Infectious Diseases Department, Peking University First Hospital, Beijing, China.
General Surgery Department, Peking University First Hospital, Beijing, China.
Liver Int. 2020 Jan;40(1):131-140. doi: 10.1111/liv.14246. Epub 2019 Sep 27.
BACKGROUND & AIMS: Autoimmune hepatitis (AIH) is a chronic inflammatory liver disease manifested with the aberrant activation of hepatic dendritic cells (HDCs) and the subsequent breakdown of immune homeostasis. As an important player, HDC maintains immunological balance between tolerance to self-antigens versus destruction against pathogens in liver. However, the intracellular signalling networks that program HDC remain unclear. We have now found the role of canonical Wnt/β-catenin signalling in HDCs.
Liver sections from AIH patients and healthy subjects were stained for the markers of Wnt/β-catenin signalling. Concanavalin A (ConA) and HDC/Hepa1-6 vaccine-induced AIH mouse models were examined for liver injury, inflammation and immune cell functions by serum biochemistry, histology, quantitative reverse transcription polymerase chain reaction (qRT-PCR), enzyme-linked immunosorbent assay (ELISA) and flow cytometry analysis. Wnt/β-catenin signalling expression was measured using immunoblot and qRT-PCR.
Canonical Wnt/β-catenin signalling in HDC is deficient in AIH patients and a mouse model, which coincides with the immunogenic function of HDCs. Furthermore, Wnt ligand engagement reactivates Wnt/β-catenin signalling and recovers the immunoregulatory phenotype of HDCs, in turn alleviating the severity of AIH. Likewise, pharmacologic activation of Wnt/β-catenin signalling attenuates AIH progression.
We report here that the constitutively active canonical Wnt/β-catenin signalling confers HDCs tolerogenicity under steady-state conditions. Deficiency of this pathway gives rise to T cell-mediated immune response and incidence of AIH. It may act as a new pathogenesis and treatment target for AIH.
自身免疫性肝炎(AIH)是一种慢性炎症性肝病,其特征为肝树突状细胞(HDC)异常激活,随后免疫稳态被打破。作为重要的参与者,HDC 维持着肝脏中对自身抗原的耐受与对病原体的破坏之间的免疫平衡。然而,调控 HDC 的细胞内信号网络仍不清楚。我们现已发现经典 Wnt/β-catenin 信号通路在 HDC 中的作用。
对 AIH 患者和健康受试者的肝组织切片进行 Wnt/β-catenin 信号通路标志物染色。通过血清生化、组织学、实时定量聚合酶链反应(qRT-PCR)、酶联免疫吸附测定(ELISA)和流式细胞术分析,检测伴刀豆球蛋白 A(ConA)和 HDC/Hepa1-6 疫苗诱导的 AIH 小鼠模型的肝损伤、炎症和免疫细胞功能。采用免疫印迹和 qRT-PCR 检测 Wnt/β-catenin 信号通路的表达。
AIH 患者和小鼠模型中 HDC 的经典 Wnt/β-catenin 信号通路存在缺陷,这与 HDC 的免疫原性功能一致。此外,Wnt 配体的结合可重新激活 Wnt/β-catenin 信号通路,恢复 HDC 的免疫调节表型,从而缓解 AIH 的严重程度。同样,Wnt/β-catenin 信号通路的药理学激活可减轻 AIH 的进展。
我们在此报告,在稳态条件下,持续激活的经典 Wnt/β-catenin 信号通路赋予 HDC 耐受能力。该通路的缺陷会导致 T 细胞介导的免疫反应和 AIH 的发生。它可能成为 AIH 的新发病机制和治疗靶点。