Inflammatory type 2 conventional dendritic cells contribute to murine and human cholangitis.


Journal

Journal of hepatology
ISSN: 1600-0641
Titre abrégé: J Hepatol
Pays: Netherlands
ID NLM: 8503886

Informations de publication

Date de publication:
12 2022
Historique:
received: 02 11 2021
revised: 24 05 2022
accepted: 24 06 2022
pubmed: 8 7 2022
medline: 23 11 2022
entrez: 7 7 2022
Statut: ppublish

Résumé

Primary sclerosing cholangitis (PSC) is a progressive cholangiopathy characterised by fibrotic stricturing and inflammation of bile ducts, which seems to be driven by a maladaptive immune response to bile duct injury. The histological finding of dendritic cell expansion in portal fields of patients with PSC prompted us to investigate the role of dendritic cells in orchestrating the immune response to bile duct injury. Dendritic cell numbers and subtypes were determined in different mouse models of cholangitis by flow cytometry based on lineage-imprinted markers. Findings were confirmed by immunofluorescence microscopy of murine livers, and liver samples from patients with PSC were compared to control samples from bariatric surgery patients. Using genetic tools, selected dendritic cell subsets were depleted in murine cholangitis. The dendritic cell response to bile duct injury was determined by single-cell transcriptomics. Cholangitis mouse models were characterised by selective intrahepatic expansion of type 2 conventional dendritic cells, whereas plasmacytoid and type 1 conventional dendritic cells were not expanded. Expansion of type 2 conventional dendritic cells in human PSC lesions was confirmed by histology. Depletion studies revealed a proinflammatory role of type 2 conventional dendritic cells. Single-cell transcriptomics confirmed inflammatory maturation of the intrahepatic type 2 conventional dendritic cells and identified dendritic cell-derived inflammatory mediators. Cholangitis is characterised by intrahepatic expansion and inflammatory maturation of type 2 conventional dendritic cells in response to biliary injury. Therefore, type 2 conventional dendritic cells and their inflammatory mediators might be potential therapeutic targets for the treatment of PSC. Primary sclerosing cholangitis (PSC) is an inflammatory liver disease of the bile ducts for which there is no effective treatment. Herein, we show that the inflammatory immune response to bile duct injury is organised by a specific subtype of immune cell called conventional type 2 dendritic cells. Our findings suggest that this cell subtype and the inflammatory molecules it produces are potential therapeutic targets for PSC.

Sections du résumé

BACKGROUND & AIMS
Primary sclerosing cholangitis (PSC) is a progressive cholangiopathy characterised by fibrotic stricturing and inflammation of bile ducts, which seems to be driven by a maladaptive immune response to bile duct injury. The histological finding of dendritic cell expansion in portal fields of patients with PSC prompted us to investigate the role of dendritic cells in orchestrating the immune response to bile duct injury.
METHODS
Dendritic cell numbers and subtypes were determined in different mouse models of cholangitis by flow cytometry based on lineage-imprinted markers. Findings were confirmed by immunofluorescence microscopy of murine livers, and liver samples from patients with PSC were compared to control samples from bariatric surgery patients. Using genetic tools, selected dendritic cell subsets were depleted in murine cholangitis. The dendritic cell response to bile duct injury was determined by single-cell transcriptomics.
RESULTS
Cholangitis mouse models were characterised by selective intrahepatic expansion of type 2 conventional dendritic cells, whereas plasmacytoid and type 1 conventional dendritic cells were not expanded. Expansion of type 2 conventional dendritic cells in human PSC lesions was confirmed by histology. Depletion studies revealed a proinflammatory role of type 2 conventional dendritic cells. Single-cell transcriptomics confirmed inflammatory maturation of the intrahepatic type 2 conventional dendritic cells and identified dendritic cell-derived inflammatory mediators.
CONCLUSIONS
Cholangitis is characterised by intrahepatic expansion and inflammatory maturation of type 2 conventional dendritic cells in response to biliary injury. Therefore, type 2 conventional dendritic cells and their inflammatory mediators might be potential therapeutic targets for the treatment of PSC.
LAY SUMMARY
Primary sclerosing cholangitis (PSC) is an inflammatory liver disease of the bile ducts for which there is no effective treatment. Herein, we show that the inflammatory immune response to bile duct injury is organised by a specific subtype of immune cell called conventional type 2 dendritic cells. Our findings suggest that this cell subtype and the inflammatory molecules it produces are potential therapeutic targets for PSC.

Identifiants

pubmed: 35798133
pii: S0168-8278(22)02923-3
doi: 10.1016/j.jhep.2022.06.025
pii:
doi:

Substances chimiques

Inflammation Mediators 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1532-1544

Informations de copyright

Copyright © 2022 The Authors. Published by Elsevier B.V. All rights reserved.

Déclaration de conflit d'intérêts

Conflict of interest The authors declare no conflicts of interest that pertain to this work. Please refer to the accompanying ICMJE disclosure forms for further details.

Auteurs

Anna-Lena Müller (AL)

First Department of Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.

Christian Casar (C)

First Department of Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany; Bioinformatics Core Facility, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.

Max Preti (M)

First Department of Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.

Daria Krzikalla (D)

First Department of Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.

Cornelia Gottwick (C)

First Department of Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.

Pia Averhoff (P)

First Department of Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.

Philip Rosenstiel (P)

Institute of Clinical Molecular Biology, Christian Albrechts-University, Kiel, Germany.

Mathias Gelderblom (M)

Department of Neurology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.

Marcus Altfeld (M)

Department of Immunology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany; Department of Virus Immunology, Heinrich-Pette-Institute, Leibniz Institute for Experimental Virology, Hamburg, Germany.

Ansgar W Lohse (AW)

First Department of Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany; Hamburg Centre for Translational Immunology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.

Silja Steinmann (S)

First Department of Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.

Marcial Sebode (M)

First Department of Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.

Jenny Krause (J)

First Department of Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.

Dorothee Schwinge (D)

First Department of Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany; Hamburg Centre for Translational Immunology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.

Christoph Schramm (C)

First Department of Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany; Hamburg Centre for Translational Immunology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany; Martin Zeitz Center for Rare Diseases, University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, Germany.

Antonella Carambia (A)

First Department of Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany; Hamburg Centre for Translational Immunology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany. Electronic address: a.carambia@uke.de.

Johannes Herkel (J)

First Department of Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany; Hamburg Centre for Translational Immunology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany. Electronic address: jherkel@uke.de.

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Classifications MeSH