(Hepatology 2013;58:1461–1473) The development of liver fibrosis constitutes one of the major complications of chronic liver disease, with many clinical consequences such as the development of esophageal varices and ascites being directly related to the presence of liver fibrosis.[1] The hepatic wound healing response is a concerted action of multiple resident and nonresident cell types LY2157299 that not only provides a scaffold for structural stability but also involves the removal of cellular debris by infiltrating hepatic macrophages (HM) and the regeneration of functional
parenchyma.[2, 3] Hepatic stellate cells (HSCs) are considered the main fibrogenic cell type in the liver and are responsible for the production of various types of extracellular matrix.[2, 3] HSCs undergo a well-characterized activation process, during which they lose their characteristic vitamin A and lipid stores and obtain a myofibroblastic phenotype.[2, 3] The activation Neratinib mouse of HSCs is controlled by multiple soluble mediators, including transforming growth factor β and platelet-derived growth factor, and is part of a complex cellular network that controls the hepatic wound healing response. Previous studies have demonstrated that multiple cell populations—including HMs, myeloid-derived suppressor cell, B cells,
T cells, and natural killer cells—influence the development of liver fibrosis.[4-12] Among those, HMs exert a profound effect on HSCs and hepatic fibrosis as shown by genetic or pharmacologic models of macrophage depletion.[6, 7, 13] At the same time, HMs also contribute to fibrosis resolution through MMP13 and matrix remodeling.[6, 14, 15] However, the mechanisms by which HMs promote liver fibrosis remain largely elusive. Dendritic cells
(DCs) are developmentally closely related to macrophages and exert a profound effect on liver fibrosis regression[16] and the cytokine microenvironment during fibrogenesis,[12] but their contribution to liver fibrosis development remains unknown. In the present study, we uncovered the promotion of HSC/myofibroblast survival 上海皓元医药股份有限公司 as a novel mechanism through which macrophages promote fibrosis. Moreover, we demonstrate for the first time that neither classical DCs (cDCs) nor plasmacytoid DCs (pDCs) contribute to fibrogenesis. C57BL/6 mice, Balb/c mice, CD11c-DTR-eGFP mice (in C57Bl/6 background), Tnfrsf1a/Il1r1-deleted (“dko”) mice (in B6.129S background), and B6.129S mice were purchased from The Jackson Laboratory (Bar Harbor, ME) and housed in a specific pathogen-free facility. Collagen–green fluorescent protein (GFP) reporter mice have been described.[17] Hepatic fibrosis was induced in 8- to 12-week-old male mice by ligating the common bile duct for 5 to 15 days as described,[18, 19] via 4 to 20 intraperitoneal injections of carbon tetrachloride (CCl4) (0.125 μL/g to 0.