脐带间充质干细胞通过调节 Treg/Th17 平衡促进创伤性脑损伤后的神经修复。
Umbilical cord mesenchymal stem cells promote neurological repair after traumatic brain injury through regulating Treg/Th17 balance.
机构信息
Academy of Medical Engineering and Translational Medicine, Tianjin University, Tianjin 300072, China; Tianjin Key Laboratory of Brain Science and Neural Engineering, Tianjin University, Tianjin 300072, China; Tianjin Key Laboratory of Neurotrauma Repair, Pingjin Hospital Brain Center, Characteristic Medical Center of PAPF, Tianjin 300162, China.
Academy of Medical Engineering and Translational Medicine, Tianjin University, Tianjin 300072, China; Tianjin Key Laboratory of Brain Science and Neural Engineering, Tianjin University, Tianjin 300072, China.
出版信息
Brain Res. 2022 Jan 15;1775:147711. doi: 10.1016/j.brainres.2021.147711. Epub 2021 Nov 15.
Traumatic brain injury (TBI) is a brain injury resulting from blunt mechanical external forces, which is a crucial public health and socioeconomic problem worldwide. TBI is one of the leading causes of death or disability. The primary injury of TBI is generally irreversible. Secondary injury caused by neuroinflammation could result in exacerbation of patients, which indicated that anti-inflammation and immunomodulatory were necessary for the treatment of TBI. Accumulated evidence reveals that the transplantation of umbilical cord mesenchymal stem cells (UCMSCs) could regulate the microenvironment in vivo and keep a balance of helper T 17(Th17)/ regulatory T cell (Treg). Therefore, it is reasonable to hypothesize that the UCMSCs could repair neurological impairment by maintaining the balance of Th17/Treg after TBI. In the study, we observed the phenomenon of trans-differentiation of T lymphocytes into Th17 cells after TBI. Rats were divided into Sham, TBI, and TBI + UCMSCs groups to explore the effects of the UCMSCs. The results manifested that trans-differentiation of Th17 into Treg was facilitated by UCMSCs, which was followed by promotion of neurological recovery and improvement of learning and memory in TBI rats. Furthermore, UCMSCs decreased the phosphorylation of nuclear factor-kappa B (NF-κB) and increased the expression of mothers against decapentaplegic homolog 3 (Smad3) in vivo and vitro experiments. In conclusion, UCMSCs maintained Th17/Treg balance via the transforming growth factor-β (TGF-β)/ Smad3/ NF-κB signaling pathway.
创伤性脑损伤(TBI)是由钝性机械外力引起的脑损伤,是全球范围内一个重要的公共卫生和社会经济问题。TBI 是导致死亡或残疾的主要原因之一。TBI 的原发性损伤通常是不可逆转的。由神经炎症引起的继发性损伤可能导致患者病情恶化,这表明抗炎和免疫调节对于 TBI 的治疗是必要的。越来越多的证据表明,脐带间充质干细胞(UCMSCs)的移植可以调节体内的微环境,保持辅助性 T 细胞 17(Th17)/调节性 T 细胞(Treg)的平衡。因此,有理由假设 UCMSCs 可以通过维持 TBI 后 Th17/Treg 的平衡来修复神经损伤。在这项研究中,我们观察到 TBI 后 T 淋巴细胞向 Th17 细胞的转分化现象。将大鼠分为假手术组、TBI 组和 TBI+UCMSCs 组,以探讨 UCMSCs 的作用。结果表明,UCMSCs 促进 Th17 向 Treg 的转分化,继而促进 TBI 大鼠的神经功能恢复和学习记忆改善。此外,UCMSCs 降低了核因子-κB(NF-κB)的磷酸化水平,增加了体内和体外实验中母亲抗颅面发育不全同源物 3(Smad3)的表达。综上所述,UCMSCs 通过转化生长因子-β(TGF-β)/Smad3/NF-κB 信号通路维持 Th17/Treg 平衡。