Protein S exacerbates alcoholic hepatitis by stimulating liver natural killer T cells

Summary Background Alcohol consumption is a major cause of liver injury but the mechanisms are not completely understood. Protein S (PS) is an anticoagulant glycoprotein with multiple functions. The role of PS in liver injury is unknown. Objectives This study investigated the role of PS in acute alc...

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Veröffentlicht in:Journal of thrombosis and haemostasis 2015-01, Vol.13 (1), p.142-154
Hauptverfasser: Chelakkot‐Govindalayathil, A.‐L., Mifuji‐Moroka, R., D'Alessandro‐Gabazza, C. N., Toda, M., Matsuda, Y., Gil‐Bernabe, P., Roeen, Z., Yasuma, T., Yano, Y., Gabazza, E. C., Iwasa, M., Takei, Y.
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container_issue 1
container_start_page 142
container_title Journal of thrombosis and haemostasis
container_volume 13
creator Chelakkot‐Govindalayathil, A.‐L.
Mifuji‐Moroka, R.
D'Alessandro‐Gabazza, C. N.
Toda, M.
Matsuda, Y.
Gil‐Bernabe, P.
Roeen, Z.
Yasuma, T.
Yano, Y.
Gabazza, E. C.
Iwasa, M.
Takei, Y.
description Summary Background Alcohol consumption is a major cause of liver injury but the mechanisms are not completely understood. Protein S (PS) is an anticoagulant glycoprotein with multiple functions. The role of PS in liver injury is unknown. Objectives This study investigated the role of PS in acute alcoholic hepatitis. Methods A mouse overexpressing human PS (hPS‐TG) was generated in which acute hepatitis was induced by intraperitoneal injection of ethanol. Results The levels of serum liver enzymes and liver tissue inflammatory cytokines and the degree of hepatic steatosis were significantly increased in hPS‐TG mice treated with ethanol compared with ethanol‐treated wild type (WT) mice. Cell expansion, activation and inhibition of apoptosis were significantly augmented in natural killer T (NKT) cells from hPS‐TG mice compared with WT mice. Liver mononuclear cells from hPS‐TG mice express higher levels of inflammatory cytokines than those from WT mice after stimulation with a specific stimulant of NKT cells in vitro. In a co‐culture system of hepatocytes and NKT cells, the effects of PS on ethanol‐mediated cell injury were suppressed by a CD1d neutralizing antibody. Alcoholic liver injury was significantly improved in mice pre‐treated with PS siRNA and anti‐protein S antibody compared with control mice. Patients with alcoholic hepatitis showed significantly increased plasma PS levels and enhanced liver expression of PS and CD1d compared with controls. Conclusions The results of this study suggest that PS exacerbates acute alcoholic hepatitis by inhibiting apoptosis of activated NKT cells.
doi_str_mv 10.1111/jth.12789
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N. ; Toda, M. ; Matsuda, Y. ; Gil‐Bernabe, P. ; Roeen, Z. ; Yasuma, T. ; Yano, Y. ; Gabazza, E. C. ; Iwasa, M. ; Takei, Y.</creator><creatorcontrib>Chelakkot‐Govindalayathil, A.‐L. ; Mifuji‐Moroka, R. ; D'Alessandro‐Gabazza, C. N. ; Toda, M. ; Matsuda, Y. ; Gil‐Bernabe, P. ; Roeen, Z. ; Yasuma, T. ; Yano, Y. ; Gabazza, E. C. ; Iwasa, M. ; Takei, Y.</creatorcontrib><description>Summary Background Alcohol consumption is a major cause of liver injury but the mechanisms are not completely understood. Protein S (PS) is an anticoagulant glycoprotein with multiple functions. The role of PS in liver injury is unknown. Objectives This study investigated the role of PS in acute alcoholic hepatitis. Methods A mouse overexpressing human PS (hPS‐TG) was generated in which acute hepatitis was induced by intraperitoneal injection of ethanol. Results The levels of serum liver enzymes and liver tissue inflammatory cytokines and the degree of hepatic steatosis were significantly increased in hPS‐TG mice treated with ethanol compared with ethanol‐treated wild type (WT) mice. Cell expansion, activation and inhibition of apoptosis were significantly augmented in natural killer T (NKT) cells from hPS‐TG mice compared with WT mice. Liver mononuclear cells from hPS‐TG mice express higher levels of inflammatory cytokines than those from WT mice after stimulation with a specific stimulant of NKT cells in vitro. In a co‐culture system of hepatocytes and NKT cells, the effects of PS on ethanol‐mediated cell injury were suppressed by a CD1d neutralizing antibody. Alcoholic liver injury was significantly improved in mice pre‐treated with PS siRNA and anti‐protein S antibody compared with control mice. Patients with alcoholic hepatitis showed significantly increased plasma PS levels and enhanced liver expression of PS and CD1d compared with controls. Conclusions The results of this study suggest that PS exacerbates acute alcoholic hepatitis by inhibiting apoptosis of activated NKT cells.