Department of Internal Medicine, Asker and Baerum Hospital, Vestre Viken Hospital Trust, Rud, Norway.
Am J Pathol. 2010 Dec;177(6):2804-15. doi: 10.2353/ajpath.2010.100378. Epub 2010 Oct 29.
Interleukin-33 (IL-33) is a novel member of the interleukin-1 family that induces mucosal pathology in vivo and may drive fibrosis development and angiogenesis. To address its potential role in inflammatory bowel disease, we explored its tissue expression in biopsy specimens from untreated ulcerative colitis patients, observing a 2.6-fold up-regulation of IL-33 mRNA levels, compared to controls. Immunohistochemical analyses of surgical specimens showed that a prominent source of IL-33 in ulcerative colitis lesions were ulceration-associated myofibroblasts that co-expressed the fibroblast marker heat shock protein 47, platelet-derived growth factor receptor (PDGFR)β, and, in part, the myofibroblast marker α-smooth muscle actin (SMA). In contrast, IL-33-positive myofibroblasts were almost absent near the deep fissures seen in Crohn's disease. A screen of known and putative activators of IL-33 in cultured fibroblasts revealed that the Toll-like receptor-3 agonist poly (I:C) was among the strongest inducers of IL-33 and that it synergized with transforming growth factor-β, a combination also known to boost myofibroblast differentiation. Experimental wound healing in rat skin revealed that the de novo induction of IL-33 in pericytes and the possible activation of scattered, tissue-resident IL-33(+)PDGFRβ(+)αSMA(-) fibroblast-like cells were early events that preceded the later appearance of IL-33(+)PDGFRβ(+)αSMA(+) cells. In conclusion, our data point to a novel role for IL-33 in mucosal healing and wound repair and to an interesting difference between ulcerative colitis and Crohn's disease.
白细胞介素-33(IL-33)是白细胞介素-1 家族的一种新型成员,它在体内诱导黏膜病理学,并可能驱动纤维化的发展和血管生成。为了研究其在炎症性肠病中的潜在作用,我们在未经治疗的溃疡性结肠炎患者的活检标本中探索了其组织表达,与对照组相比,IL-33 mRNA 水平上调了 2.6 倍。手术标本的免疫组织化学分析表明,溃疡性结肠炎病变中 IL-33 的主要来源是与溃疡相关的肌成纤维细胞,这些细胞共同表达成纤维细胞标志物热休克蛋白 47、血小板衍生生长因子受体(PDGFR)β,并在一定程度上表达肌成纤维细胞标志物α-平滑肌肌动蛋白(SMA)。相比之下,在克罗恩病中深裂隙附近几乎没有 IL-33 阳性肌成纤维细胞。在培养的成纤维细胞中对已知和假定的 IL-33 激活物进行筛选后发现,Toll 样受体 3 激动剂聚(I:C)是最强的 IL-33 诱导物之一,它与转化生长因子-β协同作用,这种组合也已知能促进肌成纤维细胞分化。在大鼠皮肤的实验性伤口愈合中发现,周细胞中 IL-33 的新诱导和可能激活分散的、组织驻留的 IL-33(+)PDGFRβ(+)αSMA(-)成纤维样细胞是早期事件,早于后来出现的 IL-33(+)PDGFRβ(+)αSMA(+)细胞。总之,我们的数据表明 IL-33 在黏膜愈合和伤口修复中具有新的作用,并且溃疡性结肠炎和克罗恩病之间存在有趣的差异。