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ABSTRACT: Background
Chronic hepatic inflammation leads to liver fibrosis, which may progress to cirrhosis, a condition with high morbidity. Our aim was to assess the as yet unknown role of innate immunity protein CD5L in liver fibrosis.Methods
CD5L was measured by ELISA in plasma samples from cirrhotic (n?=?63) and hepatitis (n?=?39) patients, and healthy controls (n?=?7), by immunohistochemistry in cirrhotic tissue (n?=?12), and by quantitative RT-PCR in mouse liver cell subsets isolated by cell sorting. Recombinant CD5L (rCD5L) was administered into a murine model of CCl4-induced fibrosis, and damage, fibrosis and hepatic immune cell infiltration, including the LyC6hi (pro-fibrotic)-LyC6low (pro-resolutive) monocyte ratio were determined. Moreover, rCD5L was added into primary human hepatic stellate cells to study transforming growth factor ? (TGF?) activation responses.Findings
Cirrhotic patients showed elevated plasma CD5L concentrations as compared to patients with hepatitis and healthy controls (Mann-Whitney test p?4-induced damage increased CD5L levels in total liver, particularly in hepatocytes and macrophages. rCD5L administration attenuated CCl4-induced injury and fibrosis as determined by reduced serum transaminase and collagen content. Moreover, rCD5L inhibited immune cell infiltration and promoted a phenotypic shift in monocytes from LyC6hi to LyC6low. Interestingly, rCD5L also had a direct effect on primary human hepatic stellate cells promoting SMAD7 expression, thus repressing TGF? signalling.Interpretation
Our study identifies CD5L as a key pleiotropic inhibitor of chronic liver injury. FUND: Fundació Marató TV3, AGAUR and the ISCIII-EDRF.
SUBMITTER: Barcena C
PROVIDER: S-EPMC6558273 | biostudies-literature | 2019 May
REPOSITORIES: biostudies-literature
Bárcena Cristina C Aran Gemma G Perea Luís L Sanjurjo Lucía L Téllez Érica É Oncins Anna A Masnou Helena H Serra Isabel I García-Gallo Mónica M Kremer Leonor L Sala Margarita M Armengol Carolina C Sancho-Bru Pau P Sarrias Maria-Rosa MR
EBioMedicine 20190508
<h4>Background</h4>Chronic hepatic inflammation leads to liver fibrosis, which may progress to cirrhosis, a condition with high morbidity. Our aim was to assess the as yet unknown role of innate immunity protein CD5L in liver fibrosis.<h4>Methods</h4>CD5L was measured by ELISA in plasma samples from cirrhotic (n = 63) and hepatitis (n = 39) patients, and healthy controls (n = 7), by immunohistochemistry in cirrhotic tissue (n = 12), and by quantitative RT-PCR in mouse liver cell subsets isolated ...[more]