Breaking tolerance to the natural human liver autoantigen cytochrome P450 2D6 by virus infection

J Exp Med. 2008 Jun 9;205(6):1409-22. doi: 10.1084/jem.20071859. Epub 2008 May 12.

Abstract

Autoimmune liver diseases, such as autoimmune hepatitis (AIH) and primary biliary cirrhosis, often have severe consequences for the patient. Because of a lack of appropriate animal models, not much is known about their potential viral etiology. Infection by liver-tropic viruses is one possibility for the breakdown of self-tolerance. Therefore, we infected mice with adenovirus Ad5 expressing human cytochrome P450 2D6 (Ad-2D6). Ad-2D6-infected mice developed persistent autoimmune liver disease, apparent by cellular infiltration, hepatic fibrosis, "fused" liver lobules, and necrosis. Similar to type 2 AIH patients, Ad-2D6-infected mice generated type 1 liver kidney microsomal-like antibodies recognizing the immunodominant epitope WDPAQPPRD of cytochrome P450 2D6 (CYP2D6). Interestingly, Ad-2D6-infected wild-type FVB/N mice displayed exacerbated liver damage when compared with transgenic mice expressing the identical human CYP2D6 protein in the liver, indicating the presence of a stronger immunological tolerance in CYP2D6 mice. We demonstrate for the first time that infection with a virus expressing a natural human autoantigen breaks tolerance, resulting in a chronic form of severe, autoimmune liver damage. Our novel model system should be instrumental for studying mechanisms involved in the initiation, propagation, and precipitation of virus-induced autoimmune liver diseases.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenoviridae / genetics
  • Adenoviridae Infections / enzymology*
  • Adenoviridae Infections / immunology*
  • Animals
  • Autoantigens / immunology*
  • Cytochrome P-450 CYP2D6 / immunology*
  • Genes, Reporter
  • Green Fluorescent Proteins / genetics
  • Humans
  • Immune Tolerance*
  • Liver / enzymology*
  • Liver / immunology*
  • Mice
  • Mice, Inbred Strains
  • Mice, Transgenic

Substances

  • Autoantigens
  • Green Fluorescent Proteins
  • Cytochrome P-450 CYP2D6