Role of relevant immune-modulators and cytokines in hepatocellular carcinoma and premalignant hepatic lesions
WORLD JOURNAL OF GASTROENTEROLOGY
Authors: Zekri, Abdel-Rahman N.; El Deeb, Somaya; Bahnassy, Abeer A.; Badr, Abeer M.; Abdellateif, Mona S.; Esmat, Gamal; Salama, Hosny; Mohanad, Marwa; El-dien, Ahmed Esam; Rabah, Shimaa; Abd Elkader, Assmaa
Abstract
AIM to assess the levels of different immune modulators in patients with hepatocellular carcinoma (HCC), in relation to other hepatic diseases. METHODS Eighty-eight patients were included in the current study and represented patients with HCC (20), liver cirrhosis (28) and chronic hepatitis (CH; 25), and normal controls (NC; 15). Peripheral blood was isolated for immunophenotyping of active myeloid dendritic cells (mDCs; CD1c and CD40), mature inactive myeloid cells (CD1c and HLA), active plasmacytoid cells (pDCs; CD303 and CD40), mature inactive pDCs (CD30 and HLA), active natural killer (NK) cells (CD56 and CD161), active NK cells (CD56 and CD314) and inactive NK cells (CD56 and CD158) was done by flow cytometry. Serum levels of interleukin (IL)-2, IL-10, IL-12, IL-1 beta, interferon (IFN)-alpha, IFN-gamma and tumor necrosis factor (TNF)-alpha R2 were assessed by ELISA. RESULTS Active mDCs (CD1C+/CD40+) and inactive mDCs (CD1c+/HLA+) were significantly decreased in HCC patients in relation to NC (P < 0.001). CD40+ expression on active pDCs was decreased in HCC patients (P < 0.001), and its level was not significantly changed among other groups. Inactive pDCs (CD303+/HLA+), inactive NKs (CD56+/CD158+) and active NKs (CD56+/CD161+) were not statistically changed among the four groups studied; however, the latter was increased in CH (P < 0.05). NKG2D was statistically decreased in HCC, CH and cirrhosis (P < 0.001), and it was not expressed in 63% (12/20) of HCC patients. There was significant decrease of IL-2, IFN-alpha and IFN-gamma (P < 0.001), and a significant increase in IL-10, IL-1 beta, and TNF-alpha R2 (P < 0.01, P < 0.001 and P < 0.001; respectively) in HCC patients. There was inverted correlation between IL-12 and IL-1 beta in HCC (r = -0.565, P < 0.01), with a strong correlation between pDCs (CD303+/CD40+) and NKs (CD56+/CD161+; r = 0.512, P < 0.05) as well as inactive mDCs (CD1c+/HLA+) and inactive NK cells (CD56+/CD158+; r = 0.945, P < 0.001). CONCLUSION NKG2D, CD40, IL-2 and IL-10 are important modulators in the development and progression of HCC.
Dendritic Cells Activated by IFN-gamma/STAT1 Express IL-31 Receptor and Release Proinflammatory Mediators upon IL-31 Treatment
JOURNAL OF IMMUNOLOGY
Authors: Horejs-Hoeck, Jutta; Schwarz, Harald; Lamprecht, Sebastian; Maier, Elisabeth; Hainzl, Stefan; Schmittner, Maria; Posselt, Gernot; Stoecklinger, Angelika; Hawranek, Thomas; Duschl, Albert
Abstract
IL-31 is a T cell-derived cytokine that signals via a heterodimeric receptor composed of IL-31R alpha and oncostatin M receptor beta. Although several studies have aimed to investigate IL-31 mediated effects, the biological functions of this cytokine are currently not well understood. IL-31 expression correlates with the expression of IL-4 and IL-13 and is associated with atopic dermatitis in humans, indicating that IL-31 is involved in Th2-mediated skin inflammation. Because dendritic cells are the main activators of Th cell responses, we posed the question of whether dendritic cells express the IL-31R complex and govern immune responses triggered by IL-31. In the current study, we report that primary human CD1c(+) as well as monocyte-derived dendritic cells significantly upregulate the IL-31R alpha receptor chain upon stimulation with IFN-gamma. EMSAs, chromatin immunoprecipitation assays, and small interfering RNA-based silencing assays revealed that STAT1 is the main transcription factor involved in IFN-gamma dependent IL-31R alpha expression. Subsequent IL-31 stimulation resulted in a dose-dependent release of proinflammatory mediators, including TNF-alpha, IL-6, CXCL8, CCL2, CCL5, and CCL22. Because these cytokines are crucially involved in skin inflammation, we hypothesize that IL-31 specific activation of dendritic cells may be part of a positive feedback loop driving the progression of inflammatory skin diseases. The Journal of Immunology, 2012, 188: 5319-5326.