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Th17 通路在实验内脏利什曼病中的免疫调节作用。

Immunomodulatory role of Th17 pathway in experimental visceral leishmaniasis.

机构信息

ICMR-Regional Medical Research Centre, North-eastern Region, Post Box No-105, Dibrugarh 786001, Assam, India.

Department of Biotechnology, Gauhati University, Guwahati, Assam, India.

出版信息

Immunobiology. 2021 Nov;226(6):152148. doi: 10.1016/j.imbio.2021.152148. Epub 2021 Oct 25.

Abstract

Visceral leishmaniasis (VL) or Kala-azar is a vector borne protozoan infection caused by Leishmania donovani in the Indian subcontinent mainly India, Nepal and Bangladesh. It is a major public health problem in these countries mostly affecting the socio-economically poor population. Leishmaniasis ranks the third most important disease after malaria and filariasis but is still considered as one of the neglected tropical diseases of the world. For development of better therapeutic agents and effective vaccine against VL, there is a need to understand host immunological changes that play a vital role during course of infection. Therefore, we investigated the role of Th17 pathway in Balb/c mice during Leishmania donovani infection and treatment with amphotericin B. Mice were divided in four groups i.e. Control, Infected, Uninfected treated and Infected treated. The cytokine levels were estimated in the spleen of Balb/c mice on days 1, 3, 7, 14, 17, 21, 28, 35, 45 and 60 post infection and during course of treatment. The mRNA levels of the Th17 pathway during active Leishmania donovani infection and after treatment were determined by real time polymerase chain reaction (RT-PCR) and protein levels by flow cytometry and ELISA. Results of our study revealed that active infection was associated with low levels of Th17 cytokines IL-17, IL-22 and IL-23 and elevated levels of IL-6, IL-1β and TGF-β. Amphotericin B treatment restored production of pro-inflammatory cytokines IL-17 and IL-22. The levels of transcription factor RORγt were found to correlate with the levels of IL-17 during infection and also after chemotherapy whereas STAT3 levels were elevated during infection and vice versa after treatment. The findings of this study suggest that Th17 cytokines IL-17 and IL-22 are associated with protection against VL infection and development of any interventions or chemotherapeutic agents targeting Th17 pathway could be an important approach for VL treatment.

摘要

内脏利什曼病(VL)或黑热病是一种由杜氏利什曼原虫在印度次大陆引起的媒介传播的原生动物感染,主要发生在印度、尼泊尔和孟加拉国。它是这些国家的一个主要公共卫生问题,主要影响社会经济贫困人群。利什曼病在疟疾和丝虫病之后排名第三,但仍被认为是世界上被忽视的热带病之一。为了开发更好的治疗药物和针对内脏利什曼病的有效疫苗,有必要了解宿主免疫变化,这些变化在感染过程中起着至关重要的作用。因此,我们研究了 Th17 通路在感染杜氏利什曼原虫的 Balb/c 小鼠中的作用以及两性霉素 B 的治疗作用。将小鼠分为四组:对照组、感染组、未感染治疗组和感染治疗组。在感染后第 1、3、7、14、17、21、28、35、45 和 60 天以及治疗过程中,估计 Balb/c 小鼠脾脏中的细胞因子水平。通过实时聚合酶链反应(RT-PCR)和流式细胞术和 ELISA 测定 Th17 通路在活动性杜氏利什曼原虫感染期间和治疗后的 mRNA 水平。我们的研究结果表明,活动性感染与 Th17 细胞因子 IL-17、IL-22 和 IL-23 水平降低以及 IL-6、IL-1β 和 TGF-β 水平升高有关。两性霉素 B 治疗恢复了促炎细胞因子 IL-17 和 IL-22 的产生。发现转录因子 RORγt 的水平与感染期间的 IL-17 水平相关,并且在化疗后也是如此,而 STAT3 水平在感染期间升高,反之亦然。这项研究的结果表明,Th17 细胞因子 IL-17 和 IL-22 与抵抗内脏利什曼病感染有关,针对 Th17 通路的任何干预或化疗药物的开发都可能是内脏利什曼病治疗的重要方法。

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