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巨噬细胞来源的瘦素促进Th17分化参与心肌炎性损伤

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目的:探究瘦素(Leptin)与辅助性T细胞17(T helper 17,Th17)在心肌炎性损伤过程中的作用.方法:采用柯萨奇病毒B3(coxsackievirus B3,CVB3)构建病毒性心肌炎(viral myocarditis,VMC)模型;将小鼠分为对照组和VMC组,通过HE 染色检测心肌炎性浸润情况,流式细胞术(FACS)检测脾脏组织 Th17 的表达,定量实时PCR(qRT-PCR)检测心脏组织中IL-17A mRNA的表达,酶联免疫吸附试验(ELISA)检测外周血血清中IL-17A的含量.分离正常以及db/db(Leptin受体缺陷)小鼠脾脏组织中初始CD4+T细胞,分为对照组、Th17 组以及Leptin+Th17 组,分化培养后检测Th17 细胞比例和培养上清液中IL-17A含量.最后,运用氯膦酸盐脂质体去除巨噬细胞(macrophage,Mφ)后构建VMC小鼠模型,分为对照组、VMC组和VMC+脂质体组,检测脾脏和腹腔巨噬细胞比例、心肌炎性浸润情况、心脏组织中Leptin mRNA表达以及外周血中Leptin和IL-17A含量.结果:与对照组相比,VMC组心肌炎性浸润增加,脾脏Th17 比例上调,心脏组织IL-17A mRNA表达和血清IL-17A含量明显增加(P<0.05).体外分离正常小鼠CD4+T细胞后,Leptin+Th17 组Th17 比例及培养上清液IL-17A含量较Th17 组显著增加(P<0.05),而Lepr-/-CD4+T细胞中两组Th17 比例、IL-17A含量无明显差异.体内敲除巨噬细胞后,VMC+脂质体组小鼠脾脏与腹腔巨噬细胞(CD11b+F4/80+)比例较 VMC 组明显减低,心肌炎性浸润缓解,心脏组织 Leptin mRNA表达、脾脏组织 Th17 比例及外周血 Leptin和 IL-17A含量较 VMC组显著减低.结论:巨噬细胞来源的Leptin通过调控Th17 分化参与心肌炎性损伤发生.
Leptin from macrophages promotes Th17 differentiation and participates in inflammatory myocardial injury
Objective:To explore the role of Leptin and Th17 in the process of myocarditis injury.Methods:CVB3 was used to construct a viral myocarditis(VMC)model.First,the mice were divided into control group and VMC group.HE staining was used to detect myocardial inflammatory infiltration.The expression of Th17 in spleen tissue was measured by FACS.qRT-PCR was used to detect the expression of IL-17A mRNA in cardiac tissue.The level of IL-17A in serum was detected by ELISA.Secondly,Naïve CD4+T cells in the spleen tissues of normal and db/db(Leptin receptor deficiency)mice were isolated and divided into control group,Th17 group and Leptin+Th17 group,and the proportion of Th17 cells and the content of IL-17A in the culture supernatant were detected after differentiation culture.Finally,a VMC model was established after the removal of macrophages(Mφ)by clodronate liposome.The mice was divided into control group,VMC group and VMC+Liposome group.FACS was used to detect the proportion of Mφ(CD11b+F4/80+)in spleen and abdominal cavity and the proportion of Th17 in spleen.HE staining was used to detect myocardial inflammatory infiltration again.Leptin mRNA expression in cardiac tissue was detected by qRT-PCR.The level of Leptin and IL-17A in serum was detected by ELISA.Results:Compared with control group,myocardial inflammatory infiltration was increased in VMC group,the proportion of Th17 in spleen was up-regulated,and the expression of IL-17A mRNA in cardiac tissue and serum IL-17A were significantly increased(P<0.05).After isolation of CD4+T cells from normal mice in vitro,compared with Th17 group,the proportion of Th17 cells and the level of IL-17A in the culture supernatant were significantly increased in Leptin+Th17 group(P<0.05),while there was no significant difference in the proportion of Th17 and IL-17A content in the Lepr-/-CD4+T cells.In addition,after Mφ was knocked out in vivo,compared with the VMC group,the proportion of Mφ(CD11b+F4/80+)in spleen and abdominal cavity of mice in the VMC+Liposome group was significantly reduced,HE staining showed that myocardial inflammatory infiltration was relieved,Leptin mRNA expression in cardiac tissue,the proportion of Th17 in spleen and serum level of Leptin and IL-17A were significantly decreased.Conclusion:Mφ-derived Leptin is involved in myocarditis injury by regulating Th17 differentiation.

macrophageleptinviral myocarditisTh17

赵文君、汤德发

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江苏大学附属人民医院检验科,江苏 镇江 212002

巨噬细胞 瘦素 病毒性心肌炎 Th17

2025

江苏大学学报(医学版)
江苏大学

江苏大学学报(医学版)

影响因子:0.535
ISSN:1671-7783
年,卷(期):2025.35(1)