Skip to main content

Advertisement

Log in

Characteristics of peripheral blood mononuclear cells and potential related molecular mechanisms in patients with autoimmune hepatitis: a single-cell RNA sequencing analysis

  • Original Paper
  • Published:
Medical Molecular Morphology Aims and scope Submit manuscript

Abstract

Autoimmune hepatitis (AIH) is an immune disorder characterized by hypergammaglobulinemia, autoantibodies, and chronic active hepatitis on liver histology. However, immune cell population characteristics in AIH patients remain poorly understood. This study was designed to analyze peripheral blood mononuclear cell (PBMC) characteristics in AIH through single-cell RNA sequencing (scRNA-seq) and explore potential AIH-related molecular mechanisms. We generated 3690 and 3511 single-cell transcriptomes of PBMCs pooled from 4 healthy controls (HCs) and 4 AIH patients, respectively, by scRNA-seq. These pooled PBMC transcriptomes were used for cell cluster identification and differentially expressed gene (DEG) identification. GO functional enrichment analysis was performed on the DEGs to determine the most active AIH immune cell biological functions. Although the PCA-based uniform manifold approximation and projection (UMAP) algorithm was used to cluster cells with similar expression patterns in the two samples, 87 up- and 12 downregulated DEGs were retained in monocytes and 101 up- and 15 downregulated DEGs were retained in NK cells from AIH PBMCs. Moreover, enriched GO terms in the PBMC-derived monocyte and NK cell clusters were related mainly to antigen processing and presentation, IFN-γ-mediated signaling, and neutrophil degranulation and activation. These potential molecular mechanisms may be important targets for AIH treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Krawitt EL (1996) Autoimmune hepatitis. N Engl J Med 334:897–903

    Article  CAS  PubMed  Google Scholar 

  2. Vergani D, Mieli-Vergani G (2007) The impact of autoimmunity on hepatocytes. Semin Liver Dis 27:140–151

    Article  CAS  PubMed  Google Scholar 

  3. Takahashi A, Ohira H, Abe K, Zeniya M, Abe M, Arinaga-Hino T, Torimura T, Yoshizawa K, Takaki A, Kang JH, Suzuki Y, Nakamoto N, Inui A, Tanaka A, Takikawa H (2020) Increasing incidence of acute autoimmune hepatitis: a nationwide survey in Japan. Sci Rep 10:14250

    Article  ADS  CAS  PubMed  PubMed Central  Google Scholar 

  4. Longhi MS, Ma Y, Bogdanos DP, Cheeseman P, Mieli-Vergani G, Vergani D (2004) Impairment of CD4 (+) CD25 (+) regulatory T cells in autoimmune liver disease. J Hepatol 41:31–37

    Article  CAS  PubMed  Google Scholar 

  5. Ohira H, Takahashi A, Zeniya M, Abe M, Arinaga-Hino T, Joshita S, Takaki A, Nakamoto N, Kang JH, Suzuki Y, Sogo T, Inui A, Koike K, Harada K, Nakamoto Y, Kondo Y, Genda T, Tsuneyama K, Matsui T, Tanaka A (2022) Clinical practice guidelines for autoimmune hepatitis. Hepatol Res 52:571–585

    Article  PubMed  Google Scholar 

  6. Gatselis NK, Zachou K, Koukoulis GK, Dalekos GN (2015) Autoimmune hepatitis, one disease with many faces: etiopathogenetic, clinico-laboratory and histological characteristics. World J Gastroenterol 21:60–83

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Ebadi M, Bhanji RA, Mazurak VC, Lytvyak E, Mason A, Czaja AJ, Montano-Loza AJ (2019) Severe vitamin D deficiency is a prognostic biomarker in autoimmune hepatitis. Aliment Pharmacol Ther 49:173–182

    Article  CAS  PubMed  Google Scholar 

  8. Abe K, Fujita M, Hayashi M, Takahashi A, Ohira H (2020) Association of serum 25-hydroxyvitamin D levels with severe necroinflammatory activity and inflammatory cytokine production in type I autoimmune hepatitis. PLoS One. 15:e0239481

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Bossen L, Gerussi A, Lygoura V, Mells GF, Carbone M, Invernizzi P (2018) Support of precision medicine through risk-stratification in autoimmune liver diseases—histology, scoring systems, and noninvasive markers. Autoimmun Rev 17:854–865

