Department of Clinical and Molecular Biomedicine, University of Catania, Catania, Italy.
Eur J Clin Invest. 2013 Mar;43(3):309-15. doi: 10.1111/eci.12048. Epub 2013 Jan 16.
Thymosin β4 (Tβ4) was recently found at high concentration in the bronchoalveolar lavage fluid (BALF) of scleroderma patients with lung involvement. It has been hypothesized that Tβ4 may exert a cyto-protective effect during lung injury because lower Tβ4 levels were associated with interstitial lung disease progression. Moreover, Tβ4 treatment prevented profibrotic gene expression in cardiac cells in vitro and in vivo.
In this study, we explored a putative Tβ4 protective role in lung damage by utilizing a well-known in vivo model of lung fibrosis. C57BL/6 mice were treated with bleomycin (BLEO, 1 mg/kg) in the absence or presence of Tβ4 (6 mg/kg delivered intraperitoneally on the day of BLEO treatment and for two additional doses). After sacrifice 1 week later, measurement of fluid and collagen content in the lung, BALF analysis, myeloperoxidase (MPO) activity assay, lung histology and IHC were performed.
Compared with BLEO-treated mice, BLEO-treated mice who received Tβ4 did not lose as much weight and had a higher survival rate. Moreover, BLEO-induced inflammation and lung damage were substantially reduced by Tβ4 treatment, as demonstrated by the significant reduction in oedema, total collagen content, lung infiltration by leucocytes, MPO activity in lung homogenates, and histological evidence of the ongoing lung fibrosis. Results of IHC show a strong reactivity for Tβ4 in the lung tissue of Tβ4-treated mice.
This is the first report that shows a Tβ4 protective role in lung toxicity associated with BLEO in a mouse model. Future studies are needed to assess its putative antifibrotic properties.
最近在患有肺部受累的硬皮病患者的支气管肺泡灌洗液 (BALF) 中发现高浓度的胸腺素 β4 (Tβ4)。有人假设 Tβ4 可能在肺损伤中发挥细胞保护作用,因为较低的 Tβ4 水平与间质性肺病进展有关。此外,Tβ4 治疗可防止体外和体内心脏细胞的促纤维化基因表达。
在这项研究中,我们利用一种众所周知的肺纤维化体内模型,探讨了 Tβ4 在肺损伤中的潜在保护作用。C57BL/6 小鼠用博来霉素 (BLEO,1mg/kg) 处理,在不存在或存在 Tβ4(6mg/kg,腹膜内注射于 BLEO 治疗当天和另外两次)的情况下。一周后处死,测量肺中的液体和胶原含量、BALF 分析、髓过氧化物酶 (MPO) 活性测定、肺组织学和免疫组化。
与 BLEO 处理的小鼠相比,接受 Tβ4 的 BLEO 处理的小鼠体重下降不明显,存活率更高。此外,Tβ4 治疗显著减少了 BLEO 诱导的炎症和肺损伤,表现为水肿、总胶原含量、白细胞浸润、肺匀浆中 MPO 活性以及正在进行的肺纤维化的组织学证据显著减少。免疫组化结果显示 Tβ4 处理的小鼠肺组织中 Tβ4 反应强烈。
这是第一项表明 Tβ4 在 BLEO 相关的小鼠模型中具有肺毒性保护作用的报告。需要进一步研究来评估其潜在的抗纤维化特性。