Impact of interleukin-6 on hypoxia-induced pulmonary hypertension and lung inflammation in mice.

Impact of interleukin-6 on hypoxia-induced pulmonary hypertension and lung inflammation in mice.
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白介素6对小鼠缺氧诱导的肺动脉高压和肺部炎症的影响。

DOI:
10.1186/1465-9921-10-6
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发表时间:
2009-01-27
影响因子:
5.8
通讯作者:
Eddahibi S
Eddahibi S
中科院分区:
医学2区
文献类型:
--
作者:
Savale L;Tu L;Rideau D;Izziki M;Maitre B;Adnot S;Eddahibi S

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炎症可能导致各种形式的肺动脉高压(PH)的发病机制。最近在特发性PH或PH与基础疾病相关的患者中的研究表明白细胞介素-6(IL-6)的作用。为了确定内源性IL-6是否有助于介导缺氧PH和肺部炎症,我们研究了暴露于缺氧2周的IL-6缺陷型(IL-6-/-)和野生型(IL-6+/+)小鼠。缺氧2周后,与野生型对照组相比,IL-6-/-小鼠的右心室收缩压、右心室肥大以及肌性肺血管的数量和中膜厚度均降低,尽管IL-6+/+和IL-6-/-小鼠对急性缺氧的压力反应相似。缺氧暴露的IL-6+/+小鼠在第一周内导致IL-6 mRNA和蛋白水平显著增加,肺血管壁中IL-6免疫染色阳性。缺氧1周和2周后,肺组织IL-6受体和IL-6信号转导分子gp 130 mRNA水平均升高.体外培养的人肺动脉平滑肌细胞(PA-SMCs)和微血管内皮细胞的研究表明,PA-SMCs的显著合成IL-6,进一步刺激缺氧。IL-6也显著刺激PA-SMC迁移而不影响增殖。通过肺蛋白水平和特异性巨噬细胞标记物F4/80的免疫染色评估,与缺氧野生型小鼠相比,缺氧IL-6-/-小鼠在肺中显示较少的炎性细胞募集,在粘附分子或细胞因子的肺表达中没有差异。这些数据表明,IL-6可能积极参与缺氧诱导的小鼠肺部炎症和肺血管重塑。
Inflammation may contribute to the pathogenesis of various forms of pulmonary hypertension (PH). Recent studies in patients with idiopathic PH or PH associated with underlying diseases suggest a role for interleukin-6 (IL-6). To determine whether endogenous IL-6 contributes to mediate hypoxic PH and lung inflammation, we studied IL-6-deficient (IL-6-/-) and wild-type (IL-6+/+) mice exposed to hypoxia for 2 weeks. Right ventricular systolic pressure, right ventricle hypertrophy, and the number and media thickness of muscular pulmonary vessels were decreased in IL-6-/- mice compared to wild-type controls after 2 weeks' hypoxia, although the pressure response to acute hypoxia was similar in IL-6+/+ and IL-6-/- mice. Hypoxia exposure of IL-6+/+ mice led to marked increases in IL-6 mRNA and protein levels within the first week, with positive IL-6 immunostaining in the pulmonary vessel walls. Lung IL-6 receptor and gp 130 (the IL-6 signal transducer) mRNA levels increased after 1 and 2 weeks' hypoxia. In vitro studies of cultured human pulmonary-artery smooth-muscle-cells (PA-SMCs) and microvascular endothelial cells revealed prominent synthesis of IL-6 by PA-SMCs, with further stimulation by hypoxia. IL-6 also markedly stimulated PA-SMC migration without affecting proliferation. Hypoxic IL-6-/- mice showed less inflammatory cell recruitment in the lungs, compared to hypoxic wild-type mice, as assessed by lung protein levels and immunostaining for the specific macrophage marker F4/80, with no difference in lung expression of adhesion molecules or cytokines. These data suggest that IL-6 may be actively involved in hypoxia-induced lung inflammation and pulmonary vascular remodeling in mice.
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