Hepatic acute-phase proteins control innate immune responses during infection by promoting myeloid-derived suppressor

Leif E Sander1, Sara Dutton Sackett, Uta Dierssen

  • 1Department of Medicine III, RWTH University Hospital, 52074 Aachen, Germany. leif.sander@mssm.edu

Insights

Acute-phase proteins (APPs) produced by the liver are crucial for controlling inflammation during infection. These proteins, particularly serum amyloid A and Cxcl1/KC, help mobilize myeloid-derived suppressor cells (MDSCs) to restore survival.

Area of Science:

  • Immunology
  • Hepatology
  • Molecular Biology

Background:

  • Acute-phase proteins (APPs) are liver-produced proteins involved in infection and inflammation responses.
  • The collective role of APPs in host defense during infections is not well understood.
  • gp130 signaling in hepatocytes regulates cytokine responses.

Purpose of the Study:

  • To investigate the collective function of APPs during polymicrobial sepsis.
  • To determine the role of hepatic gp130 signaling in controlling inflammation and survival during sepsis.
  • To elucidate the link between hepatic APPs and myeloid-derived suppressor cells (MDSCs).

Main Methods:

  • Used a mouse model with hepatocyte-specific gp130 deletion to abrogate APP production.
  • Analyzed mortality, bacterial clearance, systemic inflammation, and STAT3 activation.
  • Investigated the role of MDSCs through adoptive transfer experiments.
  • Assessed the impact of serum amyloid A and Cxcl1/KC on MDSC function.

Main Results:

  • Abrogation of APP production led to increased mortality despite normal bacterial clearance.
  • Hepatic gp130-STAT3 signaling was essential for controlling systemic inflammation.
  • gp130-STAT3 activation promoted MDSC mobilization, accumulation, and anti-inflammatory function.
  • Adoptive transfer of MDSCs rescued gp130-deficient mice from sepsis mortality.
  • Specific APPs (serum amyloid A, Cxcl1/KC) were shown to be critical for MDSC regulation.

Conclusions:

  • Hepatic gp130-dependent communication via APPs is vital for controlling inflammatory responses during infection.
  • APPs orchestrate the function of MDSCs, which are critical for host survival during sepsis.
  • Targeting the liver-MDSC axis presents a potential therapeutic strategy for sepsis.

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