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雷帕霉素对哮喘缓解期小鼠模型气道炎症的作用
金华良, 王利民, 王娇莉, 夏俊波, 马胜林
杭州市第一人民医院/南京医科大学附属杭州医院呼吸科
摘要:
目的探讨雷帕霉素对哮喘缓解期小鼠气道炎症的作用与机制。方法将50只Balb/c小鼠随机分为5组:正常对照组、哮喘缓解组、哮喘模型组、地塞米松组和雷帕霉素组,每组10只。采用卵蛋白致敏与激发制备哮喘模型,休息3周后,采用卵蛋白再次激发1周,在小鼠休息期间治疗组采用雷帕霉素或地塞米松干预。采用Buxco无创肺功能仪检测气道高反应性;Luminex测定肺泡灌洗液IL-4、IL-5、IL-13、IL-17及INF-γ水平;肺组织HE染色评价观察小鼠肺组织气道炎症;Westernblot检测肺组织p-S6、S6、AKT、p-AKT(S473)蛋白含量;流式分析测定肺泡灌洗液CD4+CD25+Foxp3+Treg细胞百分率。结果与正常组及哮喘缓解组比较:哮喘模型组气道反应性升高(P<0.01),灌洗液IL-4、IL-5、IL-13及IL-17水平增加(均P<0.01),肺组织气道炎症评分增高(P<0.01),肺组织mTORC1信号通路下游蛋白p-S6蛋白增加(P<0.01),灌洗液Treg细胞比例上升(P<0.01);与模型组比较:雷帕霉素在乙酰甲胆碱浓度为6.25mg/ml时,可降低Penh值(P<0.01),同时降低肺泡灌洗液IL-4水平(P<0.01),并抑制肺组织炎症细胞浸润(P<0.01),而肺组织mTORC1信号通路下游蛋白p-S6蛋白下降(P<0.01),但雷帕霉素可降低肺泡灌洗液Treg细胞比例(P<0.01)。结论在哮喘缓解期应用雷帕霉素,其可通过mTORC1信号通路显著抑制哮喘急性发作时气道炎症;在哮喘缓解期应用雷帕霉素,对控制哮喘再次发作具有积极作用。
关键词:  雷帕霉素 哮喘 mTOR 信号通路
DOI:10.12056/j.issn.1006-2785.2017.39.11.2017-19
分类号:
基金项目:国家自然科学基金(81403247/H2902);浙江省医药卫生科技项目(2014KYA170)
Effects of rapamycin on airway inflammation in mice with asthma during remission
JIN Hualiang, WANG Limin, WANG Jiaoli, Xiajunbo, MA Shenglin
Hangzhou First People's Hospital/Hangzhou Hospital of Nanjing Medical University
Abstract:
Objective To investigate the effects of rapamycin on airway inflammation in mice with asthma during remission. Methods Fifty Balb/c mice were randomly divided into 5 groups: normal control, asthma, asthma in remission, dexamethasone and rapamycin groups with 10 mice in each group. The asthma model was induced by ovalbumin (OVA) sensitization and challenge; after 3-week interval the mice were challenged by OVA again. Dexamethasone, rapamycin or saline was given to 3 groups, respectively during 3-week interval. Airway reactivity was measured by Buxco's non-invasive system. Cytokines IL-4, IL-5, IL-13, IL-17 and INF-γ in bronchoalveolar lavage fluid (BALF) were assessed by Luminex method. Lung tissues were examined for inflammatory cell infiltration. The expression of p-S6, S6, AKT and p-AKT (S473) in lung tissue was examined by Western blot. CD4+CD25+Foxp3+ Treg cells in BALF was assessed by flow cytometry. Results Compared with the normal and remission groups, OVA re-expose significantly increased airway hyperresponsiveness(P<0.01), elevated IL-4, IL-5, IL-13, IL-17 levels (P<0.01), and reduced INF-γ in the BALF (P<0.01); it also markedly increased inflammatory cells in lung tissue, increased Ttreg cells in BALF and decreased expression of p-S6 (P <0.01). Rapamycin significantly reduced airway hyperresponsiveness to aerosolized methacholine at 6.25mg/ml(P<0.01), inhibited IL-4 level in BALF, and markedly decreased inflammatory infiltration in lung tissues(P<0.01). Notably, rapamycin significantly inhibited the expression of p-S6; and also Treg cells in BALF were significantly reduced after rapamycin treatment. Conclusion Antiasthmatic effects of rapamycin during re- mission time are at least partially through mTORC1 signaling pathway, and rapamycin may be used for asthma patients in re- mission to control asthma attack.
Key words:  Rapamycin Asthma mTOR signaling pathway