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Selective Targeting of α<sub>4</sub>β<sub>7</sub>/MAdCAM-1 Axis Suppresses Fibrosis Progression by Reducing Proinflammatory T Cell Recruitment to the Liver
oleh: Biki Gupta, Ravi Prakash Rai, Pabitra B. Pal, Daniel Rossmiller, Sudrishti Chaudhary, Anna Chiaro, Shannon Seaman, Aatur D. Singhi, Silvia Liu, Satdarshan P. Monga, Smita S. Iyer, Reben Raeman
Format: | Article |
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Diterbitkan: | MDPI AG 2024-04-01 |
Deskripsi
Integrin α<sub>4</sub>β<sub>7</sub>+ T cells perpetuate tissue injury in chronic inflammatory diseases, yet their role in hepatic fibrosis progression remains poorly understood. Here, we report increased accumulation of α<sub>4</sub>β<sub>7</sub>+ T cells in the liver of people with cirrhosis relative to disease controls. Similarly, hepatic fibrosis in the established mouse model of CCl<sub>4</sub>-induced liver fibrosis was associated with enrichment of intrahepatic α<sub>4</sub>β<sub>7</sub>+ CD4 and CD8 T cells. Monoclonal antibody (mAb)-mediated blockade of α<sub>4</sub>β<sub>7</sub> or its ligand mucosal addressin cell adhesion molecule (MAdCAM)-1 attenuated hepatic inflammation and prevented fibrosis progression in CCl<sub>4</sub>-treated mice. Improvement in liver fibrosis was associated with a significant decrease in the infiltration of α<sub>4</sub>β<sub>7</sub>+ CD4 and CD8 T cells, suggesting that α<sub>4</sub>β<sub>7</sub>/MAdCAM-1 axis regulates both CD4 and CD8 T cell recruitment to the fibrotic liver, and α<sub>4</sub>β<sub>7</sub>+ T cells promote hepatic fibrosis progression. Analysis of hepatic α<sub>4</sub>β<sub>7</sub>+ and α<sub>4</sub>β<sub>7</sub>- CD4 T cells revealed that α<sub>4</sub>β<sub>7</sub>+ CD4 T cells were enriched for markers of activation and proliferation, demonstrating an effector phenotype. The findings suggest that α<sub>4</sub>β<sub>7</sub>+ T cells play a critical role in promoting hepatic fibrosis progression, and mAb-mediated blockade of α<sub>4</sub>β<sub>7</sub> or MAdCAM-1 represents a promising therapeutic strategy for slowing hepatic fibrosis progression in chronic liver diseases.