Mucosal and Salivary Biology Division, Dental Institute, King's College London, Guy's Hospital, London, UK.
J Oral Pathol Med. 2018 Feb;47(2):211-219. doi: 10.1111/jop.12663. Epub 2017 Dec 18.
BACKGROUND: Salivary gland (SG) injurious agents are all translated into loss of salivation (xerostomia). An association has been established between activation of innate immunity and SG injury and dysfunction. However, it remains unclear how the secretory epithelia respond by halting saliva production. METHODS: C57BL/6 submandibular glands (SMGs) were acutely challenged using a single dose of the innate immune stimulant: polyinosinic-polycytidylic acid (poly (I:C)). Secretory capacity of the infected SMGs was substantiated by assessing the flow rate in response to pilocarpine stimulation. Depletion of the acute inflammatory cells was achieved by pre-treating mice with RB6-8C5 depletion antibody. Flow cytometry, histology and immunohistochemistry were conducted to verify the immune cell depletion. Epithelial expression of saliva-driving molecules: muscarinic 3 receptor (M3R), aquaporin 5 water channel (AQP5), Na-K-CL-Cotransporter 1 (NKCC1) and transmembrane member 16A (TMEM16A), was characterized using RT-qPCR and immunohistochemistry. Tight junction (TJ) protein; zonula occludens (ZO-1) and basement membrane (BM) protein; and laminin were assessed by immunohistochemistry. RESULTS: Innate immune challenge prompted dysfunction in the exocrine SGs. Dysregulated gene and protein expression of molecules that drive saliva secretion was substantiated. Aberrant expression of TJ and BM proteins followed innate immune activation. Hyposalivation in the current model was independent of myeloperoxidase (MPO)-positive, acute inflammatory cells. CONCLUSIONS: In this study, we developed a novel injury model of the SGs, featuring acute secretory dysfunction and immediate structural disruptions. Our results ruled out the injurious role of aggressively infiltrating inflammatory cells.
背景:唾液腺(SG)损伤剂均被转化为唾液流失(口干症)。先天免疫的激活与 SG 损伤和功能障碍之间存在关联。然而,分泌上皮如何通过停止唾液产生来做出反应仍不清楚。
方法:使用单次剂量的先天免疫刺激物聚肌胞苷酸(poly(I:C))急性挑战 C57BL/6 颌下腺(SMG)。通过评估对毛果芸香碱刺激的流速来证实受感染 SMG 的分泌能力。通过用 RB6-8C5 耗竭抗体预先处理小鼠来耗尽急性炎症细胞。进行流式细胞术、组织学和免疫组织化学以验证免疫细胞耗竭。使用 RT-qPCR 和免疫组织化学来表征驱动唾液的上皮表达分子:毒蕈碱 3 受体(M3R)、水通道蛋白 5(AQP5)、Na-K-CL-共转运蛋白 1(NKCC1)和跨膜成员 16A(TMEM16A)。通过免疫组织化学评估紧密连接(TJ)蛋白;封闭蛋白(ZO-1)和基底膜(BM)蛋白;和层粘连蛋白。
结果:先天免疫挑战促使外分泌 SG 功能障碍。驱动唾液分泌的分子的失调基因和蛋白表达得到证实。TJ 和 BM 蛋白的异常表达紧随先天免疫激活而发生。在当前模型中,低渗血症与髓过氧化物酶(MPO)阳性的急性炎症细胞无关。
结论:在这项研究中,我们开发了一种新型的 SG 损伤模型,具有急性分泌功能障碍和即刻的结构破坏。我们的结果排除了侵袭性浸润炎症细胞的损伤作用。
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