Division of Gastroeneterology, Department of Pediatrics, BC Children's Hospital, Vancouver, British Columbia, Canada.
Am J Pathol. 2011 Jul;179(1):180-8. doi: 10.1016/j.ajpath.2011.03.018. Epub 2011 May 7.
Intestinal fibrosis is a serious complication of Crohn's disease (CD) that can lead to stricture formation, which requires surgery. Mechanisms underlying intestinal fibrosis remain elusive because of a lack of suitable mouse models. Herein, we describe a spontaneous mouse model of intestinal inflammation with fibrosis and the profibrotic role of arginase I. The Src homology 2 domain-containing inositol polyphosphate 5'-phosphatase-deficient (SHIP(-/-)) mice developed spontaneous discontinuous intestinal inflammation restricted to the distal ileum starting at the age of 4 weeks. Mice developed several key features resembling CD, including inflammation and fibrosis. Inflammation was characterized by abundant infiltrating Gr-1-positive immune cells, granuloma-like immune cell aggregates that contained multinucleated giant cells, and a mixed type 2 and type 17 helper T-cell cytokine profile. Fibrosis was characterized by a thickened ileal muscle layer, collagen deposition, and increased fibroblasts at the sites of collagen deposition. SHIP(-/-) ilea had increased arginase activity and arginase I expression that was inversely proportional to nitrotyrosine staining. SHIP(-/-) mice were treated with the arginase inhibitor S-(2-boronoethyl)-l-cysteine, and changes in the disease phenotype were measured. Arginase inhibition did not affect the number of immune cell infiltrates in the SHIP(-/-) mouse ilea; rather, it reduced collagen deposition and muscle hyperplasia. These findings suggest that arginase activity is a potential target to limit intestinal fibrosis in patients with CD.
肠道纤维化是克罗恩病(CD)的严重并发症,可导致狭窄形成,需要手术。由于缺乏合适的小鼠模型,肠道纤维化的机制仍不清楚。在此,我们描述了一种自发性伴有纤维化的肠道炎症的小鼠模型,以及精氨酸酶 I 的促纤维化作用。Src 同源 2 结构域含有肌醇五磷酸 5′-磷酸酶缺陷(SHIP(-/-)) 小鼠在 4 周龄时自发出现局限于回肠远端的不连续肠道炎症。小鼠出现了几种类似 CD 的关键特征,包括炎症和纤维化。炎症的特征是大量浸润的 Gr-1 阳性免疫细胞、含有多核巨细胞的类肉芽肿样免疫细胞聚集物,以及混合的 2 型和 17 型辅助 T 细胞细胞因子谱。纤维化的特征是回肠肌层增厚、胶原沉积和胶原沉积部位的成纤维细胞增多。SHIP(-/-)回肠的精氨酸酶活性和精氨酸酶 I 表达增加,与硝基酪氨酸染色呈反比。SHIP(-/-)小鼠用精氨酸酶抑制剂 S-(2-硼代乙基)-l-半胱氨酸治疗,并测量疾病表型的变化。精氨酸酶抑制作用并不影响 SHIP(-/-)小鼠回肠中免疫细胞浸润的数量;相反,它减少了胶原沉积和肌肉增生。这些发现表明,精氨酸酶活性是限制 CD 患者肠道纤维化的一个潜在靶点。