Propranolol Suppresses the T-Helper Cell Depletion-Related Immune Dysfunction in Cirrhotic Mice

Bacterial translocation (BT) and splenomegaly contribute to cirrhosis-associated immune dysfunction (CAID) including T cell depletion, infection, and chronic inflammation. β-blockers have been reported to decrease BT and improve splenomegaly. This study explores the modulation of β...

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Main Authors: Hung-Cheng Tsai, Chien-Fu Hsu, Chia-Chang Huang, Shiang-Fen Huang, Tzu-Hao Li, Ying-Ying Yang, Ming-Wei Lin, Tzung-Yan Lee, Chih-Wei Liu, Yi-Hsiang Huang, Ming-Chih Hou, Han-Chieh Lin
Format: Article
Language:English
Published: MDPI AG 2020-03-01
Series:Cells
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Online Access:https://www.mdpi.com/2073-4409/9/3/604
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author Hung-Cheng Tsai
Chien-Fu Hsu
Chia-Chang Huang
Shiang-Fen Huang
Tzu-Hao Li
Ying-Ying Yang
Ming-Wei Lin
Tzung-Yan Lee
Chih-Wei Liu
Yi-Hsiang Huang
Ming-Chih Hou
Han-Chieh Lin
author_facet Hung-Cheng Tsai
Chien-Fu Hsu
Chia-Chang Huang
Shiang-Fen Huang
Tzu-Hao Li
Ying-Ying Yang
Ming-Wei Lin
Tzung-Yan Lee
Chih-Wei Liu
Yi-Hsiang Huang
Ming-Chih Hou
Han-Chieh Lin
author_sort Hung-Cheng Tsai
collection DOAJ
description Bacterial translocation (BT) and splenomegaly contribute to cirrhosis-associated immune dysfunction (CAID) including T cell depletion, infection, and chronic inflammation. β-blockers have been reported to decrease BT and improve splenomegaly. This study explores the modulation of β1 and β2 adrenergic receptors (ADRB1/ADRB2) by propranolol treatment on the peripheral and splenic immune dysfunction of cirrhotic mice. In vivo experiments were performed in bile duct ligation (BDL)- and thioacetamide (TAA)-cirrhotic mice receiving two weeks of propranolol treatment. Acute effects of propranolol were evaluated in T-helper (Th) cells isolated from spleen of cirrhotic mice. Over-expression of β1 and β2 adrenergic receptors (ADRB1/ADRB2) in spleen and T lymphocytes was associated with high peripheral/splenic lipopolysaccharide binding protein levels. Moreover, a decrease in Th cells percentage, increase in Treg subset, and cytokines were accompanied by increased apoptosis, proliferation, and reduced white pulp hyperplasia in cirrhotic mice, which were counteracted by propranolol treatment. The Th-cell depletion, systemic inflammation, BT, and infection were improved by chronic propranolol treatment. Acute propranolol treatment inhibited apoptosis, Treg-conditioned differentiation, and promoted Th2-conditioned differentiation through ADRB-cyclic adenosine monophosphate (cAMP) signals in cirrhotic mice. In conclusion, suppression of ADRB1 and ADRB2 expressions in spleen and splenic T lymphocytes by acute and chronic propranolol treatment ameliorate systemic and splenic immune dysfunction in cirrhosis.
