Cheng Weizi, Su Jingling, Hu Yiqun, Huang Qingwen, Shi Huaxiu, Wang Lin, Ren Jianlin
Department of Gastroenterology, Zhongshan Hospital Affiliated to Xiamen UniversityXiamen 361004, Fujian Province, China.
Am J Transl Res. 2017 Sep 15;9(9):4149-4160. eCollection 2017.
This study aimed to investigate the anti-inflammatory mechanism of IL-25 mediated mesenchymal stem cells (MSC) treatment for inflammatory bowel disease (IBD) in a DSS-induced rat colitis model.
Rats with DSS-induced colitis were divided into control and treatment groups: normal control group (rats fed with water), DSS group (rats fed with DSS solution), MSC group (DSS-treated rats injected intravenously with GFP-MSCs), IL-25-MSC group (DSS-treated rats injected intravenously with IL-25 primed GFP-MSCs), and mesalazine group (DSS-treated rats fed with mesalazine).
In IL-25-MSC group, therapeutic efficacy (clinical symptoms) was better than in MSC group, but comparable to mesalazine group. In IL-25-MSC group and mesalazine group, fewer infiltrating inflammatory cells and lower pathological score were observed in the intestine. The FOXP3 cells and IL-4 cells decreased, but IL-17A cells and IFN-γ cells increased in the peripheral blood and colonic mucosa after DSS induced colitis, and these phenomena were reversed by MSC or mesalazine treatment. IL-17A cells reduced and FOXP3 cells increased in IL-25-MSC group as compared with MSC group. The expressions of Ki67 and LGR5 were significantly elevated in MSC treatment groups as compared with normal control group, DSS group, and mesalazine group. Definite GFP positive cells were not observed in the intestine of MSC-treated rats.
IL-25 primed MSCs exert improved therapeutic effects on the intestinal inflammation of IBD rats which may be related to the inhibition of Th17 immune response and induction of T Regulatory cell phenotype. Thus, IL-25 may be an attractive candidate for MSC-based therapy of IBD.
本研究旨在通过葡聚糖硫酸钠(DSS)诱导的大鼠结肠炎模型,探讨白细胞介素-25(IL-25)介导的间充质干细胞(MSC)治疗炎症性肠病(IBD)的抗炎机制。
将DSS诱导的结肠炎大鼠分为对照组和治疗组:正常对照组(喂水的大鼠)、DSS组(喂DSS溶液的大鼠)、MSC组(经DSS处理后静脉注射绿色荧光蛋白标记的间充质干细胞的大鼠)、IL-25-MSC组(经DSS处理后静脉注射经IL-25预处理的绿色荧光蛋白标记的间充质干细胞的大鼠)和柳氮磺胺吡啶组(经DSS处理后喂柳氮磺胺吡啶的大鼠)。
在IL-25-MSC组中,治疗效果(临床症状)优于MSC组,但与柳氮磺胺吡啶组相当。在IL-25-MSC组和柳氮磺胺吡啶组中,肠道内浸润的炎性细胞较少,病理评分较低。DSS诱导结肠炎后,外周血和结肠黏膜中的叉头框P3(FOXP3)细胞和白细胞介素-4(IL-4)细胞减少,但白细胞介素-17A(IL-17A)细胞和干扰素-γ(IFN-γ)细胞增加,而MSC或柳氮磺胺吡啶治疗可逆转这些现象。与MSC组相比,IL-25-MSC组中的IL-17A细胞减少,FOXP3细胞增加。与正常对照组、DSS组和柳氮磺胺吡啶组相比,MSC治疗组中Ki67和富含亮氨酸重复序列的G蛋白偶联受体5(LGR5)的表达显著升高。在MSC处理的大鼠肠道中未观察到明确的绿色荧光蛋白阳性细胞。
经IL-25预处理的间充质干细胞对IBD大鼠的肠道炎症具有更好的治疗效果,这可能与抑制Th17免疫反应和诱导调节性T细胞表型有关。因此,IL-25可能是基于间充质干细胞治疗IBD的一个有吸引力的候选药物。