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Liver infiltrating T cells regulate bile acid metabolism in experimental cholangitis.
Glaser, Fabian; John, Clara; Engel, Bastian; Höh, Benedikt; Weidemann, Sören; Dieckhoff, Jan; Stein, Stephanie; Becker, Nathalie; Casar, Christian; Schuran, Fenja Amrei; Wieschendorf, Björn; Preti, Max; Jessen, Friederike; Franke, Andre; Carambia, Antonella; Lohse, Ansgar W; Ittrich, Harald; Herkel, Johannes; Heeren, Joerg; Schramm, Christoph; Schwinge, Dorothee.
Afiliación
  • Glaser F; I. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • John C; Department of Biochemistry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Engel B; I. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Höh B; I. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Weidemann S; Institute of Pathology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Dieckhoff J; Department of Diagnostic and Interventional Radiology and Nuclear Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Stein S; I. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Becker N; I. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Casar C; I. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Schuran FA; I. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Wieschendorf B; I. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Preti M; I. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Jessen F; Department of Biochemistry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Franke A; Institute of Clinical Molecular Biology, Christian-Albrechts-University, Kiel, Germany.
  • Carambia A; I. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Lohse AW; I. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Ittrich H; Department of Diagnostic and Interventional Radiology and Nuclear Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Herkel J; I. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Heeren J; Department of Biochemistry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Schramm C; I. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; Martin Zeitz Centre for Rare Diseases, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246 Hamburg, Germany. Electronic address: cschramm@uke.de.
  • Schwinge D; I. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. Electronic address: d.schwinge@uke.de.
J Hepatol ; 71(4): 783-792, 2019 10.
Article en En | MEDLINE | ID: mdl-31207266
BACKGROUND & AIMS: T cells are central mediators of liver inflammation and represent potential treatment targets in cholestatic liver disease. Whereas emerging evidence shows that bile acids (BAs) affect T cell function, the role of T cells for the regulation of BA metabolism is unknown. In order to understand this interplay, we investigated the influence of T cells on BA metabolism in a novel mouse model of cholangitis. METHODS: Mdr2-/- mice were crossed with transgenic K14-OVAp mice, which express an MHC class I restricted ovalbumin peptide on biliary epithelial cells (Mdr2-/-xK14-OVAp). T cell-mediated cholangitis was induced by the adoptive transfer of antigen-specific CD8+ T cells. BA levels were quantified using a targeted liquid chromatography-mass spectrometry-based approach. RESULTS: T cell-induced cholangitis resulted in reduced levels of unconjugated BAs in the liver and significantly increased serum and hepatic levels of conjugated BAs. Genes responsible for BA synthesis and uptake were downregulated and expression of the bile salt export pump was increased. The transferred antigen-specific CD8+ T cells alone were able to induce these changes, as demonstrated using Mdr2-/-xK14-OVAp recipient mice on the Rag1-/- background. Mechanistically, we showed by depletion experiments that alterations in BA metabolism were partly mediated by the proinflammatory cytokines TNF and IFN-γ in an FXR-dependent manner, a process that in vitro required cell contact between T cells and hepatocytes. CONCLUSION: Whereas it is known that BA metabolism is dysregulated in sepsis and related conditions, we have shown that T cells are able to control the synthesis and metabolism of BAs, a process which depends on TNF and IFN-γ. Understanding the effect of lymphocytes on BA metabolism will help in the design of combined treatment strategies for cholestatic liver diseases. LAY SUMMARY: Dysregulation of bile acid metabolism and T cells can contribute to the development of cholangiopathies. Before targeting T cells for the treatment of cholangiopathies, it should be determined whether they exert protective effects on bile acid metabolism. Herein, we demonstrate that T cell-induced cholangitis resulted in decreased levels of harmful unconjugated bile acids. T cells were able to directly control synthesis and metabolism of bile acids, a process which was dependent on the proinflammatory cytokines TNF and IFN-γ. Understanding the effect of lymphocytes on bile acid metabolism will help in the design of combined treatment strategies for cholestatic liver diseases.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ácidos y Sales Biliares / Linfocitos T / Colangitis / Interferón gamma / Factor de Necrosis Tumoral alfa Tipo de estudio: Prognostic_studies Límite: Animals Idioma: En Revista: J Hepatol Asunto de la revista: GASTROENTEROLOGIA Año: 2019 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ácidos y Sales Biliares / Linfocitos T / Colangitis / Interferón gamma / Factor de Necrosis Tumoral alfa Tipo de estudio: Prognostic_studies Límite: Animals Idioma: En Revista: J Hepatol Asunto de la revista: GASTROENTEROLOGIA Año: 2019 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Países Bajos