Single-cell profiling reveals hepatic monocyte-derived macrophages heterogeneity during steatotic liver disease

Haozhe Xu1,2, Lu Yang3, Peiyang Fang1,2

  • 1Medical Research Center, Beijing Institute of Respiratory Medicine, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.

Abstract

Insights

Monocyte-derived macrophages (MoMFs) exhibit diverse subtypes in metabolic dysfunction-associated steatotic liver disease (MASLD). Resident MoMFs are plastic and can differentiate into subsets crucial for MASLD progression, offering new therapeutic targets.

Area of Science:

  • Immunology
  • Hepatology
  • Cell Biology

Background:

  • Monocyte-derived macrophages (MoMFs) are critical in liver inflammation and fibrogenesis.
  • Macrophage heterogeneity influences metabolic dysfunction-associated steatotic liver disease (MASLD) progression.
  • Current therapies for MASLD targeting macrophage inflammation show limited success.

Purpose of the Study:

  • To systematically characterize the heterogeneity and dynamic changes of intrahepatic MoMFs in MASLD.
  • To identify distinct MoMF subsets and their functional roles in MASLD pathogenesis.
  • To explore the origin and plasticity of MoMFs in diet-induced liver disease.

Main Methods:

  • Single-cell RNA sequencing (scRNA-seq) of liver-infiltrating MoMFs from NCD- and MCD-fed mice.
  • Computational analyses (Monocle 2, CellChat) to determine developmental trajectories and intercellular interactions.
  • In vitro experiments to validate MoMF plasticity and differentiation.

Main Results:

  • Seven distinct MoMF clusters were identified, including classical M2, pro-inflammatory CCR3+ (c3), and antigen-presenting CCR7+ (c4) subsets.
  • CD14+CCR2+ (c0) MoMFs, classically pro-inflammatory, also play roles in fibrosis, lipid accumulation, and antigen presentation.
  • Resident basal c1 MoMFs are phenotypically plastic, transitioning to c0-like and c4-like states, suggesting an intrahepatic origin.
  • Identified MoMF subsets and their dynamics are conserved between mouse models and human MASLD.

Conclusions:

  • Intrahepatic MoMF heterogeneity significantly impacts MASLD progression.
  • Resident MoMFs are plastic and can serve as a local source for pro-inflammatory and antigen-presenting subsets in MASLD.
  • These findings offer novel insights for developing targeted therapies against macrophage-driven inflammation in MASLD.

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