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University of Groningen

Exploring anti-fibrotic drugs Luangmonkong, Theerut

IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below.

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Publisher's PDF, also known as Version of record

Publication date: 2017

Link to publication in University of Groningen/UMCG research database

Citation for published version (APA):

Luangmonkong, T. (2017). Exploring anti-fibrotic drugs: Focusing on an ex vivo model of fibrosis. University of Groningen.

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Paranymphs

Dorenda Oosterhuis Su Suriguga

The research presented in this PhD thesis was performed at the Department of Pharmaceutical Technology and Biopharmacy, University of Groningen, the Netherlands.

Cover and layout: Theerut Luangmonkong

Printed: Proefschriftmaken

ISBN (printed version): 978-94-034-0187-4 ISBN (electronic version): 978-94-034-0186-7

©Theerut Luangmonkong, 2017

All right reserved. Copyright of the published articles is with the corresponding journal or otherwise with the author. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, without the prior permission in writing from author or the copyright-owning journal.

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Exploring anti-fibrotic drugs

Focusing on an ex vivo model of fibrosis

PhD thesis

to obtain the degree of PhD at the University of Groningen

on the authority of the Rector Magnificus Prof. E. Sterken

and in accordance with

the decision by the College of Deans. This thesis will be defended in public on Monday 27 November 2017 at 09.00 hours

by

Theerut Luangmonkong

born on 9 October 1982 in Bangkok, Thailand

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Supervisors Prof. dr. P. Olinga Prof. dr. C. Suthisisang Co-supervisor Dr. H.A.M. Mutsaers Assessment Committee

Prof. dr. R.A. Bank Prof. dr. K.N. Faber

Prof. dr. M. Kruithof - de Julio Prof. dr. K. Sripha

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Contents

Introduction, scope and aims 7

Part A: Exploring anti-fibrotic drugs for the treatment of liver fibrosis 9

Chapter A1 Evaluating the anti-fibrotic potency of galunisertib in a human ex vivo model of liver fibrosis 11

Chapter A2 In vitro and ex vivo anti-fibrotic effects of LY2109761, a small molecule inhibitor against TGF- 33

Chapter A3 Human precision-cut liver slices as a model to test anti-fibrotic drugs in the early onset of liver fibrosis 49 Chapter A4 Targeting oxidative stress for the treatment of liver fibrosis 69

Part B: Development of novel disease models 89

Chapter B1 Pathophysiological model of non-alcoholic fatty liver disease using precision-cut liver slices 91

Chapter B2 Precision-cut human kidney slices as a model to elucidate the process of renal fibrosis 103

General discussion and perspectives 117

Summary – Samenvatting – สรุป 129

Acknowledgements 135

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Lists of supplementary box

Box I Transforming growth factors 10 Box II Small molecule drugs 32 Box III Free radicals 68 Box IV Metabolic syndrome 90

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