First Department of Surgery, University of Yamanashi, Yamanashi, Japan.
J Surg Res. 2013 Aug;183(2):574-82. doi: 10.1016/j.jss.2013.03.025. Epub 2013 Mar 28.
It was recently reported that serum interleukin (IL)-17 levels increased in liver fibrosis associated with human alcoholic liver disease. However, the role of IL-17 in liver fibrosis has not yet been elucidated. Therefore, the aim of this study was to evaluate the role of IL-17 on cholestatic liver fibrosis.
IL-17A knockout (KO) and wild-type (WT) mice were subjected to bile duct ligation. Animals were sacrificed at designated times, and serum and liver tissues were collected. The mRNA expression of hepatic fibrotic markers was assessed, and distribution of activated hepatic stellate cells (HSCs) was determined by immunohistochemical staining. In an in vitro study, Kupffer cells (KCs) and HSCs were isolated from WT mice. KCs were cultured with IL-17A or IL-17F, and production of tumor necrosis factor α (TNF-α) and transforming growth factor β1 (TGF-β1) was measured. HSCs were cultured with IL-17A or IL-17F, and morphologic changes were assessed by immunohistochemical staining.
Liver damage observed in the WT mice was significantly improved in the KO mice. Serum TNF-α and TGF-β1 levels were significantly decreased in the KO compared with the WT mice. The hepatic mRNA expression of TNF-α, TGF-β1, and collagen 1α1, which increased in the WT mice, also significantly decreased in the KO mice. Increased hepatic fibrosis in the WT mice was significantly improved in the KO mice. Cytokine production was increased in IL-17A-treated KCs. The most remarkable myofibroblast-like changes were observed in isolated HSCs in the presence of IL-17A.
IL-17A was involved in the pathogenesis of cholestatic liver fibrosis by activation of both the KCs and HSCs.
最近有报道称,在与人类酒精性肝病相关的肝纤维化中,血清白细胞介素 (IL)-17 水平升高。然而,IL-17 在肝纤维化中的作用尚未阐明。因此,本研究旨在评估 IL-17 在胆汁淤积性肝纤维化中的作用。
IL-17A 敲除 (KO) 和野生型 (WT) 小鼠接受胆管结扎。在指定时间处死动物,收集血清和肝组织。评估肝纤维化标志物的 mRNA 表达,并通过免疫组织化学染色确定活化的肝星状细胞 (HSCs) 的分布。在体外研究中,从 WT 小鼠中分离出 Kupffer 细胞 (KCs) 和 HSCs。用 IL-17A 或 IL-17F 培养 KCs,并测量肿瘤坏死因子 α (TNF-α) 和转化生长因子 β1 (TGF-β1) 的产生。用 IL-17A 或 IL-17F 培养 HSCs,并通过免疫组织化学染色评估形态变化。
WT 小鼠观察到的肝损伤在 KO 小鼠中明显改善。与 WT 小鼠相比,KO 小鼠的血清 TNF-α 和 TGF-β1 水平显著降低。WT 小鼠中增加的 TNF-α、TGF-β1 和胶原 1α1 的肝 mRNA 表达也在 KO 小鼠中显著降低。WT 小鼠中增加的肝纤维化在 KO 小鼠中得到明显改善。IL-17A 处理的 KCs 中细胞因子产生增加。在存在 IL-17A 的情况下,分离的 HSCs 中观察到最显著的肌成纤维细胞样变化。
IL-17A 通过激活 KCs 和 HSCs 参与了胆汁淤积性肝纤维化的发病机制。