IRF-1 promotes liver transplant ischemia/reperfusion injury via hepatocyte IL-15/IL-15Rα production

S Yokota, O Yoshida, L Dou, AV Spadaro… - The Journal of …, 2015 - journals.aai.org
S Yokota, O Yoshida, L Dou, AV Spadaro, K Isse, MA Ross, DB Stolz, S Kimura, Q Du…
The Journal of Immunology, 2015journals.aai.org
Ischemia and reperfusion (I/R) injury following liver transplantation (LTx) is an important
problem that significantly impacts clinical outcomes. IFN regulatory factor-1 (IRF-1) is a
nuclear transcription factor that plays a critical role in liver injury. Our objective was to
determine the immunomodulatory role of IRF-1 during I/R injury following allogeneic LTx.
IRF-1 was induced in liver grafts immediately after reperfusion in both human and mouse
LTx. IRF-1 contributed significantly to I/R injury because IRF-1–knockout (KO) grafts …
Abstract
Ischemia and reperfusion (I/R) injury following liver transplantation (LTx) is an important problem that significantly impacts clinical outcomes. IFN regulatory factor-1 (IRF-1) is a nuclear transcription factor that plays a critical role in liver injury. Our objective was to determine the immunomodulatory role of IRF-1 during I/R injury following allogeneic LTx. IRF-1 was induced in liver grafts immediately after reperfusion in both human and mouse LTx. IRF-1 contributed significantly to I/R injury because IRF-1–knockout (KO) grafts displayed much less damage as assessed by serum alanine aminotransferase and histology. In vitro, IRF-1 regulated both constitutive and induced expression of IL-15, as well as IL-15Rα mRNA expression in murine hepatocytes and liver dendritic cells. Specific knockdown of IRF-1 in human primary hepatocytes gave similar results. In addition, we identified hepatocytes as the major producer of soluble IL-15/IL-15Rα complexes in the liver. IRF-1–KO livers had significantly reduced NK, NKT, and CD8+ T cell numbers, whereas rIL-15/IL-15Rα restored these immune cells, augmented cytotoxic effector molecules, promoted systemic inflammatory responses, and exacerbated liver injury in IRF-1–KO graft recipients. These results indicate that IRF-1 promotes LTx I/R injury via hepatocyte IL-15/IL-15Rα production and suggest that targeting IRF-1 and IL-15/IL-15Rα may be effective in reducing I/R injury associated with LTx.
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