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Peer-reviewedCC BYFrontiers in pediatrics

Single-cell transcriptome atlas revealed liver immune features in biliary atresia

4 affiliations
  1. 1Department of General Surgery, Capital Center for Children’s Health, Capital Medical University, Capital Institute of Pediatrics , ,
  2. 2Department of Biochemistry and Immunology, Capital Center for Children’s Health, Capital Medical University, Capital Institute of Pediatrics , ,
  3. 3Department of Pathology, Heilongjiang Hospital of Beijing Children’s Hospital, Capital Medical University , ,
  4. 4Department of Science and Technology, Capital Center for Children’s Health, Capital Medical University, Capital Institute of Pediatrics , ,

Abstract

Background: While immune dysfunction is recognized as pivotal in biliary atresia (BA) pathogenesis, comprehensive characterization of disease-specific immune cell subtypes and stromal components remains incomplete. This study aims to define the altered hepatic immune-stromal landscape and aberrant intercellular communication networks associated with BA progression using single-cell transcriptomics.

Methods: We performed single-cell RNA sequencing (scRNA-seq) on BA liver tissues to profile immune and stromal cell populations. Cellular subclustering, differential gene expression, pathway enrichment, and cell-cell communication analyses were employed to identify potential pathogenic drivers and predicted possible signaling networks. Multiplex immunofluorescence staining was used to verify receptor-ligand interaction in BA liver.

Results: BA livers exhibited profound expansion of pro-inflammatory neutrophil subsets - Neutrophils with interferon-stimulated genes (Neu_ISG), Aged neutrophils (Neu_Aged) - with transcriptional signatures suggestive of enhanced reactive oxygen species (ROS) production, extracellular matrix (ECM) modulation, and cytokine activity. Concurrent cytotoxic/immunoregulatory lymphocyte populations - Effector memory CD4⁺ T Cell (CD4⁺ TEM), Tregs, cytotoxic NK cells- showed upregulated inflammatory and oxidative stress pathways. Periportal and lymphatic liver endothelial cells (LECs) demonstrated significant perturbations. Central venous LECs displayed signatures of oxidative stress and dysregulated proliferation/migration. Cell-cell communication analysis highlighted a possibly dominant “CXCL12-CXCR4” axis mediating neutrophil recruitment across endothelia, NK&T/B, and myeloid cells. Enhanced “MIF-CD74/CXCR4” signaling between endothelia and immune cells, “VEGFB-VEGFR1” interactions between hepatocyte-cholangiocyte compartments and central venous/periportal endothelia were observed, suggesting that these interactions are associated with BA progression.

Conclusion: Our scRNA-seq atlas uncovers coordinated innate/adaptive immune responses and endothelial-stromal dysfunction that shape a hepatic niche in BA associated with ROS, unchecked inflammation, and fibrotic remodeling. Key cellular and molecular contributors include pathogenic neutrophils, cytotoxic lymphocytes, and injured endothelia, which interact via “CXCL12-CXCR4” and “VEGFB-VEGFR1” signaling axes. These findings from the present exploratory study point to potential novel therapeutic targets (e.g., neutrophil subsets, chemokine pathways) for mitigating BA pathogenesis.

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BibTeX
@article{liu2026singlecell,
  title = {{Single-cell transcriptome atlas revealed liver immune features in biliary atresia}},
  author = {Xuelai Liu and Zhuo Liu and Huan Wang and Yuqiang Chen and Mao Ye and Xu Li and Yuanyuan Geng and Xiaoyun Cui and Feng He},
  journal = {Frontiers in pediatrics},
  year = {2026},
  month = oct,
  doi = {10.3389/fped.2026.1995199},
  url = {https://europepmc.org/article/PMC/PMC13719468},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Single-cell transcriptome atlas revealed liver immune features in biliary atresia
AU  - Xuelai Liu
AU  - Zhuo Liu
AU  - Huan Wang
AU  - Yuqiang Chen
AU  - Mao Ye
AU  - Xu Li
AU  - Yuanyuan Geng
AU  - Xiaoyun Cui
AU  - Feng He
PY  - 2026
DA  - 2026/10/16
JO  - Frontiers in pediatrics
DO  - 10.3389/fped.2026.1995199
UR  - https://europepmc.org/article/PMC/PMC13719468
AB  - Background: While immune dysfunction is recognized as pivotal in biliary atresia (BA) pathogenesis, comprehensive characterization of disease-specific immune cell subtypes and stromal components remains incomplete. This study aims to define the altered hepatic immune-stromal landscape and aberrant intercellular communication networks associated with BA progression using single-cell transcriptomics.  Methods: We performed single-cell RNA sequencing (scRNA-seq) on BA liver tissues to profile immune and stromal cell populations. Cellular subclustering, differential gene expression, pathway enrichment, and cell-cell communication analyses were employed to identify potential pathogenic drivers and predicted possible signaling networks. Multiplex immunofluorescence staining was used to verify receptor-ligand interaction in BA liver.  Results: BA livers exhibited profound expansion of pro-inflammatory neutrophil subsets - Neutrophils with interferon-stimulated genes (Neu_ISG), Aged neutrophils (Neu_Aged) - with transcriptional signatures suggestive of enhanced reactive oxygen species (ROS) production, extracellular matrix (ECM) modulation, and cytokine activity. Concurrent cytotoxic/immunoregulatory lymphocyte populations - Effector memory CD4⁺ T Cell (CD4⁺ TEM), Tregs, cytotoxic NK cells- showed upregulated inflammatory and oxidative stress pathways. Periportal and lymphatic liver endothelial cells (LECs) demonstrated significant perturbations. Central venous LECs displayed signatures of oxidative stress and dysregulated proliferation/migration. Cell-cell communication analysis highlighted a possibly dominant “CXCL12-CXCR4” axis mediating neutrophil recruitment across endothelia, NK&T/B, and myeloid cells. Enhanced “MIF-CD74/CXCR4” signaling between endothelia and immune cells, “VEGFB-VEGFR1” interactions between hepatocyte-cholangiocyte compartments and central venous/periportal endothelia were observed, suggesting that these interactions are associated with BA progression.  Conclusion: Our scRNA-seq atlas uncovers coordinated innate/adaptive immune responses and endothelial-stromal dysfunction that shape a hepatic niche in BA associated with ROS, unchecked inflammation, and fibrotic remodeling. Key cellular and molecular contributors include pathogenic neutrophils, cytotoxic lymphocytes, and injured endothelia, which interact via “CXCL12-CXCR4” and “VEGFB-VEGFR1” signaling axes. These findings from the present exploratory study point to potential novel therapeutic targets (e.g., neutrophil subsets, chemokine pathways) for mitigating BA pathogenesis.
SN  - 2296-2360
ER  -