Erhardt Annette, Biburger Markus, Papadopoulos Thomas, Tiegs Gisa
Institute of Experimental and Clinical Pharmacology and Toxicology, University ofErlangen-Nuremberg, Fahrstrasse 17, D-91054 Erlangen, Germany.
Hepatology. 2007 Feb;45(2):475-85. doi: 10.1002/hep.21498.
The liver appears to play an important role in immunological tolerance, for example, during allo-transplantation. We investigated tolerance mechanisms in the model of concanavalin A (ConA)-induced immune-mediated liver injury in mice. We found that a single injection of a sublethal ConA dose to C57BL/6 mice induced tolerance toward ConA-induced liver damage within 8 days. This tolerogenic state was characterized by suppression of the typical Th1 response in this model and increased IL-10 production. Tolerance induction was fully reversible in IL-10 -/- mice and after blockade of IL-10 responses by anti-IL10R antibody. Co-cultures of CD4+CD25+ regulatory T cells (T(reg)s) and CD4+CD25- responder cells revealed T(reg) from ConA-tolerant mice being more effective in suppressing polyclonal T cell responses than T(reg) from control mice. Moreover, T(reg) from tolerant but not from control mice were able to augment in vitro IL-10 expression. Depletion by anti-CD25 monoclonal antibody (MAb) indicated a functional role of T(reg)s in ConA tolerance in vivo. Cell depletion studies revealed T(reg)S and Kupffer cells (KC) to be crucial for IL-10 expression in ConA tolerance. Studies with CD1d -/- mice lacking natural killer T (NKT) cells disclosed these cells as irrelevant for the tolerogenic effect. Finally, cellular immune therapy with CD4+CD25+ cells prevented ConA-induced liver injury, with higher protection by Treg from ConA-tolerized mice.
The immunosuppressive cytokine IL-10 is crucial for tolerance induction in ConA hepatitis and is mainly expressed by CD4+CD25+ T(reg) and KC. Moreover, T(reg)s exhibit therapeutic potential against immune-mediated liver injury.
肝脏似乎在免疫耐受中发挥重要作用,例如在同种异体移植过程中。我们在伴刀豆球蛋白A(ConA)诱导的小鼠免疫介导性肝损伤模型中研究了耐受机制。我们发现,向C57BL/6小鼠单次注射亚致死剂量的ConA可在8天内诱导对ConA诱导的肝损伤的耐受。这种致耐受状态的特征是该模型中典型的Th1反应受到抑制,以及IL-10产生增加。在IL-10基因敲除小鼠中以及用抗IL-10R抗体阻断IL-10反应后,耐受诱导是完全可逆的。CD4 + CD25 +调节性T细胞(Tregs)与CD4 + CD25 -反应细胞的共培养显示,来自ConA耐受小鼠的Tregs在抑制多克隆T细胞反应方面比来自对照小鼠的Tregs更有效。此外,来自耐受小鼠而非对照小鼠的Tregs能够增强体外IL-10表达。抗CD25单克隆抗体(MAb)的清除表明Tregs在体内ConA耐受中发挥功能作用。细胞清除研究表明,Tregs和库普弗细胞(KC)对于ConA耐受中IL-10的表达至关重要。对缺乏自然杀伤T(NKT)细胞的CD1d基因敲除小鼠的研究表明,这些细胞与致耐受作用无关。最后,用CD4 + CD25 +细胞进行细胞免疫治疗可预防ConA诱导的肝损伤,来自ConA耐受小鼠的Treg提供了更高的保护作用。
免疫抑制细胞因子IL-10对于ConA肝炎的耐受诱导至关重要,并且主要由CD4 + CD25 + Tregs和KC表达。此外,Tregs对免疫介导的肝损伤具有治疗潜力。