title: Thymic stromal lymphopoietin transgenic mice develop cryoglobulinemia and hepatitis with similarities to human hepatitis C liver disease.
abstract: Essential mixed cryoglobulinemia in humans is strongly associated with chronic hepatitis C virus infection. It remains controversial whether liver injury in hepatitis C is primarily attributable to direct viral cytopathic effect or to an immune-mediated response. We characterized the role of cryoglobulinemia in the development of liver disease in thymic stromal lymphopoietin (TSLP) transgenic mice that produce mixed cryoglobulinemia and develop hepatitis. The role of immune complexes in this animal model was evaluated using techniques of light, immunofluorescence, and electron microscopy. To assess the role of Fc receptor engagement in mediation of the disease, TSLP transgenic mice were crossbred with mice deficient for immunoglobulin-binding receptor gamma IIb (FcgammaRIIb). Livers from the TSLP transgenic animals showed mild to moderate liver injury, minimal to mild fibrosis, and deposition of immunoglobulin around the portal tracts. TSLP transgenic mice deficient in inhibitory FcgammaRIIb had more severe hepatitis and accelerated mortality. TSLP-associated hepatitis bears strong similarity to hepatitis C virus-related hepatitis as it occurs in humans, making this a valuable model system of chronic hepatitis and fibrosis to study therapies aimed at manipulating immune responses. Periportal immune complex deposition may play an important role in the pathogenesis of hepatitis occurring in the setting of systemic cryoglobulinemia.
authors.affiliation: Department of Pathology, University of Washington Medical Center, Seattle, WA 98195, USA. jkowal@u.washington.edu
authors.forename: Jolanta
authors.initials: J
authors.lastname: Kowalewska
authors.forename: Anja S
authors.initials: AS
authors.lastname: Mühlfeld
authors.forename: Kelly L
authors.initials: KL
authors.lastname: Hudkins
authors.forename: Matthew M
authors.initials: MM
authors.lastname: Yeh
authors.forename: Andrew G
authors.initials: AG
authors.lastname: Farr
authors.forename: Jeffrey V
authors.initials: JV
authors.lastname: Ravetch
authors.forename: Charles E
authors.initials: CE
authors.lastname: Alpers
mesh_terms: D000818:Animals; D000936:Antigen-Antibody Complex / Q000276:immunology; D003449:Cryoglobulinemia / Q000150:complications* / Q000276:immunology / Q000473:pathology*; D016207:Cytokines / Q000235:genetics* / Q000378:metabolism; D005260:Female; D005455:Fluorescent Antibody Technique; D006526:Hepatitis C / Q000150:complications; D006520:Hepatitis, Animal / Q000150:complications* / Q000276:immunology / Q000473:pathology*; D006801:Humans; D007150:Immunohistochemistry; D008297:Male; D051379:Mice; D008822:Mice, Transgenic; D046529:Microscopy, Electron, Transmission; D017452:Receptors, IgG / Q000172:deficiency; D000094632:Thymic Stromal Lymphopoietin
chemical_list: D000936:Antigen-Antibody Complex; D016207:Cytokines; C499172:Fcgr2b protein, mouse; D017452:Receptors, IgG; D000094632:Thymic Stromal Lymphopoietin