Department of Respiratory and Critical Care Medicine, Peking University Third Hospital, Beijing, 100191, People's Republic of China.
Hematology Oncology Center, Beijing Children's Hospital, Capital Medical University, Beijing 100045, People's Republic of China.
Int J Chron Obstruct Pulmon Dis. 2020 Feb 10;15:301-310. doi: 10.2147/COPD.S235384. eCollection 2020.
Chronic obstructive pulmonary disease (COPD) is a common chronic inflammatory disease, which is associated with various comorbidities including osteoporosis. Interleukin(IL)-17 has been reported to play important roles in the pathogenesis of COPD and also associated with bone destruction in inflammatory diseases. However, the role of IL-17A in COPD-related osteoporosis is yet unknown. The purpose of our study was to investigate the potential contribution of IL-17A in COPD-related bone loss.
We examined the bone mass and bone microarchitecture in wild-type and IL-17A mice exposed to long-term cigarette smoke (CS). Osteoclast activities and the expression of receptor activator of nuclear factor-κB ligand (RANKL) in bone tissues were assessed, and the blood levels of inflammatory cytokines were measured.
Less bone loss as well as attenuated emphysema were shown in IL-17A mice compared with wild-type mice. CS-exposed IL-17A mice had decreased TRAP+ osteoclast numbers and lower RANKL expression compared with CS-exposed wild-type mice. Inflammatory cytokines including IL-6 and IL-1β in circulation were decreased in IL-17A mice exposed to CS compared with wild-type mice.
This study indicates that IL-17A is involved in CS-induced bone loss and may be a common link between COPD and osteoporosis.
慢性阻塞性肺疾病(COPD)是一种常见的慢性炎症性疾病,常伴有各种合并症,包括骨质疏松症。已有研究报道白细胞介素(IL)-17 在 COPD 的发病机制中发挥重要作用,同时与炎症性疾病中的骨破坏有关。然而,IL-17A 在 COPD 相关骨质疏松症中的作用尚不清楚。本研究旨在探讨 IL-17A 在 COPD 相关骨丢失中的潜在作用。
我们检测了暴露于长期香烟烟雾(CS)的野生型和 IL-17A 小鼠的骨量和骨微结构。评估了破骨细胞活性和骨组织中核因子-κB 受体激活剂配体(RANKL)的表达,并测量了血液中炎症细胞因子的水平。
与野生型小鼠相比,IL-17A 小鼠的骨丢失较少,肺气肿程度减轻。与暴露于 CS 的野生型小鼠相比,暴露于 CS 的 IL-17A 小鼠的 TRAP+破骨细胞数量减少,RANKL 表达降低。与野生型小鼠相比,暴露于 CS 的 IL-17A 小鼠的循环中炎症细胞因子(包括 IL-6 和 IL-1β)水平降低。
本研究表明,IL-17A 参与 CS 诱导的骨丢失,可能是 COPD 和骨质疏松症之间的共同联系。