幽门螺杆菌诱导性胃炎中 CD4+IL-17A+FOXP3+T 细胞浸润增加。
Increased infiltration of CD4 IL-17A FOXP3 T cells in Helicobacter pylori-induced gastritis.
机构信息
Division of Gastroenterology and Hepatology, Shanghai Institute of Digestive Disease, NHC Key Laboratory of Digestive Diseases, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Department of Gastrointestinal Surgery, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
出版信息
Eur J Immunol. 2024 Mar;54(3):e2350662. doi: 10.1002/eji.202350662. Epub 2024 Feb 17.
Helicobacter pylori is one of the main predisposing factors for gastric cancer, causing chronic inflammation and proper glands atrophy in the gastric mucosa. Although H. pylori-induced inflammation is a key inducer of precancerous lesions in the gastric mucosa, it remains unclear which precise immune cell subsets are responsible for the progression of H. pylori-induced gastritis. Here, we observed an abundance of CD4 IL-17A FOXP3 T cells exhibiting a Th17-like phenotype within the microenvironment of H. pylori-induced gastritis. Mechanistically, H. pylori upregulated the expression of IL-6 in Dendritic cells and macrophages, by activating NF-κB signaling through the virulence factor CagA and thus, induced IL-17A expression in FOXP3 T cells. Moreover, CD4 IL-17A FOXP3 T cells were positively associated with advanced precancerous lesions. Therefore, these findings offer essential insights into how FOXP3 T cells sense inflammatory signals from the environment, such as IL-6, during H. pylori infections, thereby guiding the effector immune response and aggravating the gastritis.
幽门螺杆菌是胃癌的主要致病因素之一,可导致胃黏膜发生慢性炎症和固有腺体萎缩。虽然幽门螺杆菌诱导的炎症是胃黏膜癌前病变的关键诱导因素,但尚不清楚哪些特定的免疫细胞亚群负责幽门螺杆菌诱导的胃炎的进展。在这里,我们观察到在幽门螺杆菌诱导的胃炎的微环境中存在大量表达 IL-17A 的 CD4+ FOXP3+ T 细胞,呈现出 Th17 样表型。在机制上,幽门螺杆菌通过毒力因子 CagA 激活 NF-κB 信号,上调树突状细胞和巨噬细胞中 IL-6 的表达,从而诱导 FOXP3+ T 细胞中 IL-17A 的表达。此外,CD4+ IL-17A+ FOXP3+ T 细胞与进展期癌前病变呈正相关。因此,这些发现为 FOXP3+ T 细胞如何在幽门螺杆菌感染过程中感知来自环境的炎症信号(如 IL-6)提供了重要的见解,从而指导效应免疫反应并加重胃炎。