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系统性硬化症中白细胞介素-11 的升高及其在疾病发病机制中的作用。

Elevated interleukin-11 in systemic sclerosis and role in disease pathogenesis.

机构信息

Biosciences, Durham University, Durham, UK.

出版信息

J Dermatol. 2023 Oct;50(10):1255-1261. doi: 10.1111/1346-8138.16854. Epub 2023 Jun 8.

Abstract

Systemic sclerosis (SSc) is an autoimmune connective tissue disease in which there is elevated inflammation, aberrant cytokine expression, and subsequent fibrosis. Interleukin-11 (IL-11) is a recently described profibrotic cytokine that can mediate fibrosis in the heart, lungs, and skin and is upregulated by transforming Growth Factor-β (TGF-β1). The objective of this study was to quantify the serum levels of IL-11 in early diffuse SSc patients. Also, if IL-11 could regulate the alarmin IL-33 in dermal fibroblasts was quantified. Early diffuse SSc patient sera was isolated and IL-11 was quantified by specific commercial ELISA compared to healthy control (n = 17). Healthy dermal fibroblasts were cultured in vitro and then serum starved and incubated with or without recombinant IL-11. At specific early and late time points the supernatant was quantified for the alarmin IL-33 by specific ELISA. In early diffuse SSc patients it was demonstrated that they have elevated IL-11 in their sera. In a subgroup of SSc patients with interstitial lung disease (ILD) this elevation was particularly pronounced compared to those devoid of fibrotic lung disease. In vitro incubation of healthy dermal fibroblasts led to a significant induction of IL-33 cytokine release into the cell media. IL-11 is a profibrotic cytokine that is elevated in early diffuse SSc and is particularly elevated in those with ILD. This suggests that IL-11 could be a possible biomarker of ILD in SSc. It was also found that IL-11 led to release of the cytokine alarmin IL-33 in fibroblasts at earlier time points but not late time points, suggesting early stimulation elicits an inflammatory response in the local microenvironment but prolonged stimulation leads to fibrosis.

摘要

系统性硬化症(SSc)是一种自身免疫性结缔组织疾病,其特征为炎症升高、细胞因子表达异常,随后发生纤维化。白细胞介素-11(IL-11)是一种最近描述的促纤维化细胞因子,可介导心脏、肺和皮肤的纤维化,并且由转化生长因子-β(TGF-β1)上调。本研究的目的是定量测定早期弥漫性 SSc 患者的血清 IL-11 水平。还定量测定了 IL-11 是否可以调节真皮成纤维细胞中的警报素白细胞介素-33。分离早期弥漫性 SSc 患者的血清,并通过特异性商业 ELISA 与健康对照(n=17)比较定量 IL-11。将健康的真皮成纤维细胞在体外培养,然后血清饥饿并与或不与重组 IL-11 孵育。在特定的早期和晚期时间点,通过特异性 ELISA 定量测定警报素白细胞介素-33 的上清液。在早期弥漫性 SSc 患者中,证明其血清中 IL-11 升高。在有间质性肺病(ILD)的 SSc 患者亚组中,与无纤维化肺病的患者相比,这种升高更为明显。体外孵育健康的真皮成纤维细胞会导致细胞培养基中白细胞介素-33 细胞因子的显著诱导释放。IL-11 是一种促纤维化细胞因子,在早期弥漫性 SSc 中升高,在有 ILD 的患者中升高更为明显。这表明 IL-11 可能是 SSc 中ILD 的一个潜在生物标志物。还发现,IL-11 导致成纤维细胞中警报素白细胞介素-33 的释放,在早期时间点而非晚期时间点,这表明早期刺激会在局部微环境中引发炎症反应,但延长刺激会导致纤维化。

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