首页|二十碳五烯酸和DHA差异抑制上皮间质转化和胶原沉积并缓解肠纤维化

二十碳五烯酸和DHA差异抑制上皮间质转化和胶原沉积并缓解肠纤维化

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肠纤维化是炎症性肠病(inflammatory bowel disease,IBD)的严重并发症,然而目前尚未找到针对肠纤维化的治疗方案.ω-3 PUFAs 在其他器官中的抗纤维化作用已受到广泛关注,但在肠纤维化中的应用潜力仍有待发掘.本研究旨在探究ω-3 PUFAs 对肠纤维化的作用及机制.研究采用TNBS(2,4,6-trinitrobenzene sulfonic acid)诱导的肠纤维化小鼠模型,比较EPA、DHA 和鱼油对肠纤维化小鼠不同的抗纤维化作用.将40 只8 周龄雄性BALB/C 小鼠随机分为5 组.相较于DHA和鱼油组,EPA 干预能更有效缓解小鼠体重丢失,减少结肠长度缩短,降低疾病活动指数评分,并显著改善炎症反应(P<0.05).ELISA 法检测发现,EPA 抑制促炎细胞因子TNF-α、IL-6 和IL-17 的表达,促进抗炎细胞因子IL-10 的表达.EPA 干预显著减轻了小鼠结肠的纤维化程度,下调了结肠中col1a2、co13a2 和羟脯氨酸的表达,并且结肠中EPA 含量与肠纤维化评分呈负相关(R2=0.7383,P<0.0004;R2=0.4608,P<0.0152).Western 印迹结果表明,EPA 上调p-AMPK、ULK1、LC3 和p62 的表达,下调mTOR 表达,同时抑制肠上皮细胞的上皮间质转化(epithelial-to-mesenchy-mal transition,EMT).qRT-PCR 分析显示,EPA 抑制α-SMA、TGF-β1、vimentin、TIMP-1(tissue inhibi-tors of metalloproteinases-1,TIMP-1)表达,增加MMP-9(matrix metalloproteinase-9,MMP-9)表达,从而抑制活化的肠间充质细胞,缓解细胞外基质(extracellular matrix,ECM)过度沉积.本研究发现,EPA 可恢复Th17/Treg 平衡,维持肠道免疫稳态,并抑制肠上皮细胞的EMT,调节TIMPs/MMPs 平衡,有效缓解肠纤维化小鼠结肠ECM 过度沉积.EPA 干预有望成为抗肠纤维化的新型辅助性防治策略,并提示自噬途径可能在抑制EMT 中发挥作用.
EPA and DHA Differentially Inhibit Epithelial-to-Mesenchymal Transition and Decrease Collagen Deposition in Intestinal Fibrosis
Intestinal fibrosis is a serious complication of inflammatory bowel disease(IBD),however,no effective pharmacological treatment for intestinal fibrosis has been found yet.ω-3 PUFAs have re-ceived extensive attention for their anti-fibrotic effects in other organs,but their roles and mechanism in curing intestinal fibrosis are still unclear.In the present study,we compared the anti-fibrotic effects of EPA,DHA and fish oil in intestinal fibrosis mice using a TNBS(2,4,6-trinitrobenzene sulfonic acid)-induced intestinal fibrosis mouse model.Forty 8-week-old male BALB/C mice were randomly divided into five groups.Compared with the DHA and fish oil groups,EPA intervention more effectively alleviated weight loss,reduced colon length shortening,lowered disease activity index scores,and significantly im-proved inflammatory responses in the mice(P<0.05).EPA inhibited the expression of pro-inflammatory cytokines TNF-α,IL-6,and IL-17,and promoted the expression of anti-inflammatory cytokine IL-10.EPA intervention significantly reduced the colonic histological severity of fibrosis,decreased col1a2,col3a2 and hydroxyproline expression in the colon,and EPA levels in the colon were negatively correlated with intestinal fibrosis scores(R2=0.7383,P<0.0004;R2=0.4608,P<0.0152).EPA up-regulated the expression of p-AMPK,ULK1,LC3 and p62,and also inhibited mTOR expression and the epithelial-to-mesenchymal transition(EMT)in intestinal epithelial cells.EPA inhibited α-SMA,TGF-β1,vimen-tin,TIMP-1(tissue inhibitors of metalloproteinases-1,TIMP-1)expression,and increased MMP-9(ma-trix metalloproteinase-9,MMP-9)expression,which inhibited activation of intestinal mesenchymal cells and alleviated excessive deposition of extracellular matrix(ECM).EPA restored Th17/Treg balance,maintained intestinal immune homeostasis,inhibited EMT in intestinal epithelial cells,regulated TIMPs/MMPs balance,and effectively alleviated the excessive deposition of colonic ECM in intestinal fibrosis mice.EPA is expected to be a novel adjuvant therapy for food-borne IBD with anti-fibrosis,and suggests that the autophagy pathway may play a role in inhibiting EMT.

inflammatory bowel disease(IBD)Omega-3 polyunsaturated fatty acids(ω-3 PUFAs)intestinal fibrosisautophagyepithelial-to-mesenchymal transitioncollagen deposition

冯政轩、樊子怡、陈诗薇、谢政广、陈凯阳、周敏琪、方剑

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绍兴文理学院医学院,浙江绍兴 312000

炎症性肠病 Omega-3多不饱和脂肪酸 肠纤维化 自噬 上皮间质转化 胶原沉积

浙江省基础公益研究计划浙江省基础公益研究计划浙江省医药卫生科技计划浙江省医药卫生科技计划绍兴市市级医卫生类科技计划绍兴市市级医卫生类科技计划绍兴市市级医卫生类科技计划国家级大学生创新创业训练计划绍兴市市级科技计划绍兴文理学院科研启动基金

LGF18 H060006LY21H2600012022KY13112018KY8192020A130642020A130642023SKY0812022103490302023A1400120210019

2024

中国生物化学与分子生物学报
中国生物化学与分子生物学会 北京大学

中国生物化学与分子生物学报

CSTPCD北大核心
影响因子:0.617
ISSN:1007-7626
年,卷(期):2024.40(1)
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