Prolonged hepatomegaly in mice that cannot inactivate bacterial endotoxin

Baomei Shao1, Richard L Kitchens, Robert S Munford

  • 1Infectious Diseases Division, Department of Internal Medicine, University of Texas Southwestern Medical School, Dallas, TX, USA.

Abstract

Insights

A host enzyme, acyloxyacyl hydrolase (AOAH), is crucial for resolving liver enlargement caused by bacterial lipopolysaccharide (LPS). Mice lacking AOAH show prolonged hepatomegaly, highlighting AOAH

Area of Science:

  • Immunology
  • Hepatology
  • Microbiology

Background:

  • Transient hepatomegaly is common in bacterial infections and can be induced by bacterial lipopolysaccharide (LPS).
  • The enzyme acyloxyacyl hydrolase (AOAH) is known to inactivate LPS.

Purpose of the Study:

  • To investigate the role of AOAH in the resolution of LPS-induced hepatomegaly.
  • To elucidate the cellular and molecular mechanisms underlying prolonged liver enlargement in the absence of AOAH.

Main Methods:

  • Comparison of LPS-induced hepatomegaly in wild-type (Aoah(+/+)) and AOAH-deficient (Aoah(-/-)) mice.
  • Analysis of liver histology, including Kupffer cells, leukocytes, and sinusoidal endothelial cells.
  • Measurement of cytokine and mRNA expression (TNF, IL-10, IRAK-M).
  • Depletion studies of specific immune cell populations (Kupffer cells, neutrophils, etc.).
  • Pharmacological interventions including dexamethasone, TNF neutralization, IL-1β neutralization, and IL-10 receptor antagonism.

Main Results:

  • Aoah(-/-) mice exhibited significantly prolonged and severe hepatomegaly upon challenge with LPS or gram-negative bacteria.
  • Livers of Aoah(-/-) mice showed increased Kupffer cells, leukocyte aggregates, activated sinusoidal endothelial cells, and sustained IL-10 and inflammatory mRNA production.
  • Kupffer cell depletion partially reduced liver enlargement in Aoah(-/-) mice; other immune cell depletions had no effect.
  • Dexamethasone prevented prolonged hepatomegaly, while TNF or IL-1β neutralization had partial effects; IL-10 receptor antagonism exacerbated it.

Conclusions:

  • Persistent LPS stimulation in AOAH-deficient mice leads to Kupffer cell activation and leukocyte accumulation, promoting sustained liver enlargement.
  • Elevated IL-10 and other mediators do not prevent prolonged hepatomegaly in the absence of LPS inactivation by AOAH.
  • These findings underscore the critical role of AOAH in liver physiology and suggest its involvement in human liver diseases.

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