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Prolonged hypernutrition impairs TREM2-dependent efferocytosis to license chronic liver inflammation and NASH development.

Xiaochen Wang | Qifeng He | Chuanli Zhou | Yueyuan Xu | Danhui Liu | Naoto Fujiwara | Naoto Kubota | Arielle Click | Polly Henderson | Janiece Vancil | Cesia Ammi Marquez | Ganesh Gunasekaran | Myron E Schwartz | Parissa Tabrizian | Umut Sarpel | Maria Isabel Fiel | Yarui Diao | Beicheng Sun | Yujin Hoshida | Shuang Liang | Zhenyu Zhong
Immunity | 2023

Obesity-induced chronic liver inflammation is a hallmark of nonalcoholic steatohepatitis (NASH)-an aggressive form of nonalcoholic fatty liver disease. However, it remains unclear how such a low-grade, yet persistent, inflammation is sustained in the liver. Here, we show that the macrophage phagocytic receptor TREM2, induced by hepatocyte-derived sphingosine-1-phosphate, was required for efferocytosis of lipid-laden apoptotic hepatocytes and thereby maintained liver immune homeostasis. However, prolonged hypernutrition led to the production of proinflammatory cytokines TNF and IL-1β in the liver to induce TREM2 shedding through ADAM17-dependent proteolytic cleavage. Loss of TREM2 resulted in aberrant accumulation of dying hepatocytes, thereby further augmenting proinflammatory cytokine production. This ultimately precipitated a vicious cycle that licensed chronic inflammation to drive simple steatosis transition to NASH. Therefore, impaired macrophage efferocytosis is a previously unrecognized key pathogenic event that enables chronic liver inflammation in obesity. Blocking TREM2 cleavage to restore efferocytosis may represent an effective strategy to treat NASH.

Pubmed ID: 36521495 RIS Download

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Associated grants

  • Agency: NCI NIH HHS, United States
    Id: R01 CA233794
  • Agency: NCI NIH HHS, United States
    Id: R01 CA255621
  • Agency: NIDDK NIH HHS, United States
    Id: R01 DK099558

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