肝障害の悪化に“免疫細胞の鉄”が関与~治療法開発に新たな視点~

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2025-10-24 東京科学大学

東京科学大学と熊本大学の共同研究チームは、免疫細胞内の鉄代謝異常が薬剤性肝障害を悪化させる新たなメカニズムを発見した。CD11c⁺骨髄系免疫細胞で鉄制御酵素FBXL5を欠損させたマウスでは、鉄過剰によりIL-6産生が亢進し、好中球の肝臓浸潤が増加して炎症と組織障害が著しく悪化した。さらに、IL-6中和抗体の投与で肝障害が軽減され、IL-6が病態の鍵因子であることが示された。アセトアミノフェン誘発性肝障害モデルで確認されたこの現象は、免疫細胞の鉄が炎症制御に深く関与することを意味し、鉄代謝を標的とする新しい治療法の可能性を示す。本成果は『Communications Biology』誌に掲載された。

肝障害の悪化に“免疫細胞の鉄”が関与~治療法開発に新たな視点~
図 免疫細胞内の鉄過剰が薬剤性肝障害を悪化させるメカニズム

<関連情報>

CD11c +骨髄細胞における鉄過剰はアセトアミノフェンの肝毒性を悪化させる Iron overload in CD11c+ myeloid cells exacerbates acetaminophen hepatotoxicity

Saisai Liu,Yohei Kanamori,Yudai Ohta,Shuran Li,Yanliang Liu,Hao Li,Mohamed Fathi Saleh,Akihiro Nita,Keiichi I. Nakayama & Toshiro Moroishi
Communications Biology  Published:21 October 2025
DOI:https://doi.org/10.1038/s42003-025-08521-x

Abstract

Acute liver injury often progresses to liver failure, with immune responses playing a critical role in regulating the inflammatory process. In this study, we aim to investigate the effects of iron on CD11c+ myeloid cells during acetaminophen-induced liver injury. Iron overload caused by F-box and leucine-rich repeat protein 5 (FBXL5) deficiency in CD11c+ cells exacerbates liver damage. CD11c+ myeloid cell-specific FBXL5-deficient mice exhibit higher serum transaminase levels, liver injury, and mortality than the controls. These phenotypes are associated with enhanced neutrophil infiltration and expression of interleukin (IL)-6, a pro-inflammatory cytokine. Mechanistically, iron overload in FBXL5-deficient cells increases IL-6 production by facilitating the recruitment of nuclear factor-κB to the Il-6 promoter. In vivo, IL-6 neutralization mitigates liver injury, confirming its role in disease progression. Our findings highlight the role of iron in immune responses and suggest that targeting iron may represent a potential therapeutic strategy for liver injury.

医療・健康
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