Kupffer cells hasten resolution of liver immunopathology in mouse models of viral hepatitis

G Sitia, M Iannacone, R Aiolfi, M Isogawa… - PLoS …, 2011 - journals.plos.org
G Sitia, M Iannacone, R Aiolfi, M Isogawa, N van Rooijen, C Scozzesi, ME Bianchi
PLoS pathogens, 2011journals.plos.org
Kupffer cells (KCs) are widely considered important contributors to liver injury during viral
hepatitis due to their pro-inflammatory activity. Herein we utilized hepatitis B virus (HBV)-
replication competent transgenic mice and wild-type mice infected with a hepatotropic
adenovirus to demonstrate that KCs do not directly induce hepatocellular injury nor do they
affect the pathogenic potential of virus-specific CD8 T cells. Instead, KCs limit the severity of
liver immunopathology. Mechanistically, our results are most compatible with the hypothesis …
Kupffer cells (KCs) are widely considered important contributors to liver injury during viral hepatitis due to their pro-inflammatory activity. Herein we utilized hepatitis B virus (HBV)-replication competent transgenic mice and wild-type mice infected with a hepatotropic adenovirus to demonstrate that KCs do not directly induce hepatocellular injury nor do they affect the pathogenic potential of virus-specific CD8 T cells. Instead, KCs limit the severity of liver immunopathology. Mechanistically, our results are most compatible with the hypothesis that KCs contain liver immunopathology by removing apoptotic hepatocytes in a manner largely dependent on scavenger receptors. Apoptotic hepatocytes not readily removed by KCs become secondarily necrotic and release high-mobility group box 1 (HMGB-1) protein, promoting organ infiltration by inflammatory cells, particularly neutrophils. Overall, these results indicate that KCs resolve rather than worsen liver immunopathology.
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