1. MyD88-dependent signaling in non-parenchymal cells promotes liver carcinogenesis
- Author
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Mohs, Antje, Kuttkat, Nadine, Otto, Tobias, Youssef, Sameh A, De Bruin, Alain, Trautwein, Christian, dPB RMSC, LS Pathobiologie, dPB RMSC, and LS Pathobiologie
- Subjects
0301 basic medicine ,Male ,Cancer Research ,Cirrhosis ,Liver cytology ,Carcinogenesis ,NF-KAPPA-B ,STEATOHEPATITIS ,ACTIVATION ,Liver disease ,Mice ,0302 clinical medicine ,Non-alcoholic Fatty Liver Disease ,Mice, Knockout ,Liver Neoplasms ,Intracellular Signaling Peptides and Proteins ,hemic and immune systems ,General Medicine ,CANCER ,medicine.anatomical_structure ,Liver ,030220 oncology & carcinogenesis ,Hepatocyte ,Hepatocellular carcinoma ,Disease Progression ,medicine.symptom ,Signal Transduction ,EXPRESSION ,congenital, hereditary, and neonatal diseases and abnormalities ,Carcinoma, Hepatocellular ,NEMO/IKK-GAMMA ,Inflammation ,IMMUNITY ,03 medical and health sciences ,INFLAMMATION ,medicine ,TUMORIGENESIS ,Animals ,Humans ,TOLL-LIKE RECEPTORS ,business.industry ,medicine.disease ,digestive system diseases ,Disease Models, Animal ,030104 developmental biology ,Myeloid Differentiation Factor 88 ,Cancer research ,Hepatocytes ,Steatohepatitis ,business - Abstract
In Western countries, a rising incidence of obesity and type 2 diabetes correlates with an increase of non-alcoholic steatohepatitis (NASH)—a major risk factor for liver cirrhosis and hepatocellular carcinoma (HCC). NASH is associated with chronic liver injury, triggering hepatocyte death and enhanced translocation of intestinal bacteria, leading to persistent liver inflammation through activation of Toll-like receptors and their adapter protein myeloid differentiation factor 88 (MyD88). Therefore, we investigated the role of MyD88 during progression from NASH to HCC using a mouse model of chronic liver injury (hepatocyte-specific deletion of nuclear factor κB essential modulator, Nemo; NemoΔhepa). NemoΔhepa; NemoΔhepa/MyD88−/− and NemoΔhepa/MyD88Δhepa were generated and the impact on liver disease progression was investigated. Ubiquitous MyD88 ablation (NemoΔhepa/MyD88−/−) aggravated the degree of liver damage, accompanied by an overall decrease in inflammation, whereas infiltrating macrophages and natural killer cells were elevated. At a later stage, MyD88 deficiency impaired HCC formation. In contrast, hepatocyte-specific MyD88 deletion (NemoΔhepa/MyD88Δhepa) did not affect disease progression. These results suggest that signaling of Toll-like receptors through MyD88 in non-parenchymal liver cells is required for carcinogenesis during chronic liver injury. Hence, blocking MyD88 signaling may offer a therapeutic option to prevent HCC formation in patients with NASH.
- Published
- 2020