PMID- 35990653 OWN - NLM STAT- MEDLINE DCOM- 20220823 LR - 20220912 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 13 DP - 2022 TI - Metabolic heterogeneity caused by HLA-DRB1*04:05 and protective effect of inosine on autoimmune hepatitis. PG - 982186 LID - 10.3389/fimmu.2022.982186 [doi] LID - 982186 AB - Autoimmune hepatitis (AIH) is an autoimmune disease caused by disruption of liver immune homeostasis. Genetic studies have revealed the predisposition of AIH with the human leukocyte antigen (HLA) region. Recently, metabolomics integrated with genomics has identified many genetic loci of biomedical interest. However, there is no related report in AIH. In the present study, we found that HLA-DRB1*04:05 was linked to the clinical features and prognosis of AIH in Chinese patients. Furthermore, our patients were divided into DRB1*04:05 positive and DRB1*04:05 negative groups and the metabolic profiling was done by HPLC/MS. We chose inosine, one of the highly altered metabolites, to explore the effect on an acute severe hepatitis murine model. The results showed that inosine treatment attenuated hepatocyte apoptosis, enhanced antioxidant ability and inhibited the activation and glycolysis of CD4(+) T cell. We propose that inosine participates in the regulation of AIH through its protective effect on hepatocytes and inhibition of overactivated immune cells, which might provide a potential novel approach in treating acute form of AIH. CI - Copyright (c) 2022 Yang, Zhou, Shen, Zhao, Zheng, Men, Fan and Yang. FAU - Yang, Fan AU - Yang F AD - Sichuan University-University of Oxford Huaxi Joint Centre for Gastrointestinal Cancer, Department of Gastroenterology and Hepatology, West China Hospital, Sichuan University, Chengdu, China. FAU - Zhou, Leyu AU - Zhou L AD - Sichuan University-University of Oxford Huaxi Joint Centre for Gastrointestinal Cancer, Department of Gastroenterology and Hepatology, West China Hospital, Sichuan University, Chengdu, China. FAU - Shen, Yi AU - Shen Y AD - Sichuan University-University of Oxford Huaxi Joint Centre for Gastrointestinal Cancer, Department of Gastroenterology and Hepatology, West China Hospital, Sichuan University, Chengdu, China. FAU - Zhao, Shenglan AU - Zhao S AD - Sichuan University-University of Oxford Huaxi Joint Centre for Gastrointestinal Cancer, Department of Gastroenterology and Hepatology, West China Hospital, Sichuan University, Chengdu, China. FAU - Zheng, Yanyi AU - Zheng Y AD - Sichuan University-University of Oxford Huaxi Joint Centre for Gastrointestinal Cancer, Department of Gastroenterology and Hepatology, West China Hospital, Sichuan University, Chengdu, China. FAU - Men, Ruoting AU - Men R AD - Sichuan University-University of Oxford Huaxi Joint Centre for Gastrointestinal Cancer, Department of Gastroenterology and Hepatology, West China Hospital, Sichuan University, Chengdu, China. FAU - Fan, Xiaoli AU - Fan X AD - Sichuan University-University of Oxford Huaxi Joint Centre for Gastrointestinal Cancer, Department of Gastroenterology and Hepatology, West China Hospital, Sichuan University, Chengdu, China. FAU - Yang, Li AU - Yang L AD - Sichuan University-University of Oxford Huaxi Joint Centre for Gastrointestinal Cancer, Department of Gastroenterology and Hepatology, West China Hospital, Sichuan University, Chengdu, China. LA - eng PT - Journal Article DEP - 20220805 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (HLA-DRB1 Chains) RN - 0 (HLA-DRB1*04 antigen) RN - 0 (Protective Agents) RN - 5A614L51CT (Inosine) SB - IM MH - Alleles MH - Animals MH - Genetic Predisposition to Disease MH - *HLA-DRB1 Chains/genetics/metabolism MH - *Hepatitis, Autoimmune/genetics/metabolism MH - Hepatocytes/drug effects/metabolism MH - Humans MH - *Inosine/therapeutic use MH - Metabolome MH - Mice MH - Prognosis MH - *Protective Agents/therapeutic use PMC - PMC9389112 OTO - NOTNLM OT - CD4+ T cell OT - HLA-DRB1*04:05 OT - autoimmune hepatitis OT - inosine OT - metabolomics COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/08/23 06:00 MHDA- 2022/08/24 06:00 PMCR- 2022/01/01 CRDT- 2022/08/22 03:58 PHST- 2022/06/30 00:00 [received] PHST- 2022/07/15 00:00 [accepted] PHST- 2022/08/22 03:58 [entrez] PHST- 2022/08/23 06:00 [pubmed] PHST- 2022/08/24 06:00 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2022.982186 [doi] PST - epublish SO - Front Immunol. 2022 Aug 5;13:982186. doi: 10.3389/fimmu.2022.982186. eCollection 2022.