Department of Gastroenterology, The Shanghai Tenth People's Hospital, Tongji University, Shanghai 200072, China.
Department of Gastroenterology, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou, Henan Province 450007, China.
Mediators Inflamm. 2018 Nov 22;2018:3021863. doi: 10.1155/2018/3021863. eCollection 2018.
Neutrophils have been found to play an important role in the pathogenesis of inflammatory bowel disease (IBD), and anti-TNF- mAb (i.e., infliximab) therapy is demonstrated to be effective in the induction of clinical remission and mucosal healing in these patients. However, how anti-TNF- mAb regulates the functions of neutrophils is still unknown. Herein, we found that anti-TNF- therapy significantly downregulated infiltration of neutrophils in inflamed mucosa of IBD patients. Importantly, anti-TNF- mAb could inhibit neutrophils to produce proinflammatory mediators, such as ROS, calprotectin, IL-8, IL-6, and TNF-. These data indicate that TNF- plays a critical role in the induction of mucosal inflammatory response, and that blockade of TNF- modulates intestinal homeostasis through balancing immune responses of neutrophils.
中性粒细胞在炎症性肠病(IBD)的发病机制中发挥着重要作用,抗 TNF-α mAb(即英夫利昔单抗)治疗被证明可有效诱导这些患者的临床缓解和黏膜愈合。然而,抗 TNF-α mAb 如何调节中性粒细胞的功能仍不清楚。在此,我们发现抗 TNF-α 治疗可显著下调 IBD 患者炎症黏膜中中性粒细胞的浸润。重要的是,抗 TNF-α mAb 可抑制中性粒细胞产生促炎介质,如 ROS、钙卫蛋白、IL-8、IL-6 和 TNF-α。这些数据表明 TNF-α 在诱导黏膜炎症反应中起着关键作用,而阻断 TNF-α 可通过平衡中性粒细胞的免疫反应来调节肠道内稳态。