首页|IL-6改善反复自然流产小鼠妊娠结局的机制

IL-6改善反复自然流产小鼠妊娠结局的机制

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目的:研究在孕早期使用IL-6能否改善复发性流产(RSA)小鼠的妊娠结局及其相关机制,为临床治疗RSA提供新思路.方法:构建CBA/J×DBA/2小鼠RSA模型,将受孕后的雌鼠随机分为5组:control组、0.1 ng/ml IL-6组,1 ng/ml IL-6组、10 ng/ml IL-6组及100 ng/ml IL-6组,control组不注射IL-6,其余各组分别于妊娠0.5 d注射不同浓度IL-6,于孕13.5 d处死孕鼠,计算胚胎吸收率,取胎盘组织,Western blot检测该组织中IL-6和吲哚胺2,3-双加氧酶(IDO)的表达情况.结果:0.1 ng/ml IL-6组、1 ng/ml IL-6组、10 ng/ml IL-6组及100 ng/ml IL-6组胚胎吸收率均显著低于对照组(P=0.002 4、P=0.007 0、P=0.027 0、P=0.031 0).外源性注射的IL-6与RSA小鼠胎盘组织中表达的IL-6呈正相关(r=0.791,P=0.000 052),外源性注射IL-6的浓度为0~1 ng/ml,外源性注射IL-6的浓度与胎盘组织中IDO的表达呈正相关(r=0.868,P<0.000 1),胎盘组织中IL-6与IDO的表达呈正相关(r=0.982,P<0.000 1),外源性注射IL-6的浓度为1~100 ng/ml,外源性IL-6的浓度与IDO的表达呈负相关(r=-0.725,P=0.002),胎盘组织中IL-6与IDO的表达呈负相关(r=-0.972,P<0.000 1).结论:RSA小鼠一次性腹腔注射特定浓度的外源性IL-6可降低该小鼠的胚胎吸收率并改善其妊娠结局,可能的机制是外源性IL-6持久诱导胎盘组织中IL-6和IDO表达,胎盘组织中IDO表达是否增加可作为特定浓度IL-6对妊娠是否具有保护作用的标志.
Mechanism of IL-6 improving pregnancy outcome in mice with recurrent spontaneous abortion
Objective:To investigate whether IL-6 using in early pregnancy can improve the pregnancy outcome of recurrent spontaneous abortion(RSA)mice and its relevant mechanism,providing new ideas for RSA clinical treatment.Methods:CBA/J×DBA/2 RSA model mice were constructed,and randomly divided the pregnant mice into five groups:control group,0.1 ng/ml IL-6 group,1 ng/ml IL-6 group,10 ng/ml IL-6 group and 100 ng/ml IL-6 group.IL-6 was not injected in control group,while different concentra-tions of IL-6 were respectively injected into other groups on the 0.5 day of pregnancy.Pregnant rats were killed at 13.5 d and the embryo loss rate was calculated,the placental tissue was taked out,and expressions of IL-6 and indoleamine 2,3-dioxygenase(IDO)in tissues were detected by Western blot.Results:Embryo absorption rates of 0.1 ng/ml IL-6 group,1 ng/ml IL-6 group,10 ng/ml IL-6 group and 100 ng/ml IL-6 group were obviously lower than that in control group(P=0.002 4,P=0.007 0,P=0.027 0,P=0.031 0).IL-6 of exogenous injection was positive correlated with that expressed in mice placental tissue(r=0.791,P=0.000 052).IL-6 concentration of exogenous injection was between 0~1 ng/ml,which was positively correlated with IDO expression in placental tissue(r=0.868,P<0.000 1),IL-6 was positively correlated with IDO expressed in placental tissue(r=0.982,P<0.000 1).IL-6 concentration of exogenous injection was between 1~100 ng/ml,which was inversely correlated with IDO expression(r=-0.725,P=0.002),and IL-6 was inversely correlated with IDO expressed in placental tissue(r=-0.972,P<0.000 1).Conclusion:A single intraperitoneal injection of specific concentration of exogenous IL-6 to RSA mice can reduce embryo absorption rate of mice and modify their pregnancy outcome,which possible mecha-nism is the exogenous IL-6 induces expressions of IL-6 and IDO for a long term.Whether the IDO expression in placental tissue in-crease or not can be regarded as a mark for whether the specific concentration IL-6 can protect the pregnancy or not.

Recurrent spontaneous abortionIL-6PlacentaIndoleamine 2,3-dioxygenase

吴蓉、翁宇红、李玉佳、伍紫蕊、黄官友

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贵州医科大学临床医学院妇产科学教研室,贵阳 550000

贵州医科大学附属医院,贵阳 550000

复发性流产 白细胞介素-6 胎盘 吲哚胺2,3双加氧酶

贵州省卫生健康委科学技术基金

gzwkj2021-319

2024

中国免疫学杂志
中国免疫学会,吉林省医学期刊社

中国免疫学杂志

CSTPCD北大核心
影响因子:0.926
ISSN:1000-484X
年,卷(期):2024.40(8)