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Kupffer cell diversity maintains liver function in alcohol-associated liver disease.

作者信息

Sasaki Kyo, Rooge Sheetalnath, Gunewardena Sumedha, Hintz Janice Averilla, Ghosh Priyanka, Pulido Ruiz Isabel Aranzazu, Yuquimpo Kyle, Schonfeld Michael, Mehta Heer, Stevenson Heather L, Saldarriaga Omar A, Arroyave Esteban, Tikhanovich Irina, Wozniak Ann L, Weinman Steven A

机构信息

Department of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.

Department of Cell Biology and Physiology, University of Kansas Medical Center, Kansas City, Kansas, USA.

出版信息

Hepatology. 2025 Mar 1;81(3):870-887. doi: 10.1097/HEP.0000000000000918. Epub 2024 Apr 30.


DOI:10.1097/HEP.0000000000000918
PMID:38687563
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11616785/
Abstract

BACKGROUND AND AIMS: Liver macrophages are heterogeneous and play an important role in alcohol-associated liver disease (ALD) but there is limited understanding of the functions of specific macrophage subsets in the disease. We used a Western diet alcohol (WDA) mouse model of ALD to examine the hepatic myeloid cell compartment by single cell RNAseq and targeted KC ablation to understand the diversity and function of liver macrophages in ALD. APPROACH AND RESULTS: In the WDA liver, KCs and infiltrating monocytes/macrophages each represented about 50% of the myeloid pool. Five major KC clusters all expressed genes associated with receptor-mediated endocytosis and lipid metabolism, but most were predicted to be noninflammatory and antifibrotic with 1 minor KC cluster having a proinflammatory and extracellular matrix degradation gene signature. Infiltrating monocyte/macrophage clusters, in contrast, were predicted to be proinflammatory and profibrotic. In vivo, diphtheria toxin-based selective KC ablation during alcohol exposure resulted in a liver failure phenotype with increases in PT/INR and bilirubin, loss of differentiated hepatocyte gene expression, and an increase in expression of hepatocyte progenitor markers such as EpCAM, CK7, and Igf2bp3. Gene set enrichment analysis of whole-liver RNAseq from the KC-ablated WDA mice showed a similar pattern as seen in human alcoholic hepatitis. CONCLUSIONS: In this ALD model, KCs are anti-inflammatory and are critical for the maintenance of hepatocyte differentiation. Infiltrating monocytes/macrophages are largely proinflammatory and contribute more to liver fibrosis. Future targeting of specific macrophage subsets may provide new approaches to the treatment of liver failure and fibrosis in ALD.

摘要

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本文引用的文献

[1]
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[2]
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Cell Mol Gastroenterol Hepatol. 2023

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Gastroenterology Res. 2022-4

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Cell. 2022-1-20

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Cell Rep. 2021-1-12

[9]
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Nat Metab. 2020-12

[10]
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