Details

Autor(en) / Beteiligte

• Rai, Ravi P.
• Liu, Yunshan
• Iyer, Smita S.
• Liu, Silvia
• Gupta, Biki
• Desai, Chirayu
• Kumar, Pradeep
• Smith, Tekla
• Singhi, Aatur D.
• Nusrat, Asma
• Parkos, Charles A.
• Monga, Satdarshan P.
• Czaja, Mark J.
• Anania, Frank A.
• Raeman, Reben

Titel

Blocking integrin α4β7-mediated CD4 T cell recruitment to the intestine and liver protects mice from western diet-induced non-alcoholic steatohepatitis

Ist Teil von

• Journal of hepatology, 2020-11, Vol.73 (5), p.1013-1022

Ort / Verlag

Amsterdam: Elsevier B.V

Erscheinungsjahr

2020

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• The heterodimeric integrin receptor α4β7 regulates CD4 T cell recruitment to inflamed tissues, but its role in the pathogenesis of non-alcoholic steatohepatitis (NASH) is unknown. Herein, we examined the role of α4β7-mediated recruitment of CD4 T cells to the intestine and liver in NASH. Male littermate F11r+/+ (control) and junctional adhesion molecule A knockout F11r−/− mice were fed a normal diet or a western diet (WD) for 8 weeks. Liver and intestinal tissues were analyzed by histology, quantitative reverse transcription PCR (qRT-PCR), 16s rRNA sequencing and flow cytometry. Colonic mucosa-associated microbiota were analyzed using 16s rRNA sequencing. Liver biopsies from patients with NASH were analyzed by confocal imaging and qRT-PCR. WD-fed knockout mice developed NASH and had increased hepatic and intestinal α4β7+ CD4 T cells relative to control mice who developed mild hepatic steatosis. The increase in α4β7+ CD4 T cells was associated with markedly higher expression of the α4β7 ligand mucosal addressin cell adhesion molecule 1 (MAdCAM-1) in the colonic mucosa and livers of WD-fed knockout mice. Elevated MAdCAM-1 expression correlated with increased mucosa-associated Proteobacteria in the WD-fed knockout mice. Antibiotics reduced MAdCAM-1 expression indicating that the diet-altered microbiota promoted colonic and hepatic MAdCAM-1 expression. α4β7 blockade in WD-fed knockout mice significantly decreased α4β7+ CD4 T cell recruitment to the intestine and liver, attenuated hepatic inflammation and fibrosis, and improved metabolic indices. MAdCAM-1 blockade also reduced hepatic inflammation and fibrosis in WD-fed knockout mice. Hepatic MAdCAM-1 expression was elevated in patients with NASH and correlated with higher expression of α4 and β7 integrins. These findings establish α4β7/MAdCAM-1 as a critical axis regulating NASH development through colonic and hepatic CD4 T cell recruitment. Non-alcoholic steatohepatitis (NASH) is an advanced and progressive form of non-alcoholic fatty liver disease (NAFLD), and despite its growing incidence no therapies currently exist to halt NAFLD progression. Herein, we show that blocking integrin receptor α4β7-mediated recruitment of CD4 T cells to the intestine and liver not only attenuates hepatic inflammation and fibrosis, but also improves metabolic derangements associated with NASH. These findings provide evidence for the potential therapeutic application of α4β7 antibody in the treatment of human NASH. [Display omitted] •Western diet consumption increases gut homing integrin receptor α4β7+ CD4 T cells in the peripheral blood.•α4β7+ CD4 T cells are recruited to the gut and liver by diet-induced, microbiota-dependent expression of MAdCAM-1.•α4β7 blockade attenuates hepatic inflammation and fibrosis, and improves metabolic derangements associated with NASH.•Hepatic MAdCAM-1 expression is elevated in NASH patients and correlates with higher expression of integrins α4 and β7.•α4β7/MAdCAM-1 is a critical axis regulating NASH development; blockade of α4β7 may represent a novel treatment for NASH.