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Highly multiplexed 2-dimensional imaging mass cytometry analysis of HBV-infected liver
Daniel Traum, … , Klaus H. Kaestner, Kyong-Mi Chang
Daniel Traum, … , Klaus H. Kaestner, Kyong-Mi Chang
Published February 23, 2021
Citation Information: JCI Insight. 2021;6(7):e146883. https://doi.org/10.1172/jci.insight.146883.
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Research Article Hepatology Infectious disease

Highly multiplexed 2-dimensional imaging mass cytometry analysis of HBV-infected liver

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Abstract

Studies of human hepatitis B virus (HBV) immune pathogenesis are hampered by limited access to liver tissues and technologies for detailed analyses. Here, utilizing imaging mass cytometry (IMC) to simultaneously detect 30 immune, viral, and structural markers in liver biopsies from patients with hepatitis B e antigen+ (HBeAg+) chronic hepatitis B, we provide potentially novel comprehensive visualization, quantitation, and phenotypic characterizations of hepatic adaptive and innate immune subsets that correlated with hepatocellular injury, histological fibrosis, and age. We further show marked correlations between adaptive and innate immune cell frequencies and phenotype, highlighting complex immune interactions within the hepatic microenvironment with relevance to HBV pathogenesis.

Authors

Daniel Traum, Yue J. Wang, Kathleen B. Schwarz, Jonathan Schug, David K.H. Wong, Harry L.A. Janssen, Norah A. Terrault, Mandana Khalili, Abdus S. Wahed, Karen F. Murray, Phillip Rosenthal, Simon C. Ling, Norberto Rodriguez-Baez, Richard K. Sterling, Daryl T.Y. Lau, Timothy M. Block, Michael D. Feldman, Elizabeth E. Furth, William M. Lee, David E. Kleiner, Anna S. Lok, Klaus H. Kaestner, Kyong-Mi Chang

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Figure 1

Visualizing multiple structural, immune, and viral markers in HBV-infected livers by image mass cytometry.

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Visualizing multiple structural, immune, and viral markers in HBV-infect...
(A) Detection of hepatic structures with nuclear DNA (blue), HepPar1+ hepatocytes (green), CK19+ bile ducts (cyan), CD31+ endothelial cells (orange), and collagen I (pink) in a representative noninfected control (NC1) and chronic hepatitis B (CHB) IA (IA-A6) subject. Portal tract (PT) was defined by the presence of portal triad including CK19+ bile ducts, CD31+ hepatic artery, and portal vein with surrounding collagen I. Central vein (CV) was defined as a vascular structure with surrounding collagen without bile duct or hepatic artery. (B) Detection of viral and immune markers including HBsAg (yellow), HBcAg (pink), and CD45+ immune cells (cyan) with the same regions as A for NC1 and IA-A14, and additional CHB subjects (IT-A1, IA-A8, and IA-A12) with various patterns of HBsAg and HBcAg expression. White arrows indicate clusters of CD45+ immune cells close to hepatocytes expressing HBsAg and/or HBcAg. Orange inlay for IA-A12 provides a higher power view. (C) Detection of CD8+ T cells, CD20+ B cells, and CD68+ Kupffer cells. Regions in B are shown here with CD8 (yellow), CD20 (red), CD68 (cyan), and HepPar1 (blue), with increased CD20+ B cells, yellow CD8+ T cells, and cyan CD68+ cells in portal tracts (especially in IA-A14), and more diffuse lobular detection of cyan CD68+ cells. White arrows highlight CD45+ immune clusters near hepatocytes expressing HBsAg and/or HBcAg in B, with both yellow CD8+ T cells and cyan CD68+ Kupffer cells located in close contact. (D) Representative distribution for innate and adaptive immune markers in the liver. Colocalization of CD68, CD16, and CD14 in hepatic lobular region, with a similar pattern for CD4 expression (without associated CD3 expression). Relative paucity of CD14 expression compared with other markers (e.g., CD3, CD8, CD4, CD68, CD16) is noted in portal tract (PT).

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