International Co-operation Laboratory on Signal Transduction, Eastern Hepatobiliary Surgery Institute, Second Military Medical University, Shanghai, China.
Hepatology. 2011 Nov;54(5):1620-30. doi: 10.1002/hep.24552. Epub 2011 Jul 25.
One of the challenges surrounding nonalcoholic fatty liver disease (NAFLD) is to discover the mechanisms that underlie the initiation of it. The aim of the present study was to elucidate the effects of Toll-like receptor 4 (TLR4) signaling in liver parenchymal cells during the early stage of NAFLD. Male TLR4-wildtype, TLR4-knockout, TLR2-knockout, MyD88-knockout, and TRIF-knockout mice were fed a normal diet or high-fat diet (HFD). Liver steatosis, alanine aminotransferase levels, nuclear translocation of nuclear factor kappa B (NF-κB) (p65), macrophage accumulation, and neutrophil infiltration were assessed. Using Kupffer cell depletion or bone marrow transplantation, we examined the potential role of Kupffer cells and myeloid infiltrating cells during the initiation of NAFLD. Immunohistochemistry and western blotting were implemented to determine the release of high-mobility group box1 (HMGB1). The neutral-antibody against HMGB1 was used to block the activity of free HMGB1. Here we report that the activation of TLR4 signaling in hepatocytes, accompanied with the relocation of P65 in nucleus, was proven to play an important role during the initiation of NAFLD. Importantly, HMGB1 releasing from hepatocytes in response to free fatty acid (FFA) infusion was first reported as the key molecule for the TLR4/MyD88 activation and cytokines expression in vitro and in vivo. Treatment with neutralizing antibody to HMGB1 protects against FFA-induced tumor necrosis factor alpha and interleukin-6 production.
Our study supports the notion that TLR4/MyD88 signaling in liver parenchymal cells plays a pivotal role during the early progression of HFD-induced NAFLD, in which free HMGB1 served as a positive component mediating TLR4 activation.
非酒精性脂肪性肝病(NAFLD)面临的挑战之一是发现其发病机制。本研究旨在阐明 TLR4 信号在 NAFLD 早期肝实质细胞中的作用。雄性 TLR4 野生型、TLR4 敲除型、TLR2 敲除型、MyD88 敲除型和 TRIF 敲除型小鼠分别喂食正常饮食或高脂肪饮食(HFD)。评估肝脂肪变性、丙氨酸氨基转移酶水平、核转录因子κB(NF-κB)(p65)核易位、巨噬细胞积聚和中性粒细胞浸润。通过耗尽库普弗细胞或骨髓移植,我们研究了库普弗细胞和髓样浸润细胞在 NAFLD 发病初期的潜在作用。采用免疫组织化学和 Western blot 法检测高迁移率族蛋白 B1(HMGB1)的释放。用针对 HMGB1 的中性抗体阻断游离 HMGB1 的活性。本研究报道,TLR4 信号在肝细胞中的激活,伴随着 P65 在核内的重定位,在 NAFLD 的发病初期发挥重要作用。重要的是,我们首次报道了游离脂肪酸(FFA)输注引起的肝细胞释放 HMGB1 是体外和体内 TLR4/MyD88 激活和细胞因子表达的关键分子。用针对 HMGB1 的中和抗体治疗可防止 FFA 诱导的肿瘤坏死因子-α和白细胞介素-6 的产生。
我们的研究支持这样一种观点,即 TLR4/MyD88 信号在肝实质细胞中在 HFD 诱导的 NAFLD 的早期进展中起关键作用,其中游离 HMGB1 作为介导 TLR4 激活的正性成分。