Department of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Hubei Clinical Center and Key Lab of Intestinal and Colorectal Diseases, Wuhan, China.
Liver Int. 2022 Dec;42(12):2743-2758. doi: 10.1111/liv.15445. Epub 2022 Oct 11.
Mucosal-associated invariant T (MAIT) cells are innate-like lymphocytes that display a critical role in various liver diseases. However, the role of MAIT cells in cholestatic liver fibrogenesis remains obscure. Our study aims to assess the contribution of MAIT cells and underlying mechanisms during this process.
Cholestatic murine models using MAIT cell-deficient (MR1 / ) and wild-type (WT) mice were established by feeding a 0.1% 3,5-diethoxycarbonyl-1,4-dihydrocollidine (DDC)-enriched diet or bile duct ligation (BDL). Liver samples were collected to determine the severity of fibrosis. Lymphocytes of the liver were isolated for analysing the phenotype and function of MAIT cells. Cell co-culture experiments were performed to investigate the cross-talk between MAIT and NK cells.
Liver MAIT cells were more activated with increased cytokines in cholestatic mice models than in control mice, although their frequency was decreased. MAIT cell deficiency led to severe liver inflammation and fibrosis with more activated HSCs in cholestatic mice. In addition, MR1 / mice had an increased frequency of NK cells with higher expression of stimulatory receptors relative to WT mice. Paradoxically, activated MAIT cells significantly promoted the anti-fibrotic ability of NK cells by enhancing their cytotoxicity against HSCs in co-culture experiments. Importantly, this effect depended on direct cell-cell contact and TNF-α produced by MAIT cells.
Our findings indicate that MAIT cells ameliorate cholestatic liver fibrosis by enhancing the cytotoxicity of NK cells against HSCs. An in-depth understanding of the MAIT cell-mediated regulatory effect will provide more valuable immunotherapy strategies to treat liver fibrosis.
黏膜相关不变 T(MAIT)细胞是先天样淋巴细胞,在各种肝脏疾病中发挥关键作用。然而,MAIT 细胞在胆汁淤积性肝纤维化形成中的作用尚不清楚。本研究旨在评估 MAIT 细胞在此过程中的作用及其潜在机制。
通过给予富含 0.1%3,5-二乙氧羰基-1,4-二氢吡啶(DDC)的饮食或胆管结扎(BDL)建立 MAIT 细胞缺陷(MR1 / )和野生型(WT)小鼠的胆汁淤积性小鼠模型。收集肝组织样本以确定纤维化的严重程度。分离肝脏淋巴细胞以分析 MAIT 细胞的表型和功能。进行细胞共培养实验以研究 MAIT 细胞与 NK 细胞之间的相互作用。
与对照组相比,胆汁淤积性小鼠模型中 MAIT 细胞的细胞因子表达增加,更为活跃,但其频率降低。MAIT 细胞缺陷导致胆汁淤积性小鼠肝脏炎症和纤维化更为严重,活化的肝星状细胞(HSCs)增多。此外,与 WT 小鼠相比,MR1 / 小鼠 NK 细胞的频率增加,其刺激受体表达水平更高。矛盾的是,在共培养实验中,活化的 MAIT 细胞通过增强其对 HSCs 的细胞毒性,显著促进 NK 细胞的抗纤维化能力。重要的是,这种作用依赖于 MAIT 细胞产生的 TNF-α和直接的细胞-细胞接触。
我们的研究结果表明,MAIT 细胞通过增强 NK 细胞对 HSCs 的细胞毒性来改善胆汁淤积性肝纤维化。深入了解 MAIT 细胞介导的调节作用将为治疗肝纤维化提供更有价值的免疫治疗策略。