Guo Jinkun, Chen Na, Tan Feifei, Zhou Julan, Xiang Hongyu, Luo Yu, Zhou Zhongyin
Department of Gastroenterology, Renmin Hospital of Wuhan University, Hubei Key Laboratory of Digestive System Disease Wuhan 430060, Hubei, China.
Jingmen Hospital of Traditional Chinese Medicine Jingmen 448001, Hubei, China.
Am J Transl Res. 2023 Jul 15;15(7):4454-4466. eCollection 2023.
In this study, we explored the potential mechanisms and the signaling pathways involved in the treatment of Ulcerative Colitis (UC) with imiquimod (IMQ).
The UC mouse model was established by treating C57BL/6J mice with 3% Dextran Sulfate Sodium (DSS). Then, the UC-related symptoms were examined. Disease Activity Index (DAI) was estimated based on weight loss, stool consistency, and occult bleeding or hematochezia. Histological changes were evaluated by Hematoxylin and Eosin (H&E) staining. Furthermore, we used multiplexed Isobaric Tagging for Relative and Absolute Protein Quantification (iTRAQ) technique coupled with high-throughput liquid chromatography tandem mass spectrometry (LC-MS/MS) to determine the differentially expressed proteins (DEPs).
Administration of 3% DSS for 7 days induced acute colitis associated with diarrhea, hematochezia, weight loss, and colon shortening. However, after IMQ administration, almost all the above symptoms were improved by different degrees. Specifically, the DAI, histological disorder, and colon shortening were attenuated. In iTRAQ analysis, a total of 4170 proteins were identified with a high confidence (≥ 95% confidence). The numbers of DEPs between the normal and UC model mice, between the normal and the IMQ-treated therapy mice, as well as between the model and the therapy mice were 317, 253, and 209, respectively. Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) analyses revealed that the DEPs involved in the complement and coagulation cascades were downregulated in IMQ-treated therapy group.
IMQ might ameliorate colitis by suppressing the complement and coagulation cascades pathway, which might serve as new therapeutic strategies for the treatment of patients with UC.
在本研究中,我们探究了咪喹莫特(IMQ)治疗溃疡性结肠炎(UC)所涉及的潜在机制和信号通路。
通过用3%硫酸葡聚糖钠(DSS)处理C57BL/6J小鼠建立UC小鼠模型。然后,检查与UC相关的症状。基于体重减轻、粪便稠度以及潜血或便血来评估疾病活动指数(DAI)。通过苏木精和伊红(H&E)染色评估组织学变化。此外,我们使用相对和绝对蛋白质定量的多重等压标记(iTRAQ)技术结合高通量液相色谱串联质谱(LC-MS/MS)来确定差异表达蛋白(DEPs)。
给予3% DSS 7天可诱发与腹泻、便血、体重减轻和结肠缩短相关的急性结肠炎。然而,给予IMQ后,几乎所有上述症状均有不同程度改善。具体而言,DAI、组织学紊乱和结肠缩短均有所减轻。在iTRAQ分析中,共高可信度(≥95%置信度)鉴定出4170种蛋白质。正常小鼠与UC模型小鼠之间、正常小鼠与IMQ治疗组小鼠之间以及模型小鼠与治疗组小鼠之间的DEPs数量分别为317、253和209。基因本体论(GO)和京都基因与基因组百科全书(KEGG)分析显示,在IMQ治疗组中,参与补体和凝血级联反应的DEPs表达下调。
IMQ可能通过抑制补体和凝血级联反应途径改善结肠炎,这可能为UC患者的治疗提供新的治疗策略。