    Article  PubMed  Google Scholar 

  10. de Boer YS, van Gerven NM, Zwiers A, Verwer BJ, van Hoek B, van Erpecum KJ, Beuers U, van Buuren HR, Drenth JP, den Ouden JW, Verdonk RC, Koek GH, Brouwer JT, Guichelaar MM, Vrolijk JM, Kraal G, Mulder CJ, van Nieuwkerk CM, Fischer J, Berg T, Stickel F, Sarrazin C, Schramm C, Lohse AW, Weiler-Normann C, Lerch MM, Nauck M, Völzke H, Homuth G, Bloemena E, Verspaget HW, Kumar V, Zhernakova A, Wijmenga C, Franke L, Bouma G, Dutch Autoimmune Hepatitis Study Group, Life Lines Cohort Study, Study of Health in Pomerania (2014) Genome-wide association study identifies variants associated with autoimmune hepatitis type 1. Gastroenterology. 147:443–452

    Article  PubMed  Google Scholar 

  11. Higuchi T, Oka S, Furukawa H, Tohma S, Yatsuhashi H, Migita K (2021) Genetic risk factors for autoimmune hepatitis: implications for phenotypic heterogeneity and biomarkers for drug response. Hum Genomics 15:6

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Umemura T, Katsuyama Y, Yoshizawa K, Kimura T, Joshita S, Komatsu M, Matsumoto A, Tanaka E, Ota M (2014) Human leukocyte antigen class II haplotypes affect clinical characteristics and progression of type 1 autoimmune hepatitis in Japan. PLoS ONE 9:e100565

    Article  ADS  PubMed  PubMed Central  Google Scholar 

  13. Furumoto Y, Asano T, Sugita T, Abe H, Chuganji Y, Fujiki K, Sakata A, Aizawa Y (2015) Evaluation of the role of HLA-DR antigens in Japanese type 1 autoimmune hepatitis. BMC Gastroenterol 15:144

    Article  PubMed  PubMed Central  Google Scholar 

  14. Maeda Y, Migita K, Higuchi O, Mukaino A, Furukawa H, Komori A, Nakamura M, Hashimoto S, Nagaoka S, Abiru S, Yatsuhashi H, Matsuo H, Kawakami A, Yasunami M, Nakane S (2016) Association between anti-ganglionic nicotinic acetylcholine receptor (gAChR) antibodies and HLA-DRB1 alleles in the Japanese population. PLoS ONE 11:e0146048

    Article  PubMed  PubMed Central  Google Scholar 

  15. Oka S, Furukawa H, Yasunami M, Kawasaki A, Nakamura H, Nakamura M, Komori A, Abiru S, Nagaoka S, Hashimoto S, Naganuma A, Naeshiro N, Yoshizawa K, Yamashita H, Ario K, Ohta H, Sakai H, Yabuuchi I, Takahashi A, Abe K, Yatsuhashi H, Tohma S, Ohira H, Tsuchiya N, Migita K (2017) HLA-DRB1 and DQB1 alleles in Japanese type 1 autoimmune hepatitis: the predisposing role of the DR4/DR8 heterozygous genotype. PLoS ONE 12:e0187325

    Article  PubMed  PubMed Central  Google Scholar 

  16. Umemura T, Joshita S, Hamano H, Yoshizawa K, Kawa S, Tanaka E, Ota M (2017) Association of autoimmune hepatitis with Src homology 2 adaptor protein 3 gene polymorphisms in Japanese patients. J Hum Genet 62:963–967

    Article  CAS  PubMed  Google Scholar 

  17. Tang F, Barbacioru C, Wang Y, Nordman E, Lee C, Xu N, Wang X, Bodeau J, Tuch BB, Siddiqui A, Lao K, Surani MA (2009) mRNA-Seq whole-transcriptome analysis of a single cell. Nat Methods 6:377–382

    Article  CAS  PubMed  Google Scholar 

  18. Renand A, Cervera-Marzal I, Gil L, Dong C, Garcia A, Kervagoret E, Aublé H, Habes S, Chevalier C, Vavasseur F, Clémenceau B, Cardon A, Judor JP, Mosnier JF, Tanné F, Laplaud DA, Brouard S, Gournay J, Milpied P, Conchon S (2020) Integrative molecular profiling of autoreactive CD4 T cells in autoimmune hepatitis. J Hepatol 73:1379–1390

