吲哚-3-甲醇和槲皮素通过 AhR 介导的抗炎机制改善 C57BL/6 小鼠慢性 DSS 诱导的结肠炎。

Indol-3-Carbinol and Quercetin Ameliorate Chronic DSS-Induced Colitis in C57BL/6 Mice by AhR-Mediated Anti-Inflammatory Mechanisms.

机构信息

Department of Therapy Validation, Fraunhofer Institute for Cell Therapy and Immunology, 04103 Leipzig, Germany.

AnaPath GmbH, CH-4410 Liestal, Switzerland.

出版信息

Int J Environ Res Public Health. 2021 Feb 25;18(5):2262. doi: 10.3390/ijerph18052262.

Abstract

Inflammatory bowel diseases (IBD), such as Crohn's disease and ulcerative colitis, are multifactorial inflammatory disorders of the gastrointestinal tract, characterised by abdominal cramps, bloody diarrhoea, and anaemia. Standard therapies, including corticosteroids or biologicals, often induce severe side effects, or patients may develop resistance to those therapies. Thus, new therapeutic options for IBD are urgently needed. This study investigates the therapeutic efficacy and safety of two plant-derived ligands of the aryl hydrocarbon receptor (AhR), quercetin (Q), and indol-3-carbinol (I3C), using a translationally relevant mouse model of IBD. Q and I3C are administered by gavage to C57BL/6 wild-type or C57BL/6 mice suffering from chronic colitis, induced by dextran sulphate sodium (DSS). The course of the disease, intestinal histopathological changes, and in-situ immunological phenotype are scored over 25 days. Our results show that both Q and I3C improved significantly clinical symptoms in moderate DSS colitis, which coincides with a significantly reduced histopathological score. Even in severe DSS colitis I3C, neither Q nor the therapy control 6-thioguanine (6-TG) can prevent a fatal outcome. Moreover, treatment with Q or I3C restored in part DSS-induced loss of epithelial integrity by induction of tight-junction proteins and reduced significantly gut inflammation, as demonstrated by colonoscopy, as well as by immunohistochemistry revealing lower numbers of neutrophils and macrophages. Moreover, the number of Th17 cells is significantly reduced, while the number of Treg cells is significantly increased by treatment with Q or I3C, as well as 6-TG. Q- or I3C-induced amelioration of colitis is not observed in mice suggesting the requirement of AhR ligation and signalling. Based on the results of this study, plant-derived non-toxic AhR agonists can be considered promising therapeutics in IBD therapy in humans. However, they may differ in terms of efficacy; therefore, it is indispensable to study the dose-response relationship of each individual AhR agonist also with regard to potential adverse effects, since they may also exert AhR-independent effects.

摘要

炎症性肠病(IBD),如克罗恩病和溃疡性结肠炎,是胃肠道的多因素炎症性疾病,其特征为腹痛、血性腹泻和贫血。包括皮质类固醇或生物制剂在内的标准疗法常常会引起严重的副作用,或者患者可能对这些疗法产生耐药性。因此,IBD 急需新的治疗选择。本研究使用与炎症性肠病相关的翻译后小鼠模型,研究了两种植物源性芳香烃受体(AhR)配体槲皮素(Q)和吲哚-3-甲醇(I3C)的治疗效果和安全性。通过管饲法向患有葡聚糖硫酸钠(DSS)诱导的慢性结肠炎的 C57BL/6 野生型或 C57BL/6 小鼠给予 Q 和 I3C。在 25 天内对疾病过程、肠道组织病理学变化和原位免疫表型进行评分。我们的结果表明,Q 和 I3C 均显著改善了中度 DSS 结肠炎的临床症状,同时组织病理学评分也显著降低。即使在严重的 DSS 结肠炎中,I3C 也不能预防致命结局,而 Q 或治疗对照 6-巯基嘌呤(6-TG)也不能预防致命结局。此外,通过诱导紧密连接蛋白,Q 或 I3C 部分恢复了 DSS 诱导的上皮完整性丧失,并显著减少了肠道炎症,这通过结肠镜检查以及免疫组织化学揭示的中性粒细胞和巨噬细胞数量减少得到证实。此外,通过 Q 或 I3C 治疗,Th17 细胞的数量显著减少,而 Treg 细胞的数量显著增加,6-TG 也有同样的效果。在 AhR 缺失的小鼠中没有观察到 Q 或 I3C 诱导的结肠炎改善,这表明需要 AhR 配体结合和信号传导。基于本研究的结果,植物源性非毒性 AhR 激动剂可以被认为是人类 IBD 治疗的有前途的治疗方法。然而,它们的疗效可能不同;因此,研究每个单独的 AhR 激动剂的剂量反应关系也是必不可少的,还要考虑潜在的不良反应,因为它们也可能发挥 AhR 非依赖性作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc69/7956562/4aaa01eae2c2/ijerph-18-02262-g001.jpg

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