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维生素D衍生物可诱导炎症性肠病患者外周血单个核细胞凋亡并下调细胞间黏附分子-1水平。

Vitamin D derivatives induce apoptosis and downregulate ICAM-1 levels in peripheral blood mononuclear cells of inflammatory bowel disease patients.

作者信息

Martinesi Maria, Treves Cristina, d'Albasio Giuseppe, Bagnoli Siro, Bonanomi Andrea G, Stio Maria

机构信息

Department of Biochemical Sciences, University of Florence, Florence, Italy.

出版信息

Inflamm Bowel Dis. 2008 May;14(5):597-604. doi: 10.1002/ibd.20354.

DOI:10.1002/ibd.20354
PMID:18200516
Abstract

BACKGROUND

Lymphocytes are crucial in the pathogenesis of inflammatory bowel disease (IBD) and are an important target for drug development. Our aim was to verify whether 2 vitamin D derivatives, 1,25-dihydroxyvitamin D3 [1,25(OH)2D3] and EB 1089, could induce cell apoptosis and affect cell-cell interaction by regulating adhesion molecule levels.

METHODS

Peripheral blood mononuclear cell (PBMC) proliferation was studied by [3H]thymidine incorporation and apoptosis was determined using an enzyme-linked immunosorbent assay (ELISA) kit. (Poly(ADP-ribose)polymerase (PARP) cleavage, caspase-3, and ICAM-1 protein levels were determined by Western blot analysis.

RESULTS

Our results indicate that 1,25(OH)2D3 or EB 1089 or anti-TNF-alpha (infliximab) induce apoptosis in PBMC obtained from healthy subjects. In IBD patients apoptosis is induced by vitamin D derivatives and by anti-TNF-alpha only in CD patients. Caspase-3 activation and PARP cleavage are registered when PBMC were treated with vitamin D derivatives. ICAM-1 levels remarkably increase when PBMC was incubated with lipopolysaccharide (LPS) or TNF-alpha. The treatment with the vitamin D derivatives, alone or in combination with LPS or TNF-alpha, significantly decreases ICAM-1 levels both in healthy subjects and IBD patients. In HUVEC cocultured with PBMC, previously incubated with LPS or TNF-alpha associated with 1,25(OH)2D3, ICAM-1 levels decrease both in healthy subjects and IBD patients.

CONCLUSIONS

1,25(OH)2D3 and EB 1089 inhibit PBMC proliferation, induce apoptosis in PBMC of healthy subjects and IBD patients, and affect ICAM-1 expression on PBMC and on HUVEC cocultured with PBMC, suggesting that the ICAM-1 downregulation could provide a new target for controlling the recruitment of leukocytes at the sites of inflammation in IBD.

摘要

背景

淋巴细胞在炎症性肠病(IBD)的发病机制中起关键作用,是药物研发的重要靶点。我们的目的是验证两种维生素D衍生物,即1,25 - 二羟基维生素D3 [1,25(OH)2D3] 和EB 1089,是否能通过调节黏附分子水平诱导细胞凋亡并影响细胞间相互作用。

方法

通过[3H]胸苷掺入法研究外周血单个核细胞(PBMC)增殖,并使用酶联免疫吸附测定(ELISA)试剂盒测定细胞凋亡。通过蛋白质印迹分析测定聚(ADP - 核糖)聚合酶(PARP)裂解、半胱天冬酶 - 3和细胞间黏附分子 - 1(ICAM - 1)蛋白水平。

结果

我们的结果表明,1,25(OH)2D3或EB 1089或抗TNF - α(英夫利昔单抗)可诱导健康受试者PBMC凋亡。在IBD患者中,维生素D衍生物和抗TNF - α仅在克罗恩病(CD)患者中诱导凋亡。当用维生素D衍生物处理PBMC时,可检测到半胱天冬酶 - 3激活和PARP裂解。当PBMC与脂多糖(LPS)或TNF - α孵育时,ICAM - 1水平显著升高。单独使用维生素D衍生物或与LPS或TNF - α联合处理,均可显著降低健康受试者和IBD患者的ICAM - 1水平。在与先前用LPS或TNF - α联合1,25(OH)2D3孵育的PBMC共培养的人脐静脉内皮细胞(HUVEC)中,健康受试者和IBD患者的ICAM - 1水平均降低。

结论

1,25(OH)2D3和EB 1089抑制PBMC增殖,诱导健康受试者和IBD患者PBMC凋亡,并影响PBMC以及与PBMC共培养的HUVEC上ICAM - 1的表达,提示ICAM - 1下调可能为控制IBD炎症部位白细胞募集提供新靶点。

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