Zarzaur Ben L, Wu Yong, Fukatsu Kazuhiko, Johnson Cheryl D, Kudsk Kenneth A
Department of Surgery, The University of Tennessee Health Science Center, Memphis, Tenn., USA.
Surgery. 2002 Jan;131(1):59-65. doi: 10.1067/msy.2002.118319.
The Th2 cytokines, interleukin-4 (IL-4) and interleukin-10 (IL-10), stimulate IgA production. Total parenteral nutrition (TPN) reduces IL-4 and IL-10 messenger RNA in gut lamina propria lymphocytes, total IL-4 and IL-10 in gut homogenates, and IgA-mediated mucosal immunity. Bombesin (BBS) can maintain mucosal immunity in TPN-fed mice, but the effects of BBS on gut IL-4 and IL-10 levels and their mRNA expression in the lamina propria are unknown.
In experiment 1, mice that were fed chow, TPN, or TPN + BBS (15 microg/kg intravenously-three times a day) for 5 days were killed, and respiratory tract IgA and intestinal IgA, IL-4, and IL-10 levels were measured. In experiment 2, IL-4 and IL-10 mRNA were measured in isolated lamina propria lymphocytes from chow-, TPN-, and TPN+BBS-fed mice by reverse transcriptase-polymerase chain reaction. Intestines were harvested 1 hour after injection of 100 7 microg of lipopolysaccharide intraperitoneally. Samples were standardized to beta-actin.
TPN-fed mice had significantly lower respiratory tract IgA levels than chow- or TPN + BBS-fed mice. TPN+BBS did not increase intestinal IL-10 or IL-10 lamina propria mRNA levels but maintained intestinal IL-4 levels and lamina propria IL-4 mRNA expression equal to those of chow-fed mice.
BBS reverses the effects of TPN on intestinal and respiratory tract IgA levels and most effects on gut cytokines. Lamina propria cytokine mRNA levels reflect total gut cytokine concentration.
Th2细胞因子白细胞介素-4(IL-4)和白细胞介素-10(IL-10)可刺激IgA产生。全胃肠外营养(TPN)可降低肠道固有层淋巴细胞中IL-4和IL-10信使核糖核酸水平、肠道匀浆中总的IL-4和IL-10水平以及IgA介导的黏膜免疫。蛙皮素(BBS)可维持接受TPN喂养小鼠的黏膜免疫,但BBS对肠道IL-4和IL-10水平及其在固有层中的信使核糖核酸表达的影响尚不清楚。
在实验1中,将喂食普通饲料、接受TPN或TPN + BBS(15微克/千克,静脉注射,每日3次)5天的小鼠处死,检测呼吸道IgA、肠道IgA、IL-4和IL-10水平。在实验2中,通过逆转录聚合酶链反应检测从喂食普通饲料、TPN和TPN + BBS的小鼠分离出的固有层淋巴细胞中的IL-4和IL-10信使核糖核酸。在腹腔注射100 7微克脂多糖1小时后采集肠道。样本以β-肌动蛋白作为标准化对照。
接受TPN喂养的小鼠呼吸道IgA水平显著低于喂食普通饲料或TPN + BBS的小鼠。TPN + BBS未增加肠道IL-10或固有层IL-10信使核糖核酸水平,但维持肠道IL-4水平和固有层IL-4信使核糖核酸表达与喂食普通饲料的小鼠相当。
BBS可逆转TPN对肠道和呼吸道IgA水平的影响以及对肠道细胞因子的大多数影响。固有层细胞因子信使核糖核酸水平反映肠道细胞因子总浓度。