Modulation of inflammation by toll-like receptor 4/nuclear factor-kappa B in diarrhea-predominant irritable bowel syndrome.

Modulation of inflammation by toll-like receptor 4/nuclear factor-kappa B in diarrhea-predominant irritable bowel syndrome.
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腹泻型肠易激综合征中 Toll 样受体 4/核因子-κ B 对炎症的调节

DOI:
10.18632/oncotarget.23045
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发表时间:
2017-12-26
期刊:
影响因子:
--
通讯作者:
Wang Y
Wang Y
中科院分区:
其他
文献类型:
--
作者:
He X;Cui LH;Wang XH;Yan ZH;Li C;Gong SD;Zheng Y;Luo Z;Wang Y

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为探讨TLR 4/NF-κB信号通路在肠易激综合征(IBS-D)发病机制中的作用,采用急性应激和慢性应激(29 d)建立Wistar大鼠IBS-D动物模型。未进行应激攻击的Wistar大鼠用作对照。将IBS-D模型随机分为两组,一组给予生理盐水,另一组给予TLR 4/NF-κB抑制剂二硫代氨基甲酸吡咯烷酯(PDTC)50 mg/kg/周,连续4次。我们的研究结果表明,持续的压力可以诱发IBS-D的特征性症状,包括高湿便率和肠道植物群失衡。进一步检测结肠组织中TLR 4和NF-κB的蛋白表达水平,IBS-D组均高于对照组。IBS-D组IL-8、TNFα和MyD 88的分泌水平明显升高。给予PDTC可有效下调这些炎症因子的水平。而IL-10则相反,IBS-D组IL-10水平较低,PDTC治疗后IL-10水平升高至对照组水平。PDTC抑制TLR 4/NF-κB表达,主要通过增加肠绒毛高度改善肠黏膜微结构。结果提示,TLR 4/NF-κB信号通路在IBS-D炎症反应的调控中起重要作用,可能成为IBS-D的治疗靶点。所有这些发现也提供了关于应激/NF-κB/炎症轴与IBS-D之间内在联系的证据。
In order to investigate the function of toll-like receptor 4/nuclear factor-kappa B (TLR4/NF-κB) signal pathways in the pathogenesis of diarrhea-predominant irritable bowel syndrome (IBS-D), IBS-D animal models were established in wistar rats challenged with acute and chronic stresses (29 days). Wistar rats without stress-challenged were used as controls. IBS-D models were randomly divided into two groups: one was treated with normal saline, another group was treated with TLR4/NF-κB inhibitor, pyrrolidine dithiocarbamate (PDTC) (50mg/kg/week) for continuous four times. Our results demonstrate that continuous stresses can induce the characteristic symptoms of IBS-D, including high wet stool rate and intestinal flora imbalance. Further examinations of colon tissues show that the protein expression levels of TLR4 and NF-κB in IBS-D groups are higher than that in control group. The secretory levels of interleukin (IL-8), tumor necrosis factor α (TNFα), and myeloid differentiation factor 88 (MyD88) are significantly increased in IBS-D group. Administration with PDTC effectively downregulates levels of these inflammatory factors. In contrast, interleukin-10 (IL-10) is in an opposite alteration with lower levels in IBS-D groups and the PDTC treatment increases it to the levels as in control group. Moreover, inhibition of the TLR4/NF-κB by PDTC improves the microstructure of intestinal mucosa mainly by increasing the height of villi. Our results suggest that TLR4/NF-κB signal pathway plays an important role in the modulation of inflammatory responses in IBS-D, which might be a therapeutic target for the IBS-D. All of these findings also provide the evidence concerning an inherent linkage between the axis of stress/NF-κB/inflammation and IBS-D.
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