    Article  CAS  PubMed  Google Scholar 

  19. Johnson PJ, McFarlane IG (1993) Meeting report: international autoimmune hepatitis group. Hepatology 18:998–1005

    Article  CAS  PubMed  Google Scholar 

  20. Alvarez F, Berg PA, Bianchi FB, Bianchi L, Burroughs AK, Cancado EL (1999) International autoimmune hepatitis group report: review of criteria for diagnosis of autoimmune hepatitis. J Hepatol 31:929–938

    Article  CAS  PubMed  Google Scholar 

  21. Hennes EM, Zeniya M, Czaja AJ, Parés A, Dalekos GN, Krawitt EL, Bittencourt PL, Porta G, Boberg KM, Hofer H, Bianchi FB, Shibata M, Schramm C, Eisenmann de Torres B, Galle PR, McFarlane I, Dienes HP, Lohse AW, International Autoimmune Hepatitis Group (2008) Simplified criteria for the diagnosis of autoimmune hepatitis. Hepatology 48:169–176

    Article  PubMed  Google Scholar 

  22. European Association for the Study of the Liver (2015) EASL clinical practice guidelines: autoimmune hepatitis. J Hepatol 63:971–1004

    Article  Google Scholar 

  23. Abe K, Takahashi A, Fujita M, Hayashi M, Okai K, Nozawa Y, Ohira H (2019) Interleukin-33/ST2-mediated inflammation plays a critical role in the pathogenesis and severity of type I autoimmune hepatitis. Hepatol Commun 3:670–684

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Scheuer PJ (1991) Classification of chronic viral hepatitis: a need for reassessment. J Hepatol 13:372–374

    Article  CAS  PubMed  Google Scholar 

  25. Desmet VJ, Gerber M, Hoofnagle JH, Manns M, Scheuer PJ (1994) Classification of chronic hepatitis: diagnosis, grading and staging. Hepatology 19:1513–1520

    Article  CAS  PubMed  Google Scholar 

  26. Becht E, McInnes L, Healy J, Dutertre CA, Kwok IWH, Ng LG, Ginhoux F, Newell EW (2018) Dimensionality reduction for visualizing single-cell data using UMAP. Nat Biotechnol. https://doi.org/10.1038/nbt.4314

    Article  PubMed  Google Scholar 

  27. Goldstein LD, Chen YJ, Dunne J, Mir A, Hubschle H, Guillory J, Yuan W, Zhang J, Stinson J, Jaiswal B, Pahuja KB, Mann I, Schaal T, Chan L, Anandakrishnan S, Lin CW, Espinoza P, Husain S, Shapiro H, Swaminathan K, Wei S, Srinivasan M, Seshagiri S, Modrusan Z (2017) Massively parallel nanowell-based single-cell gene expression profiling. BMC Genomics 18:519

    Article  PubMed  PubMed Central  Google Scholar 

  28. Treutlein B, Lee QY, Camp JG, Mall M, Koh W, Shariati SA, Sim S, Neff NF, Skotheim JM, Wernig M, Quake SR (2016) Dissecting direct reprogramming from fibroblast to neuron using single-cell RNA-seq. Nature 534:391–395

    Article  ADS  PubMed  PubMed Central  Google Scholar 

  29. Semrau S, Goldmann JE, Soumillon M, Mikkelsen TS, Jaenisch R, van Oudenaarden A (2017) Dynamics of lineage commitment revealed by single-cell transcriptomics of differentiating embryonic stem cells. Nat Commun 8:1096

    Article  ADS  PubMed  PubMed Central  Google Scholar 

  30. Schafflick D, Xu CA, Hartlehnert M, Cole M, Schulte-Mecklenbeck A, Lautwein T, Wolbert J, Heming M, Meuth SG, Kuhlmann T, Gross CC, Wiendl H, Yosef N, Zu M, Horste G (2020) Integrated single cell analysis of blood and cerebrospinal fluid leukocytes in multiple sclerosis. Nat Commun 11:247

    Article  ADS  CAS  PubMed  PubMed Central  Google Scholar 

  31. Potter SS (2018) Single-cell RNA sequencing for the study of development, physiology and disease. Nat Rev Nephrol 14:479–492

