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扩展 IL-33/ST2 的特征,作为人类和小鼠皮肤伤口组织样本中伤口年龄判断的预测因子。

Extended characterization of IL-33/ST2 as a predictor for wound age determination in skin wound tissue samples of humans and mice.

机构信息

Department of Forensic Medicine, School of Basic Medicine and Biological Sciences, Soochow University, Suzhou, 215123, China.

Department of Forensic Science, Wenzhou Medical University, Wenzhou, Zhejiang, 325035, China.

出版信息

Int J Legal Med. 2023 Jul;137(4):1287-1299. doi: 10.1007/s00414-023-03025-x. Epub 2023 May 29.

Abstract

Interleukin (IL)-33, an important inflammatory cytokine, is highly expressed in skin wound tissue and serum of humans and mice, and plays an essential role in the process of skin wound healing (SWH) dependent on the IL-33/suppression of tumorigenicity 2 (ST2) pathway. However, whether IL-33 and ST2 themselves, as well as their interaction, can be applied for skin wound age determination in forensic practice remains incompletely characterized. Human skin samples with injured intervals of a few minutes to 24 hours (hs) and mouse skin samples with injured intervals of 1 h to 14 days (ds) were collected. Herein, the results demonstrated that IL-33 and ST2 are increased in the human skin wounds, and that in mice skin wounds, there is an increase over time, with IL-33 expression peaking at 24 hs and 10 ds, and ST2 expression peaking at 12 hs and 7 ds. Notably, the relative quantity of IL-33 and ST2 proteins < 0.35 suggested a wound age of 3 hs; their relative quantity > 1.0 suggested a wound age of 24 hs post-mouse skin wounds. In addition, immunofluorescent staining results showed that IL-33 and ST2 were consistently expressed in the cytoplasm of F4/80-positive macrophages and CD31-positive vascular endothelial cells with or without skin wounds, whereas nuclear localization of IL-33 was absent in α-SMA-positive myofibroblasts with skin wounds. Interestingly, IL-33 administration facilitated the wound area closure by increasing the proliferation of cytokeratin (K) 14 -positive keratinocytes and vimentin-positive fibroblasts. In contrast, treating with its antagonist (i.e., anti-IL-33) or receptor antagonist (e.g., anti-ST2) exacerbated the aforementioned pathological changes. Moreover, treatment with IL-33 combined with anti-IL-33 or anti-ST2 reversed the effect of IL-33 on facilitating skin wound closure, suggesting that IL-33 administration facilitated skin wound closure through the IL-33/ST2 signaling pathway. Collectively, these findings indicate that the detection of IL-33/ST2 might be a reliable biomarker for the determination of skin wound age in forensic practice.

摘要

白细胞介素 (IL)-33 是一种重要的炎症细胞因子,在人类和小鼠的皮肤伤口组织和血清中高度表达,在依赖于 IL-33/抑制肿瘤生成 2 (ST2) 途径的皮肤伤口愈合 (SWH) 过程中发挥重要作用。然而,IL-33 和 ST2 本身及其相互作用是否可用于法医实践中的皮肤伤口年龄确定尚不完全清楚。收集了受伤间隔数分钟至 24 小时 (hs) 的人类皮肤样本和受伤间隔 1 小时至 14 天 (ds) 的小鼠皮肤样本。结果表明,IL-33 和 ST2 在人类皮肤伤口中增加,并且在小鼠皮肤伤口中随时间增加,IL-33 表达在 24 hs 时达到峰值,而 ST2 表达在 12 hs 时达到峰值,在 7 ds 时达到峰值。值得注意的是,IL-33 和 ST2 蛋白的相对量 < 0.35 表明伤口年龄为 3 hs;它们的相对量 > 1.0 表明小鼠皮肤伤口后 24 hs 的伤口年龄。此外,免疫荧光染色结果表明,IL-33 和 ST2 持续表达于 F4/80 阳性巨噬细胞和 CD31 阳性血管内皮细胞的细胞质中,无论是否有皮肤伤口,而核定位的 IL-33 在有皮肤伤口的 α-SMA 阳性肌成纤维细胞中不存在。有趣的是,IL-33 的给药通过增加角蛋白 (K) 14 阳性角质形成细胞和波形蛋白阳性成纤维细胞的增殖来促进伤口面积的闭合。相比之下,用其拮抗剂(即抗 IL-33)或受体拮抗剂(例如抗 ST2)处理会加剧上述病理变化。此外,用 IL-33 联合抗 IL-33 或抗 ST2 处理可逆转 IL-33 促进皮肤伤口闭合的作用,表明 IL-33 通过 IL-33/ST2 信号通路促进皮肤伤口闭合。总之,这些发现表明,检测 IL-33/ST2 可能是法医实践中确定皮肤伤口年龄的可靠生物标志物。

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