Leonhardt Johannes, Stanulla Martin, von Wasielewski Reinhard, Skokowa Julia, Kübler Joachim, Ure Benno M, Petersen Claus
Department of Pediatric Surgery, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625 Hannover, Germany.
Pediatr Surg Int. 2006 Jan;22(1):84-9. doi: 10.1007/s00383-005-1589-0.
One hypothesis of the pathogenesis of biliary atresia (BA) is a virus-induced and immune-mediated injury to bile duct cells as mimicked in the rotavirus-induced murine model. This theory is supported by studies showing a predominant T helper cell response type 1-like phenotype of inflammation with increased interferon gamma-induced chemokines in the liver of humans and mice suffering from BA. Recent gene expression profiling studies using microarray analysis showed the induction of a proinflammatory state in human liver specimens with high analogies in extrahepatic biliary tissue of BA mice. The aim of the present study was a microarray analysis of gene expression in the liver of Balb/c mice, comparing infected mice that show the phenotype of BA versus infected mice without symptoms, thus trying to elucidate genes that are not related to the viral origin of this model, but to the specific pathogenesis of the clinical picture of BA. Fifteen mug of RNA, each of three BA-positive and three BA-negative mice, were pooled and comparatively hybridized to spotted cDNA microarrays containing 250 key genes with high relevance to immunological settings. We identified the 40 genes most differentially expressed in mice with and without BA. The majority of genes with higher expression in BA-positive mice encoded proinflammatory cytokines involved in the Th1 pathway, such as CCL2, CCL5, CCR5, CXCL10, CCL2, IL1F5 and in apoptosis, such as DDR3 and granzyme A and B. In this initial study of the molecular characterization of our RRV-induced BA mouse model system, we also found potential novel candidates important to BA etiology, such as growth hormone receptor and insulin-like growth factor. Of particular interest, very low expression of TIMD2 was observed in BA-positive mice. TIMD2 plays a critical role in the regulation of a Th2-type response through the inhibition of IFN gamma.
胆道闭锁(BA)发病机制的一种假说是,病毒诱导并免疫介导的胆管细胞损伤,就像在轮状病毒诱导的小鼠模型中所模拟的那样。这一理论得到了一些研究的支持,这些研究表明,在患有BA的人类和小鼠肝脏中,炎症呈现出以1型为主的T辅助细胞反应表型,且干扰素γ诱导的趋化因子增加。最近使用微阵列分析的基因表达谱研究显示,人类肝脏标本中诱导出了促炎状态,这与BA小鼠的肝外胆管组织有高度相似性。本研究的目的是对Balb/c小鼠肝脏中的基因表达进行微阵列分析,比较表现出BA表型的感染小鼠和无症状感染小鼠,从而试图阐明那些与该模型的病毒起源无关,但与BA临床表现的特定发病机制相关的基因。将三只BA阳性小鼠和三只BA阴性小鼠的RNA各15微克混合,与包含250个与免疫环境高度相关的关键基因的点阵cDNA微阵列进行比较杂交。我们鉴定出了在有BA和无BA的小鼠中差异表达最显著的40个基因。在BA阳性小鼠中表达较高的大多数基因编码参与Th1途径的促炎细胞因子,如CCL2、CCL5、CCR5、CXCL10、CCL2、IL1F5,以及参与细胞凋亡的基因,如DDR3和颗粒酶A和B。在我们对RRV诱导的BA小鼠模型系统进行分子特征的初步研究中,我们还发现了对BA病因学很重要的潜在新候选基因,如生长激素受体和胰岛素样生长因子。特别值得关注的是,在BA阳性小鼠中观察到TIMD2的表达非常低。TIMD2通过抑制IFNγ在Th2型反应的调节中起关键作用。