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  2. B cell-derived acetylcholine promotes liver regeneration by regulating Kupffer cell and hepatic CD8+ T cell function

B cell-derived acetylcholine promotes liver regeneration by regulating Kupffer cell and hepatic CD8+ T cell function

  • Immunity. 2025 May 13;58(5):1201-1216.e7. doi: 10.1016/j.immuni.2025.04.002.
Nastaran Fazel Modares 1 Liam D Hendrikse 1 Logan K Smith 1 Michael St Paul 1 Jillian Haight 1 Ping Luo 1 Shaofeng Liu 1 Jerome Fortin 2 Frances K Tong 1 Andrew C Wakeham 1 Soode Moghadas Jafari 1 Chunxing Zheng 3 Mackenzie Buckland 1 Robert Flick 4 Jennifer Silvester 1 Thorsten Berger 1 Troy Ketela 1 Simone Helke 1 Erica Foffi 1 Raheleh Niavarani 1 Ryan Mcwilliam 1 Mary E Saunders 1 Isabelle Colonna 1 Bruna Araujo David 5 Tashi Rastogi 5 Woo-Yong Lee 6 Paul Kubes 7 Tak W Mak 8
Affiliations

Affiliations

  • 1 Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
  • 2 Department of Neurology and Neurosurgery, McGill University, Montreal, QC, Canada.
  • 3 Centre for Oncology and Immunology, Hong Kong Science Park, Hong Kong SAR, China.
  • 4 Departments of Immunology and Medical Biophysics, University of Toronto, Toronto, ON, Canada.
  • 5 Calvin Phoebe & Joan Snyder Institute for Chronic Diseases, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada; Department of Physiology and Pharmacology Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada.
  • 6 Department of Biomedical and Molecular Science, Queen's University, Kingston, ON K7L 3N6, Canada.
  • 7 Calvin Phoebe & Joan Snyder Institute for Chronic Diseases, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada; Department of Physiology and Pharmacology Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada; Department of Biomedical and Molecular Science, Queen's University, Kingston, ON K7L 3N6, Canada.
  • 8 Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada; Centre for Oncology and Immunology, Hong Kong Science Park, Hong Kong SAR, China; Department of Pathology, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China; Department of Chemical Engineering and Applied Chemistry, University of Toronto, Toronto, ON, Canada. Electronic address: tak.mak@uhn.ca.
Abstract

Liver regeneration (LR) is essential for recovery from acute trauma, Cancer surgery, or transplantation. Neurotransmitters such as acetylcholine (ACh) play a role in LR by stimulating immune cells and augmenting hepatocyte proliferation, but the source of this ACh remains unclear. Here, we demonstrated that B cells expressing choline acetyltransferase (ChAT), which synthesizes ACh, were required for LR. Mice lacking ChAT+ B cells subjected to partial hepatectomy (PHX) displayed greater mortality due to failed LR. Kupffer cells and hepatic CD8+ T cells expressed the α7 nicotinic ACh receptor (nAChR), and LR was disrupted in mice lacking α7 nAChR. Mechanistically, B cell-derived ACh signaled through α7 nAChR to positively regulate the function of regenerative Kupffer cells and to control the activation of hepatic CD8+ T cells to curtail harmful interferon-gamma (IFNγ) production. Our work offers insights into LR mechanisms that may point to therapies for liver damage.

Keywords

B cells; CD8 T cells; ChAT B cells; IL-6; Kupffer cells; acetylcholine; hepatic repair; liver regeneration; partial hepatectomy; α7 nAChR; α7 nicotinic acetylcholine receptor.

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