Dept of Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden.
Int J Cardiol. 2012 Feb 23;155(1):20-5. doi: 10.1016/j.ijcard.2011.01.085. Epub 2011 Feb 18.
IL-6 is known to be an important mediator in immune response and is now suggested to be involved in the pathogenesis of autoimmune diseases. However, little is known about the role of IL-6 in β(1)-adrenergic receptor induced autoimmune cardiomyopathy.
Twenty IL-6-deficient (IL-6(-/-)) mice and fifty-one wild type C57BL/6J (WT) mice were immunized with a synthetic peptide corresponding to the second extracellular loop of the β(1) (β(1)AR ECII) at 0, 1, 5, 9, 13 weeks and observed until 25 weeks. Another forty-one WT mice and twenty IL-6(-/-) mice were used as controls receiving vehicle in the same manner.
As compared with IL-6(-/-) immunized and control mice, WT immunized mice showed increased end-systolic left ventricular dimension and end-diastolic left ventricular dimension as well as decreased fractional shortening and circumferential fiber shortening in the end of the experiment, which was accompanied by significantly increased antibody level. Moreover, mRNAs encoding for β(1)-adrenergic receptor kinase (GRK2), B-type natriuretic peptide (BNP) and β(1) adrenergic receptor (Adrb1) in heart tissues from WT immunized group were increased. There was a significant positive correlation among end-diastolic left ventricular dimension, autoantibody titer and mRNA expressions of BNP, Adrb1 and GRK2.
Our results demonstrated that immunization with β1AR ECII was unable to induce an early stage phenotype of cardiomyopathy in IL-6(-/-) mice, being different from wild type in which cardiomyopathy was observed, suggesting that IL-6 plays a key role in the regulation of β(1)AR induced autoimmune cardiomyopathy possibly through its enhanced antibody production.
白细胞介素 6(IL-6)是免疫反应中的重要介质,现在被认为参与自身免疫性疾病的发病机制。然而,关于白细胞介素 6 在β(1)-肾上腺素能受体诱导的自身免疫性心肌病中的作用知之甚少。
20 只白细胞介素 6 缺陷(IL-6(-/-))小鼠和 51 只野生型 C57BL/6J(WT)小鼠在 0、1、5、9、13 周时用对应β(1)肾上腺素能受体第二细胞外环(β(1)AR ECII)的合成肽免疫,观察至 25 周。另外 41 只 WT 小鼠和 20 只 IL-6(-/-)小鼠作为对照组,以同样的方式给予载体。
与 IL-6(-/-)免疫和对照组小鼠相比,WT 免疫组小鼠在实验结束时表现出左心室收缩末期和舒张末期内径增加,以及缩短分数和周向纤维缩短减少,同时抗体水平显著升高。此外,WT 免疫组心脏组织中编码β(1)-肾上腺素能受体激酶(GRK2)、B 型利钠肽(BNP)和β(1)肾上腺素能受体(Adrb1)的 mRNA 表达增加。左心室舒张末期内径、自身抗体滴度与 BNP、Adrb1 和 GRK2 的 mRNA 表达之间存在显著正相关。
我们的结果表明,β1AR ECII 免疫在 IL-6(-/-)小鼠中不能诱导早期心肌病表型,与观察到的 WT 型不同,这表明白细胞介素 6 在调节β(1)AR 诱导的自身免疫性心肌病中发挥关键作用,可能通过增强抗体产生来实现。