Yang Yu-Shu, Li Xian-Rui, Wang Zhi-Min, Zheng Lin, Li Jin-Long, Cui Xiao-Lin, Song Yan-Biao, Ma Jun-Ji, Guo Hui-Fang, Gao Li-Xia, Zhou Xiao-Hui
Department of Rheumatology and Immunology, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, Hebei Province, China.
College of Pharmacy, Hebei Medical University, Shijiazhuang 050000, Hebei Province, China.
World J Hepatol. 2025 Jun 27;17(6):104073. doi: 10.4254/wjh.v17.i6.104073.
Primary biliary cholangitis (PBC) is a chronic autoimmune-mediated cholestatic liver disease. Nanoparticles encapsulating rapamycin (ImmTOR) suppress adaptive immune responses and induce the hepatic tolerogenic immune response.
To investigate the effects of ImmTOR in PBC mouse models.
PBC models were induced in C57BL/6 mice by two immunizations of 2-octynoic acid-coupled bovine serum albumin at two-week intervals, and polycytidylic acid every three days. The PBC mouse models were separated into the treatment group and the control group. The levels of alkaline phosphatase (ALP) and alanine aminotransferase in the mice were detected using an automatic biochemical analyzer. Liver and spleen mononuclear cells were analyzed by flow cytometry, and serum anti-mitochondrial antibodies (AMA) and the related cytokines were analyzed by enzyme-linked immunosorbent assay. Liver histopathology was examined by hematoxylin and eosin staining and scored.
After treatment with ImmTOR, the ALP level was significantly decreased (189.60 U/L ± 27.25 U/L 156.00 U/L ± 17.21 U/L, < 0.05), the level of AMA was reduced (1.28 ng/mL ± 0.27 ng/mL 0.56 ng/mL ± 0.07 ng/mL, < 0.001) and the expression levels of interferon gamma and tumor necrosis factor α were significantly decreased (48.29 pg/mL ± 10.84 pg/mL 25.01 pg/mL ± 1.49 pg/mL, < 0.0001) and (84.24 pg/mL ± 23.47 pg/mL 40.66 pg/mL ± 14.65 pg/mL, < 0.001). The CD4+ T lymphocytes, CD8+ T lymphocytes and B lymphocytes in the liver were significantly reduced, with statistically significant differences (24.21% ± 6.55% 15.98% ± 3.03%, < 0.05; 9.09% ± 1.91% 5.49% ± 1.00%, < 0.001; 80.51% ± 2.96% 75.31% ± 4.34%, < 0.05). The expression of CD8+ T lymphocytes and B lymphocytes in the ImmTOR treatment group also decreased (9.09% ± 1.91% 5.49% ± 1.00%, < 0.001; 80.51% ± 2.96% 75.31% ± 4.34%, < 0.05). The liver pathology of PBC mice in the treatment group showed reduced inflammation and a decreased total pathology score, and the difference in the scores was statistically significant (4.50 ± 2.88 1.75 ± 1.28, < 0.05).
ImmTOR can improve biochemistry and pathology of liver obvious by inhibiting the expression of CD8+ T cells and B cells, and reducing the titer of AMA.
原发性胆汁性胆管炎(PBC)是一种慢性自身免疫介导的胆汁淤积性肝病。包裹雷帕霉素的纳米颗粒(ImmTOR)可抑制适应性免疫反应并诱导肝脏产生耐受性免疫反应。
研究ImmTOR对PBC小鼠模型的影响。
通过间隔两周两次注射2-辛炔酸偶联牛血清白蛋白以及每三天注射一次聚胞苷酸,在C57BL/6小鼠中诱导建立PBC模型。将PBC小鼠模型分为治疗组和对照组。使用自动生化分析仪检测小鼠体内碱性磷酸酶(ALP)和丙氨酸氨基转移酶的水平。通过流式细胞术分析肝脏和脾脏中的单核细胞,并通过酶联免疫吸附测定法分析血清抗线粒体抗体(AMA)及相关细胞因子。采用苏木精-伊红染色检查肝脏组织病理学并进行评分。
用ImmTOR治疗后,ALP水平显著降低(189.60 U/L±27.25 U/L对156.00 U/L±17.21 U/L,P<0.05),AMA水平降低(1.28 ng/mL±0.27 ng/mL对0.56 ng/mL±0.07 ng/mL,P<0.001),干扰素γ和肿瘤坏死因子α的表达水平显著降低(48.29 pg/mL±10.84 pg/mL对25.01 pg/mL±1.49 pg/mL,P<0.0001)以及(84.24 pg/mL±23.47 pg/mL对40.66 pg/mL±14.65 pg/mL,P<0.001)。肝脏中的CD4+T淋巴细胞、CD8+T淋巴细胞和B淋巴细胞显著减少,差异具有统计学意义(24.21%±6.55%对15.98%±3.03%,P<0.05;9.09%±1.91%对5.49%±1.00%,P<0.001;80.51%±2.96%对75.31%±4.34%,P<0.05)。ImmTOR治疗组中CD8+T淋巴细胞和B淋巴细胞的表达也降低(9.09%±1.91%对5.49%±1.00%,P<0.001;80.51%±2.96%对75.31%±4.34%,P<0.05)。治疗组PBC小鼠的肝脏病理学显示炎症减轻且总病理学评分降低,评分差异具有统计学意义(4.50±2.88对1.75±1.28,P<0.05)。
ImmTOR可通过抑制CD8+T细胞和B细胞的表达以及降低AMA滴度,明显改善肝脏的生化指标和病理学表现。