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雷帕霉素治疗通过恢复白细胞介素-2生成和调节性T细胞,同时抑制效应T细胞活化,减轻小鼠慢性移植物抗宿主病诱导的狼疮性肾炎。

Rapamycin Treatment Alleviates Chronic GVHD-Induced Lupus Nephritis in Mice by Recovering IL-2 Production and Regulatory T Cells While Inhibiting Effector T Cells Activation.

作者信息

Zhang Jilu, Wang Xun, Wang Renxi, Chen Guojiang, Wang Jing, Feng Jiannan, Li Yan, Yu Zuyin, Xiao He

机构信息

State Key Laboratory of Toxicology and Medical Countermeasures, Beijing Institute of Pharmacology and Toxicology, Beijing 100850, China.

Department of Biomedicine, Institute of Frontier Medical Sciences, Jilin University, Changchun 130021, China.

出版信息

Biomedicines. 2023 Mar 20;11(3):949. doi: 10.3390/biomedicines11030949.

Abstract

In this study, we test the therapeutic effects of rapamycin in a murine model of SLE-like experimental lupus nephritis induced by chronic graft-versus-host disease (cGVHD). Our results suggest that rapamycin treatment reduced autoantibody production, inhibited T lymphocyte and subsequent B cell activation, and reduced inflammatory cytokine and chemokine production, thereby protecting renal function and alleviating histological lupus nephritis by reducing the occurrence of albuminuria. To explore the potential mechanism of rapamycin's reduction of kidney damage in mice with lupus nephritis, a series of functional assays were conducted. As expected, rapamycin remarkably inhibited the lymphocytes' proliferation within the morbid mice. Interestingly, significantly increased proportions of peripheral CD4+FOXP3+ and CD4+CD25high T cells were observed in rapamycin-treated group animals, suggesting an up-regulation of regulatory T cells (Tregs) in the periphery by rapamycin treatment. Furthermore, consistent with the results regarding changes in mRNA abundance in kidney by real-time PCR analysis, intracellular cytokine staining demonstrated that rapamycin treatment remarkably diminished the secretion of Th1 and Th2 cytokines, including IFN-γ, IL-4 and IL-10, in splenocytes of the morbid mice. However, the production of IL-2 from splenocytes in rapamycin-treated mice was significantly higher than in the cells from control group animals. These findings suggest that rapamycin treatment might alleviate systemic lupus erythematosus (SLE)-like experimental lupus nephritis through the recovery of IL-2 production, which promotes the expansion of regulatory T cells while inhibiting effector T cell activation. Our studies demonstrated that, unlike other commonly used immunosuppressants, rapamycin does not appear to interfere with tolerance induction but permits the expansion and suppressive function of Tregs in vivo.

摘要

在本研究中,我们测试了雷帕霉素在慢性移植物抗宿主病(cGVHD)诱导的SLE样实验性狼疮性肾炎小鼠模型中的治疗效果。我们的结果表明,雷帕霉素治疗可减少自身抗体产生,抑制T淋巴细胞及随后的B细胞活化,并减少炎性细胞因子和趋化因子的产生,从而通过减少蛋白尿的发生来保护肾功能并减轻组织学上的狼疮性肾炎。为了探究雷帕霉素减轻狼疮性肾炎小鼠肾脏损伤的潜在机制,我们进行了一系列功能测定。正如预期的那样,雷帕霉素显著抑制了患病小鼠体内淋巴细胞的增殖。有趣的是,在雷帕霉素治疗组动物中观察到外周血CD4+FOXP3+和CD4+CD25high T细胞的比例显著增加,这表明雷帕霉素治疗可使外周调节性T细胞(Tregs)上调。此外,与实时PCR分析肾脏中mRNA丰度变化的结果一致,细胞内细胞因子染色表明,雷帕霉素治疗显著减少了患病小鼠脾细胞中Th1和Th2细胞因子(包括IFN-γ、IL-4和IL-10)的分泌。然而,雷帕霉素治疗的小鼠脾细胞中IL-2的产生明显高于对照组动物的细胞。这些发现表明,雷帕霉素治疗可能通过恢复IL-2的产生来减轻系统性红斑狼疮(SLE)样实验性狼疮性肾炎,这在促进调节性T细胞扩增的同时抑制效应T细胞活化。我们的研究表明,与其他常用的免疫抑制剂不同,雷帕霉素似乎不会干扰耐受性诱导,而是允许体内Tregs的扩增和抑制功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1405/10045991/6078753667db/biomedicines-11-00949-g001.jpg

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