Dudek, M.* ; Pfister, D.* ; Donakonda, S.* ; Filpe, P.* ; Schneider, A.* ; Laschinger, M.* ; Hartmann, D.* ; Hüser, N.* ; Meiser, P.* ; Bayerl, F.* ; Inverso, D.* ; Wigger, J.* ; Sebode, M.* ; Öllinger, R.* ; Rad, R.* ; Hegenbarth, S.* ; Anton, M.* ; Guillot, A.* ; Bowman, A.* ; Heide, D.* ; Müller, F.* ; Ramadori, P.* ; Leone, V. ; García-Cáceres, C. ; Gruber, T. ; Seifert, G.* ; Kabat, A.M.* ; Malm, J.P.* ; Reider, S.* ; Effenberger, M.* ; Roth, S.* ; Billeter, A.T.* ; Müller-Stich, B.* ; Pearce, E.J.* ; Koch-Nolte, F.* ; Käser, R.* ; Tilg, H.* ; Thimme, R.* ; Böttler, T.* ; Tacke, F.* ; Dufour, J.F.* ; Haller, D.* ; Murray, P.J.* ; Heeren, R.* ; Zehn, D.* ; Böttcher, J.P.* ; Heikenwälder, M.* ; Knolle, P.A.*
Auto-aggressive CXCR6+ CD8 T cells cause liver immune pathology in NASH.
Nature 592, 444-449 (2021)
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.
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Publication type
Article: Journal article
Document type
Scientific Article
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Keywords plus
Language
english
Publication Year
2021
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2021
ISSN (print) / ISBN
0028-0836
e-ISSN
1476-4687
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Volume: 592,
Issue: 7854,
Pages: 444-449
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Nature Publishing Group
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London
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0000-00-00
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0000-00-00
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0000-00-00
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Peer reviewed
POF-Topic(s)
30203 - Molecular Targets and Therapies
90000 - German Center for Diabetes Research
30201 - Metabolic Health
Research field(s)
Radiation Sciences
Helmholtz Diabetes Center
PSP Element(s)
G-501000-001
G-501900-224
G-502200-001
Grants
DZIF Munich site
SFB
CIBSS EXC-2189
DFG
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Erfassungsdatum
2021-05-21