Pender S L-F, Chance V, Whiting C V, Buckley M, Edwards M, Pettipher R, MacDonald T T
Division of Infection, Inflammation, and Repair, University of Southampton School of Medicine, UK
Gut. 2005 Aug;54(8):1114-20. doi: 10.1136/gut.2004.052779.
Exacerbations of inflammatory bowel disease are thought to be related to concurrent infections. As infections are associated with elevated local and serum concentrations of chemokines, we have determined whether systemic administration of the CC chemokine macrophage inflammatory protein 1alpha (MIP-1alpha) exacerbates colitis in a mouse model.
Colitis was induced in Balb/c mice using trinitrobenzene sulfonic acid (TNBS). Starting four days later, animals received daily intraperitoneal injections of recombinant MIP-1alpha. On day 7, mice were killed and pieces of colon taken for immunohistology and polymerase chain reaction analysis. The direct effects of MIP-1alpha on mucosal T cells and fibroblasts in vitro were also investigated.
Systemic administration of MIP-1alpha markedly enhanced colitis with mice developing large transmural ulcers filled with granulation tissue. Treatment resulted in increased numbers of CD4 cells infiltrating the colonic lamina propria, increased interferon gamma (IFN-gamma) levels, and increased transcripts for tumour necrosis factor alpha (TNF-alpha) and matrix metalloproteinase 3 (MMP3). Isolated lamina propria lymphocytes from mice with TNBS colitis contained increased numbers of IFN-gamma and TNF-alpha transcripts when stimulated with MIP-1alpha in vitro. Colonic lamina propria fibroblasts also responded to MIP-1alpha with increased proliferation and decreased collagen 1 synthesis but fibroblast proliferation was not seen in vivo.
These experiments show that increasing serum concentrations of a chemokine, MIP-1alpha, exacerbates immune mediated colitis. The effect seems to be due to the ability of MIP-1alpha to boost Th1 responses in the gut wall. Our findings also suggest a potential pathway by which peripheral infections can exacerbate inflammatory bowel disease.
炎症性肠病的发作被认为与并发感染有关。由于感染与趋化因子的局部和血清浓度升高相关,我们已确定在小鼠模型中全身给予CC趋化因子巨噬细胞炎性蛋白1α(MIP-1α)是否会加重结肠炎。
使用三硝基苯磺酸(TNBS)在Balb/c小鼠中诱导结肠炎。四天后开始,动物每天接受重组MIP-1α腹腔注射。在第7天,处死小鼠并取结肠组织用于免疫组织学和聚合酶链反应分析。还研究了MIP-1α对体外黏膜T细胞和成纤维细胞的直接作用。
全身给予MIP-1α显著加重了结肠炎,小鼠出现充满肉芽组织的大透壁溃疡。治疗导致浸润结肠固有层的CD4细胞数量增加、干扰素γ(IFN-γ)水平升高以及肿瘤坏死因子α(TNF-α)和基质金属蛋白酶3(MMP3)的转录本增加。体外使用MIP-1α刺激时,来自TNBS结肠炎小鼠的分离固有层淋巴细胞中IFN-γ和TNF-α转录本数量增加。结肠固有层成纤维细胞也对MIP-1α有反应,增殖增加且I型胶原合成减少,但在体内未观察到成纤维细胞增殖。
这些实验表明,增加趋化因子MIP-1α的血清浓度会加重免疫介导的结肠炎。这种作用似乎是由于MIP-1α增强肠壁Th1反应的能力。我们的研究结果还提示了外周感染加重炎症性肠病的潜在途径。