TLR3 activation by Clonorchis sinensis infection alleviates the fluke-induced liver fibrosis

Yuru Wang1, Pengtao Gong1, Xuancheng Zhang1

  • 1State Key Laboratory for Zoonotic Diseases, Key Laboratory for Zoonosis Research of the Ministry of Education, Institute of Zoonosis, and College of Veterinary Medicine, Jilin University, Changchun, China.

Insights

Toll-like receptor 3 (TLR3) normally inhibits liver inflammation and fibrosis during Clonorchis sinensis infection. Activating TLR3 with Poly(I:C) offers a potential treatment for clonorchiasis, reducing parasite burden and liver damage.

Area of Science:

  • Immunology
  • Parasitology
  • Hepatology

Background:

  • Clonorchis sinensis infection is linked to liver fibrosis and cholangiocarcinoma.
  • The precise role of toll-like receptors (TLRs), particularly TLR3, in C. sinensis infection remains unclear.
  • Understanding TLR3's function is crucial for developing therapeutic strategies against clonorchiasis.

Purpose of the Study:

  • To investigate the role of the TLR3 signaling pathway in C. sinensis infection.
  • To examine the impact of TLR3 deficiency on cytokine expression and liver fibrosis.
  • To evaluate the therapeutic potential of Polyinosinic-polycytidylic acid (Poly(I:C)) in treating C. sinensis infection.

Main Methods:

  • Comparison of C. sinensis-infected wildtype (WT) and TLR3-/- mice.
  • Administration of Poly(I:C) to infected mice.
  • Analysis of cytokine expression, TGF-β1/Smad2/3 pathway activation, and liver fibrosis markers.
  • Investigation of C. sinensis extracellular vesicles (CsEVs) effects on biliary epithelial cells (BECs) via p38/ERK pathway.

Main Results:

  • TLR3 deficiency exacerbated C. sinensis-induced liver fibrosis, parasite burden, and inflammation.
  • Poly(I:C) treatment improved host survival, reduced parasite load, and alleviated liver damage and fibrosis.
  • TLR3 deletion enhanced IL-6 and TNF production in BECs, indicating TLR3 normally suppresses these cytokines via the p38/ERK pathway.

Conclusions:

  • TLR3 plays a protective role against C. sinensis-induced liver fibrosis by inhibiting IL-6 and TNF production through the p38/ERK pathway.
  • Poly(I:C) demonstrates significant therapeutic potential for treating clonorchiasis by mitigating liver inflammation and fibrosis.