Department of Molecular and Cellular Therapeutics, Royal College of Surgeons in Ireland, Dublin, Ireland.
Division of Rheumatology, Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.
JCI Insight. 2018 Aug 9;3(15). doi: 10.1172/jci.insight.120798.
Severe lung inflammation and alveolar hemorrhage can be life-threatening in systemic lupus erythematosus (SLE) patients if not treated early and aggressively. Neutrophil influx is the driver key of this pathology, but little is known regarding the molecular events regulating this recruitment. Here, we uncover a role for IL-16/mir-125a in this pathology and show not only that IL-16 is a target for miR-125a but that reduced miR-125a expression in SLE patients associates with lung involvement. Furthermore, in the pristane model of acute "SLE-like" lung inflammation and alveolar hemorrhage, we observed reduced pulmonary miR-125a and enhanced IL-16 expression. Neutrophil infiltration was markedly reduced in the peritoneal lavage of pristane-treated IL-16-deficient mice and elevated following i.n. delivery of IL-16. Moreover, a miR-125a mimic reduced pristane-induced IL-16 expression and neutrophil recruitment and rescued lung pathology. Mechanistically, IL-16 acts directly on the pulmonary epithelium and markedly enhances neutrophil chemoattractant expression both in vitro and in vivo, while the miR-125a mimic can prevent this. Our results reveal a role for miR-125a/IL-16 in regulating lung inflammation and suggest this axis may be a therapeutic target for management of acute lung injury in SLE.
严重的肺部炎症和肺泡出血在系统性红斑狼疮(SLE)患者中如果不能早期积极治疗可能会危及生命。中性粒细胞浸润是这种病理学的关键驱动因素,但对于调节这种募集的分子事件知之甚少。在这里,我们揭示了 IL-16/mir-125a 在这种病理学中的作用,不仅表明 IL-16 是 mir-125a 的靶标,而且 SLE 患者中 mir-125a 表达的降低与肺部受累有关。此外,在急性“SLE 样”肺部炎症和肺泡出血的苍耳烷模型中,我们观察到肺部 mir-125a 减少和 IL-16 表达增强。苍耳烷处理的 IL-16 缺陷小鼠腹膜灌洗液中的中性粒细胞浸润明显减少,而 IL-16 的体内递送则增加。此外,mir-125a 模拟物可降低苍耳烷诱导的 IL-16 表达和中性粒细胞募集,并挽救肺部病理。从机制上讲,IL-16 直接作用于肺上皮细胞,并显著增强体外和体内中性粒细胞趋化因子的表达,而 mir-125a 模拟物可以阻止这种作用。我们的研究结果揭示了 mir-125a/IL-16 在调节肺部炎症中的作用,并表明该轴可能是治疗 SLE 急性肺损伤的一个治疗靶点。