Mimura Sumie, Mochida Satoshi, Inao Mie, Matsui Atsushi, Nagoshi Sumiko, Yoshimoto Takayuki, Fujiwara Kenji
Gastroenterology and Hepatology, Internal Medicine, Saitama Medical School, 38 Morohongo, Moroyama-cho, Iruma-gun, 350-0495 Saitama, Japan.
J Gastroenterol. 2004 Sep;39(9):867-72. doi: 10.1007/s00535-004-1403-0.
Massive liver necrosis can develop as a consequence of imbalance between T-helper (Th)1 and Th2 immune reactions in the liver. Osteopontin is a glycoprotein secreted for the initiation of the Th1 immune reaction, as well as for extracellular matrix formation and calcium deposition in the bone and kidney. Osteopontin is overexpressed in Kupffer cells, macrophages, and stellate cells activated in injured livers. We established transgenic mice expressing osteopontin exclusively in hepatocytes, using a vector containing human serum amyloid P component promoter. The relation of Th1/Th2 immune imbalance to massive liver necrosis was studied using these transgenic mice.
Transgenic mice and C27BL/6 mice, wild-type controls of the transgenic mice, were given an intravenous injection of concanavalin-A, and the histological extent of liver injuries and plasma cytokine levels were evaluated.
When the transgenic mice received concanavalin-A, massive necrosis and mononuclear cell infiltration developed in the liver, the extent of which was greater in the female mice than in the male mice. This treatment produced minimal liver injury and focal liver necrosis in male and female C57BL/6 mice. In these transgenic and control mice, plasma concentrations of interleukin (IL)-10 and interferon (IFN)-gamma were increased after concanavalin-A treatment. However, the upregulation of plasma IL-10 concentration was smaller in the male and female transgenic mice than in the control mice, and the upregulation of the IFN-gamma concentration was greater in the female transgenic mice than in the female control mice.
Th1 and Th2 immune reactions were deranged after concanavalin-A treatment, with Th1 immunity predominating in transgenic mice expressing osteopontin in hepatocytes; this immunological imbalance may contribute to massive liver necrosis.
肝内辅助性T细胞(Th)1和Th2免疫反应失衡可导致大规模肝坏死。骨桥蛋白是一种糖蛋白,可启动Th1免疫反应,也参与细胞外基质形成以及骨骼和肾脏中的钙沉积。在受损肝脏中被激活的库普弗细胞、巨噬细胞和星状细胞中,骨桥蛋白表达上调。我们使用含人血清淀粉样蛋白P成分启动子的载体,构建了仅在肝细胞中表达骨桥蛋白的转基因小鼠。利用这些转基因小鼠研究了Th1/Th2免疫失衡与大规模肝坏死之间的关系。
给转基因小鼠及其野生型对照C57BL/6小鼠静脉注射伴刀豆球蛋白A,评估肝损伤的组织学程度和血浆细胞因子水平。
转基因小鼠接受伴刀豆球蛋白A注射后,肝脏出现大规模坏死和单核细胞浸润,雌性小鼠的病变程度比雄性小鼠更严重。该处理在雄性和雌性C57BL/6小鼠中仅产生轻微肝损伤和局灶性肝坏死。在这些转基因和对照小鼠中,伴刀豆球蛋白A处理后血浆白细胞介素(IL)-10和干扰素(IFN)-γ浓度均升高。然而,雄性和雌性转基因小鼠血浆IL-10浓度的上调幅度小于对照小鼠,雌性转基因小鼠IFN-γ浓度的上调幅度大于雌性对照小鼠。
伴刀豆球蛋白A处理后Th1和Th2免疫反应紊乱,在肝细胞中表达骨桥蛋白的转基因小鼠中Th1免疫占主导;这种免疫失衡可能导致大规模肝坏死。