Thomas E. Starzl Transplantation Institute, Department of Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA.
Hepatology. 2014 Jul;60(1):267-77. doi: 10.1002/hep.27037. Epub 2014 May 27.
Plasmacytoid dendritic cells (pDC) constitute the body's principal source of type I interferon (IFN) and are comparatively abundant in the liver. Among various cytokines implicated in liver ischemia and reperfusion (I/R) injury, type I IFNs have been described recently as playing an essential role in its pathogenesis. Moreover, type I IFNs have been shown to up-regulate hepatocyte expression of IFN regulatory factor 1 (IRF-1), a key transcription factor that regulates apoptosis and induces liver damage after I/R. Our aim was to ascertain the capacity of IFN-α released by liver pDC to induce liver damage through hepatic IRF-1 up-regulation after I/R injury. Our findings show that liver pDC mature and produce IFN-α in response to liver I/R. Liver pDC isolated after I/R induced elevated levels of IRF-1 production by hepatocytes compared with liver pDC isolated from sham-operated mice. Notably, hepatic IRF-1 expression was reduced significantly by neutralizing IFN-α. In vivo, IFN-α neutralization protected the liver from I/R injury by reducing hepatocyte apoptosis. This was associated with impaired expression of IRF-1 and proapoptotic molecules such as Fas ligand, its receptor (Fas) and death receptor 5, which are regulated by IRF-1. Furthermore, pDC-depleted mice failed to up-regulate hepatic IFN-α and displayed less liver injury associated with reduced levels of hepatic interleukin (IL)-6, tumor necrosis factor-α, and hepatocyte apoptosis after I/R compared with controls.
these data support the hypothesis that IFN-α derived from liver pDC plays a key role in the pathogenesis of liver I/R injury by enhancing apoptosis as a consequence of induction of hepatocyte IRF-1 expression.
浆细胞样树突状细胞(pDC)构成了机体产生 I 型干扰素(IFN)的主要来源,并且在肝脏中相对丰富。在各种与肝缺血再灌注(I/R)损伤相关的细胞因子中,最近有研究表明 I 型 IFNs 在其发病机制中发挥着重要作用。此外,I 型 IFNs 已被证明可上调肝细胞表达 IFN 调节因子 1(IRF-1),IRF-1 是一种关键的转录因子,可调节细胞凋亡并在 I/R 后引起肝损伤。我们的目的是确定肝脏 pDC 释放的 IFN-α 通过 I/R 损伤后肝 IRF-1 的上调而诱导肝损伤的能力。我们的研究结果表明,肝脏 pDC 在肝脏 I/R 后成熟并产生 IFN-α。与从假手术小鼠中分离的肝脏 pDC 相比,I/R 后分离的肝脏 pDC 可诱导肝细胞产生更高水平的 IRF-1。值得注意的是,中和 IFN-α 可显著降低肝 IRF-1 的表达。在体内,IFN-α 的中和通过减少肝细胞凋亡来保护肝脏免受 I/R 损伤。这与 IRF-1 的表达受损以及 Fas 配体、其受体(Fas)和死亡受体 5 等促凋亡分子的表达受损有关,这些分子受 IRF-1 调节。此外,pDC 耗竭小鼠不能上调肝脏 IFN-α,并且与对照组相比,在 I/R 后肝脏损伤减轻,与肝脏白细胞介素(IL)-6、肿瘤坏死因子-α和肝细胞凋亡水平降低有关。
这些数据支持以下假说,即源自肝脏 pDC 的 IFN-α 通过诱导肝细胞 IRF-1 的表达来增强细胞凋亡,从而在肝脏 I/R 损伤的发病机制中发挥关键作用。