Ashour D S, Othman A A, Shareef M M, Gaballah H H, Mayah W W
Department of Medical Parasitology, Tanta Faculty of Medicine, Egypt.
Department of Pathology, Tanta Faculty of Medicine, Egypt.
J Helminthol. 2014 Jun;88(2):210-8. doi: 10.1017/S0022149X13000059. Epub 2013 Feb 12.
Inflammatory bowel disease (IBD) is a chronic relapsing inflammation afflicting any part of the bowel wall as a result of a deregulated and inappropriate immune response. In recent years, experimental and clinical evidence has demonstrated that infection with parasitic worms could protect hosts from IBD. The aims of this study were to determine if the underlying mechanism of the host immune regulation inherent to Trichinella spiralis infection involves Foxp3-expressing regulatory T cells, and to gain insight about time-related interactions between intestinal nematode infection and induced colitis using an experimental model for ulcerative colitis. Mice were experimentally subjected to acetic acid-induced colitis, which was either preceded or followed by T. spiralis infection. Assessment of colitis was done by histopathological examination of the colon and determination of pentraxin 3 levels. Immunohistochemistry was done for demonstration of Foxp3-expressing regulatory T cells in colonic tissues. It was evident that T. spiralis infection ameliorated the severe inflammation induced by acetic acid, evidenced by amelioration of histopathological changes and diminution of pentraxin 3 levels. The amelioration was more pronounced when T. spiralis infection preceded the induction of colitis. Regarding the immunohistochemical staining of regulatory T cells, T. spiralis infection induced recruitment of Foxp3-expressing regulatory T cells to areas of inflammation. In conclusion, T. spiralis regulatory mechanism can improve inflammation of the colon through the 'inflammatory-regulatory' axis. Finally, it would be of great importance to apply these results to the development of new therapeutic approaches for the treatment of ulcerative colitis.
炎症性肠病(IBD)是一种慢性复发性炎症,由于免疫反应失调和不适当,累及肠壁的任何部位。近年来,实验和临床证据表明,感染寄生虫可使宿主免受IBD侵害。本研究的目的是确定旋毛虫感染所固有的宿主免疫调节潜在机制是否涉及表达Foxp3的调节性T细胞,并利用溃疡性结肠炎实验模型深入了解肠道线虫感染与诱导性结肠炎之间的时间相关相互作用。对小鼠进行实验性乙酸诱导的结肠炎,旋毛虫感染在其之前或之后进行。通过对结肠进行组织病理学检查和测定五聚体3水平来评估结肠炎。进行免疫组织化学以显示结肠组织中表达Foxp3的调节性T细胞。很明显,旋毛虫感染减轻了乙酸诱导的严重炎症,组织病理学变化的改善和五聚体3水平的降低证明了这一点。当旋毛虫感染在结肠炎诱导之前进行时,改善更为明显。关于调节性T细胞的免疫组织化学染色,旋毛虫感染诱导表达Foxp3的调节性T细胞募集到炎症区域。总之,旋毛虫调节机制可通过“炎症 - 调节”轴改善结肠炎症。最后,将这些结果应用于开发治疗溃疡性结肠炎的新治疗方法具有重要意义。