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The alternative pathway of complement is activated in nonalcoholic steatohepatitis (NASH), contributing to liver inflammation. Targeting this pathway offers a potential therapeutic strategy for NASH.

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Area of Science:

  • Immunology
  • Hepatology
  • Complement System

Background:

  • Nonalcoholic steatohepatitis (NASH) pathogenesis involves the innate immune system.
  • Complement activation has been reported in human NASH.
  • The role of the alternative complement pathway in NASH was previously unclear.

Purpose of the Study:

  • To investigate the involvement of alternative complement pathway components in NASH.
  • To assess the correlation between alternative pathway activation and liver inflammation severity in NASH.

Main Methods:

  • Analysis of liver biopsies from obese subjects with and without NASH.
  • Quantitative PCR, Western blotting, and immunofluorescence staining were employed.
  • Assessment of complement components like properdin, C3, factor B, factor D, factor H, and Decay Accelerating Factor.

Main Results:

  • Properdin accumulated in NASH livers, co-localizing with C3 activation products.
  • C3 activation status was significantly higher in NASH patients.
  • Properdin levels correlated positively with C3 activation and lobular inflammation scores.
  • Factor H expression was downregulated in NASH, while Decay Accelerating Factor showed a trend towards increase.

Conclusions:

  • Alternative complement pathway activation plays a role in driving hepatic inflammation in NASH.
  • Alternative pathway factors represent potential therapeutic targets for NASH treatment by inhibiting complement activation.