Necroptosis of macrophage is a key pathological feature in biliary atresia via GDCA/S1PR2/ZBP1/p-MLKL axis

Abstract Biliary atresia (BA) is a severe inflammatory and fibrosing neonatal cholangiopathy disease characterized by progressive obstruction of extrahepatic bile ducts, resulting in cholestasis and progressive hepatic failure. Cholestasis may play an important role in the inflammatory and fibrotic...

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Main Authors: Shen Yang, Na Chang, Weiyang Li, Ting Yang, Renmin Xue, Jing Liu, Li Zhang, Xingfeng Yao, Yajun Chen, Huanmin Wang, Lin Yang, Jinshi Huang, Liying Li
Format: Article
Language:English
Published: Nature Publishing Group 2023-03-01
Series:Cell Death and Disease
Online Access:https://doi.org/10.1038/s41419-023-05615-4
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author Shen Yang
Na Chang
Weiyang Li
Ting Yang
Renmin Xue
Jing Liu
Li Zhang
Xingfeng Yao
Yajun Chen
Huanmin Wang
Lin Yang
Jinshi Huang
Liying Li
author_facet Shen Yang
Na Chang
Weiyang Li
Ting Yang
Renmin Xue
Jing Liu
Li Zhang
Xingfeng Yao
Yajun Chen
Huanmin Wang
Lin Yang
Jinshi Huang
Liying Li
author_sort Shen Yang
collection DOAJ
description Abstract Biliary atresia (BA) is a severe inflammatory and fibrosing neonatal cholangiopathy disease characterized by progressive obstruction of extrahepatic bile ducts, resulting in cholestasis and progressive hepatic failure. Cholestasis may play an important role in the inflammatory and fibrotic pathological processes, but its specific mechanism is still unclear. Necroptosis mediated by Z-DNA-binding protein 1 (ZBP1)/phosphorylated-mixed lineage kinase domain-like pseudokinase (p-MLKL) is a prominent pathogenic factor in inflammatory and fibrotic diseases, but its function in BA remains unclear. Here, we aim to determine the effect of macrophage necroptosis in the BA pathology, and to explore the specific molecular mechanism. We found that necroptosis existed in BA livers, which was occurred in liver macrophages. Furthermore, this process was mediated by ZBP1/p-MLKL, and the upregulated expression of ZBP1 in BA livers was correlated with liver fibrosis and prognosis. Similarly, in the bile duct ligation (BDL) induced mouse cholestatic liver injury model, macrophage necroptosis mediated by ZBP1/p-MLKL was also observed. In vitro, conjugated bile acid-glycodeoxycholate (GDCA) upregulated ZBP1 expression in mouse bone marrow-derived monocyte/macrophages (BMDMs) through sphingosine 1-phosphate receptor 2 (S1PR2), and the induction of ZBP1 was a prerequisite for the enhanced necroptosis. Finally, after selectively knocking down of macrophage S1pr2 in vivo, ZBP1/p-MLKL-mediated necroptosis was decreased, and further collagen deposition was markedly attenuated in BDL mice. Furthermore, macrophage Zbp1 or Mlkl specific knockdown also alleviated BDL-induced liver injury/fibrosis. In conclusion, GDCA/S1PR2/ZBP1/p-MLKL mediated macrophage necroptosis plays vital role in the pathogenesis of BA liver fibrosis, and targeting this process may represent a potential therapeutic strategy for BA.
