Atherosclerosis Deteriorates Liver Ischemia/Reperfusion Injury Via Interferon Regulatory Factor-1 Overexpression in a

Ryosuke Nakano1, Ichiya Chogahara1, Masahiro Ohira2

  • 1Department of Gastroenterological and Transplant Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Minami-ku, Hiroshima, Japan.

PubMed

Insights

Atherosclerosis exacerbates liver injury following ischemia/reperfusion by activating immune cells. This study reveals atherosclerosis mirrors intrahepatic immunity, increasing liver damage via IL-15 and IRF-1 pathways.

Area of Science:

  • Immunology
  • Hepatology
  • Cardiovascular Research

Background:

  • Abdominal aortic calcification (AAC) links to cardiovascular mortality and poor outcomes post-hepatectomy for hepatocellular carcinoma.
  • The impact of atherosclerosis on systemic inflammation and response to ischemia/reperfusion injury (IRI) is not well understood.

Purpose of the Study:

  • To investigate how atherosclerosis affects the liver immune system during warm ischemia/reperfusion injury (IRI).

Main Methods:

  • Atherosclerotic (ApoE-/-) and wild-type (WT) mice underwent 70% liver clamping for 1 hour, followed by 6 hours of reperfusion.
  • Liver damage, immune cell phenotype, and gene expression (IL-15, IRF-1) were analyzed.

Main Results:

  • Atherosclerotic mice showed significantly greater liver damage (elevated AST/ALT, histological damage) compared to WT mice.
  • Liver T and NK cells in atherosclerotic mice exhibited a more inflammatory phenotype.
  • Upregulation of IL-15 and IRF-1 was observed in atherosclerotic mouse livers.

Conclusions:

  • Atherosclerosis exacerbates hepatic IRI by modulating intrahepatic immunity.
  • Increased IL-15 production, linked to IRF-1, activates liver NK and T cells, worsening liver damage in atherosclerotic conditions.
Abstract