Li Feifei, Zhao Peipei, Zhao Liangtao, Bai Ling, Su Qiyan, Feng Yingyue, Ma Wenlan, Zhu Jiarui, Yang Jumei, Zhang Sigong
The Second Clinical Medical College of Lanzhou University, Lanzhou, 730030, Gansu, China.
Cuiying Biomedical Research Center, the Second Hospital of Lanzhou University, Lanzhou, 730030, Gansu, China.
Inflammation. 2024 Dec 17. doi: 10.1007/s10753-024-02220-1.
Our previous study has shown that neutrophil extracellular traps (NETs) were associated with idiopathic inflammatory myopathy-related interstitial lung disease (IIM-ILD). Colchicine plays an anti-inflammatory role mainly by inhibiting the activity and chemotaxis of neutrophils. This study aims to verify therapeutic effects and mechanism of colchicine in IIM-ILD. 20 experimental autoimmune myositis (EAM) model mice were randomly divided into EAM group, colchicine groups (1, 2 mg/kg) and Cl-amidine group (positive control), five mice in the control group received sham modeling procedure. After 5 weeks, the mice were sacrificed to evaluate the degree of pulmonary interstitial lesions and the formation of NETs. Human neutrophils were pretreated with colchicine (40 nmol/L) and stimulated to form NETs. Human pulmonary microvascular endothelial cells (HPMECs) were pretreated with colchicine and stimulated with NETs, and markers of inflammation and pyroptosis were detected. Pathological staining of lung tissue showed that severity of ILD and NETs infiltration were significantly alleviated in colchicine groups (P < 0.01) and in the Cl-amidine group (P < 0.01), and the serum level of NETs was also significantly decreased in colchicine groups (P < 0.05) and in the Cl-amidine group (P < 0.05). Colchicine intervention significantly attenuated PMA-induced NETs formation in vitro (P < 0.0001). Colchicine intervention significantly reduced marker expressions of inflammasome and pyroptosis in HPMECs stimulated by NETs and in the lung tissue of EAM mice. Colchicine can alleviate ILD in EAM mice by inhibiting NETs formation, inflammasome activation and endothelial cell pyroptosis. These findings provide a basis for targeting NETs and colchicine administration in the treatment of myositis-associated ILD.
我们之前的研究表明,中性粒细胞胞外陷阱(NETs)与特发性炎症性肌病相关间质性肺病(IIM-ILD)有关。秋水仙碱主要通过抑制中性粒细胞的活性和趋化性发挥抗炎作用。本研究旨在验证秋水仙碱治疗IIM-ILD的效果及机制。将20只实验性自身免疫性肌炎(EAM)模型小鼠随机分为EAM组、秋水仙碱组(1、2mg/kg)和氯胍组(阳性对照),对照组5只小鼠接受假造模程序。5周后,处死小鼠以评估肺间质病变程度和NETs的形成。用秋水仙碱(40nmol/L)预处理人中性粒细胞并刺激其形成NETs。用秋水仙碱预处理人肺微血管内皮细胞(HPMECs)并给予NETs刺激,检测炎症和细胞焦亡标志物。肺组织病理染色显示,秋水仙碱组(P<0.01)和氯胍组(P<0.01)的ILD严重程度和NETs浸润均显著减轻,秋水仙碱组(P<0.05)和氯胍组(P<0.05)的NETs血清水平也显著降低。秋水仙碱干预显著减弱了体外PMA诱导的NETs形成(P<0.0001)。秋水仙碱干预显著降低了NETs刺激的HPMECs和EAM小鼠肺组织中炎性小体和细胞焦亡的标志物表达。秋水仙碱可通过抑制NETs形成、炎性小体激活和内皮细胞焦亡来减轻EAM小鼠的ILD。这些发现为靶向NETs和应用秋水仙碱治疗肌炎相关ILD提供了依据。