Masuta Yasuhiro, Otsuka Yasuo, Minaga Kosuke, Honjo Hajime, Kudo Masatoshi, Watanabe Tomohiro
Department of Gastroenterology and Hepatology, Kindai University Faculty of Medicine, 377-2 Ohno-Higashi, Osaka-Sayama, Osaka 589-8511, Japan.
J Clin Biochem Nutr. 2023 Sep;73(2):103-107. doi: 10.3164/jcbn.23-24. Epub 2023 Aug 8.
The development of Inflammatory bowel disease (IBD) is driven by excessive production of pro-inflammatory cytokines including TNF-α, IL-12, and IL-23. This notion is supported by the remarkable clinical success of biologics targeting these cytokines. Recognition of cell wall components derived from intestinal bacteria by Toll-like receptors (TLRs) induces the production of these pro-inflammatory cytokines by macrophages and dendritic cells in human IBD and experimental colitis model. Although sensing of bacterial nucleic acids by endosomal TLRs, specifically TLR3, TLR7, and TLR9 leads to robust production of type I IFNs, it remains debatable whether TLR-mediated type I IFN responses are pathogenic or protective in IBD patients. Additionally, recent studies identified deubiquitinating enzyme A (DUBA) as a novel negative regulator of TLR-mediated type I IFN responses. In light of these observations and their potential applications, in this review, we summarize recent findings on the roles of type I IFN responses and DUBA-mediated negative regulation of these responses in human IBD and experimental colitis model.
炎症性肠病(IBD)的发展是由包括肿瘤坏死因子-α(TNF-α)、白细胞介素-12(IL-12)和白细胞介素-23(IL-23)在内的促炎细胞因子过度产生所驱动的。针对这些细胞因子的生物制剂取得的显著临床成功支持了这一观点。在人类IBD和实验性结肠炎模型中,Toll样受体(TLR)对源自肠道细菌的细胞壁成分的识别会诱导巨噬细胞和树突状细胞产生这些促炎细胞因子。虽然内体TLR,特别是TLR3、TLR7和TLR9对细菌核酸的感知会导致I型干扰素的大量产生,但TLR介导的I型干扰素反应在IBD患者中是致病的还是具有保护作用仍存在争议。此外,最近的研究确定去泛素化酶A(DUBA)是TLR介导的I型干扰素反应的一种新型负调节因子。鉴于这些观察结果及其潜在应用,在本综述中,我们总结了关于I型干扰素反应的作用以及DUBA介导的对这些反应的负调节在人类IBD和实验性结肠炎模型中的最新发现。