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Schepis D, Gunnarsson I, Eloranta ML, Lampa J, Jacobson SH, Kärre K, Berg L (2009) Increased proportion of CD56 bright natural killer cells in active and inactive systemic lupus erythematosus. Immunology 126:140–146

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Pridgeon C, Lennon GP, Pazmany L, Thompson RN, Christmas SE, Moots RJ (2003) Natural killer cells in the synovial fluid of rheumatoid arthritis patients exhibit a CD56 bright, CD94 bright, CD158 negative phenotype. Rheumatology (Oxford) 42:870–878

    Article  CAS  PubMed  Google Scholar 

  34. Ajuebor MN, Wondimu Z, Hogaboam CM, Le T, Proudfoot AE, Swain MG (2007) CCR5 deficiency drives enhanced natural killer cell trafficking to and activation within the liver in murine T-cell-mediated hepatitis. Am J Pathol 170:1975–1988

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. Christen U, Hintermann E (2016) Immunopathogenic mechanisms of autoimmune hepatitis: how much do we know from animal models? Int J Mol Sci 17:2007

    Article  PubMed  PubMed Central  Google Scholar 

  36. Ferri S, Longhi MS, De Molo C, Lalanne C, Muratori P, Granito A, Hussain MJ, Ma Y, Lenzi M, Mieli-Vergani G, Bianchi FB, Vergani D, Muratori L (2010) A multifaceted imbalance of T cells with regulatory function characterizes type 1 autoimmune hepatitis. Hepatology 52:999–1007

    Article  CAS  PubMed  Google Scholar 

  37. Zannas AS, Binder EB (2014) Gene–environment interactions at the FKBP5 locus: sensitive periods, mechanisms and pleiotropism. Genes Brain Behav 13:25–37

    Article  CAS  PubMed  Google Scholar 

  38. Lou QY, Li Z, Teng Y, Xie QM, Zhang M, Huang SW, Li WF, Chen YF, Pan FM, Xu SQ, Cai J, Liu S, Tao JH, Liu SX, Huang HL, Wang F, Pan HF, Su H, Xu ZW, Hu WB, Zou YF (2021) Associations of FKBP4 and FKBP5 gene polymorphisms with disease susceptibility, glucocorticoid efficacy, anxiety, depression, and health-related quality of life in systemic lupus erythematosus patients. Clin Rheumatol 40:167–179

    Article  PubMed  Google Scholar 

  39. Kasela S, Kisand K, Tserel L, Kaleviste E, Remm A, Fischer K, Esko T, Westra HJ, Fairfax BP, Makino S, Knight JC, Franke L, Metspalu A, Peterson P, Milani L (2017) Pathogenic implications for autoimmune mechanisms derived by comparative eQTL analysis of CD4+ versus CD8+ T cells. PLoS Genet 13:e1006643

    Article  PubMed  PubMed Central  Google Scholar 

  40. Yu Y, Wu DM, Li J, Deng SH, Liu T, Zhang T, He M, Zhao YY, Xu Y (2020) Bixin attenuates experimental autoimmune encephalomyelitis by suppressing TXNIP/NLRP3 inflammasome activity and activating NRF2 signalling. Front Immunol 11:593368

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. Wu H, Chen S, Li A, Shen K, Wang S, Wang S, Wu P, Luo W, Pan Q (2021) LncRNA expression profiles in systemic lupus erythematosus and rheumatoid arthritis: emerging biomarkers and therapeutic targets. Front Immunol 12:792884

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Guo T, Xing Y, Chen Z, Zhu H, Yang L, Xiao Y, Xu J (2022) Long non-coding RNA NEAT1 knockdown alleviates rheumatoid arthritis by reducing IL-18 through p300/CBP repression. Inflammation 45:100–115

    Article  CAS  PubMed  Google Scholar 

  43. Jeffery HC, Braitch MK, Bagnall C, Hodson J, Jeffery LE, Wawman RE, Wong LL, Birtwistle J, Bartlett H, Lohse AW, Hirschfield GM, Dyson J, Jones D, Hubscher SG, Klenerman P, Adams DH, Oo YH (2018) Changes in natural killer cells and exhausted memory regulatory T Cells with corticosteroid therapy in acute autoimmune hepatitis. Hepatol Commun 2:421–436

