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在格雷夫斯眼眶病小鼠模型中,早期巨噬细胞浸润浪潮与抗原特异性促炎T细胞及脂肪组织褐变相互交织,这是眼眶炎症发作的特征。

An Early Wave of Macrophage Infiltration Intertwined with Antigen-Specific Proinflammatory T Cells and Browning of Adipose Tissue Characterizes the Onset of Orbital Inflammation in a Mouse Model of Graves' Orbitopathy.

作者信息

Philipp Svenja, Horstmann Mareike, Hose Matthias, Daser Anke, Görtz Gina-Eva, Jesenek Christoph, Flögel Ulrich, Hansen Wiebke, Bechrakis Nikolaos, Banga Jasvinder Paul S, Eckstein Anja, Berchner-Pfannschmidt Utta

机构信息

Molecular Ophthalmology, Department of Ophthalmology, University Hospital Essen, University Duisburg-Essen, Essen, Germany.

Institute of Medical Microbiology, University Hospital Essen, University Duisburg-Essen, Essen, Germany.

出版信息

Thyroid. 2022 Mar;32(3):283-293. doi: 10.1089/thy.2021.0464. Epub 2022 Jan 11.

Abstract

Graves' orbitopathy (GO) is an autoimmune-driven manifestation of Graves' disease (GD) where pathogenic autoantibodies to the thyrotropin receptor (TSHR) activate orbital fibroblasts/preadipocytes in the orbital tissue to induce inflammation and extracellular matrix deposition. Since there are significant limitations to study immunological and proinflammatory mediator expression in early and during disease progression in GO patients, we used our experimental mouse model to elucidate early pathogenic processes. We have developed a robust mouse model of GD/GO induced by electroporation immunization of plasmid encoding human TSHR A-subunit, comprising multiple injections over a course of 15 weeks to fully recapitulate the orbital pathology. In this study, we investigated kinetics of GO development in the model by serial analyses of immunological and cellular parameters during course of orbital inflammation. Pathogenic anti-TSHR antibodies with thyroid-stimulating properties developed early after the second immunization step with concomitant induction of hyperthyroidism. Examination of orbital tissue showed an early wave of macrophage infiltration followed subsequently by CD3 T cells into the orbital tissue. Examination of antigen-specific T cell activity using recombinant human A-subunit protein showed high CD8 T cell proliferation during this early phase of disease onset, whereas effector CD4 T cells and CD25FOXP3 regulatory T cells (Tregs) were downregulated. The early phase of disease was also characterized by abundant presence of proinflammatory cytokines interferon-γ (IFN-γ) and tumor necrosis factor-α (TNF-α). Moreover, as the disease progressed, there was significant increase in browning of orbital fat tissue, which may be dependent on the proinflammatory milieu and/or the increased thyroid hormone levels during the established hyperthyroid status. This work revealed early infiltration of macrophages in the orbital region and induction of pathogenic anti-TSHR antibodies during disease onset in the model. This was followed subsequently by influx of CD8 T cells specific for TSHR coupled with reduction in Tregs and substantial increase in brown adipose tissue. These new insights into the development of orbital inflammation in the model have implications for testing new therapeutic regimens by targeting macrophage function during early phases of orbital inflammation in the model.

摘要

格雷夫斯眼眶病(GO)是格雷夫斯病(GD)的一种自身免疫驱动的表现形式,其中针对促甲状腺激素受体(TSHR)的致病性自身抗体激活眼眶组织中的眼眶成纤维细胞/前脂肪细胞,以诱导炎症和细胞外基质沉积。由于在GO患者疾病早期和进展过程中研究免疫和促炎介质表达存在重大局限性,我们使用我们的实验小鼠模型来阐明早期致病过程。我们通过电穿孔免疫编码人TSHR A亚基的质粒,开发了一种强大的GD/GO小鼠模型,在15周的过程中进行多次注射,以充分重现眼眶病理。在本研究中,我们通过在眼眶炎症过程中对免疫和细胞参数进行系列分析,研究了该模型中GO发展的动力学。具有甲状腺刺激特性的致病性抗TSHR抗体在第二次免疫步骤后早期出现,并伴有甲状腺功能亢进的诱导。眼眶组织检查显示早期有一波巨噬细胞浸润,随后CD3 T细胞进入眼眶组织。使用重组人A亚基蛋白检查抗原特异性T细胞活性显示,在疾病发作的早期阶段,CD8 T细胞增殖很高,而效应CD4 T细胞和CD25FOXP3调节性T细胞(Tregs)下调。疾病早期还以促炎细胞因子干扰素-γ(IFN-γ)和肿瘤坏死因子-α(TNF-α)的大量存在为特征。此外,随着疾病进展,眼眶脂肪组织的褐色化显著增加,这可能取决于促炎环境和/或既定甲状腺功能亢进状态下甲状腺激素水平的升高。这项工作揭示了模型中疾病发作期间眼眶区域巨噬细胞的早期浸润和致病性抗TSHR抗体的诱导。随后是TSHR特异性CD8 T细胞的流入,同时Tregs减少,褐色脂肪组织大量增加。这些对模型中眼眶炎症发展的新见解对于在模型眼眶炎症早期阶段通过靶向巨噬细胞功能测试新的治疗方案具有重要意义。

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