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脾酪氨酸激酶在 IgA 肾病患者 IgA1 刺激人肾小球系膜细胞产生促炎细胞因子和细胞增殖中起重要作用。

Spleen tyrosine kinase is important in the production of proinflammatory cytokines and cell proliferation in human mesangial cells following stimulation with IgA1 isolated from IgA nephropathy patients.

机构信息

Imperial College Kidney and Transplant Institute, Hammersmith Hospital, Imperial College London, London W12 0NN, United Kingdom.

出版信息

J Immunol. 2012 Oct 1;189(7):3751-8. doi: 10.4049/jimmunol.1102603. Epub 2012 Sep 5.

Abstract

IgA immune complexes are capable of inducing human mesangial cell (HMC) activation, resulting in release of proinflammatory and profibrogenic mediators. The subsequent inflammation, cellular proliferation, and synthesis of extracellular matrix lead to the progression of IgA nephropathy (IgAN). Spleen tyrosine kinase (SYK) is an intracellular protein tyrosine kinase involved in cell signaling downstream of immunoreceptors. In this study, we determined whether SYK is involved in the downstream signaling of IgA1 stimulation in HMC, leading to production of proinflammatory cytokines/chemokines and cell proliferation. Incubation of HMC with IgA1 purified from IgAN patients significantly increased the synthesis of MCP-1 in a dose-dependent manner. There was also significantly increased production of IL-6, IL-8, IFN-γ-inducible protein-10, RANTES, and platelet-derived growth factor-BB. Stimulation of HMC with heat-aggregated IgA1 purified from IgAN patients induced significantly increased HMC proliferation. Both pharmacological inhibition of SYK and knockdown of SYK by small interfering RNA significantly reduced the synthesis of these mediators and inhibited HMC proliferation. Moreover, positive immunostaining for total and phospho-SYK in glomeruli of kidney biopsies from IgAN patients strongly suggests the involvement of SYK in the pathogenesis of IgAN. To our knowledge, we demonstrate, for the first time, the involvement of SYK in the downstream signaling of IgA1 stimulation in HMC and in the pathogenesis of IgAN. Hence, SYK represents a potential therapeutic target for IgAN.

摘要

IgA 免疫复合物能够诱导人肾小球系膜细胞(HMC)活化,导致促炎和促纤维化介质的释放。随后的炎症、细胞增殖和细胞外基质的合成导致 IgA 肾病(IgAN)的进展。脾酪氨酸激酶(SYK)是一种细胞内蛋白酪氨酸激酶,参与免疫受体下游的细胞信号转导。在本研究中,我们确定了 SYK 是否参与 HMC 中 IgA1 刺激的下游信号转导,导致促炎细胞因子/趋化因子的产生和细胞增殖。用从 IgAN 患者中纯化的 IgA1 孵育 HMC,可显著增加 MCP-1 的合成,呈剂量依赖性。IL-6、IL-8、IFN-γ诱导蛋白-10、RANTES 和血小板衍生生长因子-BB 的产生也显著增加。用从 IgAN 患者中纯化的热聚集 IgA1 刺激 HMC,可显著诱导 HMC 增殖。SYK 的药理学抑制和小干扰 RNA 敲低 SYK 均可显著减少这些介质的合成并抑制 HMC 增殖。此外,IgAN 患者肾活检肾小球中总 SYK 和磷酸化 SYK 的阳性免疫染色强烈提示 SYK 参与了 IgAN 的发病机制。据我们所知,我们首次证明了 SYK 参与了 HMC 中 IgA1 刺激的下游信号转导以及 IgAN 的发病机制。因此,SYK 代表了 IgAN 的一个潜在治疗靶点。

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