Wang Jinglin, Ren Haozhen, Yuan Xianwen, Ma Hucheng, Shi Xiaolei, Ding Yitao
Department of Hepatobiliary Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Hepatol Res. 2018 Feb;48(3):E194-E202. doi: 10.1111/hepr.12969. Epub 2017 Sep 28.
Recently, the benefit of mesenchymal stem cells (MSCs) as a cell-based therapy for acute liver failure (ALF) has gained much attention, although the mechanism of action of MSCs in the treatment of ALF remains elusive. Pyroptosis is a novel form of programmed cell death with an intense inflammatory response. The aim of the present study was to explore the soluble cytokines secreted by MSCs and their therapeutic effects through inhibiting pyroptosis in ALF.
Mesenchymal stem cells obtained from C57BL/6 mice were isolated and cultured according to an established protocol. The MSCs were transplanted into mice with D-galactosamine (D-Gal)-induced ALF. Liver function, survival rate, histology, and inflammatory factors were determined. Exogenous recombinant rat interleukin (IL)-10, ShIL-RNA, and MCC950 (NLRP3 inhibitor) were given to the mice to explore the therapeutic mechanism of MSCs. Statistical analyses were carried out with spss version 19.0, and all data were analyzed by independent-samples t-test.
Injection of IL-10 or MSC transplantation ameliorated D-Gal-induced increase in alanine aminotransferase, aspartate aminotransferase, total bilirubin, NH3, and inflammatory cytokines. Blockage of IL-10 confirmed the therapeutic significance of this cytokine.
Pyroptosis was inhibited after IL-10 infusion and inhibition of NLRP3 by MCC950 reversed liver dysfunction.
近年来,间充质干细胞(MSCs)作为急性肝衰竭(ALF)基于细胞的治疗方法的益处备受关注,尽管MSCs治疗ALF的作用机制仍不清楚。细胞焦亡是一种伴有强烈炎症反应的新型程序性细胞死亡形式。本研究的目的是探讨MSCs分泌的可溶性细胞因子及其通过抑制ALF中的细胞焦亡的治疗作用。
根据既定方案分离并培养从C57BL/6小鼠获得的间充质干细胞。将MSCs移植到用D-半乳糖胺(D-Gal)诱导的ALF小鼠中。测定肝功能、存活率、组织学和炎症因子。给小鼠注射外源性重组大鼠白细胞介素(IL)-10、ShIL-RNA和MCC950(NLRP3抑制剂)以探讨MSCs的治疗机制。使用spss 19.0版进行统计分析,所有数据采用独立样本t检验进行分析。
注射IL-10或进行MSCs移植可改善D-Gal诱导的丙氨酸转氨酶、天冬氨酸转氨酶、总胆红素、NH3和炎症细胞因子的升高。阻断IL-10证实了这种细胞因子的治疗意义。
输注IL-10后细胞焦亡受到抑制,MCC950抑制NLRP3可逆转肝功能障碍。