中国疼痛医学杂志2024,Vol.30Issue(5) :348-355.DOI:10.3969/j.issn.1006-9852.2024.05.005

外周血单个核细胞AIM2炎症小体激活释放白细胞介素-18介导带状疱疹的临床研究

Clinical study on the activation and release of interleukin-18 by AIM2 inflammasome in peripheral blood mononuclear cells to mediate herpes zoster

陈泽豪 王景 高翔宇 蒋昌宇 李陈广 肖礼祖
中国疼痛医学杂志2024,Vol.30Issue(5) :348-355.DOI:10.3969/j.issn.1006-9852.2024.05.005

外周血单个核细胞AIM2炎症小体激活释放白细胞介素-18介导带状疱疹的临床研究

Clinical study on the activation and release of interleukin-18 by AIM2 inflammasome in peripheral blood mononuclear cells to mediate herpes zoster

陈泽豪 1王景 2高翔宇 3蒋昌宇 3李陈广 3肖礼祖1
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作者信息

  • 1. 广东医科大学,湛江 524023;华中科技大学协和深圳医院疼痛科,深圳 518052
  • 2. 华中科技大学协和深圳医院疼痛科,深圳 518052;中山大学附属第七医院麻醉科,深圳 518107
  • 3. 华中科技大学协和深圳医院疼痛科,深圳 518052
  • 折叠

摘要

目的:探索在带状疱疹病人不同时期的外周血单个核细胞(peripheral blood mononuclear cell,PBMC)中AIM2炎症小体的活化和释放白细胞介素-18(interleukin-18,IL-18)情况并进行初步验证.方法:收集并分离华中科技大学协和深圳医院疼痛科2022年4月至2024年1月67名急性期带状疱疹神经痛(acute herpetic neuralgia,AHN)、58名亚急性期带状疱疹神经痛(subacute herpetic neuralgia,SHN)、38名带状疱疹后神经痛(post herpetic neuralgia,PHN)病人及30名健康对照者的外周血单个核细胞和血清.通过实时荧光定量PCR、蛋白质免疫印迹法及蛋白质芯片技术检测黑色素瘤缺乏因子2(absent in melanoma 2,AIM2)炎症小体相关基因和蛋白的表达情况.结果:在基因表达和蛋白质水平上与健康对照者相比,AIM2 和IL-18 的基因表达在带状疱疹不同时期均显著上升(P<0.05),且在PHN期差异尤为明显(P<0.001).GSDMD蛋白被切割活化,产生具有细胞膜成孔活性的GSDMD-NT片段,诱导细胞焦亡.不同带状疱疹时期病人血清中IL-18的分泌水平明显升高,尤其在PHN时期,上升最为显著.结论:外周血单个核细胞中AIM2炎症小体激活,释放的IL-18参与带状疱疹疾病的发生发展过程.

Abstract

Objective:To explore the release of interleukin-18(IL-18)from AIM2 inflammasome activation in peripheral blood mononuclear cells(PBMC)of herpes zoster patients at different stages and to conduct preliminary validation.Methods:From April 2022 to January 2024,at Huazhong University of Science and Technology Union Shenzhen hospital,peripheral blood mononuclear cells and serum were collected and isolated from 67 patients with acute herpetic neuralgia(AHN),58 patients with subacute herpetic neuralgia(SHN),38 patients with post-herpetic neuralgia(PHN),and 30 healthy controls.The genes and proteins related to absence in melanoma 2(AIM2)inflammasome were detected using Real-time quantitative PCR,western blotting,and protein chip technology.Results:Compared with healthy individuals,in gene expression and protein level,the expressions of AIM2 and IL-18 increased significantly in different stages of herpes zoster(P<0.05),particularly in the PHN stage(P<0.001).Cleavage of GSDMD produces GSDMD-NT fragments that have the ability to form pores in the cell membrane,ultimately leading to pyroptosis.The level of IL-18 secretion in the serum of patients with herpes zoster increases significantly in different stages,particularly during the PHN stage.Conclusion:The activation of the AIM2 inflammasome in peripheral blood mononuclear cells and the subsequent release of IL-18 are implicated in the onset and progression of herpes zoster disease.

关键词

带状疱疹/AIM2炎症小体/白细胞介素-18/细胞焦亡/外周血单个核细胞

Key words

herpes zoster/AIM2 inflammasome/interleukin-18(IL-18)/pyrocytosis/peripheral blood mononuclear cell

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基金项目

深圳市科技研发资金基础研究面上项目(JCYJ20230807115813028)

国家重点研发计划子课题(2022YFC3602202)

出版年

2024
中国疼痛医学杂志
北京大学,中华医学会疼痛学分会

中国疼痛医学杂志

CSTPCDCSCD北大核心
影响因子:1.457
ISSN:1006-9852
被引量1
参考文献量20
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