1 Supporting Materials and Methods Suppression of innate immunity (natural killer cell/interferon-) in the advanced stages of liver fibrosis in mice Won-Il Jeong,1,4 Ogyi Park,4 Yang-Gun Suh,1 Jin-Seok Byun,1 So-Young Park,1 Earl Choi,1 Ja-Kyung Kim,2 Hyojin Ko,3 Hua Wang,4 Andrew M. Miller,4 and Bin Gao4 Animals. C57BL/6J and IFN-γ-/- mice on a C57BL/6 background were purchased from the Jackson Laboratory (Bar Harbor, ME). IFN-γ-/-SOCS1-/- mice were kindly provided by Dr. James Ihle, St. Jude Children’s Research Hospital (Memphis, TN). All mice used in the present study were housed in a specific pathogen–free facility and were cared for in accordance with National Institutes of Health (NIH) guidelines. Materials. Polyinosinic-polycytidylic acid (Poly I:C), Gey’s balanced salt solution, OptiPrep, Carbon tetrachloride (CCl4), Collagenase type I , 4-methylpyrazole (4-MP), CD437, retinol, all trans and 9-cis retinaldehyde (Rald) or retinoic acid (RA) were purchased from Sigma (St. Louis, MO). Methoprene acid (MA) was purchased from BIOMOL Research Laboratories Inc (Plymouth Meeting, PA). Recombinant murine IFNγ was obtained from R&D Systems Inc (Minneapolis, MN) (the activity of IFN-γ is 8.4 IU/ng) Serum cytokines, histology, immunohistochemistry, immunocytochemistry, determination of hepatic hydroxyproline content. Serum levels of IFN-γ were measured with Cytometric Bead Array (CBA) Method (BD Biosciences, Mountain View, CA). After routine processing of fixed liver tissue or fixing cultured HSCs with 4% paraformaldehyde, immunostaining was performed using antibodies of alpha-smooth muscle actin (α-SMA) (Dako, Carpinteria, CA) and phospho-STAT1 (pSTAT1) (Cell signaling, Danvers, MA), and ABC kit (Vector laboratories, Burlingame, CA). DAB 2 (Zymed, San Francisco, CA) was used as the chromagen/substrate. Hepatic hydroxyproline was also measured as described previously.1, 2 Flow cytometric analysis of NK cells and NKG2D expression. NKG2D expression on NK cells were determined by using anti-NK1.1, anti-CD3 (BD PharMingen, San Diego, CA), and anti-NKG2D antibodies (eBioscience, San Diego, CA) by FACSCalibur (BD Biosciences, Mountain View, CA). Reverse transcriptase-polymerase chain reaction (RT-PCR). The RT-PCR was carried out and the primers were used as described previously.3, 4 Isolation and culture of hepatic stellate cells, cytotoxicity assay and cell proliferation. Mouse liver HSCs were isolated via in situ collagenase perfusion and differential centrifugation on Optiprep (Sigma) density gradients, as previously described.1, 2 The isolated HSCs were resuspended in RPMI 1640 medium containing 0.5 % or 20% fetal bovine serum with or without 5mM 4-MP, 1 μM all trans and 9-cis of Rald or RA, 1 μM of CD437 and MA and then plated onto 24-well plates at a density of 1 × 104 cells per well or onto 6-well plates at a density of 1 × 105 cells per well. On several time points, some HSCs were collected for RT-PCR. On day 3 or 7, HSCs were cultured in serumfree medium for an additional 24 h. These cells were designated as D4 or D8 HSCs. These HSCs were then treated with IFN-γ for 30 min for immunohistochemistry experiments and Western blot or 24 h for cell proliferation assays. Cell proliferation and cytotoxicity assay were performed as described previously.1, 2 Isolation of NK cells, Cytotoxicity assay, Co-culturing and antibody treatment of NKG2D and TGF-β. NK cells were isolated from mouse livers as described1, 2 and used as effector cells. HSCs isolated from mouse liver and Yac-1 cells, a murine T-lymphoma cell line sensitive to NK-cells, were used as target cells.5 Cytotoxicity assay of NK cells against HSCs and Yac-1 with or without treatment of TGF-β antibody was described previously.2 Cultured D0-8 HSCs and Yac-1 cells were used as target cells and cytotoxicity was measured using Calcein-AM release (target cells/effector cells = 1/5 or 3 1/10). For the measurement of IFN-γ in supernatant, NK cells were co-cultured with D08 HSCs with or without treatment of NKG2D antibody for 24 hrs in serum free medium.3 Western Blot. Liver tissue or isolated HSCs were homogenized in lysis buffer (30 mmol/L Tris, pH 7.5, 150 mmol/L sodium chloride, 1 mmol/L phenylmethylsulfonyl fluoride, 1 mmol/L sodium orthovanadate, 1% Nonidet P-40, 10% glycerol, phosphotase and protease inhibitors). Western blot analyses were performed with 40-80μg protein from liver or isolated HSCs homogenates using anti-α-smooth muscle actin (SMA) (1:1000 dilution, Sigma), anti-TGF-ß1, anti-phospho-STAT1, anti-STAT1 (1:1000 dilution, Cell signaling technology) and SOCS1 (1:200 dilution, US Biological). Measurement of retinoids with HPLC. Cells were quantified and extracted as described.6 HPLC measurements were performed using a Hewlett–Packard 1100 HPLC equipped with a Zorbax Eclipse 5 μm XDB-C18 analytical column (250 X 4.6 mm; Agilent Technologies Inc, Palo Alto, CA). A linear gradient solvent system: 5% acetic acid aqueous solution/MeOH from 55:45 to 35:65 in 40 min; the flow rate was 1 mL/min. Peaks were detected by UV absorption (330 nm for retinol and 360 nm for the others) with a diode array detector. Acitretin was used as internal standard. All standard reagents and solvents were purchased from Sigma. LC-MS measurements were performed for double checking of compounds on micromass/Waters LCT Premier Electrospray Time of Flight mass spectrometer coupled with a Waters HPLC system. 4 References 1. 2. 3. 4. 5. 6. Jeong WI, Park O, Radaeva S, Gao B. STAT1 inhibits liver fibrosis in mice by inhibiting stellate cell proliferation and stimulating NK cell cytotoxicity. Hepatology 2006;44:1441-51. Jeong WI, Park O, Gao B. Abrogation of the antifibrotic effects of natural killer cells/interferon-gamma contributes to alcohol acceleration of liver fibrosis. Gastroenterology 2008;134:248-58. Radaeva S, Sun R, Jaruga B, Nguyen VT, Tian Z, Gao B. Natural killer cells ameliorate liver fibrosis by killing activated stellate cells in NKG2D-dependent and tumor necrosis factor-related apoptosis-inducing ligand-dependent manners. Gastroenterology 2006;130:435-52. Hussain S, Zwilling BS, Lafuse WP. Mycobacterium avium infection of mouse macrophages inhibits IFN-gamma Janus kinase-STAT signaling and gene induction by down-regulation of the IFN-gamma receptor. J Immunol 1999;163:2041-8. Kiessling R, Klein E, Wigzell H. "Natural" killer cells in the mouse. I. Cytotoxic cells with specificity for mouse Moloney leukemia cells. Specificity and distribution according to genotype. Eur J Immunol 1975;5:112-7. Radaeva S, Wang L, Radaev S, Jeong WI, Park O, Gao B. Retinoic acid signaling sensitizes hepatic stellate cells to NK cell killing via upregulation of NK cell activating ligand RAE1. Am J Physiol Gastrointest Liver Physiol 2007;293:G80916.