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消退素D2及其对克罗恩病患者肠黏膜的影响:一个有前景的免疫调节治疗靶点。

Resolvin D2 and Its Effects on the Intestinal Mucosa of Crohn's Disease Patients: A Promising Immune Modulation Therapeutic Target.

作者信息

Pascoal Livia Bitencourt, Rodrigues Bruno Lima, Nogueira Guilherme Augusto da Silva, Ayrizono Maria de Lourdes Setsuko, Oliveira Priscilla de Sene Portel, Velloso Licio Augusto, Leal Raquel Franco

机构信息

Inflammatory Bowel Disease Research Laboratory, Colorectal Surgery Unit, Gastrocenter, School of Medical Sciences, University of Campinas (Unicamp), São Paulo 13083-878, Brazil.

Laboratory of Cell Signaling, Obesity and Comorbidities Research Center, School of Medical Sciences, University of Campinas (Unicamp), São Paulo 13083-878, Brazil.

出版信息

Int J Mol Sci. 2025 Jun 23;26(13):6003. doi: 10.3390/ijms26136003.


DOI:10.3390/ijms26136003
PMID:40649782
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12249623/
Abstract

Crohn's disease (CD) is a chronic inflammatory disorder of the gastrointestinal tract that severely impacts patients' quality of life. Although current therapies have improved symptom management, they often fail to alter disease progression and are associated with immunosuppressive side effects. This study evaluated the immunomodulatory potential of resolvin D2 (RvD2), a pro-resolving lipid mediator, using a murine model of colitis and the ex vivo treatment of intestinal mucosal biopsies from CD patients, comparing its effects to those of conventional anti-TNFα therapy. To determine the optimal concentration of RvD2 for application in human tissue explant cultures, an initial in vitro assay was conducted using intestinal biopsies from mice with experimentally induced colitis. The explants were treated in vitro with varying concentrations of RvD2, and 0.1 μM emerged as an effective dose. This concentration significantly reduced the transcriptional levels of TNF-α ( = 0.004) and IL-6 ( = 0.026). Intestinal mucosal biopsies from fifteen patients with CD and seven control individuals were analyzed to validate RNA-sequencing data, which revealed dysregulation in the RvD2 biosynthetic and signaling pathways. The real-time PCR confirmed an increased expression of PLA2G7 ( = 0.02) and ALOX15 ( = 0.02), while the immunohistochemical analysis demonstrated the reduced expression of the RvD2 receptor GPR18 ( = 0.04) in intestinal tissues from CD patients. Subsequently, samples from eight patients with active Crohn's disease, eight patients in remission, and six healthy controls were used for the serum analysis of RvD2 by ELISA, in vitro treatment of intestinal biopsies with RvD2 or anti-TNF, followed by transcriptional analysis, and a multiplex assay of the explant culture supernatants. The serum analysis demonstrated elevated RvD2 levels in CD patients both with active disease ( = 0.02) and in remission ( = 0.002) compared to healthy controls. The ex vivo treatment of intestinal biopsies with RvD2 decreased IL1β ( = 0.04) and TNFα ( = 0.02) transcriptional levels, comparable to anti-TNFα therapy. Additionally, multiplex cytokine profiling confirmed a reduction in pro-inflammatory cytokines, including IL-6 ( = 0.01), IL-21 ( = 0.04), and IL-22 ( = 0.009), in the supernatant of samples treated with RvD2. Altogether, these findings suggest that RvD2 promotes the resolution of inflammation in CD and supports its potential as a promising therapeutic strategy.

摘要

克罗恩病(CD)是一种胃肠道慢性炎症性疾病,严重影响患者的生活质量。尽管目前的治疗方法改善了症状管理,但它们往往无法改变疾病进展,并且伴有免疫抑制副作用。本研究使用结肠炎小鼠模型以及对克罗恩病患者肠道黏膜活检组织进行体外处理,评估了促消退脂质介质消退素D2(RvD2)的免疫调节潜力,并将其效果与传统抗TNFα疗法进行比较。为了确定RvD2在人体组织外植体培养中的最佳应用浓度,首先使用实验性诱导结肠炎小鼠的肠道活检组织进行了体外试验。用不同浓度的RvD2对这些外植体进行体外处理,结果显示0.1μM为有效剂量。该浓度显著降低了TNF-α(P = 0.004)和IL-6(P = 0.026)的转录水平。分析了15例克罗恩病患者和7例对照个体的肠道黏膜活检组织,以验证RNA测序数据,结果显示RvD2生物合成和信号通路存在失调。实时PCR证实PLA2G7(P = 0.02)和ALOX15(P = 0.02)表达增加,而免疫组织化学分析表明,克罗恩病患者肠道组织中RvD2受体GPR18的表达降低(P = 0.04)。随后,采集8例活动期克罗恩病患者、8例缓解期患者和6例健康对照的样本,通过ELISA法进行RvD2血清分析,用RvD2或抗TNF对肠道活检组织进行体外处理,随后进行转录分析,并对外植体培养上清液进行多重检测。血清分析表明,与健康对照相比,活动期(P = 0.02)和缓解期(P = 0.002)的克罗恩病患者血清中RvD2水平升高。用RvD2对肠道活检组织进行体外处理可降低IL1β(P = 0.04)和TNFα(P = 0.02)的转录水平,与抗TNFα疗法相当。此外,多重细胞因子分析证实,用RvD2处理的样本上清液中促炎细胞因子减少,包括IL-6(P = 0.01)、IL-21(P = 0.04)和IL-22(P = 0.009)。总之,这些发现表明RvD2可促进克罗恩病炎症的消退,并支持其作为一种有前景的治疗策略的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3a2/12249623/75441dcbf0cf/ijms-26-06003-g006.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3a2/12249623/8b1e74bd58c9/ijms-26-06003-g003.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3a2/12249623/75441dcbf0cf/ijms-26-06003-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3a2/12249623/28ee0867419b/ijms-26-06003-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3a2/12249623/b7e7e8522547/ijms-26-06003-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3a2/12249623/8b1e74bd58c9/ijms-26-06003-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3a2/12249623/8250dc9df579/ijms-26-06003-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3a2/12249623/36bcd0f5844a/ijms-26-06003-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3a2/12249623/75441dcbf0cf/ijms-26-06003-g006.jpg

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本文引用的文献

[1]
Pro-resolving lipid mediators and therapeutic innovations in resolution of inflammation.

Pharmacol Ther. 2025-1

[2]
The resolvin D2 and omega-3 polyunsaturated fatty acid as a new possible therapeutic approach for inflammatory bowel diseases.

Sci Rep. 2024-11-20

[3]
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Adv Surg. 2024-9

[4]
Immunomodulation of Proton-activated G Protein-coupled Receptors in Inflammation.

Curr Med Sci. 2024-6

[5]
Uncovering the Power of GPR18 Signalling: How RvD2 and Other Ligands Could Have the Potential to Modulate and Resolve Inflammation in Various Health Disorders.

Molecules. 2024-3-12

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Resolvin D2 activates anti-inflammatory microglia via restoring autophagy flux and alleviate neuropathic pain following spinal cord injury in rats.

Exp Neurol. 2023-12

[9]
Resolvin D2-G-Protein Coupled Receptor 18 Enhances Bone Marrow Function and Limits Steatosis and Hepatic Collagen Accumulation in Aging.

Am J Pathol. 2023-12

[10]
Resolvin D2 and its receptor GPR18 in cardiovascular and metabolic diseases: A promising biomarker and therapeutic target.

Pharmacol Res. 2023-9

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