Macrophage migration inhibitory factor is required for recruitment of scar-associated macrophages during liver

Mark A Barnes1, Megan R McMullen1, Sanjoy Roychowdhury1

  • 1Departments of *Molecular Medicine and Molecular Biology and Microbiology, Case Western Reserve University, Cleveland, Ohio, USA; Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA; and Departments of Pathobiology and Gastroenterology and Hepatology, Center for Liver Disease Research, Cleveland Clinic, Cleveland, Ohio, USA.

Insights

Macrophage migration and function, regulated by MIF (macrophage migration inhibitory factor), are crucial for resolving liver fibrosis. MIF deficiency impairs resolution by reducing pro-resolution macrophages and ECM degradation.

Area of Science:

  • Immunology
  • Hepatology
  • Fibrosis Research

Background:

  • Peripheral monocyte recruitment to the liver is vital for injury response.
  • Macrophage migration inhibitory factor (MIF) acts as a chemokine and cytokine, modulating innate immunity.
  • Hepatic fibrosis involves extracellular matrix (ECM) accumulation and HSC activation.

Purpose of the Study:

  • To investigate the role of MIF in CCl4-induced hepatic fibrosis progression.
  • To determine how MIF influences hepatic immune responses and HSC activation.
  • To elucidate the impact of MIF on SAM (scavenger-associated macrophage) recruitment and function.

Main Methods:

  • Chronic carbon tetrachloride (CCl4) administration to wild-type (WT) and MIF-deficient (MIF(-/-)) female mice.
  • Analysis of fibrosis markers, including alpha-smooth muscle actin (αSMA) and collagen 1α1 mRNA and protein.
  • Assessment of SAM recruitment, phenotype, and ECM-degrading enzyme expression (e.g., MMP13).

Main Results:

  • MIF(-/-) mice exhibited blunted HSC activation and αSMA expression compared to WT mice.
  • Despite reduced HSC activation, ECM accumulation was similar, suggesting impaired ECM degradation in MIF(-/-) mice.
  • MIF(-/-) mice showed decreased SAM recruitment, particularly pro-resolution macrophages, correlating with lower MMP13 expression.

Conclusions:

  • MIF-dependent SAM recruitment is critical for ECM degradation during liver fibrosis resolution.
  • The phenotypic profile of macrophages, influenced by MIF, impacts fibrosis resolution.
  • Targeting MIF-mediated macrophage recruitment may offer therapeutic strategies for liver fibrosis.

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