Inokuchi Y, Morohashi T, Kawana I, Nagashima Y, Kihara M, Umemura S
Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine and School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa 236-0004, Japan.
Gut. 2005 Mar;54(3):349-56. doi: 10.1136/gut.2003.036343.
A number of recent studies have demonstrated a protective effect of renin-angiotensin system (RAS) antagonism against immune mediated diseases such as myocarditis, chronic allograft rejection, and antiglomerular basement membrane nephritis. To our knowledge, there has been no report on the immunological contribution of the RAS in colonic tissue.
We evaluated the direct effect of angiotensin II (AII) on the pathogenesis of immune mediated colitis using angiotensinogen deficient homozygous (Atg-/-) mice.
2,4,6-Trinitrobenzene sulphonic acid (TNBS) colitis was induced in Atg-/- and wild-type (Atg+/+) mice.
Levels of proinflammatory cytokines in the colon were determined by enzyme linked immunosorbent assay. Histological analysis was performed simultaneously.
Although Atg-/- mice developed colitis, the degree was much milder than that in Atg+/+ mice (p<0.05). Colonic cytokine analysis showed that the production of proinflammatory cytokines (interleukin (IL)-1beta, interferon gamma (IFN-gamma)) was impaired in Atg-/- mice. Furthermore, expression of cytokines such as IL-4 and IL-10 in the colon was predominant in Atg-/- compared with Atg+/+ mice after TNBS instillation (p<0.005, p<0.01, respectively). Similarly, subcutaneous infusion of losartan suppressed colitis (p<0.05) and the production of proinflammatory cytokines (IL-1beta, IFN-gamma). These results indicate that the RAS is directly involved in the pathogenesis of TNBS colitis through regulation of proinflammatory and anti-inflammatory cytokines in the colon.
This study revealed that the RAS is involved in the immune system in the colon. Antagonism of the RAS is a potential prophylactic strategy for the treatment of human inflammatory bowel disease.
近期多项研究表明,肾素-血管紧张素系统(RAS)拮抗作用对免疫介导的疾病具有保护作用,如心肌炎、慢性移植排斥反应和抗肾小球基底膜肾炎。据我们所知,尚无关于RAS在结肠组织中的免疫作用的报道。
我们使用血管紧张素原缺陷纯合子(Atg-/-)小鼠评估了血管紧张素II(AII)对免疫介导性结肠炎发病机制的直接影响。
在Atg-/-和野生型(Atg+/+)小鼠中诱导2,4,6-三硝基苯磺酸(TNBS)结肠炎。
通过酶联免疫吸附测定法测定结肠中促炎细胞因子的水平。同时进行组织学分析。
尽管Atg-/-小鼠发生了结肠炎,但其程度比Atg+/+小鼠轻得多(p<0.05)。结肠细胞因子分析表明,Atg-/-小鼠中促炎细胞因子(白细胞介素(IL)-1β、干扰素γ(IFN-γ))的产生受损。此外,与Atg+/+小鼠相比,TNBS灌注后Atg-/-小鼠结肠中IL-4和IL-10等细胞因子的表达占主导地位(分别为p<0.005、p<0.01)。同样,皮下注射氯沙坦可抑制结肠炎(p<0.05)以及促炎细胞因子(IL-1β、IFN-γ)的产生。这些结果表明,RAS通过调节结肠中的促炎和抗炎细胞因子直接参与TNBS结肠炎的发病机制。
本研究表明RAS参与结肠的免疫系统。RAS拮抗作用是治疗人类炎症性肠病的一种潜在预防策略。