Department of Medicine III, University Hospital, Aachen, Germany.
Lab Invest. 2012 Dec;92(12):1726-37. doi: 10.1038/labinvest.2012.122. Epub 2012 Sep 17.
The prognosis of liver failure is often determined by infectious and cholestatic complications. As HGF/c-Met and interleukin (IL)-6/gp130 control hepatic cytoprotective pathways, we here investigated their cooperative role during the onset of cholestatic liver injury. Conditional hepatocyte-specific ((Δhepa)) c-Met, gp130 and c-Met/gp130 knockout mice (Cre-loxP system) were subjected to bile duct ligation (BDL) and lipopolysaccharide (LPS) stimulation. gp130(Δhepa) and c-Met/gp130(Δhepa) mice displayed increased lethality associated with severe bacteraemia early after BDL, whereas c-Met(Δhepa) and wild-type mice showed normal survival. Analysis of the innate immune response and the regulation of hepatic antibacterial pathways showed that the LPS-triggered hepatocellular response via the Toll-like receptor-4 pathway was regulated differentially by HGF/c-Met and IL-6/gp130. Activation of p38MAPK, c-Jun N-terminal kinase and signalling transducer and activator of transcription-3 was impaired in gp130(Δ) and c-Met(Δhepa) livers. In addition, the acute-phase response (APR) was reduced in c-Met(Δhepa) livers, whereas gp130(Δhepa) displayed a completely abolished APR. In contrast, TNF-α-dependent NF-κB activation was enhanced in gp130(Δhepa) and c-Met(Δhepa) mice and it was associated with a higher rate of apoptosis and inflammation. Moreover, expression of the neutrophil produced and secreted cathelin-related antimicrobial peptide and of genes related to the inflammasome complex correlated with the strength of the bacterial infection and with TNF-α expression. In conclusion, Gp130 and c-Met are involved in the hepatic antibacterial and innate immune response, control the APR and thus prevent sepsis and liver injury during cholestatic conditions.
肝衰竭的预后通常由感染和胆汁淤积并发症决定。由于 HGF/c-Met 和白细胞介素 (IL)-6/gp130 控制肝保护途径,我们在此研究了它们在胆汁淤积性肝损伤发作期间的协同作用。条件性肝细胞特异性 ((Δhepa)) c-Met、gp130 和 c-Met/gp130 基因敲除小鼠 (Cre-loxP 系统) 接受胆管结扎 (BDL) 和脂多糖 (LPS) 刺激。gp130(Δhepa) 和 c-Met/gp130(Δhepa) 小鼠在 BDL 后早期表现出与严重菌血症相关的更高死亡率,而 c-Met(Δhepa) 和野生型小鼠表现出正常的存活率。分析先天免疫反应和肝抗菌途径的调节发现,HGF/c-Met 和 IL-6/gp130 对 LPS 触发的 Toll 样受体-4 途径的肝细胞反应进行了不同的调节。p38MAPK、c-Jun N 末端激酶和信号转导和转录激活因子 3 的激活在 gp130(Δ) 和 c-Met(Δhepa) 肝脏中受损。此外,c-Met(Δhepa) 肝脏中的急性期反应 (APR) 减少,而 gp130(Δhepa) 则完全没有 APR。相反,gp130(Δhepa) 和 c-Met(Δhepa) 小鼠中 TNF-α 依赖性 NF-κB 激活增强,并且与更高的细胞凋亡和炎症率相关。此外,中性粒细胞产生和分泌的 cathelin 相关抗菌肽以及与炎症小体复合物相关的基因的表达与细菌感染的强度和 TNF-α 表达相关。总之,Gp130 和 c-Met 参与肝抗菌和先天免疫反应,控制 APR,从而防止胆汁淤积条件下的败血症和肝损伤。