Suppr超能文献

在临床前模型中,脾酪氨酸激酶抑制是已确诊血管炎的有效治疗方法。

Spleen tyrosine kinase inhibition is an effective treatment for established vasculitis in a pre-clinical model.

作者信息

McAdoo Stephen P, Prendecki Maria, Tanna Anisha, Bhatt Tejal, Bhangal Gurjeet, McDaid John, Masuda Esteban S, Cook H Terence, Tam Frederick W K, Pusey Charles D

机构信息

Centre for Inflammatory Disease, Department of Medicine, Imperial College London, London UK.

Centre for Inflammatory Disease, Department of Medicine, Imperial College London, London UK.

出版信息

Kidney Int. 2020 Jun;97(6):1196-1207. doi: 10.1016/j.kint.2019.12.014. Epub 2020 Jan 16.

Abstract

The anti-neutrophil cytoplasm antibody (ANCA)-associated vasculitides (AAV) are a group of life-threatening multi-system diseases characterized by necrotising inflammation of small blood vessels and crescentic glomerulonephritis. ANCA are thought to play a direct pathogenic role. Previous studies have shown that spleen tyrosine kinase (SYK) is phosphorylated during ANCA-induced neutrophil activation in vitro. However, the role of SYK in vivo is unknown. Here, we studied its role in the pathogenesis of experimental autoimmune vasculitis, a pre-clinical model of myeloperoxidase-ANCA-induced pauci-immune systemic vasculitis in the Wistar Kyoto rat. Up-regulation of SYK expression in inflamed renal and pulmonary tissue during early autoimmune vasculitis was confirmed by immunohistochemical and transcript analysis. R406, the active metabolite of fostamatinib, a small molecule kinase inhibitor with high selectivity for SYK, inhibited ANCA-induced pro-inflammatory responses in rat leucocytes in vitro. In an in vivo study, treatment with fostamatinib for 14 days after disease onset resulted in rapid resolution of urinary abnormalities, significantly improved renal and pulmonary pathology, and preserved renal function. Short-term exposure to fostamatinib did not significantly affect circulating myeloperoxidase-ANCA levels, suggesting inhibition of ANCA-induced inflammatory mechanisms in vivo. Finally, SYK expression was demonstrated within inflammatory glomerular lesions in ANCA-associated glomerulonephritis in patients, particularly within CD68ve monocytes/macrophages. Thus, our data indicate that SYK inhibition warrants clinical investigation in the treatment of AAV.

摘要

抗中性粒细胞胞浆抗体(ANCA)相关血管炎(AAV)是一组危及生命的多系统疾病,其特征为小血管坏死性炎症和新月体性肾小球肾炎。ANCA被认为起直接致病作用。既往研究表明,在体外ANCA诱导的中性粒细胞活化过程中脾酪氨酸激酶(SYK)会发生磷酸化。然而,SYK在体内的作用尚不清楚。在此,我们研究了其在实验性自身免疫性血管炎发病机制中的作用,实验性自身免疫性血管炎是Wistar Kyoto大鼠中髓过氧化物酶-ANCA诱导的寡免疫性系统性血管炎的临床前模型。通过免疫组织化学和转录分析证实了早期自身免疫性血管炎期间炎症肾组织和肺组织中SYK表达上调。R406是福斯替尼的活性代谢产物,福斯替尼是一种对SYK具有高选择性的小分子激酶抑制剂,在体外可抑制ANCA诱导的大鼠白细胞促炎反应。在一项体内研究中,疾病发作后用福斯替尼治疗14天可使尿液异常迅速缓解,显著改善肾和肺病理,并保留肾功能。短期接触福斯替尼对循环髓过氧化物酶-ANCA水平无显著影响,提示在体内抑制了ANCA诱导的炎症机制。最后,在ANCA相关肾小球肾炎患者的炎症性肾小球病变中证实了SYK表达,特别是在CD68ve单核细胞/巨噬细胞内。因此,我们的数据表明SYK抑制值得在AAV治疗中进行临床研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2638/7242903/a6b6e959725f/fx1.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验