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用核因子-κB(NF-κB)抑制剂吡咯烷二硫代氨基甲酸盐改善实验性自身免疫性葡萄膜视网膜炎(EAU)

Amelioration of experimental autoimmune uveoretinitis (EAU) with an inhibitor of nuclear factor-kappaB (NF-kappaB), pyrrolidine dithiocarbamate.

作者信息

Kitamei Hirokuni, Iwabuchi Kazuya, Namba Kenichi, Yoshida Kazuhiko, Yanagawa Yoshiki, Kitaichi Nobuyoshi, Kitamura Mizuki, Ohno Shigeaki, Onoé Kazunori

机构信息

Division of Immunobiology, Institute for Genetic Medicine, Hokkaido University, Kita-15, Nishi-7, Kita-ku, Sapporo 060-0815, Japan.

出版信息

J Leukoc Biol. 2006 Jun;79(6):1193-201. doi: 10.1189/jlb.0805453. Epub 2006 Mar 30.

Abstract

Experimental autoimmune uveoretinitis (EAU) is a T helper type 1 cell-mediated autoimmune disease, which serves as a model of human chronic uveitis. In this model, cells of a monocyte/macrophage lineage and retinal antigen (Ag)-specific T cells infiltrate into the retina and cause inflammatory lesion, where proinflammatory cytokines and various stimuli activate a transcriptional factor, nuclear factor-kappaB (NF-kappaB), which modulates inflammation and enhances immune responses. In the present study, the therapeutic effect of administration of a NF-kappaB inhibitor, pyrrolidine dithiocarbamate (PDTC), was examined in a murine EAU model. It was shown that PDTC ameliorated the clinical symptoms of EAU mice and significantly reduced the histopathological score compared with those in untreated mice. mRNA expressions of tumor necrosis factor alpha and interleukin-1beta were suppressed in eyes of PDTC-treated EAU mice. However, when T cells from PDTC-treated EAU mice, Ag-presenting cells (APC), and the retinal Ag peptides were cocultured, these T cells showed the same level of proliferation as those from control mice. Furthermore, addition of PDTC in the culture of T cells from EAU mice, Ag, and APC completely abrogated the T cell-proliferative response and cytokine production. Pretreatment of Ag-primed T cells or APC with PDTC in vitro also reduced these responses. These results indicate that the inhibitory effect of PDTC is attributed mainly to the suppression of effector-phase responses including inflammation but not to the inhibition of T cell priming. Regulation of NF-kappaB pathway in the lesion could be a novel target for the successful control of uveoretinitis.

摘要

实验性自身免疫性葡萄膜视网膜炎(EAU)是一种由1型辅助性T细胞介导的自身免疫性疾病,可作为人类慢性葡萄膜炎的模型。在该模型中,单核细胞/巨噬细胞谱系的细胞和视网膜抗原(Ag)特异性T细胞浸润到视网膜中并引起炎性病变,在此处促炎细胞因子和各种刺激激活转录因子核因子-κB(NF-κB),其调节炎症并增强免疫反应。在本研究中,在小鼠EAU模型中检测了NF-κB抑制剂吡咯烷二硫代氨基甲酸盐(PDTC)给药的治疗效果。结果显示,与未治疗的小鼠相比,PDTC改善了EAU小鼠的临床症状并显著降低了组织病理学评分。在PDTC治疗的EAU小鼠的眼中,肿瘤坏死因子α和白细胞介素-1β的mRNA表达受到抑制。然而,当将来自PDTC治疗的EAU小鼠的T细胞、抗原呈递细胞(APC)和视网膜Ag肽共培养时,这些T细胞显示出与对照小鼠相同水平的增殖。此外,在来自EAU小鼠、Ag和APC的T细胞培养物中添加PDTC完全消除了T细胞增殖反应和细胞因子产生。在体外先用PDTC预处理Ag致敏的T细胞或APC也降低了这些反应。这些结果表明,PDTC的抑制作用主要归因于对包括炎症在内的效应期反应的抑制,而不是对T细胞致敏的抑制。调节病变中的NF-κB信号通路可能是成功控制葡萄膜视网膜炎的新靶点。

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