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Abstract Background Metabolic dysfunction-associated steatotic liver disease (MASLD) is prevalent in Western countries, evolving into metabolic dysfunction-associated steatohepatitis (MASH) with a sexual dimorphism. Fertile women exhibit lower MASLD risk than men, which diminishes post-menopause. While NKT-cell involvement in steatohepatitis is debated, discrepancies may stem from varied mouse strains used, predominantly C57BL6/J with Th1-dominant responses. Exploration of steatohepatitis, encompassing both genders, using Balb/c background, with Th2-dominant immune response, and CD1d-deficient mice in the Balb/c background (lacking Type I and Type II NKT cells) can clarify gender disparities and NKT-cell influence on MASH progression. Methods A high fat and choline-deficient (HFCD) diet was used in male and female mice, Balb/c mice or CD1d−/− mice in the Balb/c background that exhibit a Th2-dominant immune response. Liver fibrosis and inflammatory gene expression were measured by qPCR, and histology assessment. NKT cells, T cells, macrophages and neutrophils were assessed by flow cytometry. Results Female mice displayed milder steatohepatitis after 6 weeks of HFCD, showing reduced liver damage, inflammation, and fibrosis compared to males. Male Balb/c mice exhibited NKT-cell protection against steatohepatitis whereas CD1d−/− males on HFCD presented decreased hepatoprotection, increased liver fibrosis, inflammation, neutrophilic infiltration, and inflammatory macrophages. In contrast, the NKT-cell role was negligible in early steatohepatitis development in both female mice, as fibrosis and inflammation were similar despite augmented liver damage in CD1d−/− females. Relevant, hepatic type I NKT levels in female Balb/c mice were significantly lower than in male. Conclusions NKT cells exert a protective role against experimental steatohepatitis as HFCD-treated CD1d−/− males had more severe fibrosis and inflammation than male Balb/c mice. In females, the HFCD-induced hepatocellular damage and the immune response are less affected by NKT cells on early steatohepatitis progression, underscoring sex-specific NKT-cell influence in MASH development.
Male, Liver Cirrhosis, Physiology, Metabolic dysfunction-associated steatohepatitis (MASH), CD1d, Diet, High-Fat, Choline, Non-alcoholic fatty liver disease (NAFLD), Mice, Sex differences, QP1-981, Animals, Humans, Non-alcoholic steatohepatitis (NASH), Metabolic dysfunction-associated steatotic liver disease (MASLD), Hepatic NKT cells, Inflammation, Mice, Inbred BALB C, Sex Characteristics, Research, R, Fibrosis, Fatty Liver, Liver, Medicine, Natural Killer T-Cells, Female
Male, Liver Cirrhosis, Physiology, Metabolic dysfunction-associated steatohepatitis (MASH), CD1d, Diet, High-Fat, Choline, Non-alcoholic fatty liver disease (NAFLD), Mice, Sex differences, QP1-981, Animals, Humans, Non-alcoholic steatohepatitis (NASH), Metabolic dysfunction-associated steatotic liver disease (MASLD), Hepatic NKT cells, Inflammation, Mice, Inbred BALB C, Sex Characteristics, Research, R, Fibrosis, Fatty Liver, Liver, Medicine, Natural Killer T-Cells, Female
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