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Emergence of highly profibrotic and proinflammatory Lrat+ Fbln2+ hepatic stellate cell subpopulation in alcoholic hepatitis.

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BACKGROUND AND AIMS Relative roles of hepatic stellate cells (HSCs) and portal fibroblasts (PFs) in alcoholic hepatitis (AH) are unknown. We aimed to identify subpopulations of Col1a1- expressing cells in… Click to show full abstract

BACKGROUND AND AIMS Relative roles of hepatic stellate cells (HSCs) and portal fibroblasts (PFs) in alcoholic hepatitis (AH) are unknown. We aimed to identify subpopulations of Col1a1- expressing cells in a mouse AH model by single cell RNA sequencing (scRNA-seq) and filtering the cells with the HSC (Lrat) and PF (Thy1, Fbln2) markers and vitamin A (VitA) storage. APPROACH AND RESULTS Col1a1-GFP mice underwent AH, CCl4 and BDL procedures to have comparable F1-2 liver fibrosis. Col1a1-expressing cells were sorted via FACS by VitA autofluorescence and GFP for scRNA-seq. In AH, ~80% of Lrat+ Thy1- Fbln2- activated HSCs (aHSCs) were VitA-depleted vs. ~13% in BDL and CCl4. Supervised clustering identified a novel subset co-expressing Lrat and Fbln2 (Lrat+ Fbln2+ ), which expanded 44, 17, and 1.3-fold in AH, BDL, and CCl4. Lrat+ Fbln2+ cells had 3-15x inductions of profibrotic, myofibroblastic and immunoregulatory genes vs. Lrat+ Fbln2- cells but 2-4x repressed HSC-selective genes. AH aHSC had upregulated inflammatory (Cxcl2, Ccl2), antimicrobial (Il33, Zc3h12a) and antigen presentation (H2-Q6, H2-T23) genes vs. BDL and CCl4. Computational deconvolution of AH vs. normal human bulk liver RNA-seq data supported an expansion of LRAT+ FBLN2+ cells in AH; AH patient liver IHC showed FBLN2 staining along fibrotic septa enriched with LRAT+ cells; and in-situ hybridization confirmed co-expression of FBLN2 with CXCL2 and/or HLA-E in patient AH. Finally, HSC tracing in Lrat-Cre;Rosa26mTmG mice, detected GFP+ FBLN2+ cells in AH. CONCLUSION A highly profibrotic, inflammatory, and immunoregulatory Lrat+ Fbln2+ subpopulation emerges from HSCs in AH and may contribute to the inflammatory and immunoreactive nature of AH.

Keywords: fbln2 cells; lrat fbln2; hepatic stellate; lrat; alcoholic hepatitis

Journal Title: Hepatology
Year Published: 2022

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