Department of Ophthalmology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Department of Medicine, Qingdao University, Qingdao, China.
Immunol Cell Biol. 2020 Mar;98(3):229-241. doi: 10.1111/imcb.12316. Epub 2020 Feb 11.
Dimethyl itaconate (DI) is a membrane-permeable itaconate derivative with anti-inflammatory functions. However, the anti-inflammatory effect of DI has never been studied in fungal keratitis. In this study, we tested the protective effect of DI against fungal keratitis and assessed the role of NF-E2-related factor-2 (Nrf2)/heme oxygenase-1 (HO-1) signaling in this process. Eyes of C57BL/6 (B6) mice were treated with 2 mm DI after infection with Aspergillus fumigatus. Human corneal epithelial cells (HCECs) were pretreated with 0.25 mm DI and then incubated with A. fumigatus. Clinical scoring, slit-lamp photography, myeloperoxidase determination, flow cytometry and immunostaining were used to assess the disease response and treatment efficacy. PCR, Western blot and ELISA were used to assess the expression of interleukin-1β (IL-1β), chemokine (C-X-C motif) ligand 1, IL-6, IL-8, Nrf2 and HO-1. In addition, quantification of viable fungi, absorbance assays and fluorimetry were used to measure DI fungistatic activity. We observed that DI-treated eyes showed decreased clinical scores, fungal loads, polymorphonuclear neutrophil (PMN) infiltration and cytokine expression, compared with phosphate-buffered saline-treated infected eyes. DI treatment decreased the cytokine levels in infected corneas and in HCECs stimulated with A. fumigatus. Moreover, DI treatment increased Nrf2 and HO-1 expression in corneas and nuclear Nrf2 accumulation in HCECs. DI-induced cytokine downregulation was inhibited by pretreatment with an Nrf2 or HO-1 inhibitor. Finally, DI treatment reduced the A. fumigatus absorbance and fungal mass. These data indicate that DI protects against fungal keratitis by limiting inflammation via the Nrf2/HO-1 signaling pathway and that DI inhibits the growth of A. fumigatus.
二甲基衣康酸酯(DI)是一种具有抗炎功能的膜通透衣康酸衍生物。然而,DI 对真菌性角膜炎的抗炎作用从未被研究过。在这项研究中,我们测试了 DI 对真菌性角膜炎的保护作用,并评估了 NF-E2 相关因子 2(Nrf2)/血红素加氧酶 1(HO-1)信号通路在这一过程中的作用。在感染烟曲霉后,用 2mm DI 处理 C57BL/6(B6)小鼠的眼睛。用 0.25mm DI 预处理人角膜上皮细胞(HCECs),然后用烟曲霉孵育。临床评分、裂隙灯照相、髓过氧化物酶测定、流式细胞术和免疫染色用于评估疾病反应和治疗效果。PCR、Western blot 和 ELISA 用于评估白细胞介素-1β(IL-1β)、趋化因子(C-X-C 基序)配体 1、IL-6、IL-8、Nrf2 和 HO-1 的表达。此外,还使用定量真菌、吸光度测定和荧光法来测量 DI 的抑菌活性。我们观察到,与磷酸盐缓冲盐水处理的感染眼相比,DI 处理的眼睛显示出临床评分、真菌负荷、多形核中性粒细胞(PMN)浸润和细胞因子表达降低。DI 治疗降低了感染角膜和烟曲霉刺激的 HCECs 中的细胞因子水平。此外,DI 治疗增加了角膜和 HCECs 中的 Nrf2 和 HO-1 表达。Nrf2 或 HO-1 抑制剂预处理抑制了 DI 诱导的细胞因子下调。最后,DI 治疗降低了烟曲霉的吸光度和真菌质量。这些数据表明,DI 通过 Nrf2/HO-1 信号通路限制炎症来保护真菌性角膜炎,并且 DI 抑制烟曲霉的生长。
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