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在慢性再生障碍性贫血患者中,骨髓来源的间充质干细胞通过影响 Notch/RBP-J/FOXP3/RORγt 通路来调节 Treg/Th17 平衡。

In patients with chronic aplastic anemia, bone marrow-derived MSCs regulate the Treg/Th17 balance by influencing the Notch/RBP-J/FOXP3/RORγt pathway.

机构信息

Department of Hematology, General Hospital of Guangzhou Military Command of Chinese PLA; Guangzhou, Guangdong 510010, P.R. China.

Department of Emergency, The First Affiliated Hospital of Guangzhou University of Chinese Medicine; Guangzhou, Guangdong 510405, P.R. China.

出版信息

Sci Rep. 2017 Feb 14;7:42488. doi: 10.1038/srep42488.

DOI:10.1038/srep42488
PMID:28195151
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5307358/
Abstract

The standard treatment for aplastic anemia (AA) in young patients is a matched sibling hematopoietic stem cell transplant. Transfusion of a chronic AA patient with allogeneic bone marrow-derived mesenchymal stromal cells (BMMSCs) is currently being developed as a cell-based therapy, and the safety and efficacy of such transfusions are being continuously improved. Nevertheless, the mechanisms by which BMMSCs exert their therapeutic effects remain to be elucidated. In this study, mesenchymal stromal cells (MSCs) obtained from bone marrow donors were concentrated and intravenously injected into 15 chronic AA patients who had been refractory to prior immunosuppressive therapy. We showed that BMMSCs modulate the levels of Th1, Th2, Th17 and Treg cells, as well as their related cytokines in chronic AA patients. Furthermore, the percentages of Th1 and Th17 cells among the H-MSCs decreased significantly, while the percentage Treg cells increased. The Notch/RBP-J/FOXP3/RORγt pathway was involved in modulating the Treg/Th17 balance after MSCs were transfused in vitro. Additionally, the role played by transfused MSCs in regulating the Treg/Th17 balance via the Notch/RBP-J/FOXP3/RORγt pathway was further confirmed in an AA mouse model. In summary, in humans with chronic AA, BMMSCs regulate the Treg/Th17 balance by affecting the Notch/RBP-J/FOXP3/RORγt pathway.

摘要

再生障碍性贫血(AA)患者的标准治疗方法是接受匹配的同胞造血干细胞移植。目前正在开发用异体骨髓来源的间充质基质细胞(BMMSCs)输注治疗慢性 AA 患者,作为一种细胞治疗方法,这种输注的安全性和有效性正在不断提高。然而,BMMSCs 发挥治疗作用的机制仍有待阐明。在这项研究中,从骨髓供者中浓缩获得间充质基质细胞(MSCs),并静脉内注射到 15 例先前对免疫抑制治疗有抗药性的慢性 AA 患者中。我们表明,BMMSCs 调节慢性 AA 患者 Th1、Th2、Th17 和 Treg 细胞及其相关细胞因子的水平。此外,H-MSCs 中 Th1 和 Th17 细胞的百分比显著下降,而 Treg 细胞的百分比增加。在体外转输 MSCs 后,Notch/RBP-J/FOXP3/RORγt 通路参与调节 Treg/Th17 平衡。此外,在 AA 小鼠模型中进一步证实,转输的 MSCs 通过 Notch/RBP-J/FOXP3/RORγt 通路在调节 Treg/Th17 平衡中发挥作用。综上所述,在慢性 AA 患者中,BMMSCs 通过影响 Notch/RBP-J/FOXP3/RORγt 通路来调节 Treg/Th17 平衡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6315/5307358/026e8b1390b9/srep42488-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6315/5307358/4a5e9c47a5d5/srep42488-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6315/5307358/3520f8d32559/srep42488-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6315/5307358/2f653c1a2980/srep42488-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6315/5307358/327e4ebb8e29/srep42488-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6315/5307358/026e8b1390b9/srep42488-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6315/5307358/4a5e9c47a5d5/srep42488-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6315/5307358/3520f8d32559/srep42488-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6315/5307358/2f653c1a2980/srep42488-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6315/5307358/327e4ebb8e29/srep42488-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6315/5307358/026e8b1390b9/srep42488-f5.jpg

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