Department of Gastroenterology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China; Shanghai Key Laboratory of Pediatric Gastroenterology and Nutrition, Shanghai, China.
Department of Colorectal Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
EBioMedicine. 2018 Sep;35:345-360. doi: 10.1016/j.ebiom.2018.08.035. Epub 2018 Aug 29.
Defective autophagy has been proposed as an important event in a growing number of autoimmune and inflammatory diseases such as rheumatoid arthritis and lupus. However, the precise role of mechanistic target of rapamycin (mTOR)-dependent autophagy and its underlying regulatory mechanisms in the intestinal epithelium in response to inflammation and oxidative stress remain poorly understood.
The levels of p-mTOR, LC3B, p62 and autophagy in mice and LPS-treated cells were examined by immunoblotting, immunohistochemistry, confocal microscopy and transmission electron microscopy (TEM). We evaluated the expression of IL-1β, IL-8, TNF-α, MDA, SOD and T-AOC by quantitative real time-polymerase chain reaction (qRT-PCR) and commercially available kits after silencing of mTOR and ATG5. In vivo modulation of mTOR and autophagy was achieved by using AZD8055, rapamycin and 3-methyladenine. Finally, to verify the involvement of TLR4 signalling and the NF-κB pathway in cells and active ulcerative colitis (UC) patients, immunofluorescence, qRT-PCR, immunoblotting and TEM were performed to determine TLR4 signalling relevance to autophagy and inflammation.
The mTOR-dependent autophagic flux impairment in a murine model of colitis, human intestinal epithelial cells and active UC patients is probably regulated by TLR4-MyD88-MAPK signalling and the NF-κB pathway. Silencing mTOR remarkably attenuated, whereas inhibiting ATG5 aggravated, LPS-induced inflammation and oxidative injury. Pharmacological administration of mTOR inhibitors and autophagy stimulators markedly ameliorated experimental colitis and oxidative stress in vivo.
Our findings not only shed light on the regulatory mechanism of mTOR-dependent autophagy, but also provided potential therapeutic targets for intestinal inflammatory diseases such as refractory inflammatory bowel disease.
越来越多的自身免疫性和炎症性疾病,如类风湿关节炎和狼疮,都提出了自噬缺陷是一个重要事件。然而,机械靶标雷帕霉素(mTOR)依赖性自噬及其在肠道上皮细胞中对炎症和氧化应激的潜在调节机制的确切作用仍知之甚少。
通过免疫印迹、免疫组化、共聚焦显微镜和透射电子显微镜(TEM)检查小鼠和 LPS 处理细胞中的 p-mTOR、LC3B、p62 和自噬水平。在用 mTOR 和 ATG5 沉默后,通过定量实时聚合酶链反应(qRT-PCR)和商业试剂盒评估 IL-1β、IL-8、TNF-α、MDA、SOD 和 T-AOC 的表达。体内通过使用 AZD8055、雷帕霉素和 3-甲基腺嘌呤来调节 mTOR 和自噬。最后,为了验证 TLR4 信号和 NF-κB 途径在细胞和活动溃疡性结肠炎(UC)患者中的参与,进行免疫荧光、qRT-PCR、免疫印迹和 TEM 以确定 TLR4 信号与自噬和炎症的相关性。
在结肠炎的小鼠模型、人肠道上皮细胞和活动 UC 患者中,mTOR 依赖性自噬通量受损可能受 TLR4-MyD88-MAPK 信号和 NF-κB 途径调节。沉默 mTOR 可显著减弱,而抑制 ATG5 可加重 LPS 诱导的炎症和氧化损伤。mTOR 抑制剂和自噬刺激物的药理学给药可显著改善体内实验性结肠炎和氧化应激。
我们的研究结果不仅阐明了 mTOR 依赖性自噬的调节机制,还为肠道炎症性疾病(如难治性炎症性肠病)提供了潜在的治疗靶点。