Université Paris Descartes, Faculté de Médecine, Laboratoire d'immunologie, EA 1833, IFR Alfred Jost, 75679 Paris cedex 14, France.
Am J Pathol. 2010 Jul;177(1):187-96. doi: 10.2353/ajpath.2010.090763. Epub 2010 May 27.
Our aim was to evaluate the roles of the cannabinoid pathway in the induction and propagation of systemic sclerosis (SSc) in a mouse model of diffuse SSc induced by hypochlorite injections. BALB/c mice injected subcutaneously every day for 6 weeks with PBS or hypochlorite were treated intraperitoneally with either WIN-55,212, an agonist of the cannabinoid receptors 1 (CB1) and receptors 2 (CB2), with JWH-133, a selective agonist of CB2, or with PBS. Skin and lung fibrosis were then assessed by histological and biochemical methods, and the proliferation of fibroblasts purified from diseased skin was assessed by thymidine incorporation. Autoantibodies were detected by ELISA, and spleen cell populations were analyzed by flow cytometry. Experiments were also performed in mice deficient for CB2 receptors (Cnr2(-/-)). Injections of hypochlorite induced cutaneous and lung fibrosis as well as increased the proliferation rate of fibroblasts isolated from fibrotic skin, splenic B cell counts, and levels of anti-DNA topoisomerase-1 autoantibodies. Treatment with WIN-55,212 or with the selective CB2 agonist JWH-133 prevented the development of skin and lung fibrosis as well as reduced fibroblast proliferation and the development of autoantibodies. Experiments performed in CB2-deficient mice confirmed the influence of CB2 in the development of systemic fibrosis and autoimmunity. Therefore, we demonstrate that the CB2 receptor is a potential target for the treatment of SSc because it controls both skin fibroblast proliferation and the autoimmune reaction.
我们的目的是评估大麻素途径在次氯酸盐诱导的弥漫性系统性硬化症(SSc)小鼠模型中诱导和传播中的作用。BALB/c 小鼠每天皮下注射次氯酸盐或 PBS 6 周,然后腹腔内注射 WIN-55,212(大麻素受体 1(CB1)和受体 2(CB2)的激动剂)、JWH-133(CB2 的选择性激动剂)或 PBS。然后通过组织学和生化方法评估皮肤和肺纤维化,并通过胸苷掺入评估从患病皮肤中纯化的成纤维细胞的增殖。通过 ELISA 检测自身抗体,通过流式细胞术分析脾细胞群。还在缺乏 CB2 受体(Cnr2(-/-))的小鼠中进行了实验。次氯酸盐的注射诱导了皮肤和肺纤维化,增加了从纤维化皮肤中分离的成纤维细胞的增殖率、脾 B 细胞计数和抗 DNA 拓扑异构酶-1 自身抗体的水平。用 WIN-55,212 或选择性 CB2 激动剂 JWH-133 治疗可预防皮肤和肺纤维化以及减少成纤维细胞增殖和自身抗体的产生。在 CB2 缺陷型小鼠中进行的实验证实了 CB2 在系统性纤维化和自身免疫中的作用。因此,我们证明 CB2 受体是治疗 SSc 的潜在靶点,因为它控制皮肤成纤维细胞增殖和自身免疫反应。