Gu Lei, Xu Qing, Cao Hui
Department of Gastrointestinal Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China (mainland).
Med Sci Monit. 2017 Apr 29;23:2049-2058. doi: 10.12659/msm.904271.
BACKGROUND The aim of this study was to study the effects of 1-alpha,25-dihydroxy-cholecalcifero (1,25(OH)2D3) on liver fibrosis and the generation of Th17 cells in vivo and in vitro. MATERIAL AND METHODS Thirty C57 mice were randomly divided into control, model, and treatment groups. Hepatic fibrosis was induced by subcutaneous injection of CCl4. Liver fibrosis condition was evaluated through pathological inspection and blood biochemical examination of liver function. Immunohistochemical assays were used to detect the expression of α-SMA, TGF-β, and collagen I to observe hepatic stellate cell activation level. Flow cytometry, ELISA, and RT-PCR were performed to explore the association between 1,25(OH)2D3 and Th17 cell differentiation. RESULTS Collagen I, TGF-β, and α-SMA were decreased after 1,25(OH)2D3 treatment. Consistently, RORγt mRNA and the rate of Th17 cells was significantly reduced after 1,25(OH)2D3 treatment. In vitro, the proportion of Th17 cells was also obviously reduced in the 1,25(OH)2D3 group, and mRNA levels of IL-17A, IL-22, RORγt, and RORa were significantly decrease in the 1,25(OH)2D3 group compared to the control group. CONCLUSIONS Treatment with 1,25(OH)2D3 can alleviate the damage caused by liver fibrosis. Experiments in vivo and in vitro showed that 1,25(OH)2D3 treatment deceased the rates of Th1 and Th17 cells and increased the rate of Th2 cells. The level of IL-17A, IL-22 and IFN-γ were decreased, while the level of IL-4 was increased by the treatment of 1,25(OH)2D3.
背景 本研究旨在探讨1α,25-二羟基胆钙化醇(1,25(OH)2D3)对体内外肝纤维化及Th17细胞生成的影响。
材料与方法 将30只C57小鼠随机分为对照组、模型组和治疗组。通过皮下注射四氯化碳诱导肝纤维化。通过病理检查和肝功能血液生化检查评估肝纤维化情况。采用免疫组织化学分析法检测α-SMA、TGF-β和I型胶原蛋白的表达,以观察肝星状细胞激活水平。进行流式细胞术、酶联免疫吸附测定(ELISA)和逆转录-聚合酶链反应(RT-PCR),以探讨1,25(OH)2D3与Th17细胞分化之间的关联。
结果 1,25(OH)2D3治疗后,I型胶原蛋白、TGF-β和α-SMA减少。同样,1,25(OH)2D3治疗后,RORγt信使核糖核酸(mRNA)和Th17细胞比例显著降低。在体外,1,25(OH)2D3组Th17细胞比例也明显降低,与对照组相比,1,25(OH)2D3组IL-17A、IL-22、RORγt和RORα的mRNA水平显著降低。
结论 1,25(OH)2D3治疗可减轻肝纤维化造成的损害。体内外实验表明,1,25(OH)2D3治疗降低了Th1和Th17细胞比例,增加了Th2细胞比例。1,25(OH)2D3治疗使IL-17A、IL-22和干扰素-γ(IFN-γ)水平降低,而IL-4水平升高。