骨化三醇通过对Th17效应反应的抑制作用来抑制抗视网膜自身免疫。

Calcitriol suppresses antiretinal autoimmunity through inhibitory effects on the Th17 effector response.

作者信息

Tang Jun, Zhou Ru, Luger Dror, Zhu Wei, Silver Phyllis B, Grajewski Rafael S, Su Shao-Bo, Chan Chi-Chao, Adorini Luciano, Caspi Rachel R

机构信息

Laboratory of Immunology, National Eye Institute, National Institutes of Health, Bethesda, MD 20892, USA.

出版信息

J Immunol. 2009 Apr 15;182(8):4624-32. doi: 10.4049/jimmunol.0801543.

Abstract

Experimental autoimmune uveitis (EAU) serves as a model for human autoimmune uveitis and for cell-mediated autoimmunity in general. EAU induced in mice by immunization with the retinal Ag interphotoreceptor retinoid-binding protein in CFA is driven by the Th17 response. Oral calcitriol (1,25-dihydroxyvitamin D(3)) prevented as well as partly reversed disease and suppressed immunological responses. In vitro, calcitriol directly suppressed IL-17 induction in purified naive CD4(+) T cells without inhibiting Th17 lineage commitment, as reflected by unaltered RORgammat, STAT3, and FoxP3 expression. In contrast, in vivo treatment with calcitriol of mice challenged for EAU impaired commitment to the Th17 lineage, as judged by reduction of both RORgammat and IL-17 in CD4(+) T cells. Innate immune response parameters in draining lymph nodes of treated mice were suppressed, as was production of IL-1, IL-6, TNF-alpha, and IL-12/IL-23p40, but not IL-10, by explanted splenic dendritic cells (DC). Finally, supernatants of calcitriol-conditioned bone marrow-derived DC had reduced ability to support Th17 polarization of naive CD4(+) T cells in vitro and in vivo. Thus, calcitriol appears to suppress autoimmunity by inhibiting the Th17 response at several levels, including the ability of DC to support priming of Th17 cells, the ability of CD4(+) T cells to commit to the Th17 lineage, and the ability of committed Th17 T cells to produce IL-17.

摘要

实验性自身免疫性葡萄膜炎(EAU)总体上可作为人类自身免疫性葡萄膜炎以及细胞介导的自身免疫的模型。在CFA中用视网膜抗原间质视网膜类视黄醇结合蛋白免疫诱导的小鼠EAU由Th17反应驱动。口服骨化三醇(1,25 - 二羟基维生素D(3))可预防并部分逆转疾病,并抑制免疫反应。在体外,骨化三醇直接抑制纯化的初始CD4(+) T细胞中IL - 17的诱导,而不抑制Th17谱系的分化,这可通过RORγt、STAT3和FoxP3表达未改变得以体现。相比之下,用骨化三醇对EAU攻击的小鼠进行体内治疗会损害向Th17谱系的分化,这可通过CD4(+) T细胞中RORγt和IL - 17的减少来判断。经处理小鼠引流淋巴结中的固有免疫反应参数受到抑制,移植的脾树突状细胞(DC)产生IL - 1、IL - 6、TNF - α和IL - 12/IL - 23p40受到抑制,但IL - 10未受抑制。最后,骨化三醇处理的骨髓来源DC的上清液在体外和体内支持初始CD4(+) T细胞向Th17极化的能力降低。因此,骨化三醇似乎通过在多个水平抑制Th17反应来抑制自身免疫,这些水平包括DC支持Th17细胞启动的能力、CD4(+) T细胞向Th17谱系分化的能力以及已分化的Th17 T细胞产生IL - 17的能力。

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