</description><identifier>ISSN: 1538-7933</identifier><identifier>ISSN: 1538-7836</identifier><identifier>EISSN: 1538-7836</identifier><identifier>DOI: 10.1111/jth.12789</identifier><identifier>PMID: 25399514</identifier><language>eng</language><publisher>England: Elsevier Limited</publisher><subject>alcoholism ; Animals ; Antibodies, Neutralizing - pharmacology ; anticoagulants ; Antigens, CD1d - immunology ; Antigens, CD1d - metabolism ; Apoptosis ; Blood Proteins - genetics ; Blood Proteins - metabolism ; Case-Control Studies ; Cells, Cultured ; Coculture Techniques ; Cytokines ; Disease Models, Animal ; Ethanol ; Fatty Liver, Alcoholic - immunology ; Fatty Liver, Alcoholic - metabolism ; Fatty Liver, Alcoholic - pathology ; hepatitis ; Hepatitis, Alcoholic - genetics ; Hepatitis, Alcoholic - immunology ; Hepatitis, Alcoholic - metabolism ; Hepatitis, Alcoholic - pathology ; Hepatitis, Alcoholic - prevention &amp; control ; Hepatocytes - immunology ; Hepatocytes - metabolism ; Hepatocytes - pathology ; Humans ; Inflammation Mediators - immunology ; Inflammation Mediators - metabolism ; Liver - immunology ; Liver - metabolism ; Liver - pathology ; Liver cirrhosis ; Lymphocyte Activation ; Male ; Mice, Inbred C57BL ; Mice, Transgenic ; natural killer T cells ; Natural Killer T-Cells - immunology ; Natural Killer T-Cells - metabolism ; protein S ; Protein S - genetics ; Protein S - metabolism ; Proteins ; RNAi Therapeutics ; Rodents ; Severity of Illness Index ; Signal Transduction ; T cell receptors ; Up-Regulation</subject><ispartof>Journal of thrombosis and haemostasis, 2015-01, Vol.13 (1), p.142-154</ispartof><rights>2014 International Society on Thrombosis and Haemostasis</rights><rights>2014 International Society on Thrombosis and Haemostasis.</rights><rights>Copyright © 2015 International Society on Thrombosis and Haemostasis</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5079-b416ad4f09405e222f71c0015d547b6188034e7488a5a66c95555b12d8279eaa3</citedby><cites>FETCH-LOGICAL-c5079-b416ad4f09405e222f71c0015d547b6188034e7488a5a66c95555b12d8279eaa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25399514$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chelakkot‐Govindalayathil, A.‐L.</creatorcontrib><creatorcontrib>Mifuji‐Moroka, R.</creatorcontrib><creatorcontrib>D'Alessandro‐Gabazza, C. N.</creatorcontrib><creatorcontrib>Toda, M.</creatorcontrib><creatorcontrib>Matsuda, Y.</creatorcontrib><creatorcontrib>Gil‐Bernabe, P.</creatorcontrib><creatorcontrib>Roeen, Z.</creatorcontrib><creatorcontrib>Yasuma, T.</creatorcontrib><creatorcontrib>Yano, Y.</creatorcontrib><creatorcontrib>Gabazza, E. C.</creatorcontrib><creatorcontrib>Iwasa, M.</creatorcontrib><creatorcontrib>Takei, Y.</creatorcontrib><title>Protein S exacerbates alcoholic hepatitis by stimulating liver natural killer T cells</title><title>Journal of thrombosis and haemostasis</title><addtitle>J Thromb Haemost</addtitle><description>Summary Background Alcohol consumption is a major cause of liver injury but the mechanisms are not completely understood. Protein S (PS) is an anticoagulant glycoprotein with multiple functions. The role of PS in liver injury is unknown. Objectives This study investigated the role of PS in acute alcoholic hepatitis. Methods A mouse overexpressing human PS (hPS‐TG) was generated in which acute hepatitis was induced by intraperitoneal injection of ethanol. Results The levels of serum liver enzymes and liver tissue inflammatory cytokines and the degree of hepatic steatosis were significantly increased in hPS‐TG mice treated with ethanol compared with ethanol‐treated wild type (WT) mice. Cell expansion, activation and inhibition of apoptosis were significantly augmented in natural killer T (NKT) cells from hPS‐TG mice compared with WT mice. Liver mononuclear