Department of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
Department of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
Int Immunopharmacol. 2018 Apr;57:132-138. doi: 10.1016/j.intimp.2018.02.006. Epub 2018 Feb 24.
Deep venous thrombosis (DVT) is a significant problem in the health care industry worldwide. However, the factors and signaling pathways that trigger DVT formation are still largely unknown. In this study, we investigated the role of interleukin-17A (IL-17A) in DVT formation, focusing on the role of platelet aggregation, neutrophil infiltration, and endothelium cell (EC) activation. Notably, IL-17A levels increased in DVT patients as well as in a mouse DVT model. The DVT model mice were injected with recombinant mouse-IL-17A (rIL-17A) or anti-IL-17A monoclonal antibody (mAb) to further evaluate the effects of this cytokine. We found that rIL-17A promotes DVT formation, while IL-17A mAb represses DVT formation. Furthermore, platelet activation, highlighted by CD61 and CD49β expression, and aggregation were enhanced in platelets of rIL-17A-treated mice. rIL-17A also enhanced neutrophil infiltration by regulating the expression of macrophage inflammatory protein-2 (MIP-2) and the release of neutrophil extracellular traps (NETs). IL-17A mAb treatment inhibited both platelet activation and neutrophil activity. Moreover, rIL-17A appears to promote vein EC activation, while IL-17A mAb deters it. Taken together, these data suggest that IL-17A promotes DVT pathogenesis by enhancing platelet activation and aggregation, neutrophil infiltration, and EC activation and that anti-IL-17A mAb could be used for the treatment of DVT.
深静脉血栓形成(DVT)是全球医疗保健行业的一个重大问题。然而,触发 DVT 形成的因素和信号通路在很大程度上仍不清楚。在这项研究中,我们研究了白细胞介素-17A(IL-17A)在 DVT 形成中的作用,重点研究了血小板聚集、中性粒细胞浸润和血管内皮细胞(EC)激活的作用。值得注意的是,DVT 患者和小鼠 DVT 模型中 IL-17A 水平升高。我们通过给 DVT 模型小鼠注射重组鼠源白细胞介素-17A(rIL-17A)或抗白细胞介素-17A 单克隆抗体(mAb)进一步评估这种细胞因子的作用。我们发现 rIL-17A 促进 DVT 的形成,而 IL-17A mAb 抑制 DVT 的形成。此外,rIL-17A 处理的小鼠血小板中血小板活化标志物 CD61 和 CD49β 的表达和聚集增强。rIL-17A 还通过调节巨噬细胞炎症蛋白-2(MIP-2)的表达和中性粒细胞细胞外陷阱(NETs)的释放来增强中性粒细胞的浸润。IL-17A mAb 治疗抑制了血小板活化和中性粒细胞的活性。此外,rIL-17A 似乎促进静脉 EC 的激活,而 IL-17A mAb 则抑制其激活。综上所述,这些数据表明,IL-17A 通过增强血小板的活化和聚集、中性粒细胞的浸润和 EC 的激活来促进 DVT 的发病机制,而抗 IL-17A mAb 可能用于治疗 DVT。