Interleukin 23 Produced by Hepatic Monocyte-Derived Macrophages Is Essential for the Development of Murine Primary

Debby Reuveni1,2, Miriam R Brezis1,2, Eli Brazowski2,3

  • 1The Research Center for Digestive Tract and Liver Diseases, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.

Frontiers in Immunology
|September 6, 2021
PubMed
Abstract

Insights

Interleukin-23 (IL-23) from liver macrophages drives Primary Biliary Cholangitis (PBC) pathogenesis. Targeting this IL-23 pathway may offer new treatments for PBC patients.

Area of Science:

  • Immunology
  • Hepatology
  • Autoimmune Diseases

Background:

  • Primary Biliary Cholangitis (PBC) is an autoimmune liver disease.
  • Mononuclear phagocytes (MNPs) are implicated in autoimmune disease pathogenesis.
  • IL-23 is a pro-inflammatory cytokine linked to PBC severity.

Purpose of the Study:

  • To assess the role of IL-23 derived from MNPs in PBC pathogenesis.
  • To investigate the therapeutic potential of targeting IL-23 in PBC.

Main Methods:

  • Utilized an inducible murine model of PBC.
  • Employed transgenic mice to target IL-23 expression in specific MNP populations.
  • Conducted liver histology, flow cytometry, and cytokine profiling.

Main Results:

  • Massive MNP and neutrophil infiltration observed in PBC livers.
  • Increased IL-17A-producing CD4+ T cells correlated with elevated IL-23 and IL-17A.
  • Targeting IL-23 in MNP populations ameliorated PBC severity and inflammation.
  • CX3CR1hiCD11c+ monocyte-derived macrophages highly expressed IL-23 mRNA.

Conclusions:

  • Hepatic IL-23 from monocyte-derived macrophages plays a key role in PBC pathogenesis.
  • These findings suggest potential for novel, cell-specific therapies for PBC.

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