Etanercept attenuates immune-mediated hepatitis induced by concanavalin A via differential regulation of the key effector cytokines of CD4+ T cells

Life Sci. 2021 Jul 15:277:119618. doi: 10.1016/j.lfs.2021.119618. Epub 2021 May 15.

Abstract

Aims: The current study aims to investigate the role of the key effector cytokines produced by CD4+T cells in the pathogenesis of Con A-induced liver injury in mice and testing whether etanercept can be repurposed to differentially regulate these cytokines.

Main methods: Four groups of mice were used: group I: control group, group II: mice received 15 mg/kg Con A i.v, group III: mice received 15 mg/kg etanercept i.p, group IV: mice received both Con A and etanercept as described. Hepatic injury and necroinflammation were assessed. Infiltration of CD4+ T cells and neutrophils were evaluated. Hepatic levels of TNF-α, IL-4, IL-10, and MDA were assigned and expression of NF-κB as well.

Key findings: A significant decrease in ALT, AST, and LDH levels occurred when etanercept was injected before Con A. Hepatic necrosis and infiltration of CD4+ T cells and neutrophils were reduced by etanercept. Levels of TNF-α, IL-4, and MDA were significantly decreased in group IV compared to group II while that of IL-10 was increased. Also, number of NF-κB positive cells was significantly low in group IV.

Significance: The study elucidates an interplay between the two effector cytokines of CD4+ T cells, TNF-α and IL-4, and their key role in Con A-induced liver injury. Additionally, our results showed that etanercept could be repurposed to differentially regulate effector cytokines produced by CD4+ T cells. Not only TNF-α, but also IL-4 signaling pathways, through which it exerts immunomodulatory, anti-inflammatory, and anti-oxidant effects leading to attenuation of Con A-induced liver injury.

Keywords: CD4+; Concanavalin A; Etanercept; IL-4; Liver injury; TNF-α.

MeSH terms

  • Animals
  • Anti-Inflammatory Agents / pharmacology
  • CD4-Positive T-Lymphocytes / immunology*
  • Chemical and Drug Induced Liver Injury / drug therapy*
  • Chemical and Drug Induced Liver Injury / etiology
  • Chemical and Drug Induced Liver Injury / pathology
  • Concanavalin A / toxicity*
  • Cytokines / metabolism*
  • Etanercept / pharmacology*
  • Hepatitis / drug therapy*
  • Hepatitis / etiology
  • Hepatitis / pathology
  • Immunosuppressive Agents / pharmacology*
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Mitogens / toxicity
  • Signal Transduction

Substances

  • Anti-Inflammatory Agents
  • Cytokines
  • Immunosuppressive Agents
  • Mitogens
  • Concanavalin A
  • Etanercept