Complement Factor D protects mice from ethanol-induced inflammation and liver injury

Am J Physiol Gastrointest Liver Physiol. 2018 Jul 1;315(1):G66-G79. doi: 10.1152/ajpgi.00334.2017. Epub 2018 Mar 29.

Abstract

Complement plays a crucial role in microbial defense and clearance of apoptotic cells. Emerging evidence suggests complement is an important contributor to alcoholic liver disease. While complement component 1, Q subcomponent (C1q)-dependent complement activation contributes to ethanol-induced liver injury, the role of the alternative pathway in ethanol-induced injury is unknown. Activation of complement via the classical and alternative pathways was detected in alcoholic hepatitis patients. Female C57BL/6J [wild type (WT)], C1q-deficient ( C1qa-/-, lacking classical pathway activation), complement protein 4-deficient ( C4-/-, lacking classical and lectin pathway activation), complement factor D-deficient ( FD-/-, lacking alternative pathway activation), and C1qa/FD-/- (lacking classical and alternative pathway activation) mice were fed an ethanol-containing liquid diet or pair-fed control diet for 4 or 25 days. Following chronic ethanol exposure, liver injury, steatosis, and proinflammatory cytokine expression were increased in WT but not C1qa-/-, C4-/-, or C1qa/FD-/- mice. In contrast, liver injury, steatosis, and proinflammatory mediators were robustly increased in ethanol-fed FD-/- mice compared with WT mice. Complement activation, assessed by hepatic accumulation of C1q and complement protein 3 (C3) cleavage products (C3b/iC3b/C3c), was evident in livers of WT mice in response to both short-term and chronic ethanol. While C1q accumulated in ethanol-fed FD-/- mice (short term and chronic), C3 cleavage products were detected after short-term but not chronic ethanol. Consistent with impaired complement activation, chronic ethanol induced the accumulation of apoptotic cells and fibrogenic responses in the liver of FD-/- mice. These data highlight the protective role of complement factor D (FD) and suggest that FD-dependent amplification of complement is an adaptive response that promotes hepatic healing and recovery in response to chronic ethanol. NEW & NOTEWORTHY Complement, a component of the innate immune system, is an important pathophysiological contributor to ethanol-induced liver injury. We have identified a novel role for factor D, a component of the alternative pathway, in protecting the liver from ethanol-induced inflammation, accumulation of apoptotic hepatocytes, and profibrotic responses. These data indicate a dual role of complement with regard to inflammatory and protective responses and suggest that accumulation of apoptotic cells impairs hepatic healing/recovery during alcoholic liver disease.

Keywords: alcoholic liver disease; apoptosis; steatosis.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Apoptosis / drug effects
  • Central Nervous System Depressants / metabolism
  • Central Nervous System Depressants / pharmacology
  • Complement Factor D / metabolism
  • Complement Pathway, Alternative / drug effects
  • Complement Pathway, Alternative / physiology
  • Cytokines / immunology
  • Ethanol* / metabolism
  • Ethanol* / pharmacology
  • Inflammation* / chemically induced
  • Inflammation* / metabolism
  • Inflammation* / prevention & control
  • Liver / drug effects
  • Liver / metabolism
  • Liver Diseases, Alcoholic / metabolism*
  • Mice
  • Mice, Inbred C57BL
  • Protective Agents / metabolism

Substances

  • Central Nervous System Depressants
  • Cytokines
  • Protective Agents
  • Ethanol
  • Complement Factor D
  • complement factor D, mouse