Background and Aims: Endogenous danger signals from damaged hepatocytes in NASH might up-regulate and activate the inflammasome, that is a multiprotein complex that leads to IL-1ß secretion. We reported NALP3 inflammasome up-regulation activation in NASH. Here, we aimed to investigate the role of toll-like receptor 4 (TLR4) and the common TLR adaptor, MyD88 in the activation of NALP3 inflammasome. Furthermore, we aimed to investigate which cell types are involved in the inflammasome activation in the liver in NASH. Methods: Wild type (WT), TLR4- and MyD88-deficient (KO) mice, and WT mice transplanted with MyD88 KO bone marrow (WT/MyD88KO-BM) or MyD88KO mice with WT bone marrow (MyD88KO/WT-BM) received methionine-choline-deficient (MCD) or -supplemented (MCS) diet. Results: MCD diet-induced NASH resulted in up-regulation of TLR4, MyD88 and NALP3 inflammasome (NALP3, ASC, pro-caspase-1) mRNA, and mature IL-1β (17kDa) protein and caspase-1 activation in the liver compared to MCS diet feeding in WT mice. Total body deficiency in TLR4 although attenuated the MCD diet-induced liver injury and steatosis, but did not prevent the either the NALP3 up-regulation or the IL-1β production. MyD88 is a common adaptor molecule of most of the TLRs, including TLR4, but also TLR9. Total body deficiency in MyD88 prevented up-regulation of NALP3 mRNA and mature IL-1β production and significantly attenuated liver damage and steatosis in NASH. Selective MyD88-deficiency in bone marrow-derived or parenchymal cells prevented NALP3 mRNA up-regulation and attenuated IL-1β production in both chimeras (WT/MyD88KO-BM and MyD88KO/WT-BM)). Interestingly, WT/MyD88KO-BM mice were protected from MCD diet induced steatosis and liver damage, but liver injury was comparable between MCD diet-fed WT and MyD88KO/WT-BM mice suggesting that BM-derived cells contribute to NASH in a MyD88-dependent manner. Conclusions: We demonstrate for the first time that NALP3 inflammasome activation requires MyD88-dependent signaling in the MCD diet-induced NASH, but the deficiency of TLR4 is not enough to prevent the infammasome priming and activation. Finally, we show that both bone marrow-derived and parenchymal cells contribute to IL-1β production and the absence of MyD88 in bone marrow-derived cells attenuates steatohepatitis.
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