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  44. Zhao Y, Zhang Y, Liu YM, Liu Y, Feng X, Liao HY, Vergani D, Ma Y, Yan HP (2011) Identification of T-cell epitopes on soluble liver antigen in Chinese patients with autoimmune hepatitis. Liver Int 31:721–729

    Article  CAS  PubMed  Google Scholar 

  45. Cookson S, Constantini PK, Clare M, Underhill JA, Bernal W, Czaja AJ, Donaldson PT (1999) Frequency and nature of cytokine gene polymorphisms in type 1 autoimmune hepatitis. Hepatology 30:851–856

    Article  CAS  PubMed  Google Scholar 

  46. Czaja AJ, Cookson S, Constantini PK, Clare M, Underhill JA, Donaldson PT (1999) Cytokine polymorphisms associated with clinical features and treatment outcome in type 1 autoimmune hepatitis. Gastroenterology 117:645–652

    Article  CAS  PubMed  Google Scholar 

  47. Grønbaek H, Kreutzfeldt M, Kazankov K, Jessen N, Sandahl T, Hamilton-Dutoit S, Vilstrup H, Møller JH (2016) Single-centre experience of the macrophage activation marker soluble (s)CD163—associations with disease activity and treatment response in patients with autoimmune hepatitis. Aliment Pharmacol Ther 44:1062–1070

    Article  PubMed  Google Scholar 

  48. Honda M, Kubes P (2018) Neutrophils and neutrophil extracellular traps in the liver and gastrointestinal system. Nat Rev Gastroenterol Hepatol 15:206–221

    Article  CAS  PubMed  Google Scholar 

  49. Domerecka W, Kowalska-Kępczyńska A, Michalak A, Homa-Mlak I, Mlak R, Cichoż-Lach H, Małecka-Massalska T (2021) Etiopathogenesis and diagnostic strategies in autoimmune hepatitis. Diagnostics (Basel) 11:1418

    Article  CAS  PubMed  Google Scholar 

  50. Domerecka W, Homa-Mlak I, Mlak R, Michalak A, Wilińska A, Kowalska-Kępczyńska A, Dreher P, Cichoż-Lach H, Małecka-Massalska T (2022) Indicator of inflammation and NETosis-low-density granulocytes as a biomarker of autoimmune hepatitis. J Clin Med 11:2174

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  51. Denny MF, Yalavarthi S, Zhao W, Thacker SG, Anderson M, Sandy AR, McCune WJ, Kaplan MJ (2010) A distinct subset of proinflammatory neutrophils isolated from patients with systemic lupus erythematosus induces vascular damage and synthesizes type I IFNs. J Immunol 184:3284–3297

    Article  CAS  PubMed  Google Scholar 

  52. Villanueva E, Yalavarthi S, Berthier CC, Hodgin JB, Khandpur R, Lin AM, Rubin CJ, Zhao W, Olsen SH, Klinker M (2011) Netting neutrophils induce endothelial damage, infiltrate tissues, and expose immunostimulatory molecules in systemic lupus erythematosus. J Immunol 187:538–552

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

The authors thank Chikako Saito and Rie Hikichi for their technical assistance.

Funding

This work was supported by AbbVie Inc. grant funding (No. 1676, No. 2546).

Author information

Authors and Affiliations

Authors

Contributions

Conceived and designed the experiments: KA and HO. Performed the experiments: KA. Analyzed the data: KA. Contributed materials: KA, NA, TS, YT, AT, MF, and MH. Wrote the paper: KA and HO.

Corresponding author

Correspondence to Kazumichi Abe.

Ethics declarations

Conflict of interest

None to declare.

Ethics statement

All patients and HCs agreed to blood testing, and written informed consent was obtained. The study protocol conformed to the ethical guidelines of the 1975 Declaration of Helsinki and was approved for use with the informed consent of participants by the ethics committee of Fukushima Medical University School of Medicine (IRB #2020-200).

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Abe, K., Abe, N., Sugaya, T. et al. Characteristics of peripheral blood mononuclear cells and potential related molecular mechanisms in patients with autoimmune hepatitis: a single-cell RNA sequencing analysis. Med Mol Morphol (2024). https://doi.org/10.1007/s00795-024-00380-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s00795-024-00380-5

Keywords

Navigation