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spelling doaj.art-68de53ae602f4c04b437b0f2aae0d0e72023-03-22T12:31:51ZengNature Publishing GroupCell Death and Disease2041-48892023-03-0114311710.1038/s41419-023-05615-4Necroptosis of macrophage is a key pathological feature in biliary atresia via GDCA/S1PR2/ZBP1/p-MLKL axisShen Yang0Na Chang1Weiyang Li2Ting Yang3Renmin Xue4Jing Liu5Li Zhang6Xingfeng Yao7Yajun Chen8Huanmin Wang9Lin Yang10Jinshi Huang11Liying Li12Department of Cell Biology, Municipal Laboratory for Liver Protection and Regulation of Regeneration, Capital Medical UniversityDepartment of Cell Biology, Municipal Laboratory for Liver Protection and Regulation of Regeneration, Capital Medical UniversityDepartment of Cell Biology, Municipal Laboratory for Liver Protection and Regulation of Regeneration, Capital Medical UniversityDepartment of Neonatal Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthDepartment of Cell Biology, Municipal Laboratory for Liver Protection and Regulation of Regeneration, Capital Medical UniversityDepartment of Cell Biology, Municipal Laboratory for Liver Protection and Regulation of Regeneration, Capital Medical UniversityInstitute of Precision Medicine, the Ninth People’s Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Pathology, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthDepartment of General Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthDepartment of Surgical Oncology, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthDepartment of Cell Biology, Municipal Laboratory for Liver Protection and Regulation of Regeneration, Capital Medical UniversityDepartment of Neonatal Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthDepartment of Cell Biology, Municipal Laboratory for Liver Protection and Regulation of Regeneration, Capital Medical UniversityAbstract Biliary atresia (BA) is a severe inflammatory and fibrosing neonatal cholangiopathy disease characterized by progressive obstruction of extrahepatic bile ducts, resulting in cholestasis and progressive hepatic failure. Cholestasis may play an important role in the inflammatory and fibrotic pathological processes, but its specific mechanism is still unclear. Necroptosis mediated by Z-DNA-binding protein 1 (ZBP1)/phosphorylated-mixed lineage kinase domain-like pseudokinase (p-MLKL) is a prominent pathogenic factor in inflammatory and fibrotic diseases, but its function in BA remains unclear. Here, we aim to determine the effect of macrophage necroptosis in the BA pathology, and to explore the specific molecular mechanism. We found that necroptosis existed in BA livers, which was occurred in liver macrophages. Furthermore, this process was mediated by ZBP1/p-MLKL, and the upregulated expression of ZBP1 in BA livers was correlated with liver fibrosis and prognosis. Similarly, in the bile duct ligation (BDL) induced mouse cholestatic liver injury model, macrophage necroptosis mediated by ZBP1/p-MLKL was also observed. In vitro, conjugated bile acid-glycodeoxycholate (GDCA) upregulated ZBP1 expression in mouse bone marrow-derived monocyte/macrophages (BMDMs) through sphingosine 1-phosphate receptor 2 (S1PR2), and the induction of ZBP1 was a prerequisite for the enhanced necroptosis. Finally, after selectively knocking down of macrophage S1pr2 in vivo, ZBP1/p-MLKL-mediated necroptosis was decreased, and further collagen deposition was markedly attenuated in BDL mice. Furthermore, macrophage Zbp1 or Mlkl specific knockdown also alleviated BDL-induced liver injury/fibrosis. In conclusion, GDCA/S1PR2/ZBP1/p-MLKL mediated macrophage necroptosis plays vital role in the pathogenesis of BA liver fibrosis, and targeting this process may represent a potential therapeutic strategy for BA.https://doi.org/10.1038/s41419-023-05615-4
spellingShingle Shen Yang
Na Chang
Weiyang Li
Ting Yang
Renmin Xue
Jing Liu
Li Zhang
Xingfeng Yao
Yajun Chen
Huanmin Wang
Lin Yang
Jinshi Huang
Liying Li
Necroptosis of macrophage is a key pathological feature in biliary atresia via GDCA/S1PR2/ZBP1/p-MLKL axis
Cell Death and Disease
title Necroptosis of macrophage is a key pathological feature in biliary atresia via GDCA/S1PR2/ZBP1/p-MLKL axis
title_full Necroptosis of macrophage is a key pathological feature in biliary atresia via GDCA/S1PR2/ZBP1/p-MLKL axis
title_fullStr Necroptosis of macrophage is a key pathological feature in biliary atresia via GDCA/S1PR2/ZBP1/p-MLKL axis
title_full_unstemmed Necroptosis of macrophage is a key pathological feature in biliary atresia via GDCA/S1PR2/ZBP1/p-MLKL axis
title_short Necroptosis of macrophage is a key pathological feature in biliary atresia via GDCA/S1PR2/ZBP1/p-MLKL axis
title_sort necroptosis of macrophage is a key pathological feature in biliary atresia via gdca s1pr2 zbp1 p mlkl axis
url https://doi.org/10.1038/s41419-023-05615-4
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