羊膜来源重链-透明质酸/五聚素 3 抑制慢性移植物抗宿主病小鼠泪腺和结膜的炎症和瘢痕形成。

Heavy Chain-Hyaluronan/Pentraxin 3 from Amniotic Membrane Suppresses Inflammation and Scarring in Murine Lacrimal Gland and Conjunctiva of Chronic Graft-versus-Host Disease.

机构信息

Department of Ophthalmology, Keio University School of Medicine, 35 Shinanomachi Shinjuku-ku, Tokyo, 160-8582, Japan.

TissueTech, Inc., Miami, FL 33173, USA.

出版信息

Sci Rep. 2017 Feb 6;7:42195. doi: 10.1038/srep42195.

Abstract

Chronic graft-versus-host disease (cGVHD) is a major complication of hematopoietic stem cell transplantation. Dry eye disease is the prominent ocular sequel of cGVHD and is caused by excessive inflammation and fibrosis in the lacrimal glands. Heavy chain-Hyaluronan/Pentraxin 3 (HC-HA/PTX3) is a complex purified from human amniotic membrane (AM) and known to exert anti-inflammatory and anti-scarring actions. In this study, we utilized a mouse model of cGVHD to examine whether HC-HA/PTX3 could attenuate dry eye disease elicited by cGVHD. Our results indicated that subconjunctival and subcutaneous injection of HC-HA/PTX3 preserved tear secretion and conjunctival goblet cell density and mitigated inflammation and scarring of the conjunctiva. Such therapeutic benefits were associated with suppression of scarring and infiltration of inflammatory/immune cells in the lacrimal glands. Furthermore, HC-HA/PTX3 significantly reduced the extent of infiltration of CD45 CD4 IL-17 cells, CD45 CD34 collagen I CXCR4 fibrocytes, and HSP47 activated fibroblasts that were accompanied by upregulation of collagen type Iα1, collagen type IIIα1 and NF-kB in lacrimal glands. Collectively, these pre-clinical data help prove the concept that subcutaneous and subconjunctival injection of HC-HA/PTX3 is a novel approach to prevent dry eye disease caused by cGVHD and allow us to test its safety and efficacy in future human clinical trials.

摘要

慢性移植物抗宿主病(cGVHD)是造血干细胞移植的主要并发症。干眼症是 cGVHD 的突出眼部后遗症,是由泪腺过度炎症和纤维化引起的。重链-透明质酸/五聚素 3(HC-HA/PTX3)是从人羊膜中纯化的复合物,已知具有抗炎和抗瘢痕作用。在这项研究中,我们利用 cGVHD 小鼠模型研究了 HC-HA/PTX3 是否可以减轻 cGVHD 引起的干眼症。我们的结果表明,HC-HA/PTX3 经结膜下和皮下注射可维持泪液分泌和结膜杯状细胞密度,并减轻结膜的炎症和瘢痕形成。这种治疗益处与抑制泪腺的瘢痕形成和炎症/免疫细胞浸润有关。此外,HC-HA/PTX3 还显著减少了浸润到泪腺的 CD45 CD4 IL-17 细胞、CD45 CD34 胶原蛋白 I CXCR4 成纤维细胞的程度,以及 HSP47 激活的成纤维细胞,同时伴随泪腺中胶原蛋白 Iα1、胶原蛋白 IIIα1 和 NF-kB 的上调。总之,这些临床前数据有助于证明经皮下和结膜下注射 HC-HA/PTX3 是预防 cGVHD 引起的干眼症的一种新方法,并使我们能够在未来的人类临床试验中测试其安全性和疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a0a/5292704/886a01e21f18/srep42195-f1.jpg

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