过表达白细胞介素10的间充质干细胞对炎症性肠病的治疗作用

Therapeutic Effect of Mesenchymal Stem Cells Overexpressing Interleukin-10 on Inflammatory Bowel Disease

炎症性肠病(inflammatory bowel disease,IBD)是一种以T细胞浸润至结肠为特征的难治性炎性自身免疫疾病。间充质干细胞(mesenchymal stem cells,MSCs)具有免疫抑制能力,在IBD的治疗中具有一定的潜力。但是由于MSCs在体内的免疫调节能力不稳定,所以其治疗效果会受到影响。本研究构建了过表达白细胞介素10(interleukin 10,IL-10)的工程化MSCs,并对其在IBD小鼠模型中的治疗潜力进行评估。MSCs经编码IL-10的慢病毒(lentivirus,LV)转染后,其表型和细胞增殖率均不发生变化。免疫细胞和MSCs体外共培养的结果表明,与未修饰的MSCs相比,同过表达IL-10的MSCs共培养的免疫细胞中辅助T细胞1(T helper 1 cells,Th1)和辅助T细胞17(T helper 17 cells,Th17)数量显著性降低(P<0.05),同过表达IL-10的MSCs共培养的巨噬细胞细胞培养上清液,TNF-α含量显著性降低(P<0.0001)。右旋糖酐硫酸钠(dextran sodium sulfate,DSS)诱导IBD小鼠模型中,尾静脉注射过表达IL-10的MSCs与注射未修饰MSCs相比,过表达IL-10的MSCs具有更好的治疗效果,结肠长度、疾病活动指数(disease activity index,DAI)和结肠炎性细胞因子表达共同证明这一差异。实验结果均具有统计学差异(P<0.05)。总体而言,经LV转染过表达IL-10的MSCs可能是IBD的一种有希望的替代治疗选择。

Inflammatory bowel disease(IBD)is an intractable inflammatory autoimmune disease characterized by T-cell infiltration to the colon.Mesenchymal stem cells(MSCs),owing to their immunosuppressive capabilities,have the potential to rescue IBD.But the therapeutic effectiveness of MSCs is sometime thwarted by their variable immunomodulatory ability in vivo.In the present study,we produced engineered MSCs that secrete interleukin10(IL-10)and evaluated their therapeutic potential in IBD mouse model.The MSCs maintained the phenotype and cell proliferation rate after overexpression of IL-10 by lentivirus(LV)infection.Immune cells and MSCs in vitro co-culture systems exhibited that relative to unmodified MSCs,immune cells co-cultured with IL-10-overexpressing MSCs had significantly lower numbers of T helper 1 cells(Th1)and T helper 17 cells(Th17)(P0.05).Overall,LV induced MSCs overexpressing IL-10 might be a promising alternative therapeutic option for the treatment of IBD.