Nanjing University of Chinese Medicine, The First School of Clinical Medicine, Nanjing, China.
Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Immun Inflamm Dis. 2023 Jul;11(7):e936. doi: 10.1002/iid3.936.
Sjögren's disease (SjD) is a chronic autoimmune disease characterized by the loss of the secretory function of the exocrine glands. At present, drugs that can both correct the immune imbalance and improve exocrine gland function are needed. Meanwhile, vasoactive intestinal peptide (VIP) has been reported as a candidate with anti-inflammatory and immunoregulatory properties for treating autoimmune diseases.
Nonobese diabetic (NOD) mice and the primary splenic lymphocyte cells (SPLCs) were used to construct the SS model. The therapeutic effects of VIP for SjD by evaluating water consumption, histopathology, T cell subsets, and related cytokines. RT-qPCR and Western blot analysis were used to identify the expression of the PTEN/PI3K/AKT pathway.
We found that VIP therapy in NOD mice could increase the expression of PTEN and VIP/VPAC1 receptor, as well as decrease the PI3K/AKT pathway. In vitro, the results showed that the PTEN knockdown decreased the Treg/Th17 ratio and enhanced the phosphorylated PI3K/AKT pathway, which were reversed with VIP treatment.
VIP exerts potential therapeutic action in SjD by upregulating PTEN through the PI3K/AKT pathway and Treg/Th17 cell balance.
干燥综合征(SjD)是一种慢性自身免疫性疾病,其特征是外分泌腺的分泌功能丧失。目前,需要既能纠正免疫失衡又能改善外分泌腺功能的药物。同时,血管活性肠肽(VIP)已被报道具有抗炎和免疫调节特性,可用于治疗自身免疫性疾病。
使用非肥胖型糖尿病(NOD)小鼠和原代脾淋巴细胞(SPLCs)构建 SS 模型。通过评估水摄入量、组织病理学、T 细胞亚群和相关细胞因子来评估 VIP 治疗 SjD 的疗效。采用 RT-qPCR 和 Western blot 分析来鉴定 PTEN/PI3K/AKT 通路的表达。
我们发现 VIP 治疗 NOD 小鼠可以增加 PTEN 和 VIP/VPAC1 受体的表达,并降低 PI3K/AKT 通路。在体外,结果表明,PTEN 敲低降低了 Treg/Th17 比值,并增强了磷酸化 PI3K/AKT 通路,而 VIP 治疗则逆转了这一作用。
VIP 通过上调 PI3K/AKT 通路和 Treg/Th17 细胞平衡,通过 PTEN 发挥在 SjD 中的潜在治疗作用。