Single-cell landscape of immune cells during the progression from HBV infection to HBV cirrhosis and HBV-associated hepatocellular carcinoma

IntroductionImmune cells play crucial roles in the development of chronic hepatitis B virus (HBV) infection, leading to cirrhosis and hepatocellular carcinoma (HCC). However, their functions at different disease stages are not fully understood.MethodsIn this study, we used single-cell RNA sequencing...

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Main Authors: Qingquan Bai, Runyang Li, Xiao He, Xiaoting Hong, Ying Yan, Zhengyang Zhao, Han Lin, Frank Tacke, Cornelius Engelmann, Tianhui Hu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-12-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2023.1320414/full
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author Qingquan Bai
Qingquan Bai
Runyang Li
Xiao He
Xiaoting Hong
Ying Yan
Zhengyang Zhao
Han Lin
Frank Tacke
Cornelius Engelmann
Cornelius Engelmann
Cornelius Engelmann
Tianhui Hu
Tianhui Hu
author_facet Qingquan Bai
Qingquan Bai
Runyang Li
Xiao He
Xiaoting Hong
Ying Yan
Zhengyang Zhao
Han Lin
Frank Tacke
Cornelius Engelmann
Cornelius Engelmann
Cornelius Engelmann
Tianhui Hu
Tianhui Hu
author_sort Qingquan Bai
collection DOAJ
description IntroductionImmune cells play crucial roles in the development of chronic hepatitis B virus (HBV) infection, leading to cirrhosis and hepatocellular carcinoma (HCC). However, their functions at different disease stages are not fully understood.MethodsIn this study, we used single-cell RNA sequencing (scRNA-seq) to characterize the human liver immune microenvironment at different disease stages. We analyzed scRNA-seq data from 118,455 immune cells obtained from livers of six healthy individuals, four patients with HBV infection, five patients with HBV cirrhosis, and three patients with HBV-associated HCC.ResultsOur results showed an accumulation of scar-associated macrophages during disease progression, and we identified two relevant immune subsets, Macrophage-CD9/IL18 and macrophage-CD9/IFI6. Macrophage-CD9/IL18 expanded from HBV infection to cirrhosis, while macrophage-CD9/IFI6 expanded from cirrhosis to HCC. We verified the existence of Macrophage-CD9/IFI6 using multiplex immunofluorescence staining. We also found an increase in cytotoxic NK Cell-GNLY during progression from cirrhosis to HCC. Additionally, the proportion of CD4 T cell-TNFAIP3, CD8 T cell-TNF (effector CD8 T cells), and CD8 T cell-CD53 increased, while the proportion of Treg cells decreased from HBV infection to cirrhosis. The proportion of Treg and CD8 T cell-LAG3 (Exhausted CD8 T cell) enhanced, while the proportion of CD8 T cell-TNF (effector CD8 T cells) decreased from cirrhosis to HCC. Furthermore, GSEA enrichment analyses revealed that MAPK, ERBB, and P53 signaling pathways in myeloid cells were gradually inhibited from HBV infection to cirrhosis and HCC.DiscussionOur study provides important insights into changes in the hepatic immune environment during the progression of HBV-related liver disease, which may help improve the management of HBV-infected liver diseases.
