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Publication : Role of gp91<sup>phox</sup> in hepatic macrophage programming and alcoholic liver disease.

First Author  Wang M Year  2017
Journal  Hepatol Commun Volume  1
Issue  8 Pages  765-779
PubMed ID  29404493 Mgi Jnum  J:329816
Mgi Id  MGI:7346406 Doi  10.1002/hep4.1078
Citation  Wang M, et al. (2017) Role of gp91(phox) in hepatic macrophage programming and alcoholic liver disease. Hepatol Commun 1(8):765-779
abstractText  Hepatic macrophages (MPhis) are important in the development and progression of alcoholic liver disease (ALD). This study investigates the role of gp91(phox) (nicotinamide adenine dinucleotide phosphate oxidase 2) in the severity of ALD and specifically in regulating hepatic MPhi efferocytic capability and the subsequent reprogramming associated with resolution of inflammation. After 4 weeks of ethanol feeding, more severe ALD developed in gp91(phox-/-) mice than in wild-type (WT) C57Bl/6J mice, evidenced by increased liver injury and inflammation. This phenomenon was not sex dependent, and thus the majority of experiments were performed with female mice. While total hepatic MPhi numbers did not differ between genotypes, hepatic infiltrating MPhis (IMs) were slightly more numerous in gp91(phox-/-) mice, and both IMs and resident Kupffer cells displayed enhanced proinflammatory and reduced tissue-restorative programming compared with these cells from WT mice. The ratio of proinflammatory IMs with higher expression of Ly6C (Ly6C(hi)) to anti-inflammatory IMs with lower expression of Ly6C (Ly6C(low)) was significantly higher in gp91(phox-/-) mice compared to WT mice. Greater numbers of apoptotic cells accumulated in the liver of gp91(phox-/-) mice compared to WT mice, and receptors for binding and engulfing apoptotic cells were expressed at much lower levels on both Kupffer cells and IMs of gp91(phox-/-) mice. Interactions with apoptotic cells (binding and engulfment) in vitro were significantly fewer for gp91(phox-/-) MPhis than for WT MPhis, resulting in diminished expression of tissue restorative mediators by hepatic MPhis of gp91(phox-/-) mice. Conclusion: gp91(phox) plays a critical role in the differentiation of proinflammatory hepatic MPhis to a tissue-restorative phenotype, likely through programming for efferocytosis, and thereby lessens the severity of ALD. These findings enhance our understanding of the tissue environmental cues that regulate MPhi phenotypes. This knowledge could help in designing MPhi-targeting strategies to prevent and treat ALD. (Hepatology Communications 2017;1:765-779).
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