Examining the Hepatic Immune System in Children With Liver Disease With Fine Needle Aspiration

Yuksel, Muhammed, Demirbas, Burak, Mizikoglu, Ozlem, Tutuncu, Yildiz, Kanmaz, Turan, Oguzkurt, Levent and Arikan, Cigdem 2022. Examining the Hepatic Immune System in Children With Liver Disease With Fine Needle Aspiration. Journal of Pediatric Gastroenterology and Nutrition. 74 (2), pp. 200-207. https://doi.org/10.1097/mpg.0000000000003353

TitleExamining the Hepatic Immune System in Children With Liver Disease With Fine Needle Aspiration
TypeJournal article
AuthorsYuksel, Muhammed, Demirbas, Burak, Mizikoglu, Ozlem, Tutuncu, Yildiz, Kanmaz, Turan, Oguzkurt, Levent and Arikan, Cigdem
Abstract

Objectives:
Liver biopsy is the standard in diagnosing liver diseases. Yet, it provides little space to perform comprehensive immune profiling of the liver. Hence, we explored whether fine needle aspirates (FNAs) could be used to elucidate the hepatic immunity in children.

Methods:
We enrolled 74 children undergoing diagnostic (n = 17) or protocol biopsy (n = 57) following liver transplantation (LT). Matched blood and FNAs were obtained. Additionally, explant liver tissue was collected from children (n = 14) undergoing LT. Immune cells were isolated from peripheral blood, FNAs and explanted livers. Immune-phenotypical profiling was done by flow cytometry.

Results:
Biopsied patients (58% female) were at a median age of 46 months (interquartile range [IQR]: 12–118) and LT patients (71% female) were 48 months (IQR: 21–134, P = 0.78) old. CD69+, a hallmark of tissue-resident immune cells was expressed in 1.3% of CD3+ T cells from blood being higher in FNA (20%) and tissue (49%, P < 0.001). CD4+ T-cell frequencies in tissue (13%) and FNAs (20%) were lower compared to blood (35%, P < 0.001) whereas CD8+ T cells in tissue (33.5%) and FNA (32%) were higher than in blood (25%, P < 0.01). Mucosal associated invariant T cells were enriched in liver tissue (8.8%) and in the FNA (4.4%) compared to blood (1.7%, P < 0.001). Whereas the percentage of total Tregs (CD4+CD25+FOXP3+CD127low/−) decreased, the proportion of activated Tregs (CD4+CD45RA-FOXP3high) increased in FNA and explant. Breg (CD19+CD20+CD24highCD38high) frequencies were similar in all groups.

Conclusion:
FNA is a practical method to sample the liver immune system collecting even small cell subsets such as regulatory T/B cells.

JournalJournal of Pediatric Gastroenterology and Nutrition
Journal citation74 (2), pp. 200-207
ISSN0277-2116
1536-4801
Year2022
PublisherWolters Kluwer
Digital Object Identifier (DOI)https://doi.org/10.1097/mpg.0000000000003353
Publication dates
PublishedFeb 2022

Related outputs

What Is Hot and New in Basic and Translational Science in Liver Transplantation in 2023? Report of the Basic and Translational Research Committee of the International Liver Transplantation Society
Bonaccorsi-Riani, Eliano, Ghinolfi, Davide, Czigany, Zoltan, Dondossola, Daniele, Emamaullee, Juliet, Yuksel, Muhammed, Boteon, Yuri L., Al-Adra, David, Ho, Cheng-Maw, Abdelrahim, Maen, Pang, Li, Barbas, Andrew, Meier, Raphael, MacParland, Sonya, Sayed, Blayne Amir, Pavan-Guimaraes, Juliana, Brüggenwirth, Isabel M.A., Zarrinpar, Ali, Mas, Valeria R., Selzner, Markus, Martins, Paulo N. and Bhat, Mamatha 2024. What Is Hot and New in Basic and Translational Science in Liver Transplantation in 2023? Report of the Basic and Translational Research Committee of the International Liver Transplantation Society. Transplantation. 108 (5), pp. 1043-1052. https://doi.org/10.1097/tp.0000000000004980

Standard immunosuppressive treatment reduces regulatory B cells in children with autoimmune liver disease
Yuksel, Muhammed, Nazmi, Farinaz, Wardat, Dima, Akgul, Sebahat, Polat, Esra, Akyildiz, Murat and Arikan, Cigdem 2023. Standard immunosuppressive treatment reduces regulatory B cells in children with autoimmune liver disease. Frontiers in Immunology. 13. https://doi.org/10.3389/fimmu.2022.1053216

