Liver Fibrosis Is Enhanced by a Higher Egg Burden in Younger Mice Infected with S. mansoni

Heike Müller1, Jan K Straßmann1, Anne S Baier1

  • 1Department of Gastroenterology, Justus Liebig University, 35392 Giessen, Germany.

Cells
|October 15, 2024
PubMed

Insights

Host age significantly impacts schistosomiasis liver damage severity. Older mice showed reduced inflammation and fibrosis, suggesting age-dependent protective mechanisms against schistosome infection.

Area of Science:

  • * Parasitology and Immunology
  • * Hepatology and Molecular Biology

Background:

  • * Schistosomiasis infects over 250 million globally, with peak prevalence in adolescents (10-14 years).
  • * The effect of host age on liver damage severity in schistosomiasis remains poorly understood.

Purpose of the Study:

  • * To investigate the influence of host age on liver pathology and metabolic changes during Schistosoma mansoni infection.
  • * To elucidate the mechanisms underlying age-dependent differences in hepatic damage and fibrosis.

Main Methods:

  • * Infection of male mice (8, 14, 20 weeks old) with Schistosoma mansoni.
  • * Analysis of hepatic damage, inflammation, and fibrosis using molecular and cellular assays (RT-qPCR, Western blotting, ELISA, immunohistochemistry).
  • * In vitro studies with Schistosoma mansoni eggs, human hepatic stellate cells (HSCs), and primary mouse hepatocytes; validation in human liver biopsies.

Main Results:

  • * Increasing host age correlated with reduced hepatosplenomegaly, granuloma size, inflammation, and fibrosis.
  • * Younger infected mice exhibited the lowest serum alanine transaminase (ALT) levels, indicating distinct metabolic responses.
  • * Schistosoma mansoni infection induced a Warburg-like glycolysis shift and alternatively activated HSCs (GFAP+/desmin+/αSMA-) secreting IL-6 and MCP-1.

Conclusions:

  • * Host age modulates liver damage severity in schistosomiasis, with older hosts exhibiting improved outcomes.
  • * Age-dependent fibrosis reduction is linked to cytokine regulation, alternative HSC activation, and preserved hepatic energy stores.
  • * Further research into the clinical relevance of age-dependent liver damage in schistosomiasis patients is warranted.

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