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T cell-mediated biliary epithelial-to-mesenchymal transition in liver allograft rejection.

Abstract
Loss of bile duct epithelium is characteristic of early chronic rejection following liver transplantation. Recent studies have suggested that intrahepatic biliary epithelial cells can transform into myofibroblasts. This study examines the induction and molecular regulation of this transition during allograft rejection. Immortalized human cholangiocytes were stimulated with either transforming growth factor beta1 (TGFbeta1) or a T cell line, and they were examined for morphological, proteomic, and functional features. Posttransplant liver biopsy sections were also examined. Treatment of cholangiocytes with TGFbeta1 or TGFbeta-presenting T cells induced a bipolar morphology, reduced expression of E-cadherin and zona occludens 1 (ZO-1), and increased vimentin, fibronectin, matrix metalloproteinase 2 (MMP-2), MMP-9, and S100 calcium binding protein A4 (S100A4); treated cells invaded a model basement membrane. Chemokines induced T cell penetration of 3-dimensional, cultured bile duct-like structures and bile ducts in liver biopsy sections. A spatial association was observed between duct-infiltrating T cells and cholangiocyte expression of mesenchymal markers, including S100A4. Inhibition of S100A4 expression in vitro blocked TGFbeta1-mediated loss of E-cadherin and ZO-1 but did not reduce induction of fibronectin, MMP-2, or MMP-9. This study demonstrates the potential for T cells to induce an intrahepatic biliary epithelial-to-mesenchymal cell transition during chronic rejection. Furthermore, S100A4 expression by cholangiocytes was identified as a crucial regulator of this transition.
AuthorsKarolina A Rygiel, Helen Robertson, Joseph D P Willet, John G Brain, Alastair D Burt, David E J Jones, John A Kirby
JournalLiver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society (Liver Transpl) Vol. 16 Issue 5 Pg. 567-76 (May 2010) ISSN: 1527-6473 [Electronic] United States
PMID20440766 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Copyright2010 AASLD.
Chemical References
  • Cadherins
  • Drug Combinations
  • Laminin
  • Proteoglycans
  • S100 Calcium-Binding Protein A4
  • S100 Proteins
  • Transforming Growth Factor beta1
  • matrigel
  • S100A4 protein, human
  • Collagen
Topics
  • Bile Ducts (immunology, pathology)
  • Biopsy
  • Cadherins (metabolism)
  • Cell Differentiation (drug effects, physiology)
  • Cell Line, Transformed
  • Chronic Disease
  • Collagen
  • Drug Combinations
  • Epithelial Cells (immunology, metabolism, pathology)
  • Fibroblasts (immunology, pathology)
  • Gene Knockdown Techniques
  • Graft Rejection (immunology, pathology)
  • Humans
  • Immunohistochemistry
  • Immunophenotyping
  • Laminin
  • Liver Transplantation
  • Proteoglycans
  • S100 Calcium-Binding Protein A4
  • S100 Proteins (genetics)
  • T-Lymphocytes (immunology, pathology)
  • Transforming Growth Factor beta1 (pharmacology)
  • Transplantation, Homologous

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