Divergent functions of CD4+ T lymphocytes in acute liver inflammation and injury after ischemia-reperfusion

CC Caldwell, T Okaya, A Martignoni… - American Journal …, 2005 - journals.physiology.org
CC Caldwell, T Okaya, A Martignoni, T Husted, R Schuster, AB Lentsch
American Journal of Physiology-Gastrointestinal and Liver …, 2005journals.physiology.org
Hepatic ischemia-reperfusion results in an acute inflammatory response culminating in the
recruitment of activated neutrophils that directly injure hepatocytes. Recent evidence
suggests that CD4+ lymphocytes may regulate this neutrophil-dependent injury, but the
mechanisms by which this occurs remain to be elucidated. In the present study, we sought to
determine the type of CD4+ lymphocytes recruited to the liver after ischemia-reperfusion and
the manner in which these cells regulated neutrophil recruitment and tissue injury. Wild-type …
Hepatic ischemia-reperfusion results in an acute inflammatory response culminating in the recruitment of activated neutrophils that directly injure hepatocytes. Recent evidence suggests that CD4+ lymphocytes may regulate this neutrophil-dependent injury, but the mechanisms by which this occurs remain to be elucidated. In the present study, we sought to determine the type of CD4+ lymphocytes recruited to the liver after ischemia-reperfusion and the manner in which these cells regulated neutrophil recruitment and tissue injury. Wild-type and CD4 knockout (CD4−/−) mice were subjected to hepatic ischemia-reperfusion. CD4+ lymphocytes were recruited in the liver within 1 h of reperfusion and remained for at least 4 h. These cells were comprised of conventional (αβTCR-expressing), unconventional (γδTCR-expressing), and natural killer T cells. CD4−/− mice were then used to determine the functional role of CD4+ lymphocytes in hepatic ischemia-reperfusion injury. Compared with wild-type mice, CD4−/− mice had significantly greater liver injury, yet far less neutrophil accumulation. Adoptive transfer of CD4+ lymphocytes to CD4−/− mice recapitulated the wild-type response. In wild-type mice, neutralization of interleukin (IL)-17, a cytokine released by activated CD4+ lymphocytes, significantly reduced neutrophil recruitment in association with suppression of MIP-2 expression. Finally, oxidative burst activity of liver-recruited neutrophils was higher in CD4−/− mice compared with those from wild-type mice. These data suggest that CD4+ lymphocytes are rapidly recruited to the liver after ischemia-reperfusion and facilitate subsequent neutrophil recruitment via an IL-17-dependent mechanism. However, these cells also appear to attenuate neutrophil activation. Thus the data suggest that CD4+ lymphocytes have dual, opposing roles in the hepatic inflammatory response to ischemia-reperfusion.
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