Liu Fa-Yuan, Bai Peng, Jiang Ye-Fan, Dong Nian-Guo, Li Geng, Chu Chong
Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
Curr Med Sci. 2020 Aug;40(4):729-738. doi: 10.1007/s11596-020-2230-0. Epub 2020 Aug 29.
Interleukin 17A (IL17A) is reported to be involved in many inflammatory processes, but its role in aortic valve diseases remains unknown. We examined the role of IL17A based on an ApoE mouse model with strategies as fed with high-fat diet or treated with IL17A monoclonal antibody (mAb). 12 weeks of high-fat diet feeding can elevate cytokines secretion, inflammatory cells infiltration and myofibroblastic transition of valvular interstitial cells (VICs) in aortic valve. Moreover, diet-induction accelerated interleukin 17 receptor A (IL17RA) activation in VICs. In an IL17A inhibition model, the treatment group was intra-peritoneally injected with anti-IL17A mAb while controls received irrelevant antibody. Functional blockade of IL17A markedly reduced cellular infiltration and transition in aortic valve. To investigate potential mechanisms, NF-κB was co-stained in IL17RA VICs and IL17RA macrophages, and further confirmed by Western blotting in VICs. High-fat diet could activate NF-κB nuclear translocation in IL17RA VICs and IL17RA macrophages and this process was depressed after IL17A mAb-treatment. In conclusion, high-fat diet can lead to IL17A upregulation, VICs myofibroblastic transition and inflammatory cells infiltration in the aortic value of ApoE mice. Blocking IL17A with IL17A mAb can alleviate aortic valve inflammatory states.
据报道,白细胞介素17A(IL17A)参与多种炎症过程,但其在主动脉瓣疾病中的作用尚不清楚。我们基于载脂蛋白E(ApoE)小鼠模型,采用高脂饮食喂养或白细胞介素17A单克隆抗体(mAb)处理的策略,研究了IL17A的作用。12周的高脂饮食喂养可提高主动脉瓣中细胞因子的分泌、炎性细胞浸润以及瓣膜间质细胞(VICs)的肌成纤维细胞转化。此外,饮食诱导加速了VICs中白细胞介素17受体A(IL17RA)的激活。在IL17A抑制模型中,治疗组腹腔注射抗IL17A mAb,而对照组注射无关抗体。IL17A的功能阻断显著减少了主动脉瓣中的细胞浸润和转化。为了研究潜在机制,在IL17RA VICs和IL17RA巨噬细胞中对核因子κB(NF-κB)进行了共染色,并在VICs中通过蛋白质免疫印迹法进一步证实。高脂饮食可激活IL17RA VICs和IL17RA巨噬细胞中NF-κB的核转位,而IL17A mAb处理后这一过程受到抑制。总之,高脂饮食可导致ApoE小鼠主动脉瓣中IL17A上调、VICs肌成纤维细胞转化和炎性细胞浸润。用IL17A mAb阻断IL17A可减轻主动脉瓣炎症状态。