Department of Emergency Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
Department of Infectious Diseases, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
Curr Med Sci. 2020 Dec;40(6):1121-1127. doi: 10.1007/s11596-020-2294-x. Epub 2021 Jan 11.
Immunopathological mechanisms of schistosomiasis, a debilitating parasitic disease, are still unclear. In this study, we investigated the involvement of CX3C chemokine ligand 1 (CX3CL1) and its sole receptor CX3CR1 in the development of liver fibrosis in schistosomiasis. The animal model of schistosomiasis was established by infection of C57BL/6 mice with Schistosoma japonicum cercariae; mice injected with carbon tetrachloride (CCl) were used as positive control of liver injury. After 4 and 8 weeks, the degree of liver lesions was assessed by hematoxylin and eosin staining, serum levels of hyaluronic acid (HA) were analyzed by a chemiluminescence immunoassay, liver fibrosis was evaluated by immunohistochemistry analysis of α-smooth muscle actin (α-SMA) expression, and CX3CL1 and CX3CR1 expression in the liver was measured by immunohistochemistry and real-time PCR. The results showed that at 8 weeks after Schistosoma infection, serum HA levels were increased and α-SMA-expressing cells appeared in the liver, indicating fibrogenesis. CX3CL1- and CX3CR1-positive cells were observed in the outer layer of granulomas formed around Schistosoma eggs in liver tissues, which was consistent with the significant upregulation of hepatic CX3CL1 and CX3CR1 mRNA expression at 4 and 8 weeks post-infection. Furthermore, correlation analysis revealed positive association between CX3CL1 and CX3CR1 expression and serum HA levels at 8 weeks post-infection, indicating a link between fibrogenesis and the CX3CL1/CX3CR1 axis in schistosomiasis. In conclusion, our data suggest the involvement of CX3CL1 and CX3CR1 in the progression of liver fibrosis caused by Schistosoma infection.
血吸虫病是一种使人虚弱的寄生虫病,其免疫病理学机制仍不清楚。在这项研究中,我们研究了趋化因子配体 1(CX3CL1)及其唯一受体 CX3CR1 在日本血吸虫病肝纤维化发展中的作用。通过感染日本血吸虫尾蚴建立了血吸虫病动物模型;用四氯化碳(CCl)注射的小鼠作为肝损伤的阳性对照。4 周和 8 周后,通过苏木精和伊红染色评估肝损伤程度,用化学发光免疫分析法分析血清透明质酸(HA)水平,用免疫组化法分析α-平滑肌肌动蛋白(α-SMA)表达评估肝纤维化,用免疫组化法和实时 PCR 检测肝组织中 CX3CL1 和 CX3CR1 的表达。结果显示,感染日本血吸虫 8 周后,血清 HA 水平升高,肝脏出现表达α-SMA 的细胞,提示纤维化形成。在肝组织中围绕日本血吸虫卵形成的肉芽肿外层观察到 CX3CL1 和 CX3CR1 阳性细胞,这与感染后 4 周和 8 周时肝组织中 CX3CL1 和 CX3CR1 mRNA 表达的显著上调一致。此外,相关性分析显示感染后 8 周时 CX3CL1 和 CX3CR1 表达与血清 HA 水平呈正相关,表明在血吸虫病中纤维化形成与 CX3CL1/CX3CR1 轴之间存在关联。总之,我们的数据表明,在日本血吸虫感染引起的肝纤维化进展中,CX3CL1 和 CX3CR1 参与其中。