结肠炎相关结肠癌小鼠模型不同阶段病理变化的动态评估
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广州中医药大学

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国家自然科学基金项目(面上项目,重点项目,重大项目)


Dynamic Assessment of Pathological Changes at Different Stages in a Mouse Model of Colitis-Associated Colon Cancer
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Guangzhou University of Chinese Medicine

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The National Natural Science Foundation of China (General Program, Key Program, Major Research Plan)

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    摘要:

    目的 探讨结肠炎相关性结肠癌(Colitis-Associated Colon Cancer,CAC)小鼠模型不同时间点肠道病理发展的动态变化特征。 方法 采用偶氮甲烷(AOM)/葡聚糖硫酸钠(DSS)构建C57BL/6 小鼠结肠炎-癌模型,分别在造模后的第7、10、14周三个时间点取材,观测小鼠脾脏指数、结肠长度、重量及结肠单位长度质量;苏木素-伊红(HE) 、Masson染色观察小鼠结肠病理学变化特征;实时荧光定量PCR法检测不同病理阶段肿瘤干细胞标记物CD44及Wnt信号通路Wnt2b、Lrp5、Axin2、Znrf3基因表达;多重免疫荧光组化(mIHC)和细胞免疫荧光(IF)检测成纤维细胞活化蛋白(cancer-associatedfibroblasts,FAP)、CD44、增殖标记物Ki67、杯状细胞MUC2蛋白表达。同时,体外分离培养第10、14周模型小鼠来源的结肠类器官,观察类器官的形态及特征标记物变化。结果 AOM/DSS诱导7周模型小鼠结肠病理表现为隐窝结构减少、扭曲、分支等变化,伴随少量胶原纤维沉积,10周、14周模型小鼠结肠呈现不同程度上皮内瘤变,并随着时间延长出现高级别上皮内瘤变的比例增加,胶原纤维沉积范围增多,伴随结肠长度缩短、肠壁增厚,脾脏增大等现象。与正常组相比,第14周模型小鼠结肠CD44、Wnt2b表达显著升高(p<0.05),Axin2表达下降(p<0.01)。与第7周相比,Wnt2b、Lrp5、Znrf3表达升高(p<0.01、p<0.05、p<0.01),Axin2表达下降(p<0.01)。多重免疫荧光组化染色显示:第10、14周模型小鼠结肠FAP、CD44表达增多,而MUC2表达降低。其来源的体外类器官呈现囊球样扩张,尤其以14周模型来源的类器官更为突出,Ki67和CD44在14周模型来源的类器官中表达明显增强。 结论 AOM/DSS诱导的小鼠模型在7、10、14周可分别呈现结肠慢性炎症、低级别上皮内瘤变、高级别上皮内瘤变为主的动态病理改变,病变区域以成纤维细胞激活及上皮细胞异常增殖为特征。

    Abstract:

    Objective To investigate the dynamic characteristics of intestinal pathological development at different time points in a mouse model of colitis-associated colon cancer (CAC). Methods A colitis-cancer model in C57BL/6 mice was established using azoxymethane (AOM) combined with dextran sulfate sodium (DSS). Samples were collected at 7,10,and 14 weeks post-modeling to observe spleen index,colon length,weight,and colon mass per unit length. Histopathological changes in the mouse colon were observed using hematoxylin and eosin (HE) staining and Masson staining. Real-time fluorescent quantitative PCR was used to detect the expression of cancer stem cell marker CD44 and Wnt signaling pathway genes Wnt2b,Lrp5,Axin2,and Znrf3 at different pathological stages. Multiple immunofluorescence histochemistry (mIHC) and immunofluorescence (IF) were employed to detect the expression of cancer-associated fibroblasts (FAP),CD44,proliferation marker Ki67,and goblet cell MUC2 protein. Additionally,colon organoids were isolated and cultured in vitro from model mice at 10 and 14 weeks to observe changes in organoid morphology and marker expression. Results At 7 weeks,AOM/DSS-induced mice showed reduced,distorted,and branched crypt structures of colon with a small amount of collagen fibers. At 10 and 14 weeks,model mice exhibited varying degrees of intraepithelial neoplasia in colon,with an increased proportion of high-grade intraepithelial neoplasia over time and increased collagen fiber staining. Compared with the normal group,the mRNA levels of CD44 and Wnt2b were significantly increased (p<0.05) and Axin2 was decreased (p<0.01) in the colon of model mice at 14 weeks. Compared with the 7-week mice,the levels of Wnt2b,Lrp5,and Znrf3 were increased (p<0.01,p<0.05,p<0.01),and Axin2 was decreased (p<0.01). mIHC staining showed increased expression of FAP and CD44 in the colon of model mice at 10 and 14 weeks,with decreased MUC2 expression. The colon organoids showed cystic dilation,especially those from the 14-week model,with more prominent expression of Ki67 and CD44. Conclusion The AOM/DSS-induced mouse model exhibited chronic colonic inflammation,low-grade intraepithelial neoplasia,and high-grade intraepithelial neoplasia at 7,10,and 14 weeks,respectively. The pathological microenviroment were characterized by fibroblast activation and abnormal proliferation of epithelial cells.

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  • 收稿日期:2024-10-17
  • 最后修改日期:2025-03-19
  • 录用日期:2025-05-29
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