Choi Eun Wha, Shin Il Seob, Lee Chang Woo, Youn Hwa Young
KRF Zoonotic Disease Priority Research Institute, Seoul National University, Seoul, Korea.
J Gene Med. 2008 Jul;10(7):795-804. doi: 10.1002/jgm.1203.
The present study aimed to determine the effect of canine CTLA4Ig on canine autoimmune thyroiditis. In a previous study, we established a canine model of autoimmune thyroiditis by immunizing normal dogs with bovine thyroglobulin. An in vitro study using recombinant CTLA4Ig revealed that this protein can inhibit the expression of Th1-type cytokines and the pro-inflammatory cytokines tested.
As a result of the in vitro study, we constructed therapeutic CTLA4Ig/silica-nanoparticles and applied them to the treatment of experimentally induced canine autoimmune thyroiditis.
Gene therapy resulted in significant reductions in anti-canine-thyroglobulin autoantibody titer, anti-T4 antibody titer and T-cell proliferation against thyroglobulin and in the mRNA expressions of interleukin-18 in fresh peripheral blood mononuclear cells (PBMC) from all dogs. There was also a significant reduction compared to day 0 in tumor necrosis factor-alpha and interferon-gamma levels in the supernatant from cultured PBMC.
The CTLA4Ig-induced suppression of Th1 cytokines is relatively more significant than it appears because autoimmune thyroiditis is a Th1-polarized disease. Thus, CTLA4Ig can improve Th1/Th2 cytokine balance in autoimmune thyroiditis by downregulating Th1 cytokines.
本研究旨在确定犬CTLA4Ig对犬自身免疫性甲状腺炎的影响。在之前的一项研究中,我们通过用牛甲状腺球蛋白免疫正常犬建立了自身免疫性甲状腺炎的犬模型。一项使用重组CTLA4Ig的体外研究表明,该蛋白可抑制Th1型细胞因子和所检测的促炎细胞因子的表达。
作为体外研究的结果,我们构建了治疗性CTLA4Ig/二氧化硅纳米颗粒,并将其应用于实验性诱导的犬自身免疫性甲状腺炎的治疗。
基因治疗导致所有犬的抗犬甲状腺球蛋白自身抗体滴度、抗T4抗体滴度以及针对甲状腺球蛋白的T细胞增殖均显著降低,并且新鲜外周血单个核细胞(PBMC)中白细胞介素-18的mRNA表达也显著降低。与第0天相比,培养的PBMC上清液中的肿瘤坏死因子-α和干扰素-γ水平也显著降低。
由于自身免疫性甲状腺炎是一种Th1极化疾病,CTLA4Ig诱导的Th1细胞因子抑制作用相对比看起来更显著。因此,CTLA4Ig可通过下调Th1细胞因子来改善自身免疫性甲状腺炎中Th1/Th2细胞因子平衡。