Institute of Clinical Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Department of Anesthesiology, Chi Mei Medical Center, Tainan, Taiwan.
J Neuroinflammation. 2023 Nov 25;20(1):279. doi: 10.1186/s12974-023-02952-1.
Vision loss in patients with wet/exudative age-related macular degeneration (AMD) is associated with choroidal neovascularization (CNV), and AMD is the leading cause of irreversible vision impairment in older adults. Interleukin-17A (IL-17A) is a component of the microenvironment associated with some autoimmune diseases. Previous studies have indicated that wet AMD patients have elevated serum IL-17A levels. However, the effect of IL-17A on AMD progression needs to be better understood. We aimed to investigate the role of IL-17A in a laser-induced CNV mouse model.
We established a laser-induced CNV mouse model in wild-type (WT) and IL-17A-deficient mice and then evaluated the disease severity of these mice by using fluorescence angiography. We performed enzyme-linked immunosorbent assay (ELISA) and fluorescence-activated cell sorting (FACS) to analyze the levels of IL-17A and to investigate the immune cell populations in the eyes of WT and IL-17A-deficient mice. We used ARPE-19 cells to clarify the effect of IL-17A under oxidative stress.
In the laser-induced CNV model, the CNV lesions were larger in IL-17A-deficient mice than in WT mice. The numbers of γδ T cells, CD3CD4RORγt T cells, Treg cells, and neutrophils were decreased and the number of macrophages was increased in the eyes of IL-17A-deficient mice compared with WT mice. In WT mice, IL-17A-producing γδ T-cell numbers increased in a time-dependent manner from day 7 to 28 after laser injury. IL-6 levels increased and IL-10, IL-24, IL-17F, and GM-CSF levels decreased in the eyes of IL-17A-deficient mice after laser injury. In vitro, IL-17A inhibited apoptosis and induced the expression of the antioxidant protein HO-1 in ARPE-19 cells under oxidative stress conditions. IL-17A facilitated the repair of oxidative stress-induced barrier dysfunction in ARPE-19 cells.
Our findings provide new insight into the protective effect of IL-17A in a laser-induced CNV model and reveal a novel regulatory role of IL-17A-producing γδ T cells in the ocular microenvironment in wet AMD.
与脉络膜新生血管(CNV)相关的湿性/渗出性年龄相关性黄斑变性(AMD)患者会出现视力丧失,AMD 是导致老年人不可逆视力损害的主要原因。白细胞介素-17A(IL-17A)是与一些自身免疫性疾病相关的微环境组成部分。先前的研究表明,湿性 AMD 患者的血清 IL-17A 水平升高。然而,IL-17A 对 AMD 进展的影响仍需进一步研究。我们旨在探讨 IL-17A 在激光诱导的 CNV 小鼠模型中的作用。
我们在野生型(WT)和 IL-17A 缺陷型小鼠中建立了激光诱导的 CNV 小鼠模型,然后通过荧光血管造影评估这些小鼠的疾病严重程度。我们通过酶联免疫吸附测定(ELISA)和荧光激活细胞分选(FACS)分析 WT 和 IL-17A 缺陷型小鼠眼内的 IL-17A 水平,并研究眼内免疫细胞群。我们使用 ARPE-19 细胞在氧化应激条件下阐明 IL-17A 的作用。
在激光诱导的 CNV 模型中,IL-17A 缺陷型小鼠的 CNV 病变比 WT 小鼠大。与 WT 小鼠相比,IL-17A 缺陷型小鼠眼内γδ T 细胞、CD3CD4RORγt T 细胞、Treg 细胞和中性粒细胞的数量减少,而巨噬细胞的数量增加。在 WT 小鼠中,IL-17A 产生的 γδ T 细胞数量从激光损伤后第 7 天到第 28 天呈时间依赖性增加。IL-17A 缺陷型小鼠激光损伤后眼内 IL-6 水平升高,IL-10、IL-24、IL-17F 和 GM-CSF 水平降低。体外,IL-17A 在氧化应激条件下抑制 ARPE-19 细胞凋亡并诱导抗氧化蛋白 HO-1 的表达。IL-17A 促进 ARPE-19 细胞氧化应激诱导的屏障功能障碍修复。
我们的研究结果为 IL-17A 在激光诱导的 CNV 模型中的保护作用提供了新的见解,并揭示了 IL-17A 产生的 γδ T 细胞在湿性 AMD 眼内微环境中的新的调节作用。