Department of Pathology, University of Michigan Medical School, Ann Arbor, MI, USA.
Inflamm Bowel Dis. 2023 Jul 5;29(7):1133-1144. doi: 10.1093/ibd/izad003.
BACKGROUND: Incidences of inflammatory bowel disease (IBD), including Crohn's disease and ulcerative colitis, are escalating worldwide and can be considered a global public health problem. Given that the gold standard approach to IBD therapeutics focuses on reducing the severity of symptoms, there is an urgent unmet need to develop alternative therapies that halt not only inflammatory processes but also promote mucosal repair. Previous studies have identified increased stem cell factor (SCF) expression in inflamed intestinal mucosal tissues. However, the role that SCF plays in mediating intestinal inflammation and repair has not been explored. METHODS: Changes in the expression of SCF were evaluated in the colonic tissue of healthy mice and during dextran sodium sulfate (DSS)-induced colitis. Furthermore, mucosal wound healing and colitis severity were analyzed in mice subjected to either mechanical biopsy or DSS treatment, respectively, following intestinal epithelial cell-specific deletion of SCF or anti-SCF antibody administration. RESULTS: We report robust expression of SCF by intestinal epithelial cells during intestinal homeostasis with a switch to immune cell-produced SCF during colitis. Data from mice with intestinal epithelial cell-specific deletion of SCF highlight the importance of immune cell-produced SCF in driving the pathogenesis of colitis. Importantly, antibody-mediated neutralization of total SCF or the specific SCF248 isoform decreased immune cell infiltration and enhanced mucosal wound repair following biopsy-induced colonic injury or DSS-induced colitis. CONCLUSIONS: These data demonstrate that SCF functions as a pro-inflammatory mediator in mucosal tissues and that specific neutralization of SCF248 could be a viable therapeutic option to reduce intestinal inflammation and promote mucosal wound repair in individuals with IBD.
背景:炎症性肠病(IBD)的发病率,包括克罗恩病和溃疡性结肠炎,在全球范围内不断上升,可以被认为是一个全球性的公共卫生问题。鉴于 IBD 治疗的金标准方法侧重于减轻症状的严重程度,因此迫切需要开发不仅可以阻止炎症过程,而且可以促进粘膜修复的替代疗法。先前的研究已经确定在炎症性肠粘膜组织中存在干细胞因子(SCF)表达增加。然而,SCF 在介导肠道炎症和修复中的作用尚未得到探索。
方法:评估健康小鼠结肠组织和葡聚糖硫酸钠(DSS)诱导的结肠炎中 SCF 的表达变化。此外,在分别进行机械活检或 DSS 处理后,分析肠道上皮细胞特异性缺失 SCF 或给予抗-SCF 抗体后小鼠的粘膜愈合和结肠炎严重程度。
结果:我们报告了 SCF 在肠道稳态期间由肠道上皮细胞强烈表达,并在结肠炎期间切换为免疫细胞产生的 SCF。来自肠道上皮细胞特异性缺失 SCF 的小鼠的数据突出了免疫细胞产生的 SCF 在驱动结肠炎发病机制中的重要性。重要的是,抗体介导的总 SCF 或特定的 SCF248 同工型的中和减少了免疫细胞浸润并增强了活检诱导的结肠损伤或 DSS 诱导的结肠炎后的粘膜伤口修复。
结论:这些数据表明,SCF 在粘膜组织中作为促炎介质发挥作用,并且特异性中和 SCF248 可能是减少 IBD 个体肠道炎症和促进粘膜伤口修复的可行治疗选择。
Inflamm Bowel Dis. 2023-7-5
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