Section on Liver Biology, Laboratory of Physiologic Studies, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, MD 20892, USA.
Hepatology. 2010 May;51(5):1724-34. doi: 10.1002/hep.23532.
Liver injury is associated with inflammation, which is generally believed to accelerate the progression of liver diseases; however, clinical data show that inflammation does not always correlate with hepatocelluar damage in some patients. Investigating the cellular mechanisms underlying these events using an experimental animal model, we show that inflammation may attenuate liver necrosis induced by carbon tetrachloride (CCl(4)) in myeloid-specific signal transducer and activator of transcription 3 (STAT3) knockout mice. As an important anti-inflammatory signal, conditional deletion of STAT3 in myeloid cells results in markedly enhanced liver inflammation after CCl(4) injection. However, these effects are also accompanied by reduced liver necrosis, correlating with elevated serum interleukin-6 (IL-6) and hepatic STAT3 activation. An additional deletion of STAT3 in hepatocytes in myeloid-specific STAT3 knockout mice restored hepatic necrosis but decreased liver inflammation.
Inflammation-mediated STAT3 activation attenuates hepatocellular injury induced by CCl(4) in myeloid-specific STAT3 knockout mice, suggesting that inflammation associated with a predominance of hepatoprotective cytokines that activate hepatic STAT3 may reduce rather than accelerate hepatocellular damage in patients with chronic liver diseases.
肝损伤与炎症有关,炎症通常被认为会加速肝病的进展;然而,临床数据显示,在一些患者中,炎症并不总是与肝细胞损伤相关。本研究使用实验动物模型,探讨了这些事件背后的细胞机制,结果表明炎症可能会减轻四氯化碳(CCl4)诱导的髓系特异性信号转导和转录激活因子 3(STAT3)敲除小鼠的肝坏死。作为一种重要的抗炎信号,髓系细胞中 STAT3 的条件性缺失会导致 CCl4 注射后肝脏炎症明显增强。然而,这些效应也伴随着肝坏死减少,与血清白细胞介素-6(IL-6)升高和肝 STAT3 激活相关。在髓系特异性 STAT3 敲除小鼠中进一步敲除肝细胞中的 STAT3 会恢复肝坏死,但会减少肝脏炎症。
炎症介导的 STAT3 激活可减轻髓系特异性 STAT3 敲除小鼠中 CCl4 诱导的肝细胞损伤,这表明与激活肝 STAT3 的保护性细胞因子优势相关的炎症可能会减轻而非加速慢性肝病患者的肝细胞损伤。