Laboratory Medical College, Wenzhou Medical University, 325006 Wenzhou, Zhejiang, China.
Department of Pediatric, Beiyuan Community Health Service Center in Yiwu, 322000 Jinhua, Zhejiang, China.
Discov Med. 2024 Feb;36(181):372-384. doi: 10.24976/Discov.Med.202436181.35.
Allergic asthma (AA) is a prevalent chronic airway inflammation disease. In this study, this study aims to investigate the biological functions and potential regulatory mechanisms of the insulin receptor () in the progression of AA.
BALB/c mice (n = 48) were randomly divided into the following groups: control group, AA group, AA+Lentivirus (Lv)-vector short hairpin RNA (shRNA) group, AA+Lv-vector group, AA+Lv- shRNA group, and AA+Lv- group. The pulmonary index was calculated. mRNA and protein expression levels of , signal transducer and activator of transcription 3 (STAT3), Janus kinase 2 (JAK2), phosphorylated-STAT3 (p-STAT3), phosphorylated-JAK2 (p-JAK2), alpha-smooth muscle actin (), febrile neutropenia (), mucin 5AC (), and mucin 5B () were examined using reverse-transcription quantitative PCR (RT-qPCR) and western blot assays. Positive expressions of , retinoic acid-related orphan receptor gamma-t (RORγt), and forkhead box protein P3 (Foxp3) were quantified by immunohistochemistry. Fluorescence intensities of α-SMA and FN were detected by immunofluorescence. Pathological morphology was observed through hematoxylin-eosin (H&E) staining, Masson staining, and Periodic Acid-Schiff (PAS) staining. Contents of immunoglobulin E (IgE), interleukin-6 (IL-6), eotaxin, interleukin-4 (IL-4), interleukin-13 (IL-13), interferon-γ (IFN-γ), interleukin-17 (IL-17), and interleukin-10 (IL-10) were quantified using enzyme-linked immunosorbent assay (ELISA). The percentage of T helper 17 (Th17) and regulatory T (Treg) cells was determined through flow cytometry.
Compared to the control group, expression levels of , p-STAT3, p-JAK2, , , , , RORγt, and Foxp3, as well as IgE, IL-6, eotaxin, IL-4, IL-13, and IL-17 contents, pulmonary index, glycogen-positive area (%), and Th17 cell percentage significantly increased ( < 0.05). Additionally, pulmonary histopathological deterioration and collagen deposition were aggravated, while Treg cell percentage and IFN-γ and IL-10 contents remarkably decreased ( < 0.05). The overexpression of further exacerbated the progression of allergic asthma, but the down-regulation of reversed the trends of the above indicators.
The down-regulation of alleviates airway hyperviscosity, inflammatory infiltration, and airway remodeling, restoring Th17/Treg immune balance in AA mice by inactivating the STAT3 pathway.
变应性哮喘(AA)是一种常见的慢性气道炎症性疾病。本研究旨在探讨胰岛素受体()在 AA 进展中的生物学功能和潜在调控机制。
将 48 只 BALB/c 小鼠随机分为对照组、AA 组、AA+慢病毒(Lv)-载体短发夹 RNA(shRNA)组、AA+Lv-载体组、AA+Lv-shRNA 组和 AA+Lv-组。计算肺指数。采用逆转录定量 PCR(RT-qPCR)和 Western blot 检测、信号转导和转录激活因子 3(STAT3)、Janus 激酶 2(JAK2)、磷酸化-STAT3(p-STAT3)、磷酸化-JAK2(p-JAK2)、α-平滑肌肌动蛋白()、发热性中性粒细胞减少症()、粘蛋白 5AC()和粘蛋白 5B()的 mRNA 和蛋白表达水平。免疫组织化学法检测、视黄酸相关孤儿受体γ-t(RORγt)和叉头框蛋白 P3(Foxp3)的阳性表达。免疫荧光法检测α-SMA 和 FN 的荧光强度。通过苏木精-伊红(H&E)染色、马松染色和过碘酸希夫(PAS)染色观察病理形态。采用酶联免疫吸附试验(ELISA)检测免疫球蛋白 E(IgE)、白细胞介素 6(IL-6)、嗜酸性粒细胞趋化因子、白细胞介素 4(IL-4)、白细胞介素 13(IL-13)、干扰素-γ(IFN-γ)、白细胞介素 17(IL-17)和白细胞介素 10(IL-10)的含量。通过流式细胞术测定 Th17 和调节性 T(Treg)细胞的百分比。
与对照组相比,AA 组、p-STAT3、p-JAK2、、、、、RORγt 和 Foxp3 的表达水平,以及 IgE、IL-6、嗜酸性粒细胞趋化因子、IL-4、IL-13 和 IL-17 含量、肺指数、糖原阳性面积(%)和 Th17 细胞百分比均显著升高(<0.05)。此外,肺组织病理学恶化和胶原沉积加重,而 Treg 细胞百分比和 IFN-γ 和 IL-10 含量明显降低(<0.05)。上调进一步加重了变应性哮喘的进展,但下调则逆转了上述指标的趋势。
下调通过抑制 STAT3 通路减轻 AA 小鼠气道高粘性、炎症浸润和气道重塑,恢复 Th17/Treg 免疫平衡。