Kahaleh M B, Fan P S
Department of Medicine, Medical College of Ohio, Toledo 43699, USA.
Clin Exp Rheumatol. 1997 Mar-Apr;15(2):163-7.
Circulating levels of endothelin (ET), a potent vasoconstrictor peptide and a mitogen for smooth muscle cells and fibroblasts, are reported to be increased in a variety of human diseases characterized by vascular pathology. In view of the probable immune bases for vascular injury in connective tissue disorders, we examined the effect of the cytokines IL-1 alpha, IL-4, IL-6, TNF-alpha and lymphotoxin on the production of ET-1 by cultured vascular endothelial cells.
ET levels in endothelial cell conditioned media were measured by radioimmunoassay. IL-4 and lymphotoxin had no effect on ET release by endothelial cells, while IL-6, TNF-alpha and IL-1 alpha stimulated ET mRNA expression and ET release in a dose dependent fashion. IL-6 was the most potent stimulator and IL-1 was the least effective. The addition of neutralizing antibodies to the cytokines inhibited the observed increase in ET release.
These results suggest that cytokines may play a significant role in the control of vascular tone. Furthermore, cytokines may indirectly contribute to the development of proliferative vascular lesions by stimulating smooth muscle and interstitial cell proliferation through their effects on endothelin release by the vascular endothelium.
内皮素(ET)是一种强效血管收缩肽,也是平滑肌细胞和成纤维细胞的有丝分裂原,据报道,在多种以血管病变为特征的人类疾病中,其循环水平会升高。鉴于结缔组织疾病中血管损伤可能存在免疫基础,我们研究了细胞因子白细胞介素-1α(IL-1α)、白细胞介素-4(IL-4)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)和淋巴毒素对培养的血管内皮细胞产生内皮素-1(ET-1)的影响。
通过放射免疫测定法测量内皮细胞条件培养基中的ET水平。IL-4和淋巴毒素对内皮细胞释放ET没有影响,而IL-6、TNF-α和IL-1α以剂量依赖的方式刺激ET mRNA表达和ET释放。IL-6是最有效的刺激剂,IL-1效果最差。向细胞因子中添加中和抗体可抑制观察到的ET释放增加。
这些结果表明,细胞因子可能在血管张力的控制中发挥重要作用。此外,细胞因子可能通过影响血管内皮细胞释放内皮素,刺激平滑肌和间质细胞增殖,从而间接促进增殖性血管病变的发展。