Ohashi Ryuji, Fukazawa Ryuji, Watanabe Makoto, Hashimoto Koji, Suzuki Nobuko, Nagi-Miura Noriko, Ohno Naohito, Shimizu Akira, Itoh Yasuhiko
a Department of Diagnostic Pathology , Nippon Medical School Hospital , Tokyo , Japan.
b Department of Pediatrics , Nippon Medical School , Tokyo , Japan.
Mod Rheumatol. 2017 Nov;27(6):1024-1030. doi: 10.1080/14397595.2017.1287150. Epub 2017 Feb 21.
Kawasaki disease (KD) occurs via activation of the innate immune system. Nucleotide oligomerization domain-1 (NOD1) is a pattern recognition receptor regulating the innate immunity. We characterized histopathology of arteritis induced by FK565, a ligand for NOD1, in mice, compared with Candida albicans water-soluble fraction (CAWS)-induced model.
Vasculitis was induced by injection of FK565 or CAWS into C57BL6/J mice (n = 9 and n = 11, respectively). At 4 weeks, they were sacrificed, and plasma cytokines and chemokines were measured.
FK565 injection induced vasculitis mainly involving bilateral coronary arteries whereas the aortic root was diffusely affected in CAWS mice. In FK565 animals, the abdominal aorta and its branching arteries also exhibited inflammation with atherosclerosis. IL-1α, IL-1β, IL-5 and RANTES were increased in FK565 group whereas IL-6, IL-13, G-CSF, IFN-γ, and TNF-α were higher in CAWS animals (p < .05 for all variables). The total area of inflammation in FK565 mice appeared to correlate with IL-1β levels (r = 0.71, p = .05).
Histopathology of FK565-induced model demonstrated 'site-specific' coronary arteritis mimicking KD. This histopathological difference from CAWS model may be due to different cytokine expression profiles.
川崎病(KD)通过先天性免疫系统的激活而发病。核苷酸寡聚化结构域1(NOD1)是一种调节先天性免疫的模式识别受体。我们对NOD1配体FK565诱导的小鼠动脉炎的组织病理学特征进行了研究,并与白色念珠菌水溶性组分(CAWS)诱导的模型进行了比较。
通过向C57BL6/J小鼠(分别为n = 9和n = 11)注射FK565或CAWS诱导血管炎。4周后,将它们处死并检测血浆细胞因子和趋化因子。
注射FK565诱导的血管炎主要累及双侧冠状动脉,而CAWS小鼠的主动脉根部受到弥漫性影响。在FK565处理的动物中,腹主动脉及其分支动脉也表现出伴有动脉粥样硬化的炎症。FK565组中白细胞介素-1α(IL-1α)、白细胞介素-1β(IL-1β)、白细胞介素-5(IL-5)和调节激活正常T细胞表达和分泌的趋化因子(RANTES)升高,而CAWS处理的动物中白细胞介素-6(IL-6)、白细胞介素-13(IL-13)、粒细胞集落刺激因子(G-CSF)、干扰素-γ(IFN-γ)和肿瘤坏死因子-α(TNF-α)更高(所有变量p < 0.05)。FK565小鼠的炎症总面积似乎与IL-1β水平相关(r = 0.71,p = 0.05)。
FK565诱导模型的组织病理学表现为模拟KD的“部位特异性”冠状动脉炎。与CAWS模型的这种组织病理学差异可能是由于细胞因子表达谱不同所致。