What Is Hot and New in Basic and Translational Science in Liver Transplantation in 2020-2021?-Report of the Basic and Translational Research Committee of the International Liver Transplantation Society
Czigany, Zoltan, Bruggenwirth, Isabel M. A., Ekser, Burcin, Abdelrahim, Maen, Bhat, Mamatha, Bonaccorsi-Riani, Eliano, Chen, Angela, Emamaullee, Juliet, Eymard, Corey, Ho, Cheng-Maw, Mas, Valeria R., Zarrinpar, Ali, Yuksel, Muhammed, Martins, Paulo N. and Selzner, Markus 2022. What Is Hot and New in Basic and Translational Science in Liver Transplantation in 2020-2021?-Report of the Basic and Translational Research Committee of the International Liver Transplantation Society. Transplantation. 106 (2), pp. 227-233. https://doi.org/10.1097/tp.0000000000004003

Telemedicine in monitoring pediatric LT patients before and during COVID-19 pandemic
Musaoglu, Mirac, Yuksel, Muhammed, Mizikoglu, Ozlem and Arikan, Cigdem 2022. Telemedicine in monitoring pediatric LT patients before and during COVID-19 pandemic. Pediatric Transplantation. 26 (1) e14138. https://doi.org/10.1111/petr.14138

Aberrant hepatic trafficking of gut-derived T cells is not specific to primary sclerosing cholangitis
Graham, Jonathon J., Mukherjee, Sujit, Yuksel, Muhammad, Mateos, Rebeca Sanabria, Si, Tengfei, Huang, Zhenlin, Huang, Xiahong, Abu Arqoub, Hadil, Patel, Vishal, McPhail, Mark, Zen, Yoh, Heaton, Nigel, Longhi, Maria Serena, Heneghan, Michael A., Liberal, Rodrigo, Vergani, Diego, Mieli-Vergani, Giorgina, Ma, Yun and Hayee, Bu'Hussain 2022. Aberrant hepatic trafficking of gut-derived T cells is not specific to primary sclerosing cholangitis. Hepatology. 75 (3), pp. 518-530. https://doi.org/10.1002/hep.32193

A single-center report of COVID-19 disease course and management in liver transplanted pediatric patients
Yuksel, Muhammed, Akturk, Hacer, Mizikoglu, Ozlem, Toroslu, Ertug and Arikan, Cigdem 2021. A single-center report of COVID-19 disease course and management in liver transplanted pediatric patients. Pediatric Transplantation. 25 (7) e14061. https://doi.org/10.1111/petr.14061

A novel insight into the pathophysiology of autoimmune hepatitis: An immune activator mutation in the FLT3 receptor
Yuksel, Muhammed, Armutlu, Ayse, Nazmi, Farinaz, Ceylaner, Serdar and Arikan, Cigdem 2021. A novel insight into the pathophysiology of autoimmune hepatitis: An immune activator mutation in the FLT3 receptor. Hepatology Forum. 2 (3), pp. 112-116. https://doi.org/10.14744/hf.2021.2021.0010

Human Leukocyte Antigen Profile Predicts Severity of Autoimmune Liver Disease in Children of European Ancestry
Ma, Yun, Su, Haibin, Yuksel, Muhammed, Longhi, Maria Serena, McPhail, Mark J., Wang, Pengyun, Bansal, Sanjay, Wong, Guan-Wee, Graham, Jonathon, Yang, Li, Thompson, Richard J., Doherty, Derek G., Hadzic, Nedim, Zen, Yoh, Quaglia, Alberto, Heneghan, Michael A., Samyn, Marianne, Vergani, Diego and Mieli-Vergani, Giorgina 2021. Human Leukocyte Antigen Profile Predicts Severity of Autoimmune Liver Disease in Children of European Ancestry. Hepatology. 74 (4), pp. 2032-2046. https://doi.org/10.1002/hep.31893

Course of vitamin D levels before and after liver transplantation in pediatric patients
Yuksel, Muhammed, Demir, Baris, Mizikoglu, Ozlem, Akyildiz, Murat, Baygul, Arzu and Arikan, Cigdem 2021. Course of vitamin D levels before and after liver transplantation in pediatric patients. Pediatric Transplantation. 25 (7) e14049. https://doi.org/10.1111/petr.14049

Immune monitoring of a child with autoimmune hepatitis and type 1 diabetes during COVID-19 infection
Yuksel, M., Akturk, H. and Arikan, C. 2020. Immune monitoring of a child with autoimmune hepatitis and type 1 diabetes during COVID-19 infection. European Journal of Gastroenterology and Hepatology. 32 (9), pp. 1251-1255. https://doi.org/10.1097/meg.0000000000001804

Normothermic Machine Perfusion (NMP) Inhibits Proinflammatory Responses in the Liver and Promotes Regeneration
Jassem, W., Xystrakis, E., Ghnewa, Y.G., Yuksel, M., Pop, O., Martinez-Llordella, M., Jabri, Y., Huang, X., Lozano, J.J., Quaglia, A., Sanchez-Fueyo, A., Coussios, C.C., Rela, M., Friend, P., Heaton, N. and Ma, Y. 2019. Normothermic Machine Perfusion (NMP) Inhibits Proinflammatory Responses in the Liver and Promotes Regeneration. Hepatology. 70 (2), pp. 682-695. https://doi.org/10.1002/hep.30475

