Wang Ning, Zhang Weining, Chen Yujie, Cao Ya, Hu Zhifang, Jiang Fengliang
Department of Immunology, School of Basic Medicine, Xi'an Medical University, Xi'an 710021, China. *Corresponding author, E-mail:
Department of Thoracic Surgery, Xidian Group Hospital, Xi'an 710077, China.
Xi Bao Yu Fen Zi Mian Yi Xue Za Zhi. 2021 Mar;37(3):271-277.
Chronic inflammatory damage of intestinal mucosa is an important characteristic of inflammatory bowel disease (IBD). Studies have shown that the interleukin 23 (IL-23)/IL-17 axis is involved in intestinal mucosal inflammatory injury and plays a crucial role in the development and prognosis of IBD. IL-23 is one of the upstream molecules of IL-17, which can promote Th17 cell activation, proliferation and the secretion of inflammatory cytokines. Moreover, IL-23 is involved in the inflammatory response process of various immune cells such as neutrophils, macrophages, regulatory T cells (Tregs), the group 3 innate lymphocytes (ILC3) during IBD. Previous studies demonstrated that IL-23 and IL-17 increased in IBD, which lead to an imbalance between Tregs and auto-reactive T cells to exacerbate the inflammatory pathological damage of the intestinal mucosa. Notably, although IL-23/IL-17 is potential therapeutic target for inflammation-related diseases and anti-IL-23 strategies has proven to be effective in treating IBD, the strategy of blocking IL-17 to treat IBD has failed. Therefore, a deep understanding of the relationship between IL-17/IL-23 axis and IBD is necessary for the study of IBD treatment.
肠道黏膜的慢性炎性损伤是炎症性肠病(IBD)的一个重要特征。研究表明,白细胞介素23(IL-23)/白细胞介素17(IL-17)轴参与肠道黏膜炎性损伤,在IBD的发生发展及预后中起关键作用。IL-23是IL-17的上游分子之一,可促进Th17细胞活化、增殖及炎性细胞因子的分泌。此外,在IBD期间,IL-23参与中性粒细胞、巨噬细胞、调节性T细胞(Tregs)、3型天然淋巴细胞(ILC3)等多种免疫细胞的炎症反应过程。既往研究表明,IBD中IL-23和IL-17升高,导致Tregs与自身反应性T细胞之间失衡,加剧肠道黏膜的炎性病理损伤。值得注意的是,尽管IL-23/IL-17是炎症相关疾病的潜在治疗靶点,且抗IL-策略已被证明对治疗IBD有效,但阻断IL-17治疗IBD的策略却失败了。因此,深入了解IL-17/IL-23轴与IBD之间的关系对于IBD治疗的研究很有必要。