Department of Biochemistry and Molecular Biology, University of Texas Medical Branch, Galveston, TX, USA.
Arterioscler Thromb Vasc Biol. 2013 Jul;33(7):1612-21. doi: 10.1161/ATVBAHA.112.301049. Epub 2013 May 16.
OBJECTIVE: Dysregulated angiotensin II (Ang II) signaling induces local vascular interleukin-6 (IL-6) secretion, producing leukocyte infiltration and life-threatening aortic dissections. Precise mechanisms by which IL-6 signaling induces leukocyte recruitment remain unknown. T-helper 17 lymphocytes (Th17) have been implicated in vascular pathology, but their role in the development of aortic dissections is poorly understood. Here, we tested the relationship of IL-6-signal transducer and activator of transcription-3 signaling with Th17-induced inflammation in the formation of Ang II-induced dissections in C57BL/6 mice. APPROACH AND RESULTS: Ang II infusion induced aortic dissections and CD4(+)-interleukin 17A (IL-17A)-expressing Th17 cell accumulation in C57BL/6 mice. A blunted local Th17 activation, macrophage recruitment, and reduced incidence of aortic dissections were seen in IL-6(-/-) mice. To determine the pathological roles of Th17 lymphocytes, we treated Ang II-infused mice with IL-17A-neutralizing antibody or infused Ang II in genetically deficient IL-17A mice and found decreased aortic chemokine monocytic chemotactic protein-1 production and macrophage recruitment, leading to a reduction in aortic dissections. This effect was independent of blood pressure in IL-17A-neutralizing antibody experiment. Application of a cell-permeable signal transducer and activator of transcription-3 inhibitor to downregulate the IL-6 pathway decreased aortic dilation and Th17 cell recruitment. We also observed increased aortic Th17 infiltration and IL-17 mRNA expression in patients with thoracic aortic dissections. Finally, we found that Ang II-mediated aortic dissections occurred independent of blood pressure changes. CONCLUSIONS: Our results indicate that the IL-6-signal transducer and activator of transcription-3 signaling pathway converges on Th17 recruitment and IL-17A signaling upstream of macrophage recruitment, mediating aortic dissections.
目的:血管紧张素 II(Ang II)信号的失调会导致局部血管白细胞介素 6(IL-6)的分泌,从而产生白细胞浸润和危及生命的主动脉夹层。IL-6 信号转导诱导白细胞募集的确切机制尚不清楚。辅助性 T 细胞 17(Th17)淋巴细胞已被牵连到血管病理学中,但它们在主动脉夹层发展中的作用仍知之甚少。在这里,我们测试了 IL-6 信号转导物和转录激活因子 3(STAT3)信号与 Th17 诱导的炎症之间的关系,以了解其在 C57BL/6 小鼠 Ang II 诱导的夹层形成中的作用。
方法和结果:Ang II 输注可诱导 C57BL/6 小鼠发生主动脉夹层,并诱导 CD4+白细胞介素 17A(IL-17A)表达的 Th17 细胞积聚。在 IL-6(-/-)小鼠中,局部 Th17 激活减弱,巨噬细胞募集减少,主动脉夹层的发生率降低。为了确定 Th17 淋巴细胞的病理作用,我们用 IL-17A 中和抗体处理 Ang II 输注的小鼠,或在基因缺陷的 IL-17A 小鼠中输注 Ang II,发现主动脉趋化因子单核细胞趋化蛋白-1 的产生和巨噬细胞募集减少,导致主动脉夹层减少。在 IL-17A 中和抗体实验中,这种作用与血压无关。应用细胞通透的 STAT3 抑制剂下调 IL-6 通路可减少主动脉扩张和 Th17 细胞募集。我们还观察到胸主动脉夹层患者的主动脉 Th17 浸润和 IL-17 mRNA 表达增加。最后,我们发现 Ang II 介导的主动脉夹层发生与血压变化无关。
结论:我们的结果表明,IL-6-STAT3 信号通路在招募巨噬细胞之前汇聚于 Th17 细胞的募集和 IL-17A 信号转导,介导主动脉夹层的发生。
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