Department of Medicine II, Section Molecular Hepatology, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
J Hepatol. 2013 Oct;59(4):738-45. doi: 10.1016/j.jhep.2013.05.041. Epub 2013 Jun 4.
BACKGROUND & AIMS: Proliferation of liver progenitor cells (LPCs) is associated with inflammation and fibrosis in chronic liver diseases. However, how inflammation and fibrosis affect LPCs remains obscure.
We examined the role of interferon (IFN)-γ, an important pro-inflammatory and anti-fibrotic cytokine, in LPC expansion in HBV-infected patients and in mice challenged with 3,5-diethoxycarbonyl-1,4-dihydrocollidine (DDC)- or choline-deficient, ethionine-supplemented (CDE) diet as well as in primary LPCs and LPC cell line.
The CK19 staining scores correlated with inflammation and fibrosis grades in the livers from 110 HBV-infected patients. Nine-month IFN-γ treatment decreased LPC numbers, inflammation, and fibrosis in these HBV-infected patients. Similarly, a two-week IFN-γ treatment also decreased LPC activation in DDC-treated mice. Disruption of IFN-γ or its signaling components (e.g., IFNGR, STAT1, and IRF-1) increased LPC proliferation and liver fibrosis in DDC-fed mice. In contrast, deletion of IFN-γ did not increase, but rather slightly reduced LPC proliferation in CDE-fed mice. In vitro, IFN-γ attenuated proliferation of the LPC cell line BMOL and of primary LPCs from wild type mice, but not STAT1(-/-) or IRF-1(-/-) mice. Furthermore, co-culture assays suggest that IFN-γ can indirectly promote LPC proliferation via the activation of macrophages but attenuate it via the inhibition of hepatic stellate cells.
IFN-γ inhibits LPC expansion via the direct inhibition of LPC proliferation and indirect attenuation of liver fibrosis in the DDC model, but it may also enhance LPC expansion via the promotion of inflammation in the CDE model; thereby playing dual roles in regulating LPC proliferation in vivo.
肝祖细胞(LPCs)的增殖与慢性肝病中的炎症和纤维化有关。然而,炎症和纤维化如何影响 LPCs 尚不清楚。
我们研究了干扰素(IFN)-γ在乙型肝炎病毒(HBV)感染患者中 LPC 扩增中的作用,以及在 3,5-二乙氧基羰基-1,4-二氢吡啶(DDC)或胆碱缺乏、蛋氨酸补充(CDE)饮食以及原代 LPC 和 LPC 细胞系中 LPC 扩增中的作用。
110 例 HBV 感染患者肝脏中 CK19 染色评分与炎症和纤维化程度相关。9 个月 IFN-γ治疗可减少这些 HBV 感染患者的 LPC 数量、炎症和纤维化。同样,两周 IFN-γ治疗也可减少 DDC 处理的小鼠中 LPC 的激活。IFN-γ或其信号成分(如 IFNGR、STAT1 和 IRF-1)的破坏增加了 DDC 喂养的小鼠中 LPC 的增殖和肝纤维化。相反,IFN-γ的缺失并没有增加,而是略微减少了 CDE 喂养的小鼠中 LPC 的增殖。在体外,IFN-γ可减弱 LPC 细胞系 BMOL 和野生型小鼠原代 LPC 的增殖,但不能减弱 STAT1(-/-)或 IRF-1(-/-)小鼠的增殖。此外,共培养试验表明,IFN-γ可通过激活巨噬细胞间接促进 LPC 增殖,但通过抑制肝星状细胞间接抑制其增殖。
IFN-γ通过直接抑制 LPC 增殖和间接减弱 DDC 模型中的肝纤维化来抑制 LPC 的扩张,但它也可能通过促进 CDE 模型中的炎症来增强 LPC 的扩张;从而在体内调节 LPC 增殖中发挥双重作用。