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从动物模型看 SPA 发病机制。

Lessons on SpA pathogenesis from animal models.

机构信息

Infection & Inflammation, UMR 1173, Inserm, UVSQ/Université Paris Saclay, 2 ave de la Source de la Bièvre, 78180, Montigny-le-Bretonneux, France.

Laboratoire d'Excellence Inflamex, Université Paris Descartes, Sorbonne-Paris-Cité, Paris, France.

出版信息

Semin Immunopathol. 2021 Apr;43(2):207-219. doi: 10.1007/s00281-020-00832-x. Epub 2021 Jan 15.

DOI:10.1007/s00281-020-00832-x
PMID:33449154
Abstract

Understanding the complex mechanisms underlying a disorder such as spondyloarthritis (SpA) may benefit from studying animal models. Several suitable models have been developed, in particular to investigate the role of genetic factors predisposing to SpA, including HLA-B27, ERAP1, and genes related to the interleukin (IL)-23/IL-17 axis. One of the best examples of such research is the HLA-B27 transgenic rat model that fostered the emergence of original theories regarding HLA-B27 pathogenicity, including dysregulation of innate immunity, contribution of the adaptive immune system to chronic inflammation, and influence of the microbiota on disease development. Very recently, a new model of HLA-B27 transgenic Drosophila helped to expand further some of those theories in an unexpected direction involving the TGFβ/BMP family of mediators. On the other hand, several spontaneous, inducible, and/or genetically modified mouse models-including SKG mouse, TNF mouse and IL-23-inducible mouse model of SpA-have highlighted the importance of TNFα and IL-23/IL-17 axis in the development of SpA manifestations. Altogether, those animal models afford not only to study disease mechanism but also to investigate putative therapeutic targets.

摘要

了解强直性脊柱炎(SpA)等疾病的复杂发病机制可能受益于研究动物模型。已经开发出了几种合适的模型,特别是为了研究导致 SpA 的遗传因素的作用,包括 HLA-B27、ERAP1 和与白细胞介素(IL)-23/IL-17 轴相关的基因。这种研究的一个最佳范例是 HLA-B27 转基因大鼠模型,该模型促进了关于 HLA-B27 致病性的原始理论的出现,包括先天免疫失调、适应性免疫系统对慢性炎症的贡献以及微生物组对疾病发展的影响。最近,一种新的 HLA-B27 转基因果蝇模型帮助进一步扩展了其中一些理论,涉及 TGFβ/BMP 介质家族。另一方面,几种自发性、诱导性和/或基因修饰的小鼠模型——包括 SKG 小鼠、TNF 小鼠和 SpA 的 IL-23 诱导性小鼠模型——强调了 TNFα 和 IL-23/IL-17 轴在 SpA 表现发展中的重要性。总之,这些动物模型不仅提供了研究疾病机制的机会,还提供了研究潜在治疗靶点的机会。

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Lessons on SpA pathogenesis from animal models.从动物模型看 SPA 发病机制。
Semin Immunopathol. 2021 Apr;43(2):207-219. doi: 10.1007/s00281-020-00832-x. Epub 2021 Jan 15.
2
HLA-B27 alters BMP/TGFβ signalling in , revealing putative pathogenic mechanism for spondyloarthritis.HLA-B27 通过改变 BMP/TGFβ 信号通路,揭示了脊柱关节炎的潜在发病机制。
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Autoimmune epididymoorchitis is essential to the pathogenesis of male-specific spondylarthritis in HLA-B27-transgenic rats.自身免疫性附睾睾丸炎在HLA - B27转基因大鼠男性特异性脊柱关节炎的发病机制中至关重要。
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RMD Open. 2020 Sep;6(2). doi: 10.1136/rmdopen-2020-001250.
5
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Front Immunol. 2021 Sep 6;12:699987. doi: 10.3389/fimmu.2021.699987. eCollection 2021.
6
Paradoxical Effects of Endoplasmic Reticulum Aminopeptidase 1 Deficiency on HLA-B27 and Its Role as an Epistatic Modifier in Experimental Spondyloarthritis.内质网氨肽酶 1 缺乏对 HLA-B27 的矛盾作用及其在实验性脊柱关节炎中作为上位修饰因子的作用。
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Tolerogenic XCR1 dendritic cell population is dysregulated in HLA-B27 transgenic rat model of spondyloarthritis.耐受性 XCR1 树突状细胞群体在 HLA-B27 转基因大鼠脊柱关节炎模型中失调。
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TGFβ signaling pathway is altered by HLA-B27 expression, resulting in pathogenic consequences relevant for spondyloarthritis.TGFβ 信号通路受 HLA-B27 表达的影响而改变,导致与脊柱关节炎相关的致病性后果。
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Dendritic cells from spondylarthritis-prone HLA-B27-transgenic rats display altered cytoskeletal dynamics, class II major histocompatibility complex expression, and viability.来自易患脊柱关节炎的HLA - B27转基因大鼠的树突状细胞表现出细胞骨架动力学改变、II类主要组织相容性复合体表达改变以及活力改变。
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引用本文的文献

