Jafri Mubeen, Donnelly Bryan, Bondoc Alex, Allen Steven, Tiao Greg
Department of Pediatric and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA.
J Pediatr Surg. 2009 Mar;44(3):500-7. doi: 10.1016/j.jpedsurg.2008.07.007.
Biliary atresia (BA) is a disease of the newborn that results in obstruction of the biliary tree. The cause of BA remains unknown; however, recent studies using the murine model of biliary atresia have found that rotavirus infection of the biliary epithelial cell (cholangiocyte) triggers an inflammatory response. We hypothesized that rotavirus infection of cholangiocytes results in the release of chemokines, important mediators of the host immune response.
In vivo, Balb/c pups were injected with rhesus rotavirus (RRV) or saline, and, their extrahepatic bile ducts were microdissected 2, 5, 7, and 14 days after injection. Next, an immortalized cholangiocyte cell line (mCl) was incubated with RRV or serum-free media. Qualitative and quantitative chemokine assessment was performed using enzyme-linked immunosorbent assay, polymerase chain reaction, and immunohistochemistry.
In vivo, increased levels of the chemokines macrophage inflammatory protein 2, monocyte chemotactic protein 1, KC and Regulated upon Activation, Normal T Expressed and Secreted were found in RRV-infected murine bile ducts. In vitro, infected mCl cells produced increasing amounts of these same chemokines in relation to dose and time.
These novel results suggest that chemokine expression by RRV-infected cholangiocytes may trigger a host inflammatory process that causes bile duct obstruction. Understanding how viral infection initiates this response may shed light on the pathogenesis of biliary atresia.
胆道闭锁(BA)是一种新生儿疾病,可导致胆管树梗阻。BA的病因尚不清楚;然而,最近使用胆道闭锁小鼠模型的研究发现,轮状病毒感染胆管上皮细胞(胆管细胞)会引发炎症反应。我们假设胆管细胞的轮状病毒感染会导致趋化因子的释放,趋化因子是宿主免疫反应的重要介质。
在体内,给Balb/c幼崽注射恒河猴轮状病毒(RRV)或生理盐水,并在注射后2、5、7和14天对其肝外胆管进行显微解剖。接下来,将永生化胆管细胞系(mCl)与RRV或无血清培养基一起孵育。使用酶联免疫吸附测定、聚合酶链反应和免疫组织化学进行趋化因子的定性和定量评估。
在体内,在RRV感染的小鼠胆管中发现趋化因子巨噬细胞炎性蛋白2、单核细胞趋化蛋白1、KC以及活化后正常T细胞表达和分泌因子的水平升高。在体外,感染的mCl细胞根据剂量和时间产生越来越多的这些相同趋化因子。
这些新结果表明,RRV感染的胆管细胞中趋化因子的表达可能引发宿主炎症过程,导致胆管梗阻。了解病毒感染如何引发这种反应可能有助于揭示胆道闭锁的发病机制。