广东省自然科学基金资助项目 (8151008901000082)
This work was supported by a grant from Guangdong Natural Science Foundation (8151008901000082)
脓毒症是近年来的医学难题之一,迫切需要探讨新的治疗手段.以往研究发现,骨髓间充质干细胞具有免疫调节作用,免疫细胞因子白介素10(IL-10)是细胞因子分泌的抑制因子,具有很好的抗炎作用.因此构建了携带小鼠IL-10(mIL-10)的腺病毒载体,用它来感染骨髓间充质干细胞(BMSC),并通过载体上的绿色荧光蛋白来筛选过表达mIL-10基因的骨髓间充质干细胞(BMSC-mIL-10).随后,运用盲肠结扎穿孔法在小鼠体内建立脓毒症模型,并观察BMSC-mIL-10在脓毒症中的治疗作用.研究发现,和单纯BMSC治疗组相比,BMSC-mIL-10可以明显降低脓毒症老鼠体内炎症因子的产生,这包括TNF-α、IL-6、IL-1α和 IL-1β等,同时,BMSC-mIL-10治疗组小鼠的肺部和肾脏炎症反应减轻,体重丢失下降,死亡率明显降低.为进一步探讨BMSC-mIL-10治疗机制,运用Western blot和免疫荧光染色方法发现BMSC-mIL-10组上清液可以抑制巨噬细胞和中性粒细胞中LPS引起的NF-κB的激活.上述结果表明,骨髓间充质干细胞过表达IL-10有望成为脓毒症治疗的潜在手段之一.
Sepsis is one of the most serious problems of modern medicine nowadays and improvements in treatments are urgently needed. Bone marrow derived stromal cells (BMSCs) have a potent immunosuppressive effect in humans in vivo. IL-10, a cytokine synthesis inhibitory factor, plays an important role in anti-inflammatory response. Here BMSCs were infected with recombinant adenovirus encoding murine IL-10 (mIL-10) and a GFP marker to obtain GFP positive BMSC-mIL-10 cells. The BMSC-mIL-10 cells were injected into mice with cecal ligation and puncture (CLP)-induced sepsis, and the enhanced expression of IL-10 in blood was confirmed by ELISA. Indeed, in CLP mice mode, the systematic delivery of IL-10 via BMSCs effectively suppressed the production of proinflammatory cytokines, including TNF-α, IL-6, IL-1α and IL-1β, compared to BMSCs alone. The therapeutic benefits were further demonstrated by an increased prevention from body loss, increased survival rate, and the suppression of inflammatory response in lung and kidney. Furthermore, these effects may be mediated by inhibiting the activation of NF-κB in macrophages and neutrophils. Collectively, these results suggest that systemic delivery of IL-10 by BMSCs may serve as a potential treatment in sepsis therapy.
毕良宽,唐 冰,朱 斌,谢春玲,李 爽,林天歆,黄 健,张 伟,朱家源.骨髓间充质干细胞过表达IL-10基因对脓毒症的治疗作用[J].生物化学与生物物理进展,2010,37(6):678-685
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