Respiratory Therapeutic Area, GlaxoSmithKline, Stevenage, Hertfordshire, UK.
Clin Sci (Lond). 2013 Dec;125(12):555-64. doi: 10.1042/CS20130086.
The present study investigated the role that imaging could have for assessing lung inflammation in a mouse model of HDM (house dust mite)-provoked allergic inflammation. Inflammation is usually assessed using terminal procedures such as BAL (bronchoalveolar lavage) and histopathology; however, MRI (magnetic resonance imaging) and CT (computed tomography) methods have the potential to allow longitudinal, repeated study of individual animals. Female BALB/c mice were administered daily either saline, or a solution of mixed HDM proteins sufficient to deliver a dose of 12 or 25 μg total HDM protein±budesonide (1 mg/kg of body weight, during weeks 5-7) for 7 weeks. AHR (airway hyper-responsiveness) and IgE measurements were taken on weeks 3, 5 and 7. Following imaging sessions at weeks 3, 5 and 7 lungs were prepared for histology. BAL samples were taken at week 7 and lungs prepared for histology. MRI showed a gradual weekly increase in LTI (lung tissue intensity) in animals treated with HDM compared with control. The 25 μg HDM group showed a continual significant increase in LTI between weeks 3 and 7, the 12 μg HDM-treated group showed a similar rate of increase, and plateaued by week 5. A corresponding increase in AHR, cell counts and IgE were observed. CT showed significant increases in lung tissue density from week 1 of HDM exposure and this was maintained throughout the 7 weeks. Budesonide treatment reversed the increase in tissue density. MRI and CT therefore provide non-invasive sensitive methods for longitudinally assessing lung inflammation. Lung tissue changes could be compared directly with the classical functional and inflammatory readouts, allowing more accurate assessments to be made within each animal and providing a clinically translatable approach.
本研究探讨了影像学在评估 HDM(屋尘螨)诱发过敏炎症的小鼠模型中的肺炎症中的作用。炎症通常通过终末程序如 BAL(支气管肺泡灌洗)和组织病理学来评估;然而,MRI(磁共振成像)和 CT(计算机断层扫描)方法有可能允许对单个动物进行纵向、重复的研究。雌性 BALB/c 小鼠每天给予生理盐水或混合 HDM 蛋白溶液,足以给予 12 或 25 μg 总 HDM 蛋白剂量±布地奈德(1 mg/kg 体重,在第 5-7 周)7 周。在第 3、5 和 7 周进行 AHR(气道高反应性)和 IgE 测量。在第 3、5 和 7 周进行成像后,将肺准备进行组织学检查。在第 7 周采集 BAL 样本,并准备进行组织学检查。MRI 显示与对照相比,用 HDM 治疗的动物的 LTI(肺组织强度)逐渐每周增加。25 μg HDM 组在第 3 至 7 周之间 LTI 持续显著增加,12 μg HDM 治疗组显示出相似的增加速度,并在第 5 周达到平台期。观察到 AHR、细胞计数和 IgE 相应增加。CT 显示从 HDM 暴露的第 1 周开始肺组织密度显著增加,并且整个 7 周内都保持不变。布地奈德治疗逆转了组织密度的增加。因此,MRI 和 CT 提供了非侵入性的敏感方法来纵向评估肺炎症。可以直接将肺组织变化与经典的功能和炎症指标进行比较,从而可以在每个动物中进行更准确的评估,并提供一种可临床转化的方法。