However, such reservations notwithstanding, we emphasize that the LMCs from PBC strongly induce production of CX3CL1 from BECs. In future studies, these reservations could potentially be addressed by use of laser-captured microdissection and in real-time analysis for study of site-specific expression of messenger RNA from the relevant hepatic subpopulations. Indeed, a Small molecule library high throughput weakness of the data herein is the absence of completely normal nondiseased liver; such tissue is not readily available. CX3CL1 is potentially involved in multiple other inflammatory processes. This has already been described not only

in noncholestatic disease, but also in lung inflammation with associated smoke injury.8, 24 Hence, the data herein is not necessarily specific for PBC. Our data should also be contrasted with studies in gut. Intestinal microvascular ECs do not spontaneously produce CX3CL1, but can do so after stimulation with TNF-α or IFN-γ or direct leukocyte Everolimus datasheet contact, and this effect is significantly stronger using ECs from patients

with inflammatory bowel disease versus control ECs.21 Interestingly, liver ECs that are epithelial cell marker–negative and CD31+-adherent mononuclear cells produced CX3CL1 upon TLR stimulation, but production did not differ between livers from PBC patients and those from chronic viral hepatitis. Notably with LSECs (epithelial cell marker–negative, CD31− and CD105+), adherent mononuclear cells failed to produce CX3CL1 under any form of stimulation, perhaps a reflection of the capacity of LSECs to induce antigen-specific tolerance

within the liver.25 The CXCR3 ligands CXCL9 to CXCL11 are dominant on LSECs, whereas the CCR5 ligands are dominant on the portal vascular endothelium.26 Thus, our findings suggest ADAMTS5 that CX3CR1+ cells invade the liver by way of the portal vascular endothelium. As noted in the data herein, we have demonstrated that ECs, LSECs and BECs from disease controls behave similar to cell populations isolated from cirrhotic PBC and the other control populations studied in our CX3CL1 production assays, indicating that these liver cell subpopulations respond equally well against danger signals (i.e., TLR ligands) irrespective of changes related to fibrosis or in vitro culture artifacts. In order for CX3CL1 to be produced by BECs, direct contact with autologous LMCs is clearly required, because this production was inhibited when the CD40–CD154 interaction was blocked, in line with a previous report that there was reduced production of chemokines from BECs exposed to activated liver macrophages after the CD40–CD154 interaction had been blocked.27 These data take on added importance in light of the known capacity of biliary ductular cells in PBC to express CD40.