Lack of gp130 expression results in more bacterial infection and higher mortality during chronic cholestasis in mice

Hepatology. 2005 Nov;42(5):1082-90. doi: 10.1002/hep.20912.

Abstract

Chronic cholestasis is associated with increased bacterial infections and sepsis resulting in higher mortality in humans. In the current study, we investigated the relevance of gp130-dependent pathways after bile duct ligation (BDL). BDL was performed in conditional gp130 knockout (loxP/Cre system) mice and respective controls. Liver injury, regulation of the acute phase response, and the impact on survival and bacterial infections were determined. Acute BDL resulted in increased IL-6 levels, Stat3 activation, and an increase in acute-phase proteins (serum-amyloid-A [SAA]), which was blocked in gp130-deleted animals. In addition, the antimicrobial gene hepcidin was regulated in a gp130-dependent manner after BDL. During chronic cholestasis Stat3 activation was dramatically reduced, while high SAA levels were maintained via gp130-dependent signaling. Inhibition of gp130-dependent pathways resulted in higher mortality and liver damage, which was associated with higher infiltration of immune-activated cells and increased germ number in the liver. In conclusion, during acute and chronic cholestasis, the gp130 system is essential for controlling the acute-phase response. Lack of gp130 expression results in pronounced bacterial growth in bile and liver after BDL, which is associated with higher mortality. Activation of gp130-dependent pathways after BDL is essential and appears to be a therapeutic target during cholestasis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute-Phase Reaction
  • Animals
  • Bacterial Infections / epidemiology*
  • Bile Ducts / surgery
  • Cholestasis / metabolism*
  • Cholestasis / mortality*
  • Cholestasis / pathology
  • Chronic Disease
  • Cytokine Receptor gp130 / deficiency*
  • Incidence
  • Ligation
  • Mice
  • Mice, Knockout
  • STAT3 Transcription Factor / metabolism
  • Serum Amyloid A Protein / metabolism

Substances

  • Il6st protein, mouse
  • STAT3 Transcription Factor
  • Serum Amyloid A Protein
  • Stat3 protein, mouse
  • Cytokine Receptor gp130