Kupffer Cells Promote Hepatic Steatosis Via Interleukin-1β-Dependent Suppression of Peroxisome Proliferator-Activated Receptor α Activity

Kupffer cells have been implicated in the pathogenesis of various liver diseases. However, their involvement in metabolic disorders of the liver, including fatty liver disease, remains unclear. The present study sought to determine the impact of Kupffer cells on hepatic triglyceride storage and to explore the possible mechanisms involved. To that end, C57Bl/6 mice rendered obese and steatotic by chronic high-fat feeding were treated for 1 week with clodronate liposomes, which cause depletion of Kupffer cells. Loss of expression of marker genes Cd68, F4/80, and Clec4f, and loss of Cd68 immunostaining verified almost complete removal of Kupffer cells from the liver. Also, expression of complement components C1, the chemokine (C-C motif) ligand 6 (Ccl6), and cytokines interleukin-15 (IL-15) and IL-1 beta were markedly reduced. Importantly, Kupffer cell depletion significantly decreased liver triglyceride and glucosylceramide levels concurrent with increased expression of genes involved in fatty acid oxidation including peroxisome proliferator-activated receptor alpha (PPAR alpha), carnitine palmitoyltransferase 1A (Cpt1 alpha), and fatty acid transport protein 2 (Fatp2). Treatment of mice with IL-1 beta decreased expression of PPAR alpha and its target genes, which was confirmed in primary hepatocytes. Consistent with these data, IL-1 beta suppressed human and mouse PPAR alpha promoter activity. Suppression of PPAR alpha promoter activity was recapitulated by overexpression of nuclear factor kappa B (NF-kappa B) subunit p50 and p65, and was abolished upon deletion of putative NF-kappa B binding sites. Finally, IL-1 beta and NF-kappa B interfered with the ability of PPAR alpha to activate gene transcription. Conclusion: Our data point toward important cross-talk between Kupffer cells and hepatocytes in the regulation of hepatic triglyceride storage. The effect of Kupffer cells on liver triglycerides are at least partially mediated by IL-1 beta, which suppresses PPAR alpha expression and activity. (HEPATOLOGY 2010;51:511-522.)