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人诱导多能干细胞间充质干细胞通过调节 Th17 表型预防类固醇耐药性中性粒细胞性气道炎症。

Human iPSC-MSCs prevent steroid-resistant neutrophilic airway inflammation via modulating Th17 phenotypes.

机构信息

Otorhinolaryngology Hospital, The First Affiliated Hospital, Sun Yat-sen University, 58 Zhongshan Road II, Guangzhou, 510080, Guangdong, China.

Centre for Stem Cell Clinical Research and Application, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China.

出版信息

Stem Cell Res Ther. 2018 May 24;9(1):147. doi: 10.1186/s13287-018-0897-y.

Abstract

BACKGROUND

Human induced pluripotent stem cells-derived mesenchymal stem cells (iPSC-MSCs) have been shown to be effective in Type 2 helper T cells (Th2)-dominant eosinophilic allergic airway inflammation. However, the role of iPSC-MSCs in Type 17 helper T cells (Th17)-dominant neutrophilic airway inflammation remains poorly studied. Therefore, this study was to explore the effects of iPSC-MSCs on an experimental mouse model of steroid-resistant neutrophilic airway inflammation and further determine the underlying mechanisms.

METHODS

A mouse model of neutrophilic airway inflammation was established using ovalbumin (OVA) and lipopolysaccharide (LPS). Human iPSC-MSCs were systemically administered, and the lungs or bronchoalveolar lavage fluids (BALF) were collected at 4 h and 48 h post-challenge. The pathology and inflammatory cell infiltration, the T helper cells, T helper cells-associated cytokines, nuclear transcription factors and possible signaling pathways were evaluated. Human CD4 T cells were polarized to T helper cells and the effects of iPSC-MSCs on the differentiation of T helper cells were determined.

RESULTS

We successfully induced the mouse model of Th17 dominant neutrophilic airway inflammation. Human iPSC-MSCs but not dexamethasone significantly prevented the neutrophilic airway inflammation and decreased the levels of Th17 cells, IL-17A and p-STAT3. The mRNA levels of Gata3 and RORγt were also decreased with the treatment of iPSC-MSCs. We further confirmed the suppressive effects of iPSC-MSCs on the differentiation of human T helper cells.

CONCLUSIONS

iPSC-MSCs showed therapeutic potentials in neutrophilic airway inflammation through the regulation on Th17 cells, suggesting that the iPSC-MSCs could be applied in the therapy for the asthma patients with steroid-resistant neutrophilic airway inflammation.

摘要

背景

人诱导多能干细胞衍生的间充质干细胞(iPSC-MSCs)已被证明在 2 型辅助 T 细胞(Th2)占优势的嗜酸性粒细胞过敏性气道炎症中有效。然而,iPSC-MSCs 在 1 型 7 辅助 T 细胞(Th17)占优势的中性粒细胞性气道炎症中的作用仍研究甚少。因此,本研究旨在探讨 iPSC-MSCs 对实验性耐激素中性粒细胞性气道炎症小鼠模型的影响,并进一步确定其潜在机制。

方法

使用卵清蛋白(OVA)和脂多糖(LPS)建立中性粒细胞性气道炎症小鼠模型。系统给予人 iPSC-MSCs,在攻毒后 4 小时和 48 小时收集肺或支气管肺泡灌洗液(BALF)。评估病理学和炎症细胞浸润、T 辅助细胞、T 辅助细胞相关细胞因子、核转录因子和可能的信号通路。将人 CD4 T 细胞极化为 T 辅助细胞,并确定 iPSC-MSCs 对 T 辅助细胞分化的影响。

结果

我们成功诱导了 Th17 占优势的中性粒细胞性气道炎症小鼠模型。人 iPSC-MSCs 而非地塞米松可显著预防中性粒细胞性气道炎症,并降低 Th17 细胞、IL-17A 和 p-STAT3 的水平。iPSC-MSCs 治疗还降低了 Gata3 和 RORγt 的 mRNA 水平。我们进一步证实了 iPSC-MSCs 对人 T 辅助细胞分化的抑制作用。

结论

iPSC-MSCs 通过调节 Th17 细胞显示出在中性粒细胞性气道炎症中的治疗潜力,表明 iPSC-MSCs 可应用于治疗对激素抵抗的中性粒细胞性气道炎症的哮喘患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0df7/5968555/46f6c41fb840/13287_2018_897_Fig1_HTML.jpg

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