MerTK expressing hepatic macrophages promote the resolution of inflammation in acute liver failure
Triantafyllou, E., Pop, O.T., Possamai, L.A., Wilhelm, A., Liaskou, E., Singanayagam, A., Bernsmeier, C., Khamri, W., Petts, G., Dargue, R., Davies, S.P., Tickle, J., Yuksel, M., Patel, V.C., Abeles, R.D., Stamataki, Z., Curbishley, S.M., Ma, Y., Wilson, I.D., Coen, M., Woollard, K.J., Quaglia, A., Wendon, J., Thursz, M.R., Adams, D.H., Weston, C.J. and Antoniades, C.G. 2018. MerTK expressing hepatic macrophages promote the resolution of inflammation in acute liver failure. Gut. 67, pp. 333-347. https://doi.org/10.1136/gutjnl-2016-313615

The induction of autoimmune hepatitis in the human leucocyte antigen-DR4 non-obese diabetic mice autoimmune hepatitis mouse model
Yuksel, M., Xiao, X., Tai, N., Vijay, G.M., Gülden, E., Beland, K., Lapierre, P., Alvarez, F., Hu, Z., Colle, I., Ma, Y. and Wen, L. 2018. The induction of autoimmune hepatitis in the human leucocyte antigen-DR4 non-obese diabetic mice autoimmune hepatitis mouse model. Clinical and Experimental Immunology. 192 (1), pp. 164-176. https://doi.org/10.1111/cei.12843

Regulatory T-cell conditioning endows activated effector T cells with suppressor function in autoimmune hepatitis/autoimmune sclerosing cholangitis
Liberal, R., Grant, C.R., Yuksel, M., Graham, J., Kalbasi, A., Ma, Y., Heneghan, M.A., Mieli-Vergani, G., Vergani, D. and Longhi, M.S. 2017. Regulatory T-cell conditioning endows activated effector T cells with suppressor function in autoimmune hepatitis/autoimmune sclerosing cholangitis. Hepatology. 66 (5), pp. 1570-1584. https://doi.org/10.1002/hep.29307

An Atlas of Human Regulatory T Helper-like Cells Reveals Features of Th2-like Tregs that Support a Tumorigenic Environment
Halim, L., Romano, M., McGregor, R., Correa, I., Pavlidis, P., Grageda, N., Hoong, S.-J., Yuksel, M., Jassem, W., Hannen, R.F., Ong, M., Mckinney, O., Hayee, B.H., Karagiannis, S.N., Powell, N., Lechler, R.I., Nova-Lamperti, E. and Lombardi, G. 2017. An Atlas of Human Regulatory T Helper-like Cells Reveals Features of Th2-like Tregs that Support a Tumorigenic Environment. Cell Reports. 20 (3), pp. P757-770. https://doi.org/10.1016/j.celrep.2017.06.079

A novel "humanized mouse" model for autoimmune hepatitis and the association of gut microbiota with liver inflammation
Yuksel, M., Wang, Y., Tai, N., Peng, J., Guo, J., Beland, K., Lapierre, P., David, C., Alvarez, F., Colle, I., Yan, H., Mieli-Vergani, G., Vergani, D., Ma, Y. and Wen, L. 2015. A novel "humanized mouse" model for autoimmune hepatitis and the association of gut microbiota with liver inflammation. Hepatology. 62 (5), pp. 1536-1550. https://doi.org/10.1002/hep.27998

Impact of donation mode on the proportion and function of T lymphocytes in the liver
Xystrakis, E., Yuksel, M., Lin, F., Huang, X., Pop, O.T., Quaglia, A., Heaton, N., Prachalias, A., Rela, M., Fuggle, S., Ma, Y. and Jassem, W. 2015. Impact of donation mode on the proportion and function of T lymphocytes in the liver. PLoS ONE. 10 (10) e0139791. https://doi.org/10.1371/journal.pone.0139791

Hepatitis mouse models: From acute-to-chronic autoimmune hepatitis
Yuksel, M., Laukens, D., Heindryckx, F., Van Vlierberghe, H., Geerts, A., Wong, F.S., Wen, L. and Colle, I. 2014. Hepatitis mouse models: From acute-to-chronic autoimmune hepatitis. International Journal of Experimental Pathology. 95 (5), pp. 309-320. https://doi.org/10.1111/iep.12090

Role of IRAK-M in Alcohol Induced Liver Injury
Wang, Y., Hu, Y., Chao, C., Yuksel, M., Colle, I., Flavell, R.A., Ma, Y., Yan, H. and Wen, L. 2013. Role of IRAK-M in Alcohol Induced Liver Injury. PLoS ONE. 9 (1) e57085. https://doi.org/10.1371/journal.pone.0057085

Permalink - https://westminsterresearch.westminster.ac.uk/item/w400z/examining-the-hepatic-immune-system-in-children-with-liver-disease-with-fine-needle-aspiration


Share this

Usage statistics

29 total views
0 total downloads
These values cover views and downloads from WestminsterResearch and are for the period from September 2nd 2018, when this repository was created.