Introduction: Non-parenchymal liver cells (NPC) play a crucial role in innate immunity and are
involved in induction of immune tolerance. Their role in the defense against hepatotrophic
viruses such as hepatitis C virus (HCV) is not well understood. Previously, this question
has been mostly addressed in murine hepatocytes and NPC. Therefore, aim of the study
was to characterize the Toll-like receptor (TLR)-mediated antiviral capacity in primary
human Kupffer cells (KC), liver sinusoidal endothelial cells (LSEC) and hepatic stellate
cells (HSC).
Methods: NPC were isolated after collagenase perfusion of liver tissue obtained from liver
resections or explanted livers from HCV-infected patients or uninfected controls.
Cells were isolated by density centrifugation and MACS bead separation. Cells were
stimulated with TLR1 – 9 ligands for 24h, supernatants were collected and secretion
of inflammatory cytokines was determined by ELISA. NPC from HCV-positive donors and
healthy controls were stimulated with poly I:C for 6h, RNA was extracted and quantitative
RT-PCR was performed. HCV-harboring con1 cells were co-cultured with supernatants
from TLR1 – 9-activated NPC for 24h. Supernatants of poly I:C stimulated NPC were
pre-incubated with neutralizing antibodies against type I, II and III interferons
(IFNs), followed by co-culture with the HCV-replicon system.
Results: KC, LSEC and HSC (n = 4) secreted inflammatory cytokines IL-6, TNF-α and IL-10 in
response to TLR1 – 9 agonists in a cell-type specific manner. However, only supernatants
of TLR3-activated KC, LSEC and HSC mediated an antiviral activity against HCV, when
co-cultured with the HCV replicon system con1. Treatment of NPC with TLR3 agonist
poly I:C led to a significant induction of IFN-β, IL-28A/IL-28B and IL-29 in KC, LSEC
and HSC. Furthermore, LSEC but not KC or HSC isolated from HCV-infected donors revealed
higher responsiveness to poly I:C, represented by higher expression levels of IFN-β,
IL-28A, IL-28B, IL-29 compared to those of uninfected controls. The antiviral effect
of supernatants from TLR3-activated NPC was not impeded by pre-incubation with neutralizing
antibodies against type I, II or III IFNs.
Conclusions: NPC respond to TLR ligands by production of inflammatory cytokines. A TLR-induced
antiviral effect in these cells, however, is restricted to TLR3 and seems to be mediated
by the combination of type-I and type-III IFNs. In accordance with data recently obtained
from primary human hepatocytes, TLR3-mediated expression of IFN-β, IL-28A, IL-28B
and IL-29 is also elevated in LSEC obtained from HCV-infected patients, compared to
uninfected controls. These findings shed new light on the relevance of NPC in the
pathogenesis of HCV.