首页|抑制NLRP3炎症小体激活可调节自噬改善多囊卵巢综合征颗粒细胞凋亡

抑制NLRP3炎症小体激活可调节自噬改善多囊卵巢综合征颗粒细胞凋亡

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目的:在多囊卵巢综合征(PCOS)患者中探讨NOD样受体蛋白3(NLRP3)炎症小体的表达及其与颗粒细胞凋亡的关系.方法:收集17例PCOS患者(PCOS组)和20例非PCOS患者(对照组)的卵泡液与卵巢颗粒细胞,ELISA检测卵泡液中促炎因子TNF-α、IL-1β和IL-18等表达水平,RT-PCR和Western blot检测颗粒细胞中NLRP3 mRNA和NLRP3炎症小体相关蛋白NLRP3、含CARD的凋亡相关斑点样蛋白(ASC)及裂解型天冬氨酸蛋白水解酶1(cleaved caspase-1)和自噬相关蛋白LC3-Ⅱ/LC3-Ⅰ与p62的表达水平;TUNEL法检测两组受试者颗粒细胞的凋亡水平;体外培养人卵巢癌颗粒细胞系KGN细胞,siR-NA干扰技术将沉默NLRP3的siRNA(si-NLRP3)和阴性对照序列(si-NC)转染入细胞中,并采用TNF-α进行刺激以模拟PCOS相关的细胞损伤;将KGN细胞按处理方式的不同分为4组:Ctrl组、TNF-α组、TNF-α+si-NLRP3组和TNF-α+si-NC组;ELISA检测各组细胞上清液中脱氢表雄酮(DHEA)、睾酮和IL-1β与IL-18水平;TUNEL法检测各组KGN细胞的凋亡水平;Western blot检测各组KGN细胞中LC3-Ⅱ/LC3-Ⅰ、p62、NLRP3、ASC与cleaved caspase-1蛋白表达水平和NF-κB信号通路中NF-κB p-p65的水平(NF-κB p-p65/NF-κB p65).结果:与对照组相比,PCOS患者卵泡液中TNF-α、IL-1β和IL-18的表达和颗粒细胞中LC3-Ⅱ/LC3-Ⅰ、NLRP3的mRNA与NLRP3、ASC和cleaved caspase-1的蛋白表达和细胞的凋亡水平均明显升高(P<0.05或P<0.01),而p62的蛋白表达显著降低(P<0.01);与Ctrl组相比,TNF-α组、TNF-α+si-NC组和TNF-α+si-NLRP3组细胞上清液中DHEA、睾酮和IL-1β与IL-18水平和细胞中LC3-Ⅱ/LC3-Ⅰ、ASC与cleaved caspase-1蛋白表达及NF-κB p-p65的水平和细胞凋亡率均明显升高(P<0.05或P<0.01),而p62蛋白却显著降低(P<0.01),NLRP3除在TNF-α+si-NLRP3组明显降低外(P<0.01),在TNF-α组、TNF-α+si-NC组中的表达均明显升高(P<0.01);但与TNF-α组相比,TNF-α+si-NLRP3组的上述检测指标变化趋势均明显降低(P<0.05),TNF-α+si-NC组无显著变化(P>0.05).结论:颗粒细胞中过度激活的NLRP3炎症小体可能通过NF-κB途径参与促进PCOS患者的细胞炎症损伤与自噬性凋亡.
Inhibition of NLRP3 inflammasome activation improves PCOS granulosa cell apoptosis by regulating autophagy
Objective:To investigate the expression of NOD-like receptor protein 3(NLRP3)inflammasome and its relation-ship with granulosa cell apoptosis in patients with polycystic ovary syndrome(PCOS).Methods:Follicular fluid and ovarian granulosa cells were collected from 17 PCOS patients(PCOS group)and 20 non-PCOS patients(control group),and the expression levels of pro-inflammatory factor,TNF-α,IL-1β and IL-18 in follicular fluid were detected by ELISA.RT-PCR and Western blot were used to de-tect NLRP3 mRNA and NLRP3 inflammasome associated protein NLRP3,ASC and cleaved caspase-1 and autophagy related protein LC3-Ⅱ/LC3-Ⅰ and p62 expression level in granulosa cells.TUNEL assay was used to detect the apoptotic level of granulosa cells in both groups.NLRP3 silenced siRNA(si-NLRP3)and negative control sequence(si-NC)were transfected into human ovarian cancer granulosa cell line KGN cells by siRNA interference technique in vitro.TNF-α was used to simulate PCOS-related cell damage.KGN cells were divided into 4 groups according to different treatment methods:Ctrl group,TNF-α group,TNF-α+si-NLRP3 group and TNF-α+si-NC group.The levels of DHEA,testosterone,IL-1β and IL-18 in supernatant were detected by ELISA.TUNEL assay was used to detect the apoptosis level of KGN cells.The LC3-Ⅱ/LC3-Ⅰ and p62,NLRP3,ASC and cleaved caspase-1 protein expression levels,and NF-κB p-p65 level(NF-κB p-p65/NF-κB p65)in KGN cells were detected by Western blot.Results:Compared with con-trol group,the concentration of TNF-α,IL-1β,and IL-18 in follicular fluid of PCOS patients,and LC3-Ⅱ/LC3-Ⅰ,NLRP3 mRNA and the protein expression of NLRP3,ASC,and cleaved caspase-1 in granulosa cells of and apoptosis were significantly increased(P<0.05 or P<0.01),while the protein expression of p62 was significantly decreased(P<0.01).Compared with Ctrl group,the levels of DHEA,testosterone,IL-1β and IL-18 in supernatant of TNF-α group,TNF-α+si-NC group,and TNF-α+si-NLRP3 group,and LC3-Ⅱ/LC3-Ⅰ,ASC and cleaved caspase-1 protein expression,and the level of NF-κB p-p65 and apoptosis were significantly increased(P<0.05 or P<0.01),while p62 protein was significantly decreased(P<0.01).NLRP3 was significantly decreased except in TNF-α+si-NLRP3 group(P<0.01),while in the TNF-α group and TNF-α+si-NC group was significantly increased(P<0.01).However,com-pared with TNF-α group,the above indexes in TNF-α+si-NLRP3 group were significantly decreased(P<0.05),and TNF-α+si-NC group had no significant change(P>0.05).Conclusion:The over-activated NLRP3 inflammasome in granulosa cells may promote cell inflammatory injury and autophagy apoptosis in PCOS patients through NF-κB pathway.

Polycystic ovary syndromeNod-like receptor protein 3(NLRP3)inflammasomeGranulosa cellsAutophagyApoptosis

符山花、包利利、赵达、李俊、林芳婷、胡荣

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海南省妇女儿童医学中心妇科,海口 570205

海南省妇女儿童医学中心妇产科,海口 570205

海南医学院基础医学与生命科学学院,海口 571199

多囊卵巢综合征 NOD样受体蛋白3(NLRP3)炎症小体 颗粒细胞 自噬 凋亡

海南省卫生健康行业科研项目

20A200121

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)