Kremer Michael, Perry Ashley W, Milton Richard J, Rippe Richard A, Wheeler Michael D, Hines Ian N
Center for Alcohol Studies, University of North Carolina, Chapel Hill, NC 27599, USA.
Hepatology. 2008 Jan;47(1):113-26. doi: 10.1002/hep.21956.
Transforming growth factor beta (TGFbeta) promotes hepatocellular apoptosis and suppresses hepatic lymphocyte responses in part through activation of Smad3. The purpose of the current study was to determine the importance of Smad3 signaling in an experimental model of autoimmune hepatitis induced by concanavalin A (ConA), a process involving T cell activation and hepatocellular apoptosis. C57Bl/6 wild-type (Wt) or Smad3-deficient (Smad3(-/-)) mice were injected intravenously with 15 mg/kg ConA or vehicle. Nine hours post ConA injection, Wt mice presented with severe hepatitis as assessed by increased liver transferases. This injury was associated with eosinophil accumulation and preceded at 3 hours post-injection by significant increases in hepatic T helper 1 (interferon gamma) and T helper 2 (interleukin-4) cytokine production. Absence of Smad3 significantly blunted hepatocellular injury 9 hours post ConA injection, which was associated with reduced early T helper 1 and T helper 2 cytokine production and eosinophil accumulation. Smad3(-/-) livers also showed significant reductions in hepatocellular apoptosis as assessed by terminal UTP nick-end labeling when compared to ConA-treated Wt mice in conjunction with reduced caspase 3 cleavage, which was likely mediated by a Smad3-dependent inhibition of the survival factor extracellular signal-regulated kinase 1/2. In vitro, Smad3(-/-) hepatocytes were resistant to TGFbeta-induced apoptosis, and this protection was dependent on extracellular signal-regulated kinase activation.
Together, these results show, for the first time, the significance of Smad3 signaling in autoimmune hepatitis, underlining the control of Smad3-dependent TGFbeta signaling on proinflammatory cytokine production, eosinophil recruitment, and hepatocellular apoptosis. Interruption of this pathway could be beneficial clinically to limit acute fulminant liver pathologies.
转化生长因子β(TGFβ)部分通过激活Smad3促进肝细胞凋亡并抑制肝淋巴细胞反应。本研究的目的是确定Smad3信号信号在伴刀豆球蛋白A(ConA)诱导的自身免疫性肝炎实验模型中的重要性,该过程涉及T细胞活化和肝细胞凋亡。将C57Bl/6野生型(Wt)或Smad3缺陷型(Smad3(-/-))小鼠静脉注射15mg/kg ConA或赋形剂。ConA注射后9小时,通过肝转氨酶升高评估,Wt小鼠出现严重肝炎。这种损伤与嗜酸性粒细胞积聚有关,并且在注射后3小时肝脏T辅助细胞1(干扰素γ)和T辅助细胞2(白细胞介素-4)细胞因子产生显著增加之前就已出现。Smad3的缺失显著减轻了ConA注射后9小时的肝细胞损伤,这与早期T辅助细胞1和T辅助细胞2细胞因子产生减少以及嗜酸性粒细胞积聚减少有关。与ConA处理的Wt小鼠相比,通过末端脱氧核苷酸转移酶介导的缺口末端标记评估,Smad3(-/-)肝脏的肝细胞凋亡也显著减少,同时半胱天冬酶3裂解减少,这可能是由Smad3依赖性抑制存活因子细胞外信号调节激酶1/2介导的。在体外,Smad3(-/-)肝细胞对TGFβ诱导的凋亡具有抗性,并且这种保护依赖于细胞外信号调节激酶的激活。
总之,这些结果首次表明Smad3信号在自身免疫性肝炎中的重要性,强调了Smad3依赖性TGFβ信号对促炎细胞因子产生、嗜酸性粒细胞募集和肝细胞凋亡的控制。中断该途径在临床上可能有利于限制急性暴发性肝脏病变。