PMID- 23322710 OWN - NLM STAT- MEDLINE DCOM- 20140116 LR - 20211021 IS - 1527-3350 (Electronic) IS - 0270-9139 (Print) IS - 0270-9139 (Linking) VI - 58 IP - 2 DP - 2013 Aug TI - Dendritic cells limit fibroinflammatory injury in nonalcoholic steatohepatitis in mice. PG - 589-602 LID - 10.1002/hep.26267 [doi] AB - Nonalcoholic steatohepatitis (NASH) is the most common etiology of chronic liver dysfunction in the United States and can progress to cirrhosis and liver failure. Inflammatory insult resulting from fatty infiltration of the liver is central to disease pathogenesis. Dendritic cells (DCs) are antigen-presenting cells with an emerging role in hepatic inflammation. We postulated that DCs are important in the progression of NASH. We found that intrahepatic DCs expand and mature in NASH liver and assume an activated immune phenotype. However, rather than mitigating the severity of NASH, DC depletion markedly exacerbated intrahepatic fibroinflammation. Our mechanistic studies support a regulatory role for DCs in NASH by limiting sterile inflammation through their role in the clearance of apoptotic cells and necrotic debris. We found that DCs limit CD8(+) T-cell expansion and restrict Toll-like receptor expression and cytokine production in innate immune effector cells in NASH, including Kupffer cells, neutrophils, and inflammatory monocytes. Consistent with their regulatory role in NASH, during the recovery phase of disease, ablation of DC populations results in delayed resolution of intrahepatic inflammation and fibroplasia. CONCLUSION: Our findings support a role for DCs in modulating NASH. Targeting DC functional properties may hold promise for therapeutic intervention in NASH. CI - Copyright (c) 2013 American Association for the Study of Liver Diseases. FAU - Henning, Justin R AU - Henning JR AD - Department of Surgery, S. Arthur Localio Laboratory, New York University School of Medicine, New York, NY 10016, USA. FAU - Graffeo, Christopher S AU - Graffeo CS FAU - Rehman, Adeel AU - Rehman A FAU - Fallon, Nina C AU - Fallon NC FAU - Zambirinis, Constantinos P AU - Zambirinis CP FAU - Ochi, Atsuo AU - Ochi A FAU - Barilla, Rocky AU - Barilla R FAU - Jamal, Mohsin AU - Jamal M FAU - Deutsch, Michael AU - Deutsch M FAU - Greco, Stephanie AU - Greco S FAU - Ego-Osuala, Melvin AU - Ego-Osuala M FAU - Bin-Saeed, Usama AU - Bin-Saeed U FAU - Rao, Raghavendra S AU - Rao RS FAU - Badar, Sana AU - Badar S FAU - Quesada, Juan P AU - Quesada JP FAU - Acehan, Devrim AU - Acehan D FAU - Miller, George AU - Miller G LA - eng GR - UL1 RR029893/RR/NCRR NIH HHS/United States GR - 1UL1RR029893/RR/NCRR NIH HHS/United States GR - R21 CA155649/CA/NCI NIH HHS/United States GR - CA155649/CA/NCI NIH HHS/United States GR - K08 DK085278/DK/NIDDK NIH HHS/United States GR - DK085278/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20130624 PL - United States TA - Hepatology JT - Hepatology (Baltimore, Md.) JID - 8302946 RN - 0 (Toll-Like Receptors) SB - IM CIN - Hepatology. 2013 Aug;58(2):494-6. PMID: 23519833 CIN - Ann Hepatol. 2013 May-Jun;12(3):508-9. PMID: 23619272 MH - Animals MH - Apoptosis/physiology MH - CD8-Positive T-Lymphocytes/pathology MH - Cell Communication/*physiology MH - Cells, Cultured MH - Dendritic Cells/pathology/*physiology MH - Disease Models, Animal MH - *Disease Progression MH - Fatty Liver/pathology/*physiopathology MH - Kupffer Cells/pathology MH - Liver/*physiopathology MH - Male MH - Mice MH - Mice, Inbred BALB C MH - Mice, Inbred C57BL MH - Necrosis/physiopathology MH - Neutrophils/pathology MH - Toll-Like Receptors/physiology PMC - PMC3638069 MID - NIHMS436339 EDAT- 2013/01/17 06:00 MHDA- 2014/01/17 06:00 PMCR- 2014/08/01 CRDT- 2013/01/17 06:00 PHST- 2012/06/04 00:00 [received] PHST- 2012/12/21 00:00 [accepted] PHST- 2013/01/17 06:00 [entrez] PHST- 2013/01/17 06:00 [pubmed] PHST- 2014/01/17 06:00 [medline] PHST- 2014/08/01 00:00 [pmc-release] AID - 10.1002/hep.26267 [doi] PST - ppublish SO - Hepatology. 2013 Aug;58(2):589-602. doi: 10.1002/hep.26267. Epub 2013 Jun 24.