[PDF][PDF] RORα induces KLF4-mediated M2 polarization in the liver macrophages that protect against nonalcoholic steatohepatitis

YH Han, HJ Kim, H Na, MW Nam, JY Kim, JS Kim… - Cell reports, 2017 - cell.com
YH Han, HJ Kim, H Na, MW Nam, JY Kim, JS Kim, SH Koo, MO Lee
Cell reports, 2017cell.com
The regulation of M1/M2 polarization in liver macrophages is closely associated with the
progression of nonalcoholic steatohepatitis (NASH); however, the mechanism involved in
this process remains unclear. Here, we describe the orphan nuclear receptor retinoic-acid-
related orphan receptor α (RORα) as a key regulator of M1/M2 polarization in hepatic
residential Kupffer cells (KCs) and infiltrated monocyte-derived macrophages. RORα
enhanced M2 polarization in KCs by inducing the kruppel-like factor 4. M2 polarization was …
Summary
The regulation of M1/M2 polarization in liver macrophages is closely associated with the progression of nonalcoholic steatohepatitis (NASH); however, the mechanism involved in this process remains unclear. Here, we describe the orphan nuclear receptor retinoic-acid-related orphan receptor α (RORα) as a key regulator of M1/M2 polarization in hepatic residential Kupffer cells (KCs) and infiltrated monocyte-derived macrophages. RORα enhanced M2 polarization in KCs by inducing the kruppel-like factor 4. M2 polarization was defective in KCs and bone-marrow-derived macrophages of the myeloid-specific RORα null mice, and these mice were susceptible to HFD-induced NASH. We found that IL-10 played an important role in connecting the function of M2 KCs to lipid accumulation and apoptosis in hepatocytes. Importantly, M2 polarization was controlled by a RORα activator, JC1-40, which improved symptoms of NASH. Our results suggest that the M2-promoting effects of RORα in liver macrophages may provide better therapeutic strategies against NASH.
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