Baier Julia L C, Mattner Jochen
Mikrobiologisches Institut - Klinische Mikrobiologie, Immunologie und Hygiene, Universitätsklinikum Erlangen and Friedrich-Alexander Universität Erlangen-Nürnberg, Erlangen, D-91054, Germany.
Discov Med. 2014 Nov;18(100):255-63.
The immune system of the liver is characterized by a predominant innate component. Several innate immune cell populations have been implicated in the pathogenesis of immune-mediated hepatic diseases, which are frequently associated with systemic symptoms or with co-morbidities affecting other organ systems. Thus, next to tissue-specific factors, general tolerance mechanisms are affected in devastating hepatic disorders like primary sclerosing cholangitis (PSC), autoimmune hepatitis (AIH), or primary biliary cirrhosis (PBC). The innate immune cell populations abundantly detected within the liver and endowed with potent immunomodulatory capacities include innate lymphoid cells (ILCs) and natural killer T (NKT) cells. While both ILCs and NKT cells can be activated by different cytokines and/or chemokines, NKT cells also respond to (glyco-) lipid antigens engaging their canonical, semi-invariant TCR. Once activated, ILCs and NKT cells release copious amounts of Th1, Th2, and/or Th17 cytokines that shape subsequent innate and adaptive immune responses. Those immunomodulatory features as well as the recently described antigen-presenting capacity of ILCs and/or the bi-directional functional role of NKT cells might not only underlie the pathogenic mechanisms in the respective disorders, but also provide promising targets for clinical intervention. We will discuss these novel aspects as well as the role of alarmin-like cytokines such as IL-33 in the context of ILC and NKT cell activation and the consequences for the induction and progress of hepatic tissue damage and fibrosis.
肝脏免疫系统的特点是先天性成分占主导。几种先天性免疫细胞群体与免疫介导的肝脏疾病的发病机制有关,这些疾病常伴有全身症状或影响其他器官系统的合并症。因此,除了组织特异性因素外,在诸如原发性硬化性胆管炎(PSC)、自身免疫性肝炎(AIH)或原发性胆汁性肝硬化(PBC)等严重肝脏疾病中,一般的耐受机制也会受到影响。在肝脏中大量检测到且具有强大免疫调节能力的先天性免疫细胞群体包括先天性淋巴细胞(ILC)和自然杀伤T(NKT)细胞。虽然ILC和NKT细胞都可以被不同的细胞因子和/或趋化因子激活,但NKT细胞也会对与它们的典型半不变TCR结合的(糖)脂抗原作出反应。一旦被激活,ILC和NKT细胞会释放大量的Th1、Th2和/或Th17细胞因子,这些细胞因子会塑造随后的先天性和适应性免疫反应。这些免疫调节特性以及最近描述的ILC的抗原呈递能力和/或NKT细胞的双向功能作用,可能不仅是各自疾病发病机制的基础,也为临床干预提供了有前景的靶点。我们将讨论这些新方面,以及警报素样细胞因子如IL-33在ILC和NKT细胞激活背景下的作用,以及对肝组织损伤和纤维化的诱导和进展的影响。