Department of Emergency Medicine and Critical Care, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.
Research Center for Translational Medicine, Shanghai East Hospital, Tongji University, Shanghai, 200092, China.
BMC Pulm Med. 2024 Sep 11;24(1):443. doi: 10.1186/s12890-024-03260-x.
Pulmonary fibrosis (PF) is an aging-related progressive lung disorder. The aged lung undergoes functional and structural changes termed immunosenescence and inflammaging, which facilitate the occurrence of fibrosis. Interleukin-10 (IL-10) is a potent anti-inflammatory and immunoregulatory cytokine, yet it remains unclear how IL-10 deficiency-induced immunosenescence participates in the development of PF.
Firstly we evaluated the susceptibility to fibrosis and IL-10 expression in aged mice. Then 13-month-old wild-type (WT) and IL-10 knockout (KO) mice were subjected to bleomycin(BLM) and analyzed senescence-related markers by PCR, western blot and immunohistochemistry staining of p16, p21, p53, as well as DHE and SA-β-gal staining. We further compared 18-month-old WT mice with 13-month-old IL-10KO mice to assess aging-associated cell senescence and inflamation infiltration in both lung and BALF. Moreover, proliferation and apoptosis of alveolar type 2 cells(AT2) were evaluated by FCM, immunofluorescence, TUNEL staining, and TEM analysis. Recombinant IL-10 (rIL-10) was also administered intratracheally to evaluate its therapeutic potential and related mechanism. For the in vitro experiments, 10-week-old naïve pramily lung fibroblasts(PLFs) were treated with the culture medium of 13-month PLFs derived from WT, IL-10KO, or IL-10KO + rIL-10 respectively, and examined the secretion of senescence-associated secretory phenotype (SASP) factors and related pathways.
The aged mice displayed increased susceptibility to fibrosis and decreased IL-10 expression. The 13-month-old IL-10KO mice exhibited significant exacerbation of cell senescence compared to their contemporary WT mice, and even more severe epithelial-mesenchymal transition (EMT) than that of 18 month WT mice. These IL-10 deficient mice showed heightened inflammatory responses and accelerated PF progression. Intratracheal administration of rIL-10 reduced lung CD45 + cell infiltration by 15%, including a 6% reduction in granulocytes and a 10% reduction in macrophages, and increased the proportion of AT2 cells by approximately 8%. Additionally, rIL-10 significantly decreased α-SMA and collagen deposition, and reduced the expression of senescence proteins p16 and p21 by 50% in these mice. In vitro analysis revealed that conditioned media from IL-10 deficient mice promoted SASP secretion and upregulated senescence genes in naïve lung fibroblasts, which was mitigated by rIL-10 treatment. Mechanistically, rIL-10 inhibited TGF-β-Smad2/3 and PTEN/PI3K/AKT/ERK pathways, thereby suppressing senescence and fibrosis-related proteins.
IL-10 deficiency in aged mice leads to accelerated cell senescence and exacerbated fibrosis, with IL-10KO-PLFs displaying increased SASP secretion. Recombinant IL-10 treatment effectively mitigates these effects, suggesting its potential as a therapeutic target for PF.
肺纤维化(PF)是一种与年龄相关的进行性肺部疾病。衰老的肺部经历功能和结构变化,称为免疫衰老和炎症衰老,这促进了纤维化的发生。白细胞介素 10(IL-10)是一种有效的抗炎和免疫调节细胞因子,但尚不清楚 IL-10 缺乏诱导的免疫衰老如何参与 PF 的发展。
首先,我们评估了衰老小鼠对纤维化和 IL-10 表达的易感性。然后,将 13 月龄的野生型(WT)和 IL-10 敲除(KO)小鼠用博来霉素(BLM)处理,并通过聚合酶链反应、Western blot 和 p16、p21、p53 的免疫组织化学染色以及 DHE 和 SA-β-半乳糖染色分析衰老相关标志物。我们进一步比较了 18 月龄的 WT 小鼠和 13 月龄的 IL-10KO 小鼠,以评估两者肺和 BALF 中的与年龄相关的细胞衰老和炎症浸润。此外,通过 FCM、免疫荧光、TUNEL 染色和 TEM 分析评估肺泡 2 型细胞(AT2)的增殖和凋亡。还通过气管内给予重组白细胞介素 10(rIL-10)来评估其治疗潜力和相关机制。对于体外实验,用来自 WT、IL-10KO 或 IL-10KO+ rIL-10 的 13 月龄 PLFs 的培养上清液处理 10 周龄新生亲代肺成纤维细胞(PLFs),并检测衰老相关 secretory phenotype(SASP)因子和相关途径的分泌情况。
衰老小鼠对纤维化的易感性增加,IL-10 表达减少。与同期 WT 小鼠相比,13 月龄的 IL-10KO 小鼠表现出明显的细胞衰老加重,甚至比 18 月龄的 WT 小鼠更严重的上皮-间充质转化(EMT)。这些缺乏 IL-10 的小鼠表现出更高的炎症反应和加速的 PF 进展。气管内给予 rIL-10 可使肺 CD45+细胞浸润减少 15%,其中粒细胞减少 6%,巨噬细胞减少 10%,AT2 细胞比例增加约 8%。此外,rIL-10 显著降低了这些小鼠的α-SMA 和胶原蛋白沉积,并使衰老蛋白 p16 和 p21 的表达减少 50%。体外分析表明,缺乏 IL-10 的小鼠的条件培养基促进了幼稚肺成纤维细胞的 SASP 分泌,并上调了衰老基因,而 rIL-10 处理减轻了这种作用。机制上,rIL-10 抑制 TGF-β-Smad2/3 和 PTEN/PI3K/AKT/ERK 途径,从而抑制衰老和纤维化相关蛋白。
衰老小鼠中 IL-10 的缺乏导致细胞衰老加速和纤维化加剧,IL-10KO-PLFs 表现出增加的 SASP 分泌。重组白细胞介素 10(rIL-10)治疗可有效减轻这些影响,表明其作为 PF 治疗靶点的潜力。