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Kupffer Cell-Dependent Hepatitis Occurs during Influenza Infection #MMPMID16565492
Am J Pathol 2006[Apr]; 168 (4): 1169-78 PMID16565492show ga
Respiratory infections, including influenza in humans, are often accompanied by a hepatitis that is usually mild and self-limiting. The mechanism of this kind of liver damage is not well understood. In the present study, we show that influenza-associated hepatitis occurs due to the formation of inflammatory foci that include apoptotic hepatocytes, antigen-specific CD8+ T cells, and Kupffer cells. Serum aminotransaminase levels were elevated, and both the histological and serum enzyme markers of hepatitis were increased in secondary influenza infection, consistent with a primary role for antigen-specific T cells in the pathogenesis. No virus could be detected in the liver, making this a pure example of ?collateral damage? of the liver. Notably, removal of the Kupffer cells prevented the hepatitis. Such hepatic collateral damage may be a general consequence of expanding CD8+ T-cell populations during many extrahepatic viral infections, yielding important implications for liver pathobiology.