altered secretome may be a consequence of malignant cell transformation.
This hypothesis needs to be tested in future studies.
The primary goal of the present work was to clarify the effects of chemerin in HSCs. Therefore, the active isoforms huChem-157 and huChem-156 and the inactive isoform huChem-155 were overexpressed in LX-2 cells. While protein levels of huChem-156 were the lowest of all isoforms, analysis of mRNA levels revealed comparable expression of all recombinant isoforms. This suggests that posttranscriptional and/or posttranslational mechanisms may contribute to reduced protein levels. Cells secrete prochemerin and C-terminal processing occurs extracellularly [1,10], and thus, this observation may have limited physiological relevance.
The Tango assay determines beta-arrestin 2 recruitment upon addition of a suitable ligand [1,34]. As expected, recombinant huChem-157 was most effective in the CMKLR1 and GPR1 Tango assays. HuChem-156 only activated GPR1, and huChem-155 was ineffective in both assays. Interestingly, soluble chemerin levels increased over time excluding a role of LX-2 cells in chemerin elimination or excessive degradation.
None of the chemerin variants was cytotoxic and cell proliferation was normal. Characteristic proteins produced by these cells are α-SMA and galectin-3, and their cellular levels did not change upon chemerin over-expression. Soluble galectin-3 was nevertheless about 2-fold higher in huChem-156 producing cells. This effect was significant at 24 h after transfection and completely disappeared by 72 h. IL-8 was also elevated in the supernatant of huChem-156 expressing cells and this effect persisted over time. IL-6 was higher at all time points with a significant effect at 48 h post-transfection. None of these soluble factors were regulated by huChem-157. Analysis of IL-8 mRNA levels showed that higher IL-8 protein was paralleled by higher IL-8 mRNA levels in LX-2 cells expressing huChem-156. Recent studies described a role of murine Chem-156, corresponding to huChem-157, in the activation of nuclear factor kappa B and subsequent release of inflammatory proteins [16,35]. This pathway may also be involved in the pro-inflammatory effects of huChem-156. CMKLR1 was not activated by huChem-156 and at least the CMKLR1-beta-arrestin 2 pathway may not play a role herein. HuChem-156 modestly increased the GPR1 induced recruitment of beta-arrestin 2. GPR1 responded to huChem-157 and 156, but only the latter isoform had an effect in the LX-2 cells. This may argue against a role of the GPR1-beta-arrestin 2 pathway in the up-regulation of the inflammatory metabolites. However, chemerin concentration and exposure time are relevant for the effects of chemerin. Short-term exposure to chemerin increased levels of phosphorylated Akt, which declined below basal levels upon longer time stimulation [17]. Low, but not high, chemerin concentrations induced ERK1/2 and p38 MAPK phosphorylation [36]. Recruitment of beta-arrestins to GPR1 and CMKLR1 nevertheless increased with higher chemerin concentrations [2]. Accordingly, lower activation of GPR1 by huChem-156 compared to huChem-157 may be linked to an increased expression of inflammatory factors and this may not occur by the more active ligand. Whether GPR1-beta-arrestin 2 signaling contributes to higher production of the soluble factors described above has not yet been evaluated.
Pentraxin-3 and α-SMA are markers of activated HSCs [31,37,38] and were not regulated by any of the chemerin isoforms. HuChem-157 had no effect on stellate cell proliferation, activation and release of pro-inflammatory factors, all of which contribute to liver injury [22,30,38]. Accordingly, diethylnitrosamine induced liver fibrosis was not changed in mice with hepatic overexpression of the murine homolog of huChem-157, Chem-156 [39].
HuChem-156 is produced by cathepsin G, chymase or kallikrein 7 from huChem-163 [1]. These proteases are expressed by mast cells, which contribute to liver fibrosis and HCC [40][41][42]. Whether huChem-156 is abundant in human liver needs further analysis. Studies in mice identified murine Chem-155 (the mouse homolog of huChem-156) in liver tumors [39], and in terms of the present results, this isoform may contribute to a pro-inflammatory state in the cancer tissues.