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Arthritis Res Ther. 2025 Jun 13;27(1):124. doi: 10.1186/s13075-025-03586-9.
2
TGFβ signaling pathway is altered by HLA-B27 expression, resulting in pathogenic consequences relevant for spondyloarthritis.TGFβ 信号通路受 HLA-B27 表达的影响而改变,导致与脊柱关节炎相关的致病性后果。
Arthritis Res Ther. 2024 Jul 15;26(1):131. doi: 10.1186/s13075-024-03370-1.
3

本文引用的文献

1
The Multifaceted Nature of Aminopeptidases ERAP1, ERAP2, and LNPEP: From Evolution to Disease.氨基肽酶 ERAP1、ERAP2 和 LNPEP 的多面性:从进化到疾病。
Front Immunol. 2020 Jul 23;11:1576. doi: 10.3389/fimmu.2020.01576. eCollection 2020.
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Transmembrane TNF drives osteoproliferative joint inflammation reminiscent of human spondyloarthritis.跨膜 TNF 驱动骨赘性关节炎症,使人联想到人类的脊椎关节炎。
J Exp Med. 2020 Oct 5;217(10). doi: 10.1084/jem.20200288.
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HLA-B27 Subtypes Predisposing to Ankylosing Spondylitis Accumulate in an Endoplasmic Reticulum-Derived Compartment Apart From the Peptide-Loading Complex.
Challenges in IBD Research 2024: Preclinical Human IBD Mechanisms.
2024 年炎症性肠病研究面临的挑战:临床前人类 IBD 机制。
Inflamm Bowel Dis. 2024 May 23;30(Suppl 2):S5-S18. doi: 10.1093/ibd/izae081.
4
Human HLA prolongs the host inflammatory response in serotype 2 infection compared to mouse H2 molecules.与鼠 H2 分子相比,人类 HLA 延长了 2 型感染中的宿主炎症反应。
Front Cell Infect Microbiol. 2023 Nov 14;13:1285055. doi: 10.3389/fcimb.2023.1285055. eCollection 2023.
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STAT1 deficiency underlies a proinflammatory imprint of naive CD4 T cells in spondyloarthritis.STAT1 缺陷导致脊柱关节炎幼稚 CD4 T 细胞呈促炎表型。
Front Immunol. 2023 Oct 18;14:1227281. doi: 10.3389/fimmu.2023.1227281. eCollection 2023.
6
Elevated BMPR2 expression amplifies osteoblast differentiation in ankylosing spondylitis.骨形态发生蛋白受体2(BMPR2)表达升高会增强强直性脊柱炎中的成骨细胞分化。
J Rheum Dis. 2023 Oct 1;30(4):243-250. doi: 10.4078/jrd.2023.0024. Epub 2023 Jul 28.
7
EULAR study group on 'MHC-I-opathy': identifying disease-overarching mechanisms across disciplines and borders.EULAR 研究小组关于“MHC-I 病”:在学科和边界内识别疾病普遍存在的机制。
Ann Rheum Dis. 2023 Jul;82(7):887-896. doi: 10.1136/ard-2022-222852. Epub 2023 Mar 27.
8
Interleukin 27 is a novel cytokine with anti-inflammatory effects against spondyloarthritis through the suppression of Th17 responses.白细胞介素 27 是一种新型细胞因子,通过抑制 Th17 反应对脊柱关节炎具有抗炎作用。
Front Immunol. 2023 Feb 2;13:1072420. doi: 10.3389/fimmu.2022.1072420. eCollection 2022.
9
