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PI3K/Akt 信号通路参与溃疡性结肠炎的发病机制。

PI3K/Akt signaling pathway is involved in the pathogenesis of ulcerative colitis.

机构信息

Department of Geriatrics, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan Province, China.

出版信息

Inflamm Res. 2011 Aug;60(8):727-34. doi: 10.1007/s00011-011-0325-6. Epub 2011 Mar 26.

Abstract

OBJECTIVE

The purpose of this study was to investigate the role of the PI3K/Akt signaling pathway in the pathogenesis of ulcerative colitis (UC).

MATERIALS AND METHODS

Mucosal biopsy specimens from 54 active UC cases and adjacent normal tissues from 18 colon cancer cases were investigated. Twenty-eight Balb/c mice were randomly divided into four groups. Dextran sulphate sodium (DSS) solution (5%) was used to develop the mouse colitis model. After treatment with wortmannin (a PI3K inhibitor), disease activity index (DAI) and histological score was determined for each group of mice. Expression of phosphorylated Akt (p-Akt) in UC patients and mouse intestinal mucosa was determined by immunohistochemical staining. We also determined the effect of wortmannin on tumor necrosis factor-α (TNF-α) expression in intestinal biopsy tissues of UC patients and mice with DSS-induced colitis.

RESULTS

Wortmannin significantly reduced the level of p-Akt and TNF-α in the colitis tissues of UC patients and DSS-treated mice. Wortmannin significantly alleviated the inflammation of colitis as assessed by DAI and histological score in DSS-treated mice.

CONCLUSION

The PI3K/Akt signal transduction pathway is involved in the regulation and release of pro-inflammatory cytokines such as TNF-α and plays an important role in the development and progression of UC.

摘要

目的

本研究旨在探讨 PI3K/Akt 信号通路在溃疡性结肠炎(UC)发病机制中的作用。

材料与方法

研究纳入 54 例活动性 UC 患者的黏膜活检标本和 18 例结肠癌患者的相邻正常组织,同时纳入 28 只 Balb/c 小鼠。采用葡聚糖硫酸钠(DSS)溶液(5%)构建小鼠结肠炎模型。用 wortmannin(PI3K 抑制剂)处理后,测定各组小鼠的疾病活动指数(DAI)和组织学评分。通过免疫组化染色检测 UC 患者和小鼠肠黏膜中磷酸化 Akt(p-Akt)的表达。还测定了 wortmannin 对 UC 患者肠活检组织中肿瘤坏死因子-α(TNF-α)表达和 DSS 诱导的结肠炎小鼠的影响。

结果

wortmannin 可显著降低 UC 患者和 DSS 处理小鼠结肠炎组织中 p-Akt 和 TNF-α的水平。wortmannin 可显著减轻 DSS 处理小鼠的 DAI 和组织学评分评估的结肠炎炎症。

结论

PI3K/Akt 信号转导通路参与 TNF-α等促炎细胞因子的调节和释放,在 UC 的发生和发展中起重要作用。

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