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源自γδ T细胞的白细胞介素17A在广州管圆线虫感染中诱导脑白质脱髓鞘。

Interleukin 17A Derived from γδ T Cell Induces Demyelination of the Brain in Angiostrongylus cantonensis Infection.

作者信息

Feng Ying, Zhou Zongpu, Liu Zhen, Zheng Cunjing, Feng Feng, Xie Fukang, Wu Zhong-Dao

机构信息

School of Medicine, South China University of Technology, Guangzhou, 510006, China.

Department of Blood Transfusion, Guangzhou First People's Hospital, Guangzhou, 510180, Guangdong, China.

出版信息

Mol Neurobiol. 2021 Aug;58(8):3968-3982. doi: 10.1007/s12035-021-02366-1. Epub 2021 Apr 26.

Abstract

Angiostrongylus cantonensis infection is a typical cause of eosinophilic encephalitis (EM), which has been reported to induce serious damage in the central nervous system. Both parasite and host factors contribute to the onset of EM, but the related immune-inflammation pathogenesis remains poorly characterised. An A. cantonensis infection model was generated through the infection of mice by gavage. Transmission electron microscopy and immunohistochemistry were used to assess the pathologic changes in the brain. The mRNA expression of inflammatory factors was tested using qRT-PCR. A combination of flow cytometry and western blotting was used to evaluate the alteration of leukocytes and related cytokines. A critical role of IL-17 was found by injecting IL-17A monoclonal antibody into naïve and A. cantonensis-infected mice. A. cantonensis larvae altered the immune homeostasis in the brain, leading to the destruction of myelin sheaths and activation of microglia and macrophage. During this process, IL-17A accumulation was observed, and IL-17RA was expressed in oligodendrocytes and microglia during the infection. Notably, γδ T cell was the major origin of IL-17A production induced by the parasite. After an IL-17A-neutralising antibody was applied, alterations in myelination and the state of the microglia/macrophage were discovered; the neurobehavioural scores of the mice also improved. Our study reveals one unrecognised impact of the γδ T cells in parasitic encephalopathy and emphasises that blocking IL-17A signalling can attenuate microglia and macrophage activation, thus reducing CNS demyelination and ameliorating the neurobehavioural deficit in A. cantonensis-infected mice.

摘要

广州管圆线虫感染是嗜酸性粒细胞性脑炎(EM)的典型病因,据报道可对中枢神经系统造成严重损害。寄生虫和宿主因素均促成了EM的发病,但相关的免疫炎症发病机制仍不清楚。通过灌胃感染小鼠建立了广州管圆线虫感染模型。采用透射电子显微镜和免疫组织化学方法评估脑部的病理变化。使用qRT-PCR检测炎症因子的mRNA表达。采用流式细胞术和蛋白质印迹法相结合的方法评估白细胞和相关细胞因子的变化。通过向未感染和感染广州管圆线虫的小鼠注射IL-17A单克隆抗体,发现了IL-17的关键作用。广州管圆线虫幼虫改变了脑部的免疫稳态,导致髓鞘破坏以及小胶质细胞和巨噬细胞活化。在此过程中,观察到IL-17A积累,且感染期间少突胶质细胞和小胶质细胞中表达IL-17RA。值得注意的是,γδ T细胞是寄生虫诱导产生IL-17A的主要来源。应用IL-17A中和抗体后,发现髓鞘形成和小胶质细胞/巨噬细胞状态发生改变;小鼠的神经行为评分也有所改善。我们的研究揭示了γδ T细胞在寄生虫性脑病中一种未被认识的作用,并强调阻断IL-17A信号传导可减弱小胶质细胞和巨噬细胞活化,从而减少中枢神经系统脱髓鞘,并改善感染广州管圆线虫小鼠的神经行为缺陷。

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