Th9 细胞在肺纤维化中的有害作用。
Deleterious Role of Th9 Cells in Pulmonary Fibrosis.
机构信息
State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, National Center for Respiratory Medicine, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510182, China.
出版信息
Cells. 2021 Nov 17;10(11):3209. doi: 10.3390/cells10113209.
Idiopathic pulmonary fibrosis (IPF) is a progressive and fatal lung disease of unknown etiology. Immune disorders play an important role in IPF pathogenesis. Here, we show that Th9 cells differentiate and activate in the lung tissue of patients with IPF and bleomycin (BLM)-induced lung fibrosis mice. Moreover, we found that Th9 cells promote pulmonary fibrosis in two ways. On the one hand, Th9 cells promote fibroblast differentiation, activation, and collagen secretion by secreting IL-9. On the other hand, they promote differentiation of Th0 cells into Th2 cells by secreting IL-4. Th9 cells and Th2 cells can promote each other, accelerating the Th1/Th2 imbalance and eventually forming a positive feedback of pulmonary fibrosis. In addition, we found that neutralizing IL-9 in both preventive and therapeutic settings ameliorates bleomycin-induced pulmonary fibrosis. Furthermore, we identified several critical signaling pathways involved in the effect of neutralizing IL-9 on pulmonary fibrosis by proteomics study. From an immunological perspective, we elucidated the novel role and underlying mechanism of Th9 cells in pulmonary fibrosis. Our study suggested that Th9-based immunotherapy may be employed as a treatment strategy for IPF.
特发性肺纤维化(IPF)是一种病因不明的进行性和致命性肺部疾病。免疫紊乱在 IPF 的发病机制中起重要作用。在这里,我们显示 Th9 细胞在 IPF 患者的肺组织和博来霉素(BLM)诱导的肺纤维化小鼠中分化和激活。此外,我们发现 Th9 细胞通过分泌 IL-9 促进肺纤维化有两种方式。一方面,Th9 细胞通过分泌 IL-9 促进成纤维细胞分化、激活和胶原分泌。另一方面,它们通过分泌 IL-4 促进 Th0 细胞向 Th2 细胞分化。Th9 细胞和 Th2 细胞可以相互促进,加速 Th1/Th2 失衡,最终形成肺纤维化的正反馈。此外,我们通过蛋白质组学研究发现,在预防和治疗设置中中和 IL-9 可改善博来霉素诱导的肺纤维化。此外,我们通过蛋白质组学研究确定了中和 IL-9 对肺纤维化影响所涉及的几个关键信号通路。从免疫学角度来看,我们阐明了 Th9 细胞在肺纤维化中的新作用和潜在机制。我们的研究表明,基于 Th9 的免疫疗法可能被用作 IPF 的治疗策略。