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阻断白细胞介素-17A 通过 TGF-β1 依赖和非依赖机制促进肺部炎症和纤维化的消退。

Blocking IL-17A promotes the resolution of pulmonary inflammation and fibrosis via TGF-beta1-dependent and -independent mechanisms.

机构信息

Molecular Immunology and Pharmacology Laboratory, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100050, People's Republic of China.

出版信息

J Immunol. 2011 Sep 15;187(6):3003-14. doi: 10.4049/jimmunol.1004081. Epub 2011 Aug 12.

Abstract

Pulmonary fibrosis is the pathologic basis for a variety of incurable human chronic lung diseases. IL-17A, a glycoprotein secreted from IL-17-producing cells, has recently been shown to be a proinflammatory cytokine involved in chronic inflammation and autoimmune disease. In this study, we report that IL-17A increased the synthesis and secretion of collagen and promoted the epithelial-mesenchymal transition in alveolar epithelial cells in a TGF-β1-dependent manner. Using in vivo fibrotic models, we found IL-17A expression to be elevated and IL-17A-associated signaling pathways to be activated in fibrotic lung tissues. Neutralization of IL-17A in vivo promoted the resolution of bleomycin-induced acute inflammation, attenuated pulmonary fibrosis, and increased survival. Additionally, IL-17A antagonism inhibited silica-induced chronic inflammation and pulmonary fibrosis. Targeting IL-17A resulted in a shift of the suppressive immune response in fibrotic lung tissue toward a Th1-type immune response, and it effectively induced autophagy, which promoted the autophagic degradation of collagen and autophagy-associated cell death. Moreover, IL-17A was found to attenuate the starvation-induced autophagy, and autophagy modulators regulated collagen degradation in the alveolar epithelial cells in a TGF-β1-independent manner. Administration of 3-methylamphetamine, an autophagy inhibitor, reversed the therapeutic efficacy of IL-17A antagonism in pulmonary fibrosis. Our studies indicate that IL-17A participates in the development and progression of pulmonary fibrosis in both TGF-β1-dependent and -independent manners and that the components of the IL-17A signaling pathway are potential therapeutic targets for the treatment of fibroproliferative lung diseases.

摘要

肺纤维化是多种无法治愈的人类慢性肺部疾病的病理基础。白细胞介素 17A(IL-17A)是一种由产生 IL-17A 的细胞分泌的糖蛋白,最近被证明是一种参与慢性炎症和自身免疫性疾病的促炎细胞因子。在这项研究中,我们报告 IL-17A 以 TGF-β1 依赖的方式增加胶原蛋白的合成和分泌,并促进肺泡上皮细胞的上皮-间充质转化。使用体内纤维化模型,我们发现 IL-17A 的表达在纤维化肺组织中升高,并且与 IL-17A 相关的信号通路被激活。体内中和 IL-17A 促进博来霉素诱导的急性炎症消退,减轻肺纤维化,并提高存活率。此外,IL-17A 拮抗作用抑制二氧化硅诱导的慢性炎症和肺纤维化。靶向 IL-17A 导致纤维化肺组织中的抑制性免疫反应向 Th1 型免疫反应转变,并有效诱导自噬,从而促进胶原蛋白的自噬降解和自噬相关细胞死亡。此外,IL-17A 被发现可减弱饥饿诱导的自噬,并且自噬调节剂以 TGF-β1 非依赖性方式调节肺泡上皮细胞中的胶原蛋白降解。自噬抑制剂 3-甲基安非他命的给药逆转了 IL-17A 拮抗作用在肺纤维化中的治疗效果。我们的研究表明,IL-17A 以 TGF-β1 依赖和非依赖的方式参与肺纤维化的发生和发展,并且 IL-17A 信号通路的组成部分是治疗纤维性肺部疾病的潜在治疗靶点。

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