Faculty of Medical Laboratory Science, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Department of Pathology and Tangdu Hospital, The Fourth Military Medical University, Xi'an, China.
Clin Exp Pharmacol Physiol. 2021 Jun;48(6):902-910. doi: 10.1111/1440-1681.13468. Epub 2021 Feb 1.
Inflammatory bowel disease (IBD) is a chronic progressive disorder characterized by complicated gastrointestinal inflammation. Research on therapeutic agents is still urgent due to the lack of satisfactory treatments. Gut macrophages are considered to be predominant in excessive inflammatory responses. Thus, we aimed to investigate whether depletion of macrophages would have a beneficial effect on IBD and could be a potential therapeutic strategy. In this study, we established a 12-day Dextran sodium sulphate (DSS)-induced colitis mouse model and determined the effect of the macrophage depletion agent Clophosome (neutral clodronate liposomes; CNC). The results showed that CNC significantly alleviated the symptoms of colitis, as demonstrated by greater weight gain, decreased disease activity index (DAI) scores, and lower histopathological damage scores, as well was reduced levels of the proinflammatory cytokines interleukin (IL)-6 and tumour necrosis factor (TNF)-α. To investigate T cell subsets, cells were isolated from the lamina propria and cultured to analyse the expression of IL-17A, interferon (IFN)-γ and Foxp3 in CD4 cells by flow cytometry. The data showed that during the process of colitis, the frequencies of CD4 IL-17A T cells were significantly increased. Notably, CNC treatment markedly reduced the population of CD4 IL-17A T cells, especially CD4 IL-17A IFN-γ T cells. Furthermore, intestinal barrier integrity, as assessed by immunostaining of mucin and tight junction proteins, was severely disrupted in colitis. CNC improved the intestinal barrier by enhancing the expression of muc-2 and occludin. In summary, our findings demonstrated that CNC successfully ameliorated DSS-induced colitis and that its effect may be associated with inhibiting inflammatory responses and maintaining intestinal integrity.
炎症性肠病(IBD)是一种慢性进行性疾病,其特征为复杂的胃肠道炎症。由于缺乏令人满意的治疗方法,对治疗药物的研究仍然迫在眉睫。肠道巨噬细胞被认为在过度炎症反应中占主导地位。因此,我们旨在研究耗竭巨噬细胞是否对 IBD 有有益作用,以及是否可以成为一种潜在的治疗策略。在这项研究中,我们建立了 12 天葡聚糖硫酸钠(DSS)诱导的结肠炎小鼠模型,并确定了巨噬细胞耗竭剂 Clophosome(中性氯膦酸脂质体;CNC)的作用。结果表明,CNC 显著缓解了结肠炎的症状,表现为体重增加更多,疾病活动指数(DAI)评分降低,组织病理学损伤评分降低,以及促炎细胞因子白细胞介素(IL)-6 和肿瘤坏死因子(TNF)-α水平降低。为了研究 T 细胞亚群,从固有层分离细胞并培养以通过流式细胞术分析 CD4 细胞中 IL-17A、干扰素(IFN)-γ 和 Foxp3 的表达。数据显示,在结肠炎过程中,CD4 IL-17A T 细胞的频率显著增加。值得注意的是,CNC 治疗显著减少了 CD4 IL-17A T 细胞的群体,特别是 CD4 IL-17A IFN-γ T 细胞。此外,免疫染色评估黏蛋白和紧密连接蛋白表明,结肠炎导致肠屏障完整性严重受损。CNC 通过增强黏蛋白-2 和闭合蛋白的表达改善了肠屏障。总之,我们的研究结果表明,CNC 成功地改善了 DSS 诱导的结肠炎,其作用可能与抑制炎症反应和维持肠道完整性有关。