中华皮肤科杂志 ›› 2019, Vol. 52 ›› Issue (6): 395-400.doi: 10.3760/cma.j.issn.0412-4030.2019.06.005

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鞘氨醇1-磷酸盐受体拮抗剂(FTY720)抑制皮肤中分泌白细胞介素17的γδT细胞治疗银屑病的机制研究

覃慧    郑捷   

  1. 上海交通大学医学院附属瑞金医院皮肤科  200025
  • 收稿日期:2018-11-16 修回日期:2019-04-09 发布日期:2019-06-03
  • 通讯作者: 郑捷 E-mail:jie-zheng2001@126.com
  • 基金资助:
    国家自然科学基金(81761128008、81830095)

FTY720 ameliorates psoriasis by inhibiting infiltration of skin Interleukin 17-producing γδT cells

Qin Hui, Zheng Jie   

  1. Department of Dermatology, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China
  • Received:2018-11-16 Revised:2019-04-09 Published:2019-06-03
  • Contact: Zheng Jie E-mail:jie-zheng2001@126.com
  • Supported by:
    National Natural Science Foundation of China (81761128008, 81830095)

摘要: 【摘要】 目的 研究鞘氨醇1-磷酸盐受体拮抗剂(FTY720)对银屑病样小鼠模型的治疗效应及分子机制。方法 8只SPF级雌性C57BL/6小鼠,每只耳朵涂抹咪喹莫特10 mg/d,连续涂7 d。实验组3只于第2、4、6天腹腔注射FTY720,对照组5只注射磷酸盐缓冲液。每天测量小鼠耳皮肤厚度,于第8天处死小鼠,观察耳皮肤组织学改变。取耳组织及颈部引流淋巴结细胞,流式细胞仪分析分泌白细胞介素(IL)17+γδT细胞在两组小鼠皮肤及引流淋巴结组织中的比例变化,γδT细胞表面鞘氨醇1-磷酸盐受体1(S1P1)及皮肤淋巴细胞抗原(CLA)表达情况。两独立样本均数比较采用t检验。结果 咪喹莫特涂抹2 d后