Chu D, Luo Q, Li C, Gao Y, Yu L, Wei W, Wu Q, Shen J
Institute of Clinical Pharmacology, Anhui Medical University and the Key Laboratory of Antiinflammatory-immunopharmacology, Anhui, China.
Parasitology. 2007 Oct;134(Pt 11):1611-21. doi: 10.1017/S0031182007002946. Epub 2007 May 24.
The main pathological characteristics of hepatic fibrosis in schistosomiasis are the proliferation of hepatic stellate cells (HSCs) and the deposition of collagen type I (Col I) and collagen type III (Col III). Transforming growth factor beta-1 (TGF-beta1) plays an important role in hepatic fibrosis. Paeoniflorin (PAE) has been reported to have immunoregulatory effects; however, the mechanism of its anti-hepatic fibrosis in S. japonicum has not been elucidated. In the present study, we found that mouse peritoneal macrophages (PMphis) stimulated by soluble egg antigen (SEA) of S. japonicum could secrete TGF-beta1, and the TGF-beta1 in the peritoneal macrophage-conditioned medium (PMCM) could induce proliferation of HSCs and secretion of Col I and III. We selected PMCM at 1 : 2 dilution as the optimum PMCM (OPMCM). Then we treated HSCs pre-incubated with OPMCM with PAE, and found that the inhibition of HSC proliferation or Col I and III production were closely correlated with the concentration of PAE. Further investigation found that PAE significantly decreased the Smad3 transcription and phosphorylation in HSCs stimulated by OPMCM. In conclusion, SEA plays a key role in hepatic fibrosis by inducing TGF-beta1 from PMphis. PAE can exert anti-fibrogenic effects by inhibiting HSCs proliferation and down-regulating Smad3 expression and phosphorylation through TGF-beta1 signalling.
血吸虫病肝纤维化的主要病理特征是肝星状细胞(HSCs)增殖以及I型胶原(Col I)和III型胶原(Col III)沉积。转化生长因子β-1(TGF-β1)在肝纤维化中起重要作用。芍药苷(PAE)已被报道具有免疫调节作用;然而,其抗日本血吸虫肝纤维化的机制尚未阐明。在本研究中,我们发现日本血吸虫可溶性虫卵抗原(SEA)刺激的小鼠腹腔巨噬细胞(PMphis)可分泌TGF-β1,且腹腔巨噬细胞条件培养基(PMCM)中的TGF-β1可诱导HSCs增殖及Col I和III的分泌。我们选择1:2稀释的PMCM作为最佳PMCM(OPMCM)。然后我们用PAE处理预先用OPMCM孵育的HSCs,发现对HSC增殖或Col I和III产生的抑制与PAE浓度密切相关。进一步研究发现,PAE显著降低OPMCM刺激的HSCs中Smad3的转录和磷酸化。总之,SEA通过诱导PMphis产生TGF-β1在肝纤维化中起关键作用。PAE可通过抑制HSCs增殖并通过TGF-β1信号下调Smad3表达和磷酸化发挥抗纤维化作用。