进行性内脏利什曼病是由优势寄生虫诱导的 STAT6 激活和 STAT6 依赖性宿主精氨酸酶 1 表达驱动的。
Progressive visceral leishmaniasis is driven by dominant parasite-induced STAT6 activation and STAT6-dependent host arginase 1 expression.
机构信息
Research Service, Department of Veterans Affairs Medical Center, South Texas Veterans Health Care System, San Antonio, Texas, United States of America.
出版信息
PLoS Pathog. 2012 Jan;8(1):e1002417. doi: 10.1371/journal.ppat.1002417. Epub 2012 Jan 19.
The clinicopathological features of the hamster model of visceral leishmaniasis (VL) closely mimic active human disease. Studies in humans and hamsters indicate that the inability to control parasite replication in VL could be related to ineffective classical macrophage activation. Therefore, we hypothesized that the pathogenesis of VL might be driven by a program of alternative macrophage activation. Indeed, the infected hamster spleen showed low NOS2 but high arg1 enzyme activity and protein and mRNA expression (p<0.001) and increased polyamine synthesis (p<0.05). Increased arginase activity was also evident in macrophages isolated from the spleens of infected hamsters (p<0.05), and arg1 expression was induced by L. donovani in primary hamster peritoneal macrophages (p<0.001) and fibroblasts (p<0.01), and in a hamster fibroblast cell line (p<0.05), without synthesis of endogenous IL-4 or IL-13 or exposure to exogenous cytokines. miRNAi-mediated selective knockdown of hamster arginase 1 (arg1) in BHK cells led to increased generation of nitric oxide and reduced parasite burden (p<0.005). Since many of the genes involved in alternative macrophage activation are regulated by Signal Transducer and Activator of Transcription-6 (STAT6), and because the parasite-induced expression of arg1 occurred in the absence of exogenous IL-4, we considered the possibility that L. donovani was directly activating STAT6. Indeed, exposure of hamster fibroblasts or macrophages to L. donovani resulted in dose-dependent STAT6 activation, even without the addition of exogenous cytokines. Knockdown of hamster STAT6 in BHK cells with miRNAi resulted in reduced arg1 mRNA expression and enhanced control of parasite replication (p<0.0001). Collectively these data indicate that L. donovani infection induces macrophage STAT6 activation and STAT6-dependent arg1 expression, which do not require but are amplified by type 2 cytokines, and which contribute to impaired control of infection.
内脏利什曼病(VL)仓鼠模型的临床病理特征与活动性人类疾病非常相似。人类和仓鼠的研究表明,不能控制 VL 中的寄生虫复制可能与经典巨噬细胞激活无效有关。因此,我们假设 VL 的发病机制可能是由替代巨噬细胞激活的程序驱动的。事实上,感染的仓鼠脾脏显示低 NOS2 但高 arg1 酶活性和蛋白质和 mRNA 表达(p<0.001)和增加多胺合成(p<0.05)。从感染仓鼠脾脏分离的巨噬细胞中也明显存在增加的精氨酸酶活性(p<0.05),并且 L. donovani 在原代仓鼠腹腔巨噬细胞(p<0.001)和成纤维细胞(p<0.01)以及仓鼠成纤维细胞系(p<0.05)中诱导 arg1 表达,而不合成内源性 IL-4 或 IL-13 或暴露于外源性细胞因子。miRNAi 介导的仓鼠精氨酸酶 1(arg1)在 BHK 细胞中的选择性敲低导致一氧化氮的产生增加和寄生虫负担减少(p<0.005)。由于参与替代巨噬细胞激活的许多基因受信号转导和转录激活因子 6(STAT6)调节,并且由于寄生虫诱导的 arg1 表达发生在没有外源性 IL-4 的情况下,我们考虑了 L. donovani 直接激活 STAT6 的可能性。事实上,暴露于 L. donovani 的仓鼠成纤维细胞或巨噬细胞导致 STAT6 激活呈剂量依赖性,即使不添加外源性细胞因子也是如此。用 miRNAi 敲低 BHK 细胞中的仓鼠 STAT6 导致 arg1 mRNA 表达减少和寄生虫复制控制增强(p<0.0001)。总的来说,这些数据表明 L. donovani 感染诱导巨噬细胞 STAT6 激活和 STAT6 依赖性 arg1 表达,这不需要但被 2 型细胞因子放大,并且有助于感染控制受损。