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抗原通过诱导选择性激活的巨噬细胞来控制 1 型糖尿病的发生。

Antigens Control Experimental Type 1 Diabetes by Inducing Alternatively Activated Macrophages.

机构信息

Unidad de Biomedicina, Facultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, Av. De los Barrios 1, Los Reyes Iztacala, Tlalnepantla 54090, MEX, Mexico.

出版信息

Mediators Inflamm. 2017;2017:8074329. doi: 10.1155/2017/8074329. Epub 2017 Nov 8.

Abstract

Type 1 diabetes (T1D) is an autoimmune disease caused by the selective destruction of the pancreatic -cells, causing inability to produce insulin. Proinflammatory cytokines such as IL-1, IL-6, TNF-, IFN-, IL-12, IL-17, and NO can be released by CD4 and CD8 lymphocytes as well as by classically activated macrophages (CAMs), which are important in the development of T1D. Helminth infections have been shown to prevent T1D, mainly through Th2-biased responses and increased recruitment of regulatory cell populations. Previously, we have shown that infection in mice significantly reduces hyperglycemia, insulitis, and the incidence of T1D. In this study, we determined whether derived products such as soluble (TcS) or excreted/secreted (TcES) antigens might have a beneficial influence on the development of experimental T1D. Treatment with different doses before or after induction of T1D was analyzed. Mice that were pretreated with TcS were unable to develop T1D, whereas those receiving TcES early after T1D induction displayed significantly reduced insulitis and hyperglycemia along with increased recruitment of alternatively activated macrophages (AAMs) and myeloid-derived suppressor cells (MDSCs). Finally, we examined the modulatory role of AAMs on T1D by depleting macrophages with clodronate-loaded liposomes, demonstrating that AAMs are key cells in T1D regulation.

摘要

1 型糖尿病(T1D)是一种自身免疫性疾病,由胰腺β细胞的选择性破坏引起,导致无法产生胰岛素。白细胞介素-1(IL-1)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、干扰素-γ(IFN-γ)、白细胞介素-12(IL-12)、白细胞介素-17(IL-17)和一氧化氮(NO)等促炎细胞因子可以由 CD4 和 CD8 淋巴细胞以及经典激活的巨噬细胞(CAMs)释放,它们在 T1D 的发展中很重要。寄生虫感染已被证明可以预防 T1D,主要是通过 Th2 偏向性反应和调节性细胞群的募集增加。以前,我们已经表明,在小鼠中感染可以显著降低高血糖、胰岛炎和 T1D 的发病率。在这项研究中,我们确定了可溶性(TcS)或分泌/排泄(TcES)抗原等衍生产物是否可能对实验性 T1D 的发展产生有益影响。分析了在诱导 T1D 之前或之后用不同剂量治疗的效果。用 TcS 预处理的小鼠无法发展为 T1D,而在 T1D 诱导后早期接受 TcES 的小鼠则表现出明显减轻的胰岛炎和高血糖,同时募集了更多的交替激活的巨噬细胞(AAMs)和髓源抑制细胞(MDSCs)。最后,我们通过用载有氯膦酸盐的脂质体耗竭巨噬细胞来检查 AAMs 对 T1D 的调节作用,证明 AAMs 是 T1D 调节的关键细胞。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac21/5698814/e59a1d52111b/MI2017-8074329.001.jpg

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