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Adamts18 缺乏导致成年小鼠自发性 SMG 纤维化。

Adamts18 Deficiency Causes Spontaneous SMG Fibrogenesis in Adult Mice.

机构信息

Key Laboratory of Brain Functional Genomics (Ministry of Education and Shanghai), School of Life Sciences, East China Normal University, Shanghai, China.

Department of Biochemistry and Molecular Cell Biology, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

出版信息

J Dent Res. 2022 Feb;101(2):226-234. doi: 10.1177/00220345211029270. Epub 2021 Jul 29.

Abstract

Chronic sclerosing sialadenitis of the submandibular gland (also known as Küttner tumor) is characterized by concomitant swelling of the submandibular glands secondary to strong lymphocytic infiltration and fibrosis. The pathogenesis of this disease has been unclear, but it is associated with immune disorders. ADAMTS18 is a member of the ADAMTS superfamily of extracellular proteinases. In this study, we showed that is highly expressed in submandibular salivary gland (SMG) during embryonic development and decreases but is retained in adult SMG tissue in mice. Adamts18 deficiency led to reduced cleft formation and epithelial branching in embryonic SMG before embryonic day 15.5 in mice. No significant histologic changes in the later stages of branching or the morphology of SMG were detected in mice. However, Adamts18 deficiency causes spontaneous SMG fibrogenesis and fibrosis in adult mice. At 8 wk of age, mice began to manifest the first signs of pathologic changes of mild fibrosis and CD11b cell infiltration in SMG tissues. At ≥8 mo, all male and female mice developed unilateral or bilateral SMG scleroma that is similar to patients with chronic sclerosing sialadenitis of the submandibular gland. mice also showed secretory dysfunction and severe dental caries. Histologically, SMG scleroma is characterized by progressive periductal fibrosis, acinar atrophy, irregular duct ectasis, and dense infiltration of IgG-positive plasma cells. A significant infiltration of CD4 T lymphocytes and CD11b monocytes and macrophages was also detected in the SMG scleroma of mice. The levels of TGF-β1, IL-6, and IL-33 were significantly increased in SMGs, which induces chronic inflammation and myofibroblast activation, ultimately leading to fibrosis. This study indicates that Adamts18 regulates the early branching morphogenesis of embryonic SMG and plays a role in protecting from spontaneous SMG fibrogenesis via modulating local inflammation, autoimmune reaction, and myofibroblast activation in adult mice.

摘要

颌下腺慢性硬化性唾液腺炎(也称为 Küttner 肿瘤)的特征是颌下腺同时肿胀,这是由于强烈的淋巴细胞浸润和纤维化所致。该疾病的发病机制尚不清楚,但与免疫紊乱有关。ADAMTS18 是细胞外蛋白酶 ADAMTS 超家族的成员。在这项研究中,我们表明 在胚胎发育过程中, 在下颌下腺(SMG)中高度表达,并在小鼠成年 SMG 组织中减少但保留。Adamts18 缺乏导致在小鼠胚胎第 15.5 天之前,胚胎 SMG 中的裂隙形成和上皮分支减少。在 小鼠的后期分支或 SMG 的形态中,未检测到明显的组织学变化。然而,Adamts18 缺乏导致成年小鼠 SMG 纤维化和纤维化的自发性发生。在 8 周龄时, 小鼠开始表现出 SMG 组织中轻度纤维化和 CD11b 细胞浸润的第一个病理变化迹象。在≥8 月龄时,所有雄性和雌性 小鼠均发展为单侧或双侧颌下腺硬化症,类似于慢性硬化性颌下腺唾液腺炎患者。 小鼠还表现出分泌功能障碍和严重的龋齿。组织学上,SMG 硬化症的特征是进行性导管周围纤维化、腺泡萎缩、不规则导管扩张以及 IgG 阳性浆细胞的密集浸润。在 小鼠的 SMG 硬化症中还检测到 CD4 T 淋巴细胞和 CD11b 单核细胞和巨噬细胞的显著浸润。 小鼠 SMG 中的 TGF-β1、IL-6 和 IL-33 水平显著升高,这会引起慢性炎症和肌成纤维细胞激活,最终导致纤维化。这项研究表明,Adamts18 调节胚胎 SMG 的早期分支形态发生,并通过调节局部炎症、自身免疫反应和成年小鼠中的肌成纤维细胞激活来发挥作用,从而防止自发性 SMG 纤维化。

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