Dong Youdan, Gao Liang, Sun Qi, Jia Lihong, Liu Dongmei
Department of Rheumatology, Shengjing Hospital of China Medical University, Shenyang 110022, China.
Department of Child and Adolescent Health, School of Public Health, China Medical University, Shenyang 110122, China.
Ecotoxicol Environ Saf. 2023 Apr 15;255:114788. doi: 10.1016/j.ecoenv.2023.114788. Epub 2023 Mar 20.
Bisphenol A (BPA) is a common environmental endocrine disruptor which mimic the effect of estrogen. The immunotoxicity of BPA has attracted widespread attention in recent years. However, the effects and mechanism of BPA on autoimmune disease were rarely reported. Systemic lupus erythematosus (SLE) is a typical autoimmune disease, and its etiology and mechanism are complex and unclear. Currently, inflammation and the production of autoantibodies are considered to be important pathological mechanisms of SLE, and estrogen contributes to the occurrence and development of SLE. Therefore, in order to explore whether BPA exposure can affect the development of SLE and its possible mechanism, we used MRL/lpr (lupus-prone mice) and C57/BL6 female mice exposed to 0.1 and 0.2 µg/mL BPA for 6 weeks. We discovered that BPA exposure increased the concentration of serum anti-dsDNA antibody and IL-17, and the level of RORγt protein (the transcription factor of Th17 cells). Moreover, there were higher expression of p-PI3K, p-AKT, p-mTOR, ULK, Rubicon, P62, Becline1 and LC3 protein in spleen tissue of BPA exposed MRL/lpr mice compared with the control. However, there were no significant changes in the expression of IL-17, RORγt or mTOR in C57 mice exposed to BPA at the same dose. Our study implied that BPA exposure induced the development of SLE, which might be related to the up-regulation of PI3K/AKT/mTOR signaling pathway and abnormal autophagy. Our study indicated that lupus mice were more susceptible to BPA, and provided a new insight into the mechanism by which BPA exacerbated SLE. Therefore, our study suggested that autoimmune patients and susceptible population should be considered when setting thresholds for environmental BPA exposure.
双酚A(BPA)是一种常见的环境内分泌干扰物,可模拟雌激素的作用。近年来,BPA的免疫毒性已引起广泛关注。然而,BPA对自身免疫性疾病的影响及其机制鲜有报道。系统性红斑狼疮(SLE)是一种典型的自身免疫性疾病,其病因和机制复杂且尚不清楚。目前,炎症和自身抗体的产生被认为是SLE的重要病理机制,而雌激素有助于SLE的发生和发展。因此,为了探究BPA暴露是否会影响SLE的发展及其可能的机制,我们使用了MRL/lpr(狼疮易感小鼠)和C57/BL6雌性小鼠,使其暴露于0.1和0.2μg/mL的BPA中6周。我们发现,BPA暴露会增加血清抗双链DNA抗体和白细胞介素-17的浓度,以及RORγt蛋白(辅助性T细胞17亚群的转录因子)的水平。此外,与对照组相比,暴露于BPA的MRL/lpr小鼠脾脏组织中p-PI3K、p-AKT、p-mTOR、ULK、Rubicon、P62、Beclin1和LC3蛋白的表达更高。然而,相同剂量BPA暴露的C57小鼠中白细胞介素-17、RORγt或mTOR的表达没有显著变化。我们的研究表明,BPA暴露会诱导SLE的发展,这可能与PI3K/AKT/mTOR信号通路的上调和自噬异常有关。我们的研究表明,狼疮小鼠对BPA更敏感,并为BPA加重SLE的机制提供了新的见解。因此,我们的研究建议,在设定环境BPA暴露阈值时应考虑自身免疫患者和易感人群。