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低剂量白介素-2 治疗 HLA-B27 转基因脊柱关节炎大鼠模型的效果。

Effects of a low-dose IL-2 treatment in HLA-B27 transgenic rat model of spondyloarthritis.

机构信息

Infection & Inflammation, UMR 1173, Inserm, UVSQ/Université Paris Saclay, 2 ave de la Source de la Bièvre, 78180, Montigny-le-Bretonneux, France.

Laboratoire d'Excellence Inflamex, Université Paris Descartes, Sorbonne Paris Cité, Paris, France.

出版信息

Arthritis Res Ther. 2021 Jul 16;23(1):193. doi: 10.1186/s13075-021-02559-y.

Abstract

INTRODUCTION/AIM: HLA-B27/human β2m transgenic rats (B27-rats) develop an inflammatory disorder resembling spondyloarthritis (SpA) with dysregulated IL-10/IL-17 production by regulatory T cells (Treg). Treg plays a major role in controlling pathogenic inflammatory processes. Interleukin 2 (IL-2), a cytokine which promotes Treg cell survival and function, may thus have therapeutic efficacy in SpA. Here, we tested this hypothesis using a low dose of IL-2 treatment in B27-rat.

MATERIAL AND METHODS

B27-rats aged 4 weeks (before disease onset) and nontransgenic (NTG) littermates were administered intraperitoneally recombinant human IL-2 (Sanofi®; 2,000IU/injection) or PBS, 3 days per week during 6 weeks. Assessment of treatment effect was performed, based on clinical (weight, diarrhea, arthritis), histological (proximal and distal colon, caecum, ileum and tarsal/ankle joint) scores, and frequency of Treg in the spleen and lymph nodes (LN).

RESULTS

IL-2 administration had no effect on weight gain, either in B27- or NTG-rats. Over the 6 weeks of treatment, the clinical disease score worsened similarly in both IL-2-treated and control groups of B27-rats. The macroscopic and histological evaluation of gut and joints showed marked inflammation in B27-rats; however, no change related to IL-2 treatment was observed. In the B27-rats, the percentage of Treg was moderately increased after IL-2 treatment in the spleen, but neither in mesenteric nor peripheral LN in those rats.

CONCLUSION

Our data demonstrate that a low dose of IL-2 administered before disease onset was moderately effective for boosting Treg but failed to prevent SpA development in B27-rat.

摘要

简介/目的:HLA-B27/人β2m 转基因大鼠(B27-大鼠)出现炎症性疾病,类似于脊柱关节炎(SpA),调节性 T 细胞(Treg)产生失调的白介素 10/白介素 17。Treg 在控制致病性炎症过程中起主要作用。白细胞介素 2(IL-2)是一种促进 Treg 细胞存活和功能的细胞因子,因此在 SpA 中可能具有治疗效果。在这里,我们使用低剂量的 IL-2 治疗 B27-大鼠来检验这一假设。

材料和方法

4 周龄(发病前)的 B27-大鼠和非转基因(NTG)同窝仔鼠接受腹腔内重组人白细胞介素 2(赛诺菲®;2000IU/注射)或 PBS,每周 3 次,持续 6 周。根据临床(体重、腹泻、关节炎)、组织学(近端和远端结肠、盲肠、回肠和跗关节/踝关节)评分以及脾脏和淋巴结(LN)中 Treg 的频率,评估治疗效果。

结果

IL-2 给药对 B27-或 NTG 大鼠的体重增加均无影响。在 6 周的治疗过程中,IL-2 治疗和对照组的 B27-大鼠的临床疾病评分均同样恶化。B27-大鼠的肠道和关节的大体和组织学评估显示出明显的炎症;然而,没有观察到与 IL-2 治疗相关的变化。在 B27-大鼠中,IL-2 治疗后脾脏中 Treg 的百分比适度增加,但在这些大鼠的肠系膜和外周 LN 中则没有增加。

结论

我们的数据表明,在疾病发病前给予低剂量的 IL-2 对增加 Treg 具有适度的效果,但未能预防 B27-大鼠的 SpA 发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9acf/8283890/b94a33047eb1/13075_2021_2559_Fig1_HTML.jpg

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