Division of Pneumoconiosis, School of Public Health, China Medical University, Shenyang, People's Republic of China.
PLoS One. 2010 Nov 3;5(11):e15404. doi: 10.1371/journal.pone.0015404.
Silicosis is an occupational lung disease caused by inhalation of silica dust characterized by lung inflammation and fibrosis. Previous study showed that Th1 and Th2 cytokines are involved in silicosis, but Th1/Th2 polarization during the development of silicosis is still a matter of debate. Regulatory T cells (Treg cells) represent a crucial role in modulation of immune homeostasis by regulating Th1/Th2 polarization, but their possible implication in silicosis remains to be explored.
METHODOLOGY/PRINCIPAL FINDINGS: To evaluate the implication of Treg cells in the development of silicosis, we generated the Treg-depleted mice model by administration of anti-CD25 mAbs and mice were exposed to silica by intratracheal instillation to establish experimental model of silica-induced lung fibrosis. The pathologic examinations show that the Treg-depleted mice are susceptive to severer inflammation in the early stage, with enhanced infiltration of inflammatory cells. Also, depletion of Treg cells causes a delay of the progress of silica-induced lung fibrosis in mice model. Further study of mRNA expression of cytokines reveals that depletion of Tregs leads to the increased production of Th1-cytokines and decreased production of Th2-cytokine. The Flow Cytometry and realtime PCR study show that Treg cells exert the modulation function both directly by expressing CTLA-4 at the inflammatory stage, and indirectly by secreting increasing amount of IL-10 and TGF-β during the fibrotic stage in silica-induced lung fibrosis.
CONCLUSION/SIGNIFICANCE: Our study suggests that depletion of Tregs may attenuate the progress of silica-induced lung fibrosis and enhance Th1 response and decelerate Th1/Th2 balance toward a Th2 phenotype in silica-induced lung fibrosis. The regulatory function of Treg cells may depend on direct mechanism and indirect mechanism during the inflammatory stage of silicosis.
矽肺是一种由吸入二氧化硅粉尘引起的职业性肺部疾病,其特征为肺部炎症和纤维化。先前的研究表明,Th1 和 Th2 细胞因子参与了矽肺的发生,但矽肺发展过程中的 Th1/Th2 极化仍存在争议。调节性 T 细胞(Treg 细胞)通过调节 Th1/Th2 极化在免疫稳态的调节中起着至关重要的作用,但它们在矽肺中的可能作用仍有待探索。
方法/主要发现:为了评估 Treg 细胞在矽肺发展中的作用,我们通过给予抗 CD25 mAbs 来建立 Treg 细胞耗竭小鼠模型,并通过气管内滴注二氧化硅来建立实验性矽肺肺纤维化模型。病理检查显示,Treg 细胞耗竭小鼠在早期易发生更严重的炎症,炎症细胞浸润增强。此外,Treg 细胞耗竭导致小鼠模型中二氧化硅诱导的肺纤维化进展延迟。进一步研究细胞因子的 mRNA 表达显示,Treg 细胞耗竭导致 Th1 细胞因子产生增加,Th2 细胞因子产生减少。流式细胞术和实时 PCR 研究显示,Treg 细胞在炎症阶段通过表达 CTLA-4 发挥直接调节作用,在纤维化阶段通过分泌更多的 IL-10 和 TGF-β 发挥间接调节作用,从而在二氧化硅诱导的肺纤维化中发挥调节作用。
结论/意义:我们的研究表明,Treg 细胞耗竭可能会减轻二氧化硅诱导的肺纤维化进展,增强 Th1 反应,并使 Th1/Th2 平衡向二氧化硅诱导的肺纤维化中的 Th2 表型倾斜。Treg 细胞的调节功能可能依赖于矽肺炎症阶段的直接机制和间接机制。