Primary Human Cells and Cell Lines
Cell suspensions depleted in primary human hepatocytes and enriched in non-parenchymal cells were obtained from Hepacult (Regensburg, Germany) and used for the isolation of hepatic stellate cells. The cell suspension was centrifuged at 50 g for 5 min to recover the non-parenchymal cells. Cells were resuspended in 10 mL DMEM/high-glucose medium (supplemented with 10% fetal bovine serum and 1% penicillin/streptomycin) and transferred to cell culture flasks. The medium was changed 90 min later, and then every day for 4 days. Two weeks later, the flasks contained almost exclusively human hepatic stellate cells. These cells were stimulated with recombinant huChem-157 (R&D Systems, Wiesbaden-Nordenstadt, Germany) in serum-free medium.
The LX-2 human hepatic stellate cell line was obtained from Merck Chemicals GmbH (Darmstadt, Germany) and cells were cultivated in DMEM medium with 2% fetal bovine serum.
Lactate dehydrogenase (LDH) in the cell supernatants was measured by the Cytotoxicity Detection Kit from Roche (Mannheim, Germany). Cells were counted by the Countess II FL from Life Technologies (Thermo Fisher Scientific, Waltham, MA, USA). This approach discriminates live and dead cells.

Expression of Recombinant Human Chemerin Isoforms in LX-2 Cells
Polymerase chain reaction (PCR) to obtain human chemerin cDNA was done with the universe primer 5 -CGA AAG CTT ATG CGA CGG CTG CTG ATC C -3 and the reverse primers huChem-157: 5´-CGA CCG CGG TTA GGA GAA GGC GAA CTG TCC AGG -3 , huChem-156: 5 -CGA CCG CGG TTA GAA GGC GAA CTG TCC AGG GAA-3 and 5 -huChem-155 CGA CCG CGG TTA GGC GAA CTG TCC AGG GAA GTA-3 . The cutting sites for the restriction enzymes HindIII and SacII are underlined. The DNA was cloned in the vector pcDNA3.1 (Thermo Fisher Scientific, Waltham, MA, USA). The DNA sequences of the fragments were verified by sequence analysis (GeneArt, Regensburg, Germany). Transfection of cells was done with Lipofectamine TM 3000 Reagent (Thermo Fisher Scientific).

Monitoring of Gene Expression by Real-Time RT-PCR
The RNeasy Mini Kit was from Qiagen (Hilden, Germany) and oligonucleotides from Metabion (Planegg-Martinsried, Germany). LightCycler FastStart DNA Master SYBR Green I was from Roche (Mannheim, Germany). Gene expression was analyzed by semiquantitative real-time PCR. Total cellular RNA was isolated and 1 µg RNA was reverse transcribed (Promega Reverse Transcription System, Promega, Madison, WI, USA) in a volume of 40 µL; 2 µL of the cDNA was used for amplification in glass capillaries. Human GPR1 was amplified with the primers 5´-AGC CAC AGG CAC CGG CAA-3 and 5´-TCC AAA TCA GAC TCC AGA GAG-3 . Human chemerin was amplified with the primers 5´-CAG GAG ACC AGT GTG GAG A-3´and 5-GTG AGG ACC CCC ACA GCT-3´and 18S rRNA with 5 -GAT TGA TAG CTC TTT CTC GAT TCC-3 and 5 -CAT CTA AGG GCA TCA CAG ACC-3 . The primers 5´-ACC GGA AGG AAC CAT CTC ACT GT-3´and 5´-GCA TCT GGC AAC CCT ACA ACA-3´were used to amplify human IL-8 mRNA. The specificities of the PCRs were confirmed by sequencing of the amplified DNA fragments (Geneart, Regensburg, Germany). The second derivative maximum method was used for quantification with the LightCycler software.

ELISAs and Cytokine Array
ELISAs were ordered from R&D Systems and performed as recommended by the distributor. Proteom Profiler TM Human XL Cytokine Array was from R&D Systems and was hybridized with cell culture media as recommended by the company.

Tango Assay
Chemerin activation of CMKLR1 and GPR1 was determined by the Tango assay as described [19,21].

Statistical Analysis
Data are presented as mean ± standard deviation. Statistical differences were analyzed by ANOVA with post-hoc Tukey, Mann Whitney U-test (SPSS Statistics 25.0 program, IBM, Leibniz Rechenzentrum, München. Germany) or Student's t-test (MS Excel), and a value of p < 0.05 was regarded significant.

Conclusions
The present study identified huChem-156 as the active chemerin isoform in human hepatic stellate cells. The physiological and pathophysiological role of this variant in liver fibrosis and HCC warrants further studies.