Disturbances of the control mechanisms over immune and liver cell responce to endotoxin and their role in pathogenesis of the alcohol-induced liver diseases. Hypothesis of Dual Strike
Abstract
Immune cells and plasma components controlling over reaction to endotoxin in alcohol-induced liver diseases (ALD) (alcohol hepatitis, liver cirrhosis and acute attack of hepatitis with liver cirrhosis) have been studied and compared with markers of inflammatory and fibroid hepatopathology (cytokines, immunocellular, biochemical and clinical indicators of hepatocellular damage). Our data support a role for deficiency of T regulatory cells and plasma components suppressing inflammatory potential of endotoxin (high density lipoproteins and albumin) coupled with hyperproduction of proinflammatory multi-modified low density lipoproteins (mmLDL) and C-reactive protein in ALD progression. Association of mmLDL with switching tolerogenic phenotype of macrophage to inflammatory and NO-synthase -deficient phenotypes and Th17-dependent inflammatory reaction has been showed.