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[实验性自身免疫性心肌炎大鼠白细胞介素-21及相关细胞因子表达的时间进程]

[Time course of interleukin-21 and related cytokines expression in rats with experimental autoimmune myocarditis].

作者信息

Wang Yan, Li Gang, Tang Ji-xian, Chang He

机构信息

Department of Cardiology, Xiamen Heart Centre, Xiamen, China.

出版信息

Zhonghua Xin Xue Guan Bing Za Zhi. 2012 Jan;40(1):43-9.

Abstract

OBJECTIVE

To observe the time course of interleukin (IL)-21 and related cytokines expression in rats with experimental autoimmune myocarditis (EAM).

METHODS

Antigen was prepared with an emulsion of porcine cardiac myosin in complete Freund's adjuvant, plus Mycobacterium tuberculosis H37Ra strain. EAM model was made by hypodermic injection of myosin in hind legs of Lewis rats.mRNA expression of IL-21 and related cytokines (IL-21R, IL-17, TGF-β, IL-6) in different tissues (heart, liver, spleen, kidney) were determined at 2 weeks after immunization by RT-PCR and quantitative real-time RT-PCR. Furthermore, the time course of IL-21 and related cytokines expression in the acute phase of EAM (2 w, 3 w, 4 w) was determined by quantitative real-time RT-PCR, and IL-21, IL-17 protein expression was determined by Western blot and ELISA. The location of IL-21R was examined by immunohistochemistry at 2 w after immunization.

RESULTS

Histopathology examination evidenced abundant mononuclear cells in the myocardium of 2 weeks EAM rats. Fibrosis and multinucleated giant cells were observed in the myocardium of 3 weeks EAM rats. Inflammation was reduced and large amount of fibrosis could be found in 4 weeks EAM rats. The heart weight/body weight ratio in normal, EAM 2 w, 3 w, 4 w group was (3.011 ± 0.117) mg/g, (4.736 ± 1.279) mg/g, (7.200 ± 0.308) mg/g and (4.622 ± 0.978) mg/g respectively. IL-21 mainly expressed in heart and spleen, IL-21R, IL-17, TGF-β mainly expressed in spleen, and IL-17, IL-6 mainly expressed in heart of EAM rats. IL-21R mainly distributed in cardiomyocytes of 2 weeks EAM rats. In line with pathological EAM course, the expression of IL-21 and related cytokines peaked at 2 weeks and then returned to normal at 4 weeks after immunization.

CONCLUSION

IL-21 and related cytokines were involved in the pathological process of EAM, upregulated IL-21 expression might promote Th17 cell differentiation and enhance Th17 cell secretion.

摘要

目的

观察实验性自身免疫性心肌炎(EAM)大鼠白细胞介素(IL)-21及相关细胞因子表达的时间进程。

方法

用猪心肌肌凝蛋白与完全弗氏佐剂的乳剂并加入结核分枝杆菌H37Ra菌株制备抗原。通过在Lewis大鼠后腿皮下注射肌凝蛋白制作EAM模型。免疫后2周,采用逆转录-聚合酶链反应(RT-PCR)和定量实时RT-PCR检测不同组织(心脏、肝脏、脾脏、肾脏)中IL-21及相关细胞因子(IL-21R、IL-17、转化生长因子-β、IL-6)的mRNA表达。此外,通过定量实时RT-PCR检测EAM急性期(2周、3周、4周)IL-21及相关细胞因子表达的时间进程,采用蛋白质印迹法和酶联免疫吸附测定法(ELISA)检测IL-21、IL-17蛋白表达。免疫后2周采用免疫组织化学法检测IL-21R的定位。

结果

组织病理学检查显示,EAM大鼠免疫2周时心肌中有大量单核细胞。EAM大鼠免疫3周时心肌中可见纤维化和多核巨细胞。EAM大鼠免疫4周时炎症减轻,可见大量纤维化。正常组、EAM 2周组、3周组、4周组的心脏重量/体重比值分别为(3.011±0.117)mg/g、(4.736±1.279)mg/g、(7.200±0.308)mg/g和(4.622±0.978)mg/g。IL-21主要在心脏和脾脏中表达,IL-21R、IL-17、转化生长因子-β主要在脾脏中表达,IL-17、IL-6主要在EAM大鼠的心脏中表达。IL-21R主要分布在EAM大鼠免疫2周时的心肌细胞中。与EAM病理进程一致,免疫后2周IL-21及相关细胞因子表达达到峰值,4周时恢复正常。

结论

IL-21及相关细胞因子参与EAM的病理过程,IL-21表达上调可能促进Th17细胞分化并增强Th17细胞分泌。

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