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全反式维甲酸通过改变人类溃疡性结肠炎和小鼠结肠炎中的调节性T细胞/辅助性T细胞17平衡来下调炎症反应。

All-trans retinoic acid down-regulates inflammatory responses by shifting the Treg/Th17 profile in human ulcerative and murine colitis.

作者信息

Bai Aiping, Lu Nonghua, Guo Yuan, Liu Zhanju, Chen Jiang, Peng Zhikang

机构信息

Department of Gastroenterology, The First Affiliated Hospital, Nanchang University, Nanchang 330006, China.

出版信息

J Leukoc Biol. 2009 Oct;86(4):959-69. doi: 10.1189/jlb.0109006. Epub 2009 May 28.


DOI:10.1189/jlb.0109006
PMID:19477911
Abstract

IBD is characterized by uncontrolled immune responses in inflamed mucosa, with dominance of IL-17-producing cells and deficiency of Treg cells. The aim of this study was to explore the effect and mechanisms of RA, the ligand of RARalpha, on immune responses in human and murine colitis. Colonic biopsies from patients with UC were cultured and treated with RA as the agonist of RARalpha or LE135 as the antagonist of RARalpha. Expressions of IL-17 and FOXP3 were detected by immunohistochemistry. Murine colitis was induced by intrarectal administration with TNBS at Day 1. Mice were then i.p.-treated with RA or LE135 daily for 7 days. Cytokine levels in the cultures of mouse LPMCs were measured. Expressions of FOXP3 and IL-17 in colon tissues or MLN were detected by immunohistological analysis. Body weight and colon inflammation were evaluated. RA treatment up-regulated FOXP3 expression and down-regulated IL-17 expression in colon biopsies of patients and in colon tissues and MLN of mice with colitis compared with controls. LPMCs from RA-treated mice produced lower levels of proinflammatory cytokines (TNF-alpha, IL-1beta, IL-17) but more regulatory cytokines (IL-10, TGF-beta) compared with that of untreated mice. LE135 showed the opposite effect of RA. Furthermore, RA ameliorated TNBS-induced colitis in a dose-dependent manner, as seen by improved body weight and colon inflammation. RA down-regulates colon inflammatory responses in patients with IBD in vitro and in murine colitis in vivo, representing a potential therapeutic approach in IBD treatment.

摘要

炎症性肠病(IBD)的特征是炎症黏膜中免疫反应失控,产生白细胞介素-17(IL-17)的细胞占主导地位,而调节性T细胞(Treg细胞)缺乏。本研究的目的是探讨视黄酸受体α(RARα)的配体视黄酸(RA)对人类和小鼠结肠炎免疫反应的影响及机制。将溃疡性结肠炎(UC)患者的结肠活检组织进行培养,并用RA作为RARα的激动剂或LE135作为RARα的拮抗剂进行处理。通过免疫组织化学检测IL-17和叉头框蛋白3(FOXP3)的表达。在第1天通过直肠内注射三硝基苯磺酸(TNBS)诱导小鼠结肠炎。然后小鼠每天腹腔注射RA或LE135,持续7天。检测小鼠淋巴细胞悬液培养物中的细胞因子水平。通过免疫组织学分析检测结肠组织或肠系膜淋巴结(MLN)中FOXP3和IL-17的表达。评估体重和结肠炎症情况。与对照组相比,RA治疗上调了患者结肠活检组织以及结肠炎小鼠结肠组织和MLN中FOXP3的表达,并下调了IL-17的表达。与未治疗的小鼠相比,来自RA治疗小鼠的淋巴细胞悬液产生的促炎细胞因子(肿瘤坏死因子-α、白细胞介素-1β、IL-17)水平较低,但产生的调节性细胞因子(白细胞介素-10、转化生长因子-β)较多。LE135表现出与RA相反的作用。此外,RA以剂量依赖性方式改善了TNBS诱导的结肠炎,表现为体重增加和结肠炎症减轻。RA在体外下调IBD患者的结肠炎症反应,在体内下调小鼠结肠炎的炎症反应,代表了一种IBD治疗的潜在方法。

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