Obstructive jaundice expands intrahepatic regulatory T cells, which impair liver T lymphocyte function but modulate liver cholestasis and fibrosis

J Immunol. 2011 Aug 1;187(3):1150-6. doi: 10.4049/jimmunol.1004077. Epub 2011 Jun 22.

Abstract

Although obstructive jaundice has been associated with a predisposition toward infections, the effects of bile duct ligation (BDL) on bulk intrahepatic T cells have not been clearly defined. The aim of this study was to determine the consequences of BDL on liver T cell phenotype and function. After BDL in mice, we found that bulk liver T cells were less responsive to allogeneic or syngeneic Ag-loaded dendritic cells. Spleen T cell function was not affected, and the viability of liver T cells was preserved. BDL expanded the number of CD4(+)CD25(+)Foxp3(+) regulatory T cells (Treg), which were anergic to direct CD3 stimulation and mediated T cell suppression in vitro. Adoptively transferred CD4(+)CD25(-) T cells were converted into Treg within the liver after BDL. In vivo depletion of Treg after BDL restored bulk liver T cell function but exacerbated the degrees of inflammatory cytokine production, cholestasis, and hepatic fibrosis. Thus, BDL expands liver Treg, which reduce the function of bulk intrahepatic T cells yet limit liver injury.

Publication types

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

MeSH terms

  • Animals
  • CD4 Antigens / biosynthesis
  • Cell Differentiation / immunology
  • Cells, Cultured
  • Cholestasis, Intrahepatic / immunology*
  • Cholestasis, Intrahepatic / pathology
  • Cholestasis, Intrahepatic / prevention & control*
  • Interleukin-2 Receptor alpha Subunit / biosynthesis
  • Jaundice, Obstructive / complications
  • Jaundice, Obstructive / immunology*
  • Jaundice, Obstructive / pathology
  • Ligation / adverse effects
  • Liver / immunology*
  • Liver / pathology
  • Liver Cirrhosis, Biliary / immunology*
  • Liver Cirrhosis, Biliary / pathology
  • Liver Cirrhosis, Biliary / prevention & control*
  • Liver Function Tests
  • Lymphocyte Activation / immunology*
  • Lymphocyte Depletion
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Mice, Transgenic
  • T-Lymphocytes, Regulatory / immunology*
  • T-Lymphocytes, Regulatory / metabolism
  • T-Lymphocytes, Regulatory / pathology

Substances

  • CD4 Antigens
  • Interleukin-2 Receptor alpha Subunit