Temporal-spatial activation of apoptosis and epithelial injury in murine experimental biliary atresia

Nissa Erickson1, Sujit Kumar Mohanty, Pranavkumar Shivakumar

  • 1Cincinnati Children's Hospital Medical Center and Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH 45229-3039, USA.

Insights

Biliary atresia involves early apoptosis of the biliary epithelium in a mouse model. Combined interferon-gamma and tumor necrosis factor-alpha synergistically activate caspases, driving this cell death and injury.

Area of Science:

  • Hepatology
  • Pediatric Gastroenterology
  • Cell Biology

Background:

  • Biliary atresia is a serious infant liver disease causing bile duct obstruction.
  • Its exact cause is unknown, but increased pro-apoptosis molecules are observed.
  • Apoptosis (programmed cell death) is hypothesized as a key injury mechanism.

Purpose of the Study:

  • To investigate the role of apoptosis in the pathogenesis of experimental biliary atresia.
  • To examine the molecular mechanisms, including cytokine signaling and caspase activation, involved in biliary epithelial injury.

Main Methods:

  • Utilized a mouse model of biliary atresia induced by Rhesus rotavirus (RRV) infection.
  • Quantified apoptosis using TUNEL and active caspase-3 staining in liver and bile duct tissues.
  • Assessed gene expression of inflammatory cytokines and caspases.
  • Investigated cholangiocyte viability and caspase activation in vitro with interferon-gamma (IFNγ) and tumor necrosis factor-alpha (TNFα).
  • Evaluated the effect of a caspase inhibitor (IDN-8050) on apoptosis and injury in vivo.

Main Results:

  • RRV infection significantly increased apoptosis in the biliary epithelium.
  • Apoptosis peaked 5-10 days post-infection.
  • Biliary expression of caspases 1 and 4, IFNγ, and TNFα genes increased.
  • Co-exposure to IFNγ and TNFα, but not alone, induced caspase-3 activation and reduced cholangiocyte viability.
  • Caspase inhibition reduced apoptosis and epithelial injury in the RRV model.

Conclusions:

  • The biliary epithelium shows early apoptosis activation in this mouse model of biliary atresia.
  • IFNγ and TNFα synergistically promote apoptosis in cholangiocytes via caspase-3 activation.
  • Pharmacologic inhibition of caspases mitigates apoptosis and injury, supporting apoptosis's significant role in biliary atresia pathogenesis.
Abstract

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