Department of Anatomy, Hamidiye School of Medicine, University of Health Sciences, Istanbul, Turkey.
Department of Histology and Embryology, International School of Medicine, University of Health Sciences, Istanbul, Turkey.
Immunol Res. 2024 Oct;72(5):895-901. doi: 10.1007/s12026-024-09515-3. Epub 2024 Jul 18.
Autoimmune hepatitis (AIH) is a chronic inflammatory liver disease. Elevated serum immunoglobulin G (IgG) levels, autoantibodies, and histopathological interface hepatitis are the hallmarks of AIH. Autoantibodies and pathological findings, clinical and biochemical features, typical immunoglobulin levels, and exclusion of other diseases are used to diagnose the condition. Gamma-delta (γδ) T cells are a unique population of unconventional T cells with γ and δ glycoprotein chains. γδ T cells have been shown to play a crucial role in autoimmune diseases by producing interleukin (IL)-17. However, its role in AIH remains to be further elucidated. In this study, we aimed to examine the role of γδ T cells and IL-17 in the pathogenesis of AIH, by working on biopsy samples. Paraffin blocks of 18 patients with type 1 AIH and 18 control liver tissues were analyzed. qRT-PCR assessed IL-17 gene expression. Immunofluorescence double staining of CD3TCRγδ was performed to reveal tissue-resident γδ T cells' role in AIH. When comparing AIH to the control, there was a substantial increase in the ratio of CD3TCRγδ cells in total inflammatory cells (p = 0.01). IL-17 gene expression was lowered in AIH when compared to the control (p = 0.01). This study provides evidence for the involvement of γδ T cells and IL-17 in the pathogenesis of AIH. The ratio of γδ T cells and IL-17 gene expression showed a significant difference in AIH suggesting a potential role for γδ T cells in driving liver inflammation in A fIH.
自身免疫性肝炎 (AIH) 是一种慢性炎症性肝病。血清免疫球蛋白 G (IgG) 水平升高、自身抗体和组织病理学界面肝炎是 AIH 的特征。自身抗体和病理发现、临床和生化特征、典型免疫球蛋白水平以及排除其他疾病用于诊断该病症。γ-δ (γδ) T 细胞是一种具有 γ 和 δ 糖蛋白链的独特非常规 T 细胞群体。γδ T 细胞已被证明通过产生白细胞介素 (IL)-17 在自身免疫性疾病中发挥关键作用。然而,其在 AIH 中的作用仍有待进一步阐明。在这项研究中,我们旨在通过研究活检样本来研究 γδ T 细胞和 IL-17 在 AIH 发病机制中的作用。对 18 例 1 型 AIH 患者和 18 例对照肝组织的石蜡块进行了分析。qRT-PCR 评估了 IL-17 基因表达。进行 CD3TCRγδ 的免疫荧光双重染色,以揭示组织驻留 γδ T 细胞在 AIH 中的作用。与对照组相比,AIH 中 CD3TCRγδ 细胞在总炎症细胞中的比例显著增加(p=0.01)。与对照组相比,AIH 中的 IL-17 基因表达降低(p=0.01)。这项研究为 γδ T 细胞和 IL-17 参与 AIH 的发病机制提供了证据。AIH 中 γδ T 细胞的比例和 IL-17 基因表达显示出显著差异,提示 γδ T 细胞在驱动 AIH 中的肝炎症中可能发挥作用。