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白细胞介素-17A 通过激活肝星状细胞在肝纤维化发病机制中起关键作用。

IL-17A plays a critical role in the pathogenesis of liver fibrosis through hepatic stellate cell activation.

机构信息

Liver Transplantation Center of First Affiliated Hospital and State Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, Jiangsu Province 210029, People's Republic of China.

出版信息

J Immunol. 2013 Aug 15;191(4):1835-44. doi: 10.4049/jimmunol.1203013. Epub 2013 Jul 10.


DOI:10.4049/jimmunol.1203013
PMID:23842754
Abstract

Liver fibrosis is a severe, life-threatening clinical condition resulting from nonresolving hepatitis of different origins. IL-17A is critical in inflammation, but its relation to liver fibrosis remains elusive. We find increased IL-17A expression in fibrotic livers from HBV-infected patients undergoing partial hepatectomy because of cirrhosis-related early-stage hepatocellular carcinoma in comparison with control nonfibrotic livers from uninfected patients with hepatic hemangioma. In fibrotic livers, IL-17A immunoreactivity localizes to the inflammatory infiltrate. In experimental carbon tetrachloride-induced liver fibrosis of IL-17RA-deficient mice, we observe reduced neutrophil influx, proinflammatory cytokines, hepatocellular necrosis, inflammation, and fibrosis as compared with control C57BL/6 mice. IL-17A is produced by neutrophils and T lymphocytes expressing the Th17 lineage-specific transcription factor Retinoic acid receptor-related orphan receptor γt. Furthermore, hepatic stellate cells (HSCs) isolated from naive C57BL/6 mice respond to IL-17A with increased IL-6, α-smooth muscle actin, collagen, and TGF-β mRNA expression, suggesting an IL-17A-driven fibrotic process. Pharmacologic ERK1/2 or p38 inhibition significantly attenuated IL-17A-induced HSC activation and collagen expression. In conclusion, IL-17A(+) Retinoic acid receptor-related orphan receptor γt(+) neutrophils and T cells are recruited into the injured liver driving a chronic, fibrotic hepatitis. IL-17A-dependent HSC activation may be critical for liver fibrosis. Thus, blockade of IL-17A could potentially benefit patients with chronic hepatitis and liver fibrosis.

摘要

肝纤维化是一种严重的、危及生命的临床病症,由不同病因导致的非持续性肝炎发展而来。IL-17A 在炎症中起着关键作用,但它与肝纤维化的关系仍不清楚。我们发现,与未感染的、患有肝血管瘤的患者的非纤维化肝脏相比,接受部分肝切除术治疗肝硬化相关早期肝细胞癌的 HBV 感染患者的纤维化肝脏中,IL-17A 的表达增加。在纤维化肝脏中,IL-17A 免疫反应定位于炎症浸润部位。在缺乏 IL-17RA 的实验性四氯化碳诱导的肝纤维化小鼠中,与对照的 C57BL/6 小鼠相比,我们观察到中性粒细胞浸润、促炎细胞因子、肝细胞坏死、炎症和纤维化减少。IL-17A 由表达 Th17 谱系特异性转录因子视黄酸受体相关孤儿受体 γt 的中性粒细胞和 T 淋巴细胞产生。此外,从幼稚的 C57BL/6 小鼠中分离出来的肝星状细胞(HSCs)对 IL-17A 作出反应,表现为 IL-6、α-平滑肌肌动蛋白、胶原和 TGF-β mRNA 表达增加,表明存在一个由 IL-17A 驱动的纤维化过程。ERK1/2 或 p38 的药理学抑制显著减弱了 IL-17A 诱导的 HSC 激活和胶原表达。总之,IL-17A(+)视黄酸受体相关孤儿受体 γt(+)中性粒细胞和 T 细胞被募集到受损的肝脏中,导致慢性、纤维化的肝炎。IL-17A 依赖性 HSC 激活可能对肝纤维化至关重要。因此,阻断 IL-17A 可能对慢性肝炎和肝纤维化患者有益。

相似文献

[1]
IL-17A plays a critical role in the pathogenesis of liver fibrosis through hepatic stellate cell activation.

J Immunol. 2013-7-10

[2]
Interleukin-17A plays a pivotal role in cholestatic liver fibrosis in mice.

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[3]
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[4]
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[5]
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Am J Pathol. 2014-12-23

[6]
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J Immunol. 2014-10-15

[7]
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Int Immunol. 2015-7

[8]
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Clin Sci (Lond). 2018-12-13

[9]
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Sci Rep. 2016-1-5

[10]
Interleukin-17 signaling in inflammatory, Kupffer cells, and hepatic stellate cells exacerbates liver fibrosis in mice.

Gastroenterology. 2012-6-8

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