Phenotypic Changes in Macrophage Activation in a Model of Nonalcoholic Fatty Liver Disease using Microminipigs

Daiki Yoshii1, Takenobu Nakagawa1, Yoshihiro Komohara1,2

  • 1Department of Cell Pathology, Graduate School of Medical Sciences, Kumamoto University.

Abstract

Insights

Lipid accumulation in swine livers drives macrophage changes during non-alcoholic fatty liver disease (NAFLD) development. M2-like macrophages increase early, followed by M1-like macrophages, potentially leading to non-alcoholic steatohepatitis.

Area of Science:

  • Hepatology
  • Immunology
  • Metabolic Diseases

Background:

  • Non-alcoholic fatty liver disease (NAFLD) is a growing global health concern linked to metabolic syndrome.
  • The precise mechanisms driving NAFLD pathogenesis remain unclear, but macrophage activation is implicated.
  • A Microminipigs (µMPs) model of NAFLD was previously established using high-fat diets.

Purpose of the Study:

  • To investigate the phenotypic alterations of macrophages during NAFLD progression in a swine model.
  • To elucidate the role of dietary cholesterol and cholic acid in modulating macrophage populations in NAFLD.

Main Methods:

  • Immunohistochemistry was employed to analyze liver samples from µMPs.
  • The density of macrophages (Iba-1+), M2-like macrophages (CD163+), and M1-like macrophages (CD204+) was quantified.
  • Stellate cells and lymphocytes were also assessed.

Main Results:

  • Increased dietary cholesterol correlated with a higher number of Iba-1-positive macrophages.
  • Both CD163-positive and CD204-positive macrophage populations increased with dietary cholesterol.
  • Cholic acid supplementation reduced the proportion of CD204-positive macrophages relative to total macrophages.

Conclusions:

  • Dietary lipids promote macrophage recruitment in swine livers, a key event in NAFLD development.
  • A shift towards M2-like macrophages occurs in early NAFLD, followed by an increase in M1-like macrophages in later stages.
  • These findings provide novel insights into macrophage phenotypic changes during NAFLD progression in the µMPs model.

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