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Maren Depke<br />

Introduction<br />

are effectively cleared <strong>by</strong> Kupffer cells and sinusoidal endothelial cells (Limmer et al. 2000,<br />

Maemura et al. 2005, van Oosten et al. 2001).<br />

Physiologically, there is no detectable intrahepatic immune activation in response to the low<br />

amount <strong>of</strong> microbial agent and food antigens derived from the gut because <strong>of</strong> a tolerogenic<br />

environment (Limmer et al. 2000, Macpherson et al. 2002). However, when the antigenic<br />

challenge is increased, an inflammatory response with a recruitment <strong>of</strong> neutrophils,<br />

monocytes/macrophages, and lymphocytes may be induced (Wiegard et al. 2005). Then, an<br />

increased production <strong>of</strong> inflammatory mediators such as reactive oxygen species (ROS) may<br />

cause cell damage and loss <strong>of</strong> hepatocyte functions (Ott et al. 2007).<br />

To elucidate hepatic immune regulatory pathways that may contribute to chronic<br />

psychological stress-induced immune suppression, the hepatic gene expression pr<strong>of</strong>iling was<br />

used to analyze expression changes <strong>of</strong> immune response and cell survival genes in stressed and<br />

non-stressed mice (Depke et al. 2009).<br />

Gene expression pattern <strong>of</strong> bone-marrow derived macrophages after interferon-gamma<br />

activation<br />

In the innate immune system, macrophages, together with dendritic cells, hold a central<br />

position. They are main effectors <strong>of</strong> the clearance <strong>of</strong> infections <strong>by</strong> their sentinel and phagocytic<br />

function. Macrophages present phagocytosed antigen derived peptides on MHC-II to<br />

lymphocytes. By this function, macrophages take part in regulation <strong>of</strong> the adaptive immune<br />

response (Gordon S 2007). Phagocytosis is mediated <strong>by</strong> different receptors like complement<br />

receptors, mannose receptor or via the interaction between lipopolysaccharide (LPS), LPS-binding<br />

protein (LBP), CD14, and Toll-like receptor TLR (Janeway/Medzhitov 2002, Greenberg/Grinstein<br />

2002). Upon binding <strong>of</strong> ligands to TLR, macrophages secrete chemokines like CXCL8, CXCL10,<br />

CCL3, CCL4, and CCL5, which mediate chemotaxis <strong>of</strong> neutrophils, NK cells, and T cells (Luster<br />

2002). Additionally, pro-inflammatory cytokines like TNF-α and IL-1 secreted <strong>by</strong> macrophages<br />

further contribute to inflammation. Macrophages promote extracellular matrix degradation <strong>by</strong><br />

their matrix metalloproteinases, MMPs (Gibbs et al. 1999a, 1999b). They exhibit increased killing<br />

activity towards phagocytosed <strong>pathogen</strong>s during respiratory burst, which is among others<br />

mediated <strong>by</strong> toxic, reactive defense molecules like NO and O –<br />

2 produced <strong>by</strong> inducible NO<br />

synthase (iNOS) and NADPH oxidase, respectively (DeLeo et al. 1999, Iles/Forman 2002, Kantari<br />

et al. 2008, MacMicking et al. 1997, Mori/Gotoh 2004, Park JB 2003). This macrophage<br />

phenotype corresponds to the classical activation and initiates primarily a Th1-based immune<br />

response (Fig. I.6). Vice versa, IFN-γ as part <strong>of</strong> the Th1 cytokine pattern provokes such classical<br />

activation (Duffield 2003).<br />

After a phase <strong>of</strong> inflammatory activation and phagocytosis <strong>of</strong> apoptotic cells at the site <strong>of</strong><br />

inflammation, macrophages are able to switch their functional pr<strong>of</strong>ile now aiming to reduce<br />

inflammation <strong>by</strong> anti-inflammatory cytokines, stop matrix degradation and even assist healing <strong>by</strong><br />

production <strong>of</strong> fibronectin and tissue transglutaminase. A similar phenotyp with reduced<br />

intracellular killing <strong>of</strong> <strong>pathogen</strong>s is observed after activation <strong>by</strong> Th2 cytokines like IL-4 and TGF-β.<br />

Activation leading to this phenotype is called “alternative” (Duffield 2003). Macrophages can be<br />

activated in a third way, called type II activation. This activation needs ligand binding to Fcγ<br />

receptors in combination with an activating stimulus like that mediated <strong>by</strong> TLRs. Afterwards, the<br />

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