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spelling doaj.art-29ce181e6f3e40a4ba027be85950592a2023-12-06T07:54:37ZengFrontiers Media S.A.Frontiers in Immunology1664-32242023-12-011410.3389/fimmu.2023.13204141320414Single-cell landscape of immune cells during the progression from HBV infection to HBV cirrhosis and HBV-associated hepatocellular carcinomaQingquan Bai0Qingquan Bai1Runyang Li2Xiao He3Xiaoting Hong4Ying Yan5Zhengyang Zhao6Han Lin7Frank Tacke8Cornelius Engelmann9Cornelius Engelmann10Cornelius Engelmann11Tianhui Hu12Tianhui Hu13Department of Hepatology & Gastroenterology, Charité Universitätsmedizin Berlin, Berlin, GermanyCancer Research Center, School of Medicine, Xiamen University, Xiamen, ChinaCancer Research Center, School of Medicine, Xiamen University, Xiamen, ChinaDepartment of Neurology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, ChinaCancer Research Center, School of Medicine, Xiamen University, Xiamen, ChinaCancer Research Center, School of Medicine, Xiamen University, Xiamen, ChinaCancer Research Center, School of Medicine, Xiamen University, Xiamen, ChinaDepartment of Hepatic Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, ChinaDepartment of Hepatology & Gastroenterology, Charité Universitätsmedizin Berlin, Berlin, GermanyDepartment of Hepatology & Gastroenterology, Charité Universitätsmedizin Berlin, Berlin, GermanyBerlin Institute of Health - Charité - Universitätsmedizin Berlin, Berlin, GermanyInstitute for Liver and Digestive Health, University College London, London, United KingdomCancer Research Center, School of Medicine, Xiamen University, Xiamen, ChinaShenzhen Research Institute of Xiamen University, Shenzhen, ChinaIntroductionImmune cells play crucial roles in the development of chronic hepatitis B virus (HBV) infection, leading to cirrhosis and hepatocellular carcinoma (HCC). However, their functions at different disease stages are not fully understood.MethodsIn this study, we used single-cell RNA sequencing (scRNA-seq) to characterize the human liver immune microenvironment at different disease stages. We analyzed scRNA-seq data from 118,455 immune cells obtained from livers of six healthy individuals, four patients with HBV infection, five patients with HBV cirrhosis, and three patients with HBV-associated HCC.ResultsOur results showed an accumulation of scar-associated macrophages during disease progression, and we identified two relevant immune subsets, Macrophage-CD9/IL18 and macrophage-CD9/IFI6. Macrophage-CD9/IL18 expanded from HBV infection to cirrhosis, while macrophage-CD9/IFI6 expanded from cirrhosis to HCC. We verified the existence of Macrophage-CD9/IFI6 using multiplex immunofluorescence staining. We also found an increase in cytotoxic NK Cell-GNLY during progression from cirrhosis to HCC. Additionally, the proportion of CD4 T cell-TNFAIP3, CD8 T cell-TNF (effector CD8 T cells), and CD8 T cell-CD53 increased, while the proportion of Treg cells decreased from HBV infection to cirrhosis. The proportion of Treg and CD8 T cell-LAG3 (Exhausted CD8 T cell) enhanced, while the proportion of CD8 T cell-TNF (effector CD8 T cells) decreased from cirrhosis to HCC. Furthermore, GSEA enrichment analyses revealed that MAPK, ERBB, and P53 signaling pathways in myeloid cells were gradually inhibited from HBV infection to cirrhosis and HCC.DiscussionOur study provides important insights into changes in the hepatic immune environment during the progression of HBV-related liver disease, which may help improve the management of HBV-infected liver diseases.https://www.frontiersin.org/articles/10.3389/fimmu.2023.1320414/fullhepatitis BcirrhosisHBV infectionhepatocellular carcinomascRNA-seq
spellingShingle Qingquan Bai
Qingquan Bai
Runyang Li
Xiao He
Xiaoting Hong
Ying Yan
Zhengyang Zhao
Han Lin
Frank Tacke
Cornelius Engelmann
Cornelius Engelmann
Cornelius Engelmann
Tianhui Hu
Tianhui Hu
Single-cell landscape of immune cells during the progression from HBV infection to HBV cirrhosis and HBV-associated hepatocellular carcinoma
Frontiers in Immunology
hepatitis B
cirrhosis
HBV infection
hepatocellular carcinoma
scRNA-seq
title Single-cell landscape of immune cells during the progression from HBV infection to HBV cirrhosis and HBV-associated hepatocellular carcinoma
title_full Single-cell landscape of immune cells during the progression from HBV infection to HBV cirrhosis and HBV-associated hepatocellular carcinoma
title_fullStr Single-cell landscape of immune cells during the progression from HBV infection to HBV cirrhosis and HBV-associated hepatocellular carcinoma
title_full_unstemmed Single-cell landscape of immune cells during the progression from HBV infection to HBV cirrhosis and HBV-associated hepatocellular carcinoma
title_short Single-cell landscape of immune cells during the progression from HBV infection to HBV cirrhosis and HBV-associated hepatocellular carcinoma
title_sort single cell landscape of immune cells during the progression from hbv infection to hbv cirrhosis and hbv associated hepatocellular carcinoma
topic hepatitis B
cirrhosis
HBV infection
hepatocellular carcinoma
scRNA-seq
url https://www.frontiersin.org/articles/10.3389/fimmu.2023.1320414/full
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