基于IL-23/Th17炎症通路探讨司库奇尤单抗对钙化性主动脉瓣膜病的影响及作用机制
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1.宁德师范学院附属宁德市医院;2.河南中医药大学第一附属医院

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Exploring the effect and mechanism of action of secukinumab on calcific aortic valve disease based on IL-23/Th17 inflammatory pathway
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1.Ningde Municipal Hospital Of Ningde Normal University;2.The First filiated Hospital of Henan University of CM

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    摘要:

    目的 观察IL-23/Th17炎症通路是否参与钙化性主动脉瓣膜病的发生发展,司库奇尤单抗是否可以通过抑制IL-23/Th17炎症通路延缓钙化性主动脉瓣膜病的进展。方法 按随机数字表法将47只小鼠分为空白对照组、模型组、司库奇尤单抗组。空白对照组给予正常饲料喂养,模型组、司库奇尤单抗组给予促钙化饲料喂养16周后建立钙化性主动脉瓣膜病模型,司库奇尤单抗对司库奇尤单抗组小鼠干预4周后,在多普勒超声下检测所有小鼠主动脉瓣峰值流速变化;采用HE染色、Von kossa染色、免疫组化染色、ELISA和PCR进行相关指标测定。结果 与模型组相比,司库奇尤单抗组药物干预4周后,能够显著降低主动脉瓣膜的峰值流速(P<0.05),降低血清IL-6水平(P<0.05);与司库奇尤单抗组相比,模型组瓣叶厚度明显增加且有更多的钙盐沉积;免疫组化结果显示:司库奇尤单抗组与模型组相比,瓣叶中巨噬细胞(P<0.05)、IL-17A(P<0.05)、IL-23(P>0.05)浸润均减少。PCR结果提示:与模型组相比,司库奇尤单抗组的STAT3、BMP-2及α-SMA mRNA的表达均显著减少(P<0.05)。结论 IL-23/Th17炎症通路参与了钙化性主动脉瓣膜病的发病过程,经司库奇尤单抗干预后小鼠瓣膜的炎症、纤维化、成骨分化及钙化情况均有所缓解,司库奇尤单抗可能通过抑制IL-23/Th17炎症通路而延缓疾病进展。

    Abstract:

    Objective To observe whether the IL-23/Th17 inflammatory pathway is involved in the development of calcific aortic valve disease, and whether secukinumab can delay the progression of calcific aortic valve disease by inhibiting the IL-23/Th17 inflammatory pathway. Methods Forty-seven mice were divided into a blank control group, a model group, and a secukinumab group according to the random number table method. The blank control group was fed with normal chow, the model group and the secukinumab group were fed with pro-calcification chow for 16 weeks to establish a calcific aortic valve disease model, and the peak flow velocity changes of the aortic valves were detected under Doppler ultrasonography in all the mice after 4 weeks of intervention by secukinumab on the secukinumab group; relevant indexes were determined by HE staining, Von kossa staining, immunohistochemical staining, ELISA, and PCR. PCR were used to determine the relevant indexes. Results Compared with the model group, 4 weeks of drug intervention in the secukinumab group significantly reduced peak flow velocity ( P<0.05) and serum IL-6 levels ( P<0.05) in the aortic valve; compared with the secukinumab group, the leaflet thickness in the model group was significantly increased and there were more calcium deposits; Immunohistochemical results showed that macrophages ( P<0.05), IL-17A ( P<0.05), and IL-23 ( P>0.05) infiltration in the valve leaflets were reduced in the secukinumab group compared with the model group.PCR results suggested that the expression of STAT3, BMP-2 and α-SMA mRNA were significantly reduced in the secukinumab group compared with the model group ( P<0.05).Conclusion The IL-23/Th17 inflammatory pathway is involved in the pathogenesis of calcific aortic valve disease, and the inflammation, fibrosis, osteogenic differentiation, and calcification of mouse valves were alleviated after the intervention of secukinumab, which may delay the disease progression by inhibiting the IL-23/Th17 inflammatory pathway.

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  • 收稿日期:2024-03-26
  • 最后修改日期:2024-05-26
  • 录用日期:2024-08-26
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