Schümann J, Wolf D, Pahl A, Brune K, Papadopoulos T, van Rooijen N, Tiegs G
Institutes of Experimental and Clinical Pharmacology and Toxicology and Pathology, University of Erlangen-Nürnberg, Erlangen, Germany.
Am J Pathol. 2000 Nov;157(5):1671-83. doi: 10.1016/S0002-9440(10)64804-3.
T cells seem to be responsible for liver damage in any type of acute hepatitis. Nevertheless, the importance of Kupffer cells (KCs) for T-cell-dependent liver failure is unclear. Here we focus on the role of KCs and tumor necrosis factor (TNF) production after T cell stimulation in mice. T-cell- and TNF-dependent liver injury were induced either by Pseudomonas exotoxin A (PEA), by concanavalin A (Con A), or by the combination of subtoxic doses of PEA and the superantigen Staphylococcus enterotoxin B (SEB). KCs were depleted by clodronate liposomes. Although livers of PEA-treated mice contained foci of confluent necrosis and numerous apoptotic cells, hardly any apoptotic cells were observed in the livers of Con A-treated mice. Instead, large bridging necroses were visible. Elimination of KCs protected mice from PEA-, Con A-, or PEA/SEB-induced liver injury. In the absence of KCs, liver damage was restricted to a few small necrotic areas. KCs were the main source of TNF. Hepatic TNF mRNA and protein production were strongly attenuated because of KC-depletion whereas plasma TNF levels were unaltered. Our results suggest that KCs play an important role in T cell activation-induced liver injury by contributing TNF. Plasma TNF levels are poor diagnostic markers for the severity of TNF-dependent liver inflammation.
在任何类型的急性肝炎中,T细胞似乎都对肝脏损伤负有责任。然而,库普弗细胞(KCs)在T细胞依赖性肝衰竭中的重要性尚不清楚。在此,我们重点研究小鼠T细胞刺激后KCs的作用及肿瘤坏死因子(TNF)的产生。通过铜绿假单胞菌外毒素A(PEA)、刀豆蛋白A(Con A)或亚毒性剂量的PEA与超抗原金黄色葡萄球菌肠毒素B(SEB)的组合诱导T细胞和TNF依赖性肝损伤。用氯膦酸盐脂质体清除KCs。虽然PEA处理的小鼠肝脏含有融合性坏死灶和大量凋亡细胞,但在Con A处理的小鼠肝脏中几乎未观察到凋亡细胞。相反,可见大片桥接坏死。清除KCs可保护小鼠免受PEA、Con A或PEA/SEB诱导的肝损伤。在没有KCs的情况下,肝损伤局限于少数小坏死区域。KCs是TNF的主要来源。由于KCs的耗竭,肝脏TNF mRNA和蛋白产生显著减弱,而血浆TNF水平未改变。我们的结果表明,KCs通过产生TNF在T细胞活化诱导的肝损伤中起重要作用。血浆TNF水平不是TNF依赖性肝脏炎症严重程度的良好诊断标志物。