Department of Food Science and Human Nutrition, Michigan State University, East Lansing, MI, United States.
Institute for Integrative Toxicology, Michigan State University, East Lansing, MI, United States.
Front Immunol. 2018 Sep 12;9:2002. doi: 10.3389/fimmu.2018.02002. eCollection 2018.
Ectopic lymphoid structures (ELS) consist of B-cell and T-cell aggregates that are initiated in inflamed tissues outside of secondary lymphoid organs. When organized within follicular dendritic cell (FDC) networks, ELS contain functional germinal centers that can yield autoantibody-secreting plasma cells and promote autoimmune disease. Intranasal instillation of lupus-prone mice with crystalline silica (cSiO), a respirable particle linked to human lupus, triggers ELS formation in the lung, systemic autoantibodies, and early onset of glomerulonephritis. Here we tested the hypothesis that consumption of docosahexaenoic acid (DHA), an ω-3 polyunsaturated fatty acid with anti-inflammatory properties, influences the temporal profile of cSiO-induced pulmonary ectopic germinal center formation and development of glomerulonephritis. Female NZBWF1 mice (6-wk old) were fed purified isocaloric diets supplemented with 0, 4, or 10 g/kg DHA - calorically equivalent to 0, 2, or 5 g DHA per day consumption by humans, respectively. Beginning at age 8 wk, mice were intranasally instilled with 1 mg cSiO, or saline vehicle alone, once per wk, for 4 wk. Cohorts were sacrificed 1, 5, 9, or 13 wk post-instillation (PI) of the last cSiO dose, and lung and kidney lesions were investigated by histopathology. Tissue fatty acid analyses confirmed uniform dose-dependent DHA incorporation across all cohorts. As early as 1 wk PI, inflammation comprising of B (CD45R) and T (CD3) cell accumulation was observed in lungs of cSiO-treated mice compared to vehicle controls; these responses intensified over time. Marked follicular dendritic cell (FDC; CD21/CD35) networking appeared at 9 and 13 wk PI. IgG plasma cells suggestive of mature germinal centers were evident at 13 wk. DHA supplementation dramatically suppressed cSiO-triggered B-cell, T-cell, FDC, and IgG plasma cell appearance in the lungs as well as anti-dsDNA IgG in bronchial lavage fluid and plasma over the course of the experiment. cSiO induced glomerulonephritis with concomitant B-cell accumulation in the renal cortex at 13 wk PI but this response was abrogated by DHA feeding. Taken together, realistic dietary DHA supplementation prevented initiation and/or progression of ectopic lymphoid neogenesis, germinal center development, systemic autoantibody elevation, and resultant glomerulonephritis in this unique preclinical model of environment-triggered lupus.
异位淋巴样结构 (ELS) 由 B 细胞和 T 细胞聚集物组成,这些聚集物最初在次级淋巴器官外的炎症组织中形成。当组织在滤泡树突状细胞 (FDC) 网络中形成时,ELS 包含有功能的生发中心,可产生分泌自身抗体的浆细胞,并促进自身免疫性疾病的发生。将致狼疮的小核糖核酸病毒(crystalline silica,cSiO)——一种与人类狼疮相关的可吸入颗粒——鼻内滴注给易患狼疮的小鼠,可引发肺部 ELS 形成、全身性自身抗体产生和肾小球肾炎的早期发作。在这里,我们检验了这样一种假设,即食用二十二碳六烯酸(docosahexaenoic acid,DHA)——一种具有抗炎特性的 ω-3 多不饱和脂肪酸——会影响 cSiO 诱导的肺部异位生发中心形成和肾小球肾炎发展的时间进程。将 6 周龄的新西兰黑背雌性(NZBWF1)小鼠用补充有 0、4 或 10 g/kg DHA 的纯化等热量饮食喂养——相当于人类每天分别摄入 0、2 或 5 g DHA,从 8 周龄开始,每周一次用 cSiO 或生理盐水鼻腔内滴注 1 mg,共 4 周。在最后一次 cSiO 剂量滴注后的 1、5、9 或 13 周,处死各实验组小鼠,通过组织病理学方法研究肺和肾损伤情况。组织脂肪酸分析证实所有实验组都存在均匀的、剂量依赖性的 DHA 掺入。早在 cSiO 处理组小鼠的肺部,1 周时就观察到炎症细胞浸润,包括 B(CD45R)和 T(CD3)细胞的聚集,与对照组相比,这些反应随时间推移而加剧。9 周和 13 周时,滤泡树突状细胞(CD21/CD35)网络明显出现。13 周时,出现 IgG 浆细胞,提示成熟生发中心的形成。DHA 补充剂显著抑制了 cSiO 诱导的肺部 B 细胞、T 细胞、FDC 和 IgG 浆细胞的出现,以及支气管肺泡灌洗液和血浆中的抗 dsDNA IgG,整个实验过程中均如此。cSiO 诱导的肾小球肾炎伴 13 周时肾皮质的 B 细胞聚集,但 DHA 喂养可阻断该反应。总之,在这种独特的环境触发狼疮的临床前模型中,现实饮食中补充 DHA 可预防异位淋巴样新生物、生发中心发育、全身性自身抗体升高和随之发生的肾小球肾炎的启动和/或进展。
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