Auto-aggressive CXCR6+ CD8 T cells cause liver immune pathology in NASH
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Auto-aggressive CXCR6+ CD8 T cells cause liver immune pathology in NASH. / Dudek, Michael; Pfister, Dominik; Donakonda, Sainitin; Filpe, Pamela; Schneider, Annika; Laschinger, Melanie; Hartmann, Daniel; Meiser, Philippa; Bayerl, Felix; Inverso, Donato; Wigger, Jennifer; Sebode, Marcial; Öllinger, Rupert; Rad, Roland; Hegenbarth, Silke; Anton, Martina; Guillot, Adrien; Bowman, Andrew; Heide, Danijela; Müller, Florian; Ramadori, Pierluigi; Leone, Valentina; Garcia-Caceres, Cristina; Gruber, Tim; Seifert, Gabriel; Kabat, Agnieszka M; Malm, Jan-Philipp; Reider, Simon; Effenberger, Maria; Roth, Susanne; Billeter, Adrian T; Müller-Stich, Beat; Pearce, Edward J; Koch-Nolte, Friedrich; Käser, Rafael; Tilg, Herbert; Thimme, Robert; Böttler, Tobias; Tacke, Frank; Dufour, Jean-Francois; Haller, Dirk; Murray, Peter J; Heeren, Ron; Zehn, Dietmar; Böttcher, Jan P; Heikenwälder, Mathias; Knolle, Percy A.
In: NATURE, Vol. 592, No. 7854, 04.2021, p. 444-449.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Auto-aggressive CXCR6+ CD8 T cells cause liver immune pathology in NASH
AU - Dudek, Michael
AU - Pfister, Dominik
AU - Donakonda, Sainitin
AU - Filpe, Pamela
AU - Schneider, Annika
AU - Laschinger, Melanie
AU - Hartmann, Daniel
AU - Meiser, Philippa
AU - Bayerl, Felix
AU - Inverso, Donato
AU - Wigger, Jennifer
AU - Sebode, Marcial
AU - Öllinger, Rupert
AU - Rad, Roland
AU - Hegenbarth, Silke
AU - Anton, Martina
AU - Guillot, Adrien
AU - Bowman, Andrew
AU - Heide, Danijela
AU - Müller, Florian
AU - Ramadori, Pierluigi
AU - Leone, Valentina
AU - Garcia-Caceres, Cristina
AU - Gruber, Tim
AU - Seifert, Gabriel
AU - Kabat, Agnieszka M
AU - Malm, Jan-Philipp
AU - Reider, Simon
AU - Effenberger, Maria
AU - Roth, Susanne
AU - Billeter, Adrian T
AU - Müller-Stich, Beat
AU - Pearce, Edward J
AU - Koch-Nolte, Friedrich
AU - Käser, Rafael
AU - Tilg, Herbert
AU - Thimme, Robert
AU - Böttler, Tobias
AU - Tacke, Frank
AU - Dufour, Jean-Francois
AU - Haller, Dirk
AU - Murray, Peter J
AU - Heeren, Ron
AU - Zehn, Dietmar
AU - Böttcher, Jan P
AU - Heikenwälder, Mathias
AU - Knolle, Percy A
PY - 2021/4
Y1 - 2021/4
N2 - Nonalcoholic steatohepatitis (NASH) is a manifestation of systemic metabolic disease related to obesity, and causes liver disease and cancer1,2. The accumulation of metabolites leads to cell stress and inflammation in the liver3, but mechanistic understandings of liver damage in NASH are incomplete. Here, using a preclinical mouse model that displays key features of human NASH (hereafter, NASH mice), we found an indispensable role for T cells in liver immunopathology. We detected the hepatic accumulation of CD8 T cells with phenotypes that combined tissue residency (CXCR6) with effector (granzyme) and exhaustion (PD1) characteristics. Liver CXCR6+ CD8 T cells were characterized by low activity of the FOXO1 transcription factor, and were abundant in NASH mice and in patients with NASH. Mechanistically, IL-15 induced FOXO1 downregulation and CXCR6 upregulation, which together rendered liver-resident CXCR6+ CD8 T cells susceptible to metabolic stimuli (including acetate and extracellular ATP) and collectively triggered auto-aggression. CXCR6+ CD8 T cells from the livers of NASH mice or of patients with NASH had similar transcriptional signatures, and showed auto-aggressive killing of cells in an MHC-class-I-independent fashion after signalling through P2X7 purinergic receptors. This killing by auto-aggressive CD8 T cells fundamentally differed from that by antigen-specific cells, which mechanistically distinguishes auto-aggressive and protective T cell immunity.
AB - Nonalcoholic steatohepatitis (NASH) is a manifestation of systemic metabolic disease related to obesity, and causes liver disease and cancer1,2. The accumulation of metabolites leads to cell stress and inflammation in the liver3, but mechanistic understandings of liver damage in NASH are incomplete. Here, using a preclinical mouse model that displays key features of human NASH (hereafter, NASH mice), we found an indispensable role for T cells in liver immunopathology. We detected the hepatic accumulation of CD8 T cells with phenotypes that combined tissue residency (CXCR6) with effector (granzyme) and exhaustion (PD1) characteristics. Liver CXCR6+ CD8 T cells were characterized by low activity of the FOXO1 transcription factor, and were abundant in NASH mice and in patients with NASH. Mechanistically, IL-15 induced FOXO1 downregulation and CXCR6 upregulation, which together rendered liver-resident CXCR6+ CD8 T cells susceptible to metabolic stimuli (including acetate and extracellular ATP) and collectively triggered auto-aggression. CXCR6+ CD8 T cells from the livers of NASH mice or of patients with NASH had similar transcriptional signatures, and showed auto-aggressive killing of cells in an MHC-class-I-independent fashion after signalling through P2X7 purinergic receptors. This killing by auto-aggressive CD8 T cells fundamentally differed from that by antigen-specific cells, which mechanistically distinguishes auto-aggressive and protective T cell immunity.
U2 - 10.1038/s41586-021-03233-8
DO - 10.1038/s41586-021-03233-8
M3 - SCORING: Journal article
C2 - 33762736
VL - 592
SP - 444
EP - 449
JO - NATURE
JF - NATURE
SN - 0028-0836
IS - 7854
ER -