Levofloxacin induces differential effects in the transcriptome between the gut, peripheral and axial joints in the Spondyloarthritis DBA/1 mice: Improvement of intestinal dysbiosis and the overall inflammatory process.左氧氟沙星在 Spondyloarthritis DBA/1 小鼠的肠道、外周和轴向关节转录组中诱导不同的作用:改善肠道菌群失调和整体炎症过程。
PLoS One. 2023 Feb 2;18(2):e0281265. doi: 10.1371/journal.pone.0281265. eCollection 2023.
10
Rodent Models of Spondyloarthritis Have Decreased White and Bone Marrow Adipose Tissue Depots.脊柱关节炎的啮齿动物模型中,白色和骨髓脂肪组织减少。
Front Immunol. 2021 Jun 2;12:665208. doi: 10.3389/fimmu.2021.665208. eCollection 2021.
HLA-B27 亚型易患强直性脊柱炎,聚集在内质网衍生的隔室中,与肽加载复合物分开。
Arthritis Rheumatol. 2020 Sep;72(9):1534-1546. doi: 10.1002/art.41281. Epub 2020 Jul 21.
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Allelic association with ankylosing spondylitis fails to correlate with human leukocyte antigen B27 homodimer formation.与强直性脊柱炎的等位基因关联未能与人类白细胞抗原 B27 同二聚体形成相关联。
J Biol Chem. 2019 Dec 27;294(52):20185-20195. doi: 10.1074/jbc.RA119.010257. Epub 2019 Nov 18.
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Evidence that tissue resident human enthesis γδT-cells can produce IL-17A independently of IL-23R transcript expression.有证据表明,组织驻留人肌腱 γδT 细胞可以独立于 IL-23R 转录本表达产生 IL-17A。
Ann Rheum Dis. 2019 Nov;78(11):1559-1565. doi: 10.1136/annrheumdis-2019-215210. Epub 2019 Sep 17.
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Mini Review: New Treatments in Psoriatic Arthritis. Focus on the IL-23/17 Axis.综述:银屑病关节炎的新疗法。聚焦白细胞介素-23/17轴
Front Pharmacol. 2019 Aug 6;10:872. doi: 10.3389/fphar.2019.00872. eCollection 2019.
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Identification of myeloid cells in the human enthesis as the main source of local IL-23 production.鉴定人腱附着处的髓系细胞为局部 IL-23 产生的主要来源。
Ann Rheum Dis. 2019 Jul;78(7):929-933. doi: 10.1136/annrheumdis-2018-214944. Epub 2019 Apr 24.
8
Tolerogenic XCR1 dendritic cell population is dysregulated in HLA-B27 transgenic rat model of spondyloarthritis.耐受性 XCR1 树突状细胞群体在 HLA-B27 转基因大鼠脊柱关节炎模型中失调。
Arthritis Res Ther. 2019 Feb 4;21(1):46. doi: 10.1186/s13075-019-1827-9.
9
Genetics and Functional Genomics of Spondyloarthritis.脊柱关节炎的遗传学与功能基因组学。
Front Immunol. 2018 Dec 18;9:2933. doi: 10.3389/fimmu.2018.02933. eCollection 2018.
10
RORγt inhibition selectively targets IL-17 producing iNKT and γδ-T cells enriched in Spondyloarthritis patients.RORγt 抑制选择性针对富含在 Spondyloarthritis 患者中的产生 IL-17 的 iNKT 和 γδ-T 细胞。
Nat Commun. 2019 Jan 2;10(1):9. doi: 10.1038/s41467-018-07911-6.