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논문 기본 정보

자료유형
학술저널
저자정보
Kim Hee-Hoon (KAIST) Shim Young-Ri (KAIST) Choi Sung Eun (KAIST) Kim Myung-Ho (KAIST) Lee Giljae (Seoul National University) You Hyun Ju (Seoul National University) Choi Won-Mook (KAIST) Choi Won-Mook (KAIST) Ryu Tom (KAIST) Kim Kyurae (KAIST) Kim Kyurae (KAIST) Woo Chaerin (KAIST) Chung Katherine Po Sin (KAIST) Hong Song Hwa (KAIST) Eun Hyuk Soo (KAIST) Kim Seok-Hwan (Chungnam National University) Ko GwangPyo (Seoul National University) Park Jong-Eun (KAIST) Gao Bin (National Institute of Health) Kim Won (Seoul Metropolitan Government Boramae Medical Center) Jeong Won-Il (KAIST)
저널정보
대한생화학·분자생물학회 Experimental and Molecular Medicine Experimental and Molecular Medicine 제55권
발행연도
2023.1
수록면
1 - 13 (13page)
DOI
10.1038/s12276-022-00921-x

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초록· 키워드

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Chronic alcohol consumption often induces hepatic steatosis but rarely causes severe inflammation in Kupffer cells (KCs) despite the increased hepatic influx of lipopolysaccharide (LPS), suggesting the presence of a veiled tolerance mechanism. In addition to LPS, the liver is affected by several gut-derived neurotransmitters through the portal blood, but the effects of catecholamines on KCs have not been clearly explored in alcohol-associated liver disease (ALD). Hence, we investigated the regulatory roles of catecholamine on inflammatory KCs under chronic alcohol exposure. We discovered that catecholamine levels were significantly elevated in the cecum, portal blood, and liver tissues of chronic ethanol-fed mice. Increased catecholamines induced mitochondrial translocation of cytochrome P450 2E1 in perivenous hepatocytes expressing the β2-adrenergic receptor (ADRB2), leading to the enhanced production of growth differentiation factor 15 (GDF15). Subsequently, GDF15 profoundly increased ADRB2 expression in adjacent inflammatory KCs to facilitate catecholamine/ADRB2-mediated apoptosis. Single-cell RNA sequencing of KCs confirmed the elevated expression of Adrb2 and apoptotic genes after chronic ethanol intake. Genetic ablation of Adrb2 or hepatic Gdf15 robustly decreased the number of apoptotic KCs near perivenous areas, exacerbating alcohol-associated inflammation. Consistently, we found that blood and stool catecholamine levels and perivenous GDF15 expression were increased in patients with early-stage ALD along with an increase in apoptotic KCs. Our findings reveal a novel protective mechanism against ALD, in which the catecholamine/GDF15 axis plays a critical role in KC apoptosis, and identify a unique neuro-metabo-immune axis between the gut and liver that elicits hepatoprotection against alcohol-mediated pathogenic challenges.

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