Faculty of Medicine, School of Biomedical Sciences, The University of Queensland, QLD, Australia.
QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia; The Australian Institute of Tropical Health and Medicine, James Cook University, QLD, Australia; Woolworths Centre for Child Nutrition Research, Institute of Health and Biomedical Innovation, Queensland University of Technology, QLD, Australia.
J Biol Chem. 2021 Jul;297(1):100834. doi: 10.1016/j.jbc.2021.100834. Epub 2021 May 27.
The prevalence of autoimmune diseases is on the rise globally. Currently, autoimmunity presents in over 100 different forms and affects around 9% of the world's population. Current treatments available for autoimmune diseases are inadequate, expensive, and tend to focus on symptom management rather than cure. Clinical trials have shown that live helminthic therapy can decrease chronic inflammation associated with inflammatory bowel disease and other gastrointestinal autoimmune inflammatory conditions. As an alternative and better controlled approach to live infection, we have identified and characterized two peptides, Acan1 and Nak1, from the excretory/secretory component of parasitic hookworms for their therapeutic activity on experimental colitis. We synthesized Acan1 and Nak1 peptides from the Ancylostoma caninum and Necator americanus hookworms and assessed their structures and protective properties in human cell-based assays and in a mouse model of acute colitis. Acan1 and Nak1 displayed anticolitic properties via significantly reducing weight loss and colon atrophy, edema, ulceration, and necrosis in 2,4,6-trinitrobenzene sulfonic acid-exposed mice. These hookworm peptides prevented mucosal loss of goblet cells and preserved intestinal architecture. Acan1 upregulated genes responsible for the repair and restitution of ulcerated epithelium, whereas Nak1 downregulated genes responsible for epithelial cell migration and apoptotic cell signaling within the colon. These peptides were nontoxic and displayed key immunomodulatory functions in human peripheral blood mononuclear cells by suppressing CD4 T cell proliferation and inhibiting IL-2 and TNF production. We conclude that Acan1 and Nak1 warrant further development as therapeutics for the treatment of autoimmunity, particularly gastrointestinal inflammatory conditions.
自身免疫性疾病的患病率在全球呈上升趋势。目前,自身免疫性疾病有超过 100 种不同的表现形式,影响着全球约 9%的人口。目前针对自身免疫性疾病的治疗方法效果不佳、费用高昂,且往往侧重于症状管理而非根治。临床试验表明,活寄生虫治疗可以减轻与炎症性肠病和其他胃肠道自身免疫性炎症性疾病相关的慢性炎症。作为替代方法和更好的控制活感染的方法,我们已经从寄生虫钩虫的排泄/分泌成分中鉴定并表征了两种肽,Acan1 和 Nak1,用于治疗实验性结肠炎。我们从Ancylostoma caninum 和 Necator americanus 钩虫中合成了 Acan1 和 Nak1 肽,并在基于人类细胞的测定和急性结肠炎小鼠模型中评估了它们的结构和保护特性。Acan1 和 Nak1 通过显著减少体重减轻和结肠萎缩、水肿、溃疡和坏死,在 2,4,6-三硝基苯磺酸暴露的小鼠中显示出抗结肠炎特性。这些钩虫肽可防止杯状细胞的粘膜丢失并维持肠道结构。Acan1 上调了负责修复和修复溃疡上皮的基因,而 Nak1 下调了负责上皮细胞迁移和结肠中凋亡细胞信号的基因。这些肽没有毒性,并在人类外周血单核细胞中显示出关键的免疫调节功能,通过抑制 CD4 T 细胞增殖和抑制 IL-2 和 TNF 的产生。我们得出结论,Acan1 和 Nak1 值得进一步开发为治疗自身免疫性疾病,特别是胃肠道炎症性疾病的疗法。