FTY720 可减轻红斑狼疮系统性小鼠模型的行为缺陷。
FTY720 attenuates behavioral deficits in a murine model of systemic lupus erythematosus.
机构信息
Department of Immunology, Nanjing Medical University, 101 Longmian Avenue, Nanjing, JS 211166, China.
Division of Immunology, Virginia-Maryland College of Veterinary Medicine, University of Maryland, College Park, MD 20742, USA.
出版信息
Brain Behav Immun. 2018 May;70:293-304. doi: 10.1016/j.bbi.2018.03.009. Epub 2018 Mar 13.
Neuropsychiatric (NP) involvement in systemic lupus erythematosus (SLE) severely impacts patients' quality of life and leads to a poor prognosis. The current therapeutic protocol, corticosteroid administration, can also induce neuropsychiatric disorders. FTY720 is an immunomodulator that selectively confines lymphocytes in lymph nodes and reduces autoreactive T cell recruitment to the central nervous system (CNS). This study aimed to identify a novel therapeutic strategy for NPSLE. B6.MRL-lpr mice were treated with oral administration of FTY720 (2 mg/kg) three times per week for 12 weeks, to evaluate its efficacy in a model of NPSLE. FTY720 significantly attenuated the impulsive and depression-like behavior of B6.MRL-lpr mice. Neuronal damage was reduced in the cortex, hippocampus, and amygdala of the FTY720-treated B6.MRL-lpr mice, as well as in TNF-α-treated HT22 cells. Additionally, FTY720 downregulated levels of inflammatory cytokines, and reduced the infiltration of T cells and neutrophils in the brain parenchyma. FTY720 also acted directly on cerebral endothelial cells and reduced the permeability of the blood-brain barrier (BBB) in B6.MRL-lpr mice, as evidenced by reduced central IgG and albumin levels. Finally, FTY720 significantly inhibited activation of PI3K/Akt/GSK3β/p65 signaling, which further reduced the expression levels of adhesion molecules in bEND.3 cells treated with B6.MRL-lpr mouse serum. Collectively, our data indicate that oral administration of FTY720 at an early stage has beneficial effects in NPSLE-model B6.MRL-lpr mice, suggesting that it may represent an effective new therapeutic strategy for NPSLE.
神经精神性(NP)狼疮在系统性红斑狼疮(SLE)中的影响严重影响患者的生活质量,并导致预后不良。目前的治疗方案,皮质类固醇的应用,也可以诱导神经精神障碍。FTY720 是一种免疫调节剂,它选择性地将淋巴细胞局限在淋巴结中,并减少自身反应性 T 细胞向中枢神经系统(CNS)的募集。本研究旨在寻找治疗 NP SLE 的新策略。每周三次口服 FTY720(2mg/kg)治疗 12 周,评估其在 NP SLE 模型中的疗效。FTY720 显著减轻了 B6.MRL-lpr 小鼠的冲动和抑郁样行为。FTY720 治疗的 B6.MRL-lpr 小鼠的皮质、海马和杏仁核中的神经元损伤减少,TNF-α 处理的 HT22 细胞也是如此。此外,FTY720 下调了炎症细胞因子的水平,并减少了脑实质中 T 细胞和中性粒细胞的浸润。FTY720 还直接作用于脑内皮细胞,降低了 B6.MRL-lpr 小鼠血脑屏障(BBB)的通透性,表现为脑内 IgG 和白蛋白水平降低。最后,FTY720 显著抑制了 PI3K/Akt/GSK3β/p65 信号通路的激活,进一步降低了 B6.MRL-lpr 小鼠血清处理的 bEND.3 细胞中粘附分子的表达水平。综上所述,我们的数据表明,早期口服 FTY720 对 NP SLE 模型的 B6.MRL-lpr 小鼠有有益的影响,这表明它可能是 NP SLE 的一种有效的新治疗策略。