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spelling doaj.art-bad3fc97c0ab4d01a9f4b761a6b2c0172023-09-03T05:32:10ZengMDPI AGCells2073-44092020-03-019360410.3390/cells9030604cells9030604Propranolol Suppresses the T-Helper Cell Depletion-Related Immune Dysfunction in Cirrhotic MiceHung-Cheng Tsai0Chien-Fu Hsu1Chia-Chang Huang2Shiang-Fen Huang3Tzu-Hao Li4Ying-Ying Yang5Ming-Wei Lin6Tzung-Yan Lee7Chih-Wei Liu8Yi-Hsiang Huang9Ming-Chih Hou10Han-Chieh Lin11Division of Allergy and Immunology, Department of Medicine, Taipei Veterans General Hospital, Taipei 11217, TaiwanFaculty of Medicine, School of Medicine, National Yang-Ming University School of Medicine, Taipei 11217, TaiwanFaculty of Medicine, School of Medicine, National Yang-Ming University School of Medicine, Taipei 11217, TaiwanFaculty of Medicine, School of Medicine, National Yang-Ming University School of Medicine, Taipei 11217, TaiwanDivision of Allergy and Immunology, Department of Medicine, Taipei Veterans General Hospital, Taipei 11217, TaiwanFaculty of Medicine, School of Medicine, National Yang-Ming University School of Medicine, Taipei 11217, TaiwanInstitute of Public Health, School of Medicine, National Yang-Ming University School of Medicine, Taipei 11217, TaiwanMolecular Pharmacology Laboratory of Chinese Medicine, Chang Gung Memorial Foundation, Linkou Branch 333, TaiwanDivision of Allergy and Immunology, Department of Medicine, Taipei Veterans General Hospital, Taipei 11217, TaiwanFaculty of Medicine, School of Medicine, National Yang-Ming University School of Medicine, Taipei 11217, TaiwanFaculty of Medicine, School of Medicine, National Yang-Ming University School of Medicine, Taipei 11217, TaiwanFaculty of Medicine, School of Medicine, National Yang-Ming University School of Medicine, Taipei 11217, TaiwanBacterial translocation (BT) and splenomegaly contribute to cirrhosis-associated immune dysfunction (CAID) including T cell depletion, infection, and chronic inflammation. β-blockers have been reported to decrease BT and improve splenomegaly. This study explores the modulation of β1 and β2 adrenergic receptors (ADRB1/ADRB2) by propranolol treatment on the peripheral and splenic immune dysfunction of cirrhotic mice. In vivo experiments were performed in bile duct ligation (BDL)- and thioacetamide (TAA)-cirrhotic mice receiving two weeks of propranolol treatment. Acute effects of propranolol were evaluated in T-helper (Th) cells isolated from spleen of cirrhotic mice. Over-expression of β1 and β2 adrenergic receptors (ADRB1/ADRB2) in spleen and T lymphocytes was associated with high peripheral/splenic lipopolysaccharide binding protein levels. Moreover, a decrease in Th cells percentage, increase in Treg subset, and cytokines were accompanied by increased apoptosis, proliferation, and reduced white pulp hyperplasia in cirrhotic mice, which were counteracted by propranolol treatment. The Th-cell depletion, systemic inflammation, BT, and infection were improved by chronic propranolol treatment. Acute propranolol treatment inhibited apoptosis, Treg-conditioned differentiation, and promoted Th2-conditioned differentiation through ADRB-cyclic adenosine monophosphate (cAMP) signals in cirrhotic mice. In conclusion, suppression of ADRB1 and ADRB2 expressions in spleen and splenic T lymphocytes by acute and chronic propranolol treatment ameliorate systemic and splenic immune dysfunction in cirrhosis.https://www.mdpi.com/2073-4409/9/3/604cirrhosis-associated immune dysfunctionsplenic β adrenergic receptorth-cell depletion
spellingShingle Hung-Cheng Tsai
Chien-Fu Hsu
Chia-Chang Huang
Shiang-Fen Huang
Tzu-Hao Li
Ying-Ying Yang
Ming-Wei Lin
Tzung-Yan Lee
Chih-Wei Liu
Yi-Hsiang Huang
Ming-Chih Hou
Han-Chieh Lin
Propranolol Suppresses the T-Helper Cell Depletion-Related Immune Dysfunction in Cirrhotic Mice
Cells
cirrhosis-associated immune dysfunction
splenic β adrenergic receptor
th-cell depletion
title Propranolol Suppresses the T-Helper Cell Depletion-Related Immune Dysfunction in Cirrhotic Mice
title_full Propranolol Suppresses the T-Helper Cell Depletion-Related Immune Dysfunction in Cirrhotic Mice
title_fullStr Propranolol Suppresses the T-Helper Cell Depletion-Related Immune Dysfunction in Cirrhotic Mice
title_full_unstemmed Propranolol Suppresses the T-Helper Cell Depletion-Related Immune Dysfunction in Cirrhotic Mice
title_short Propranolol Suppresses the T-Helper Cell Depletion-Related Immune Dysfunction in Cirrhotic Mice
title_sort propranolol suppresses the t helper cell depletion related immune dysfunction in cirrhotic mice
topic cirrhosis-associated immune dysfunction
splenic β adrenergic receptor
th-cell depletion
url https://www.mdpi.com/2073-4409/9/3/604
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