Thompson, Kerry Coral (1998) The expression and function of interleukin-10 in liver injury. University of Southampton, Doctoral Thesis.
Abstract
Having shown that IL-10 is expressed in vivo in the course of liver injury and in activated KC, the effects of recombinant IL-10 on KC function in vitro were examined. IL-10 was able to inhibit the production of both tumour necrosis factor-alpha, and superoxide by rat KC and it did so much more consistently than either IL-13 or a related cytokine, IL-4.
The potential role of IL-10 in the control of matrix production and fibrosis in the liver was then addressed. Hepatic stellate cells (HSC) are responsible for the control of hepatic matrix turnover in the liver, a dynamic process which is disrupted during the development of cirrhosis. Pivotal to this is the activation of HSC and their transformation to myofibroblastic phenotype, a process which can be mimicked in vitro by culture of HSC on plastic. Using this model, IL-10 mRNA and protein were found to be up-regulated as cells became activated. HSC also released IL-10 protein into culture media after activation.
The expression of IL-10 by HSC upon activation may therefore influence the development of liver fibrosis. Genetically modified mice unable to express IL-10 were treated with CC14 and resultant hepatic fibrosis assessed histologically. Changes were compared with those in normal wild type animals, and with those unable to express either IL-4 or the matrix metalloproteinase inhibitor TIMP-1. Animals in which IL-10 or IL-4 were absent developed more advanced hepatic fibrosis than either TIMP-1-deleted animals or wild type controls.
In summary, these studies have shown that IL-10 is expressed by KC and by HSC, both of which are central to the generation of inflammation and fibrosis in the liver. Moreover, IL-10 is able to inhibit KC pro-inflammatory responses and its absence results in more advanced fibrosis in response to a hepatotoxin. It may, therefore, play a pivotal role, providing potential for therapeutic intervention in the modification of disease processes which result in hepatic cirrhosis.
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