结肠炎
炎症
免疫学
炎症性肠病
医学
内科学
疾病
作者
Marina Bersudsky,Lotem Luski,Daniel Fishman,Rosalyn M. White,Nadya Ziv‐Sokolovskaya,Shahar Dotan,Peleg Rider,Irena Kaplanov,Tegest Aychek,Charles A. Dinarello,Ron N. Apte,Elena Voronov
出处
期刊:Gut
[BMJ]
日期:2013-06-21
卷期号:63 (4): 598-609
被引量:226
标识
DOI:10.1136/gutjnl-2012-303329
摘要
Objective
The differential role of the IL-1 agonists, IL-1α, which is mainly cell-associated versus IL-1β, which is mostly secreted, was studied in colon inflammation. Design
Dextran sodium sulfate (DSS) colitis was induced in mice globally deficient in either IL-1α or IL-1β, and in wild-type mice, or in mice with conditional deletion of IL-1α in intestinal epithelial cells (IECs). Bone marrow transplantation experiments were performed to assess the role of IL-1α or IL-1β of myeloid versus colon non-hematopoietic cells in inflammation and repair in acute colitis. Results
IL-1α released from damaged IECs acts as an alarmin by initiating and propagating colon inflammation, as IL-1α deficient mice exhibited mild disease symptoms with improved recovery. IL-1β is involved in repair of IECs and reconstitution of the epithelial barrier during the resolution of colitis; its deficiency correlates with disease exacerbation. Neutralisation of IL-1α in control mice during acute colitis led to alleviation of clinical and histological manifestations, whereas treatment with rIL-1Ra or anti-IL-1β antibodies was not effective. Repair after colitis correlated with accumulation of CD8 and regulatory T cells in damaged crypts. Conclusions
The role of IL-1α and IL-1β differs in DSS-induced colitis in that IL-1α, mainly of colon epithelial cells is inflammatory, whereas IL-1β, mainly of myeloid cell origin, promotes healing and repair. Given the dissimilar functions of each IL-1 agonistic molecule, an IL-1 receptor blockade would not be as therapeutically effective as specific neutralising of IL-1α, which leaves IL-1β function intact.
科研通智能强力驱动
Strongly Powered by AbleSci AI