Division of Gastroenterology, Union Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
J Gastroenterol Hepatol. 2012 May;27(5):935-44. doi: 10.1111/j.1440-1746.2011.07046.x.
Postinfectious irritable bowel syndrome (PI-IBS), which results from inflammation has been emphasized a lot recently. Dendritic cells (DCs) may contribute to intestinal mucosal immune activation in the pathogenesis of PI-IBS. This study tested the hypothesis that phenotype and function of intestinal lamina propria DCs (LPDCs) changed in the development of a PI-IBS mouse model.
Mice infected with Trichinella spiralis underwent abdominal withdrawal reflex (AWR) to evaluate visceral sensitivity. LPDCs were isolated and purified by intestine digestion and magnetic label-based technique. Surface markers were analyzed by flow cytometry. Endocytic activity, mixed lymphocyte reaction (MLR) and chemotaxis were studied. Cytokine production of the LPDCs cocultured with CD4(+) T cells was determined.
Intestinal inflammation resolved after 8 weeks infection with sustained visceral hyperalgesia. Surface markers CD86 and MHCII were lower in the acute infection group, but increased in the PI-IBS stage. Enhanced ability of endocytic activity and decreased abilities to attract and stimulate CD4(+) T cell proliferation were in the acute infection group. However, LPDCs in the PI-IBS stage showed weakened endocytic ability with enhanced abilities to attract and stimulate CD4(+) T cell proliferation. Cocultured LPDCs with CD4(+) T cells showed a predominant Th2 response in the acute infection stage, and more important roles of Th1, Th17 responses in the PI-IBS stage.
The hypothesis was supported that the phenotype and function of LPDCs changed in the development of PI-IBS, which induced the maintenance of intestinal mucosal immune activation and might provide a clue for the treatment of the disease.
由炎症引起的感染后肠易激综合征(PI-IBS)近来受到了广泛关注。树突状细胞(DCs)可能在 PI-IBS 的发病机制中促进肠道黏膜免疫激活。本研究旨在检验如下假设,即在 PI-IBS 小鼠模型的发展过程中,肠道固有层 DCs(LPDCs)的表型和功能发生了变化。
采用旋毛虫感染小鼠进行腹壁退缩反射(AWR)评估内脏敏感性。通过肠道消化和基于磁标记的技术分离和纯化 LPDCs。采用流式细胞术分析表面标志物。研究内吞作用、混合淋巴细胞反应(MLR)和趋化性。测定与 CD4+T 细胞共培养的 LPDCs 的细胞因子产生。
感染 8 周后肠道炎症消退,但持续性内脏痛觉过敏持续存在。急性感染组的表面标志物 CD86 和 MHCII 较低,但在 PI-IBS 阶段增加。急性感染组的内吞作用能力增强,而吸引和刺激 CD4+T 细胞增殖的能力降低。然而,PI-IBS 阶段的 LPDCs 内吞能力减弱,吸引和刺激 CD4+T 细胞增殖的能力增强。与 CD4+T 细胞共培养的 LPDCs 在急性感染阶段表现出以 Th2 反应为主,而在 PI-IBS 阶段 Th1、Th17 反应的作用更为重要。
支持了如下假设,即 LPDCs 的表型和功能在 PI-IBS 的发展过程中发生了变化,这诱导了肠道黏膜免疫激活的维持,可能为该疾病的治疗提供线索。