cells from hPS‐TG mice express higher levels of inflammatory cytokines than those from WT mice after stimulation with a specific stimulant of NKT cells in vitro. In a co‐culture system of hepatocytes and NKT cells, the effects of PS on ethanol‐mediated cell injury were suppressed by a CD1d neutralizing antibody. Alcoholic liver injury was significantly improved in mice pre‐treated with PS siRNA and anti‐protein S antibody compared with control mice. Patients with alcoholic hepatitis showed significantly increased plasma PS levels and enhanced liver expression of PS and CD1d compared with controls. Conclusions The results of this study suggest that PS exacerbates acute alcoholic hepatitis by inhibiting apoptosis of activated NKT cells.</description><subject>alcoholism</subject><subject>Animals</subject><subject>Antibodies, Neutralizing - pharmacology</subject><subject>anticoagulants</subject><subject>Antigens, CD1d - immunology</subject><subject>Antigens, CD1d - metabolism</subject><subject>Apoptosis</subject><subject>Blood Proteins - genetics</subject><subject>Blood Proteins - metabolism</subject><subject>Case-Control Studies</subject><subject>Cells, Cultured</subject><subject>Coculture Techniques</subject><subject>Cytokines</subject><subject>Disease Models, Animal</subject><subject>Ethanol</subject><subject>Fatty Liver, Alcoholic - immunology</subject><subject>Fatty Liver, Alcoholic - metabolism</subject><subject>Fatty Liver, Alcoholic - pathology</subject><subject>hepatitis</subject><subject>Hepatitis, Alcoholic - genetics</subject><subject>Hepatitis, Alcoholic - immunology</subject><subject>Hepatitis, Alcoholic - metabolism</subject><subject>Hepatitis, Alcoholic - pathology</subject><subject>Hepatitis, Alcoholic - prevention &amp; control</subject><subject>Hepatocytes - immunology</subject><subject>Hepatocytes - metabolism</subject><subject>Hepatocytes - pathology</subject><subject>Humans</subject><subject>Inflammation Mediators - immunology</subject><subject>Inflammation Mediators - metabolism</subject><subject>Liver - immunology</subject><subject>Liver - metabolism</subject><subject>Liver - pathology</subject><subject>Liver cirrhosis</subject><subject>Lymphocyte Activation</subject><subject>Male</subject><subject>Mice, Inbred C57BL</subject><subject>Mice, Transgenic</subject><subject>natural killer T cells</subject><subject>Natural Killer T-Cells - immunology</subject><subject>Natural Killer T-Cells - metabolism</subject><subject>protein S</subject><subject>Protein S - genetics</subject><subject>Protein S - metabolism</subject><subject>Proteins</subject><subject>RNAi Therapeutics</subject><subject>Rodents</subject><subject>Severity of Illness Index</subject><subject>Signal Transduction</subject><subject>T cell receptors</subject><subject>Up-Regulation</subject><issn>1538-7933</issn><issn>1538-7836</issn><issn>1538-7836</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kEFLAzEQhYMotlYP_gEJePKwbZJNNpujFLVKQcH2HLK7WZua7tYkq_bfG13rzYFh5sHHm-EBcI7RGMearMNqjAnPxQEYYpbmCc_T7HC_izQdgBPv1whhwQg6BgPCUiEYpkOwfHJt0KaBz1B_qlK7QgXtobJlu2qtKeFKb1UwwXhY7KAPZtPZqJsXaM27drBRoXPKwldjbZQLWGpr_Sk4qpX1-ux3jsDy9mYxnSXzx7v76fU8KRniIikozlRFayQoYpoQUnNcxi9ZxSgvMpznKKWa0zxXTGVZKVisApMqJ1xopdIRuOx9t65967QPct12roknJc4o5QTHjtRVT5Wu9d7pWm6d2Si3kxjJ7wBlDFD-BBjZi1_Hrtjo6o_cJxaBSQ98GKt3_zvJh8Wst_wCPYV5MQ</recordid><startdate>201501</startdate><enddate>201501</enddate><creator>Chelakkot‐Govindalayathil, A.‐L.</creator><creator>Mifuji‐Moroka, R.</creator><creator>D'Alessandro‐Gabazza, C. N.</creator><creator>Toda, M.</creator><creator>Matsuda, Y.</creator><creator>Gil‐Bernabe, P.</creator><creator>Roeen, Z.</creator><creator>Yasuma, T.</creator><creator>Yano, Y.</creator><creator>Gabazza, E. C.</creator><creator>Iwasa, M.</creator><creator>Takei, Y.</creator><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope></search><sort><creationdate>201501</creationdate><title>Protein S exacerbates alcoholic hepatitis by stimulating liver natural killer T cells</title><author>Chelakkot‐Govindalayathil, A.‐L. ; Mifuji‐Moroka, R. ; D'Alessandro‐Gabazza, C. N. ; Toda, M. ; Matsuda, Y. ; Gil‐Bernabe, P. ; Roeen, Z. ; Yasuma, T. ; Yano, Y. ; Gabazza, E. 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N.</creatorcontrib><creatorcontrib>Toda, M.</creatorcontrib><creatorcontrib>Matsuda, Y.</creatorcontrib><creatorcontrib>Gil‐Bernabe, P.</creatorcontrib><creatorcontrib>Roeen, Z.</creatorcontrib><creatorcontrib>Yasuma, T.</creatorcontrib><creatorcontrib>Yano, Y.</creatorcontrib><creatorcontrib>Gabazza, E. C.</creatorcontrib><creatorcontrib>Iwasa, M.</creatorcontrib><creatorcontrib>Takei, Y.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><jtitle>Journal of thrombosis and haemostasis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chelakkot‐Govindalayathil, A.‐L.</au><au>Mifuji‐Moroka, R.</au><au>D'Alessandro‐Gabazza, C. N.</au><au>Toda, M.</au><au>Matsuda, Y.</au><au>Gil‐Bernabe, P.</au><au>Roeen, Z.</au><au>Yasuma, T.</au><au>Yano, Y.</au><au>Gabazza, E. C.</au><au>Iwasa, M.</au><au>Takei, Y.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Protein S exacerbates alcoholic hepatitis by stimulating liver natural killer T cells</atitle><jtitle>Journal of thrombosis and haemostasis</jtitle><addtitle>J Thromb Haemost</addtitle><date>2015-01</date><risdate>2015</risdate><volume>13</volume><issue>1</issue><spage>142</spage><epage>154</epage><pages>142-154</pages><issn>1538-7933</issn><issn>1538-7836</issn><eissn>1538-7836</eissn><abstract>Summary Background Alcohol consumption is a major cause of liver injury but the mechanisms are not completely understood. Protein S (PS) is an anticoagulant glycoprotein with multiple functions. The role of PS in liver injury is unknown. Objectives This study investigated the role of PS in acute alcoholic hepatitis. Methods A mouse overexpressing human PS (hPS‐TG) was generated in which acute hepatitis was induced by intraperitoneal injection of ethanol. Results The levels of serum liver enzymes and liver tissue inflammatory cytokines and the degree of hepatic steatosis were significantly increased in hPS‐TG mice treated with ethanol compared with ethanol‐treated wild type (WT) mice. Cell expansion, activation and inhibition of apoptosis were significantly augmented in natural killer T (NKT) cells from hPS‐TG mice compared with WT mice. Liver mononuclear cells from hPS‐TG mice express higher levels of inflammatory cytokines than those from WT mice after stimulation with a specific stimulant of NKT cells in vitro. In a co‐culture system of hepatocytes and NKT cells, the effects of PS on ethanol‐mediated cell injury were suppressed by a CD1d neutralizing antibody. Alcoholic liver injury was significantly improved in mice pre‐treated with PS siRNA and anti‐protein S antibody compared with control mice. Patients with alcoholic hepatitis showed significantly increased plasma PS levels and enhanced liver expression of PS and CD1d compared with controls. Conclusions The results of this study suggest that PS exacerbates acute alcoholic hepatitis by inhibiting apoptosis of activated NKT cells.</abstract><cop>England</cop><pub>Elsevier Limited</pub><pmid>25399514</pmid><doi>10.1111/jth.12789</doi><tpages>13</tpages></addata></record>
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subjects alcoholism
Animals
Antibodies, Neutralizing - pharmacology
anticoagulants
Antigens, CD1d - immunology
Antigens, CD1d - metabolism
Apoptosis
Blood Proteins - genetics
Blood Proteins - metabolism
Case-Control Studies
Cells, Cultured
Coculture Techniques
Cytokines
Disease Models, Animal
Ethanol
Fatty Liver, Alcoholic - immunology
Fatty Liver, Alcoholic - metabolism
Fatty Liver, Alcoholic - pathology
hepatitis
Hepatitis, Alcoholic - genetics
Hepatitis, Alcoholic - immunology
Hepatitis, Alcoholic - metabolism
Hepatitis, Alcoholic - pathology
Hepatitis, Alcoholic - prevention & control
Hepatocytes - immunology
Hepatocytes - metabolism
Hepatocytes - pathology
Humans
Inflammation Mediators - immunology
Inflammation Mediators - metabolism
Liver - immunology
Liver - metabolism
Liver - pathology
Liver cirrhosis
Lymphocyte Activation
Male
Mice, Inbred C57BL
Mice, Transgenic
natural killer T cells
Natural Killer T-Cells - immunology
Natural Killer T-Cells - metabolism
protein S
Protein S - genetics
Protein S - metabolism
Proteins
RNAi Therapeutics
Rodents
Severity of Illness Index
Signal Transduction
T cell receptors
Up-Regulation
title Protein S exacerbates alcoholic hepatitis by stimulating liver natural killer T cells
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