Alpha-lactose reverses liver injury via blockade of Tim-3-mediated CD8 apoptosis in sepsis

Clin Immunol. 2018 Jul:192:78-84. doi: 10.1016/j.clim.2018.04.010. Epub 2018 Apr 22.

Abstract

In sepsis, the liver plays a crucial role in regulating immune responses and is also a target organ for immune-related injury. Despite the critical function of CD8+ T cells against opportunistic viral infections, the CD8 immune response in the liver during sepsis remains elusive. Here we found that Tim-3 is highly up-regulated in liver CD8+ T cells in a mouse cecal ligation and puncture model and in peripheral blood CD8+ T cells of human patients with sepsis. The expression of Tim-3 in liver CD8+ T cells displayed a bi-phasic pattern and deletion of Tim-3 led to reduction of CD8+ T cell apoptosis. Administration of α-lactose, a molecule with a similar structure to galactin-9, reduced Tim-3 expression and liver injury in sepsis. Our results demonstrate that targeting Tim-3 to boost CD8+ T cell immune response may offer an improved outcome in patients with sepsis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Apoptosis / drug effects*
  • Apoptosis / genetics
  • Apoptosis / immunology
  • CD8-Positive T-Lymphocytes / drug effects*
  • CD8-Positive T-Lymphocytes / immunology
  • CD8-Positive T-Lymphocytes / metabolism
  • Cells, Cultured
  • Cytokines / genetics
  • Cytokines / immunology
  • Cytokines / metabolism
  • Gene Expression / drug effects
  • Gene Expression / immunology
  • Hepatitis / genetics
  • Hepatitis / immunology
  • Hepatitis / prevention & control
  • Hepatitis A Virus Cellular Receptor 2 / antagonists & inhibitors*
  • Hepatitis A Virus Cellular Receptor 2 / genetics
  • Hepatitis A Virus Cellular Receptor 2 / immunology
  • Humans
  • Lactose / administration & dosage
  • Lactose / pharmacology*
  • Leukocytes, Mononuclear / drug effects
  • Leukocytes, Mononuclear / immunology
  • Leukocytes, Mononuclear / metabolism
  • Liver / drug effects*
  • Liver / metabolism
  • Liver / pathology
  • Mice, Inbred C57BL
  • Sepsis / genetics
  • Sepsis / immunology*
  • Sepsis / metabolism

Substances

  • Cytokines
  • Havcr2 protein, mouse
  • Hepatitis A Virus Cellular Receptor 2
  • Lactose