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Oral Infection and Immunity Branch, National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, MD 20892
Intraperitoneal injection of streptococcal cell walls (SCW) into
Lewis rats results in dissemination of SCW to the liver, spleen, bone
marrow, and peripheral joints. The uptake of SCW by Kupffer cells in
the liver initiates a chain of events largely mediated by T lymphocytes
and macrophages. Local synthesis and secretion of cytokines and growth
factors in response to the persistent SCW lead to the evolution and
maintenance of a chronic T cell-dependent granulomatous response and
result in granuloma formation and irreversible hepatic fibrosis. In an
attempt to impede the development of the chronic granulomatous lesions
in the liver, we injected a plasmid DNA encoding TGF-ß1 i.m. to the
SCW animals to determine the effect of TGF-ß1 gene transfer on the
course of liver inflammation and fibrosis. A single injection of
plasmid DNA encoding TGF-ß1 resulted in virtual abolition of the
development of the SCW-induced hepatic granuloma formation and matrix
expansion. TGF-ß1 DNA not only reduced key proinflammatory cytokines
including TNF-
, IL-1ß, IFN-
, and IL-18, but also inhibited both
CXC and CC chemokine production, thereby blocking inflammatory cell
recruitment and accumulation in the liver. Moreover, TGF-ß1 gene
delivery inhibited its own expression in the liver tissue, which is
otherwise up-regulated in SCW-injected animals. Our study suggests that
TGF-ß1 gene transfer suppresses hepatic granuloma formation by
blocking the recruitment of inflammatory cells to the liver, and thus
may provide a new approach to the control of hepatic granulomatous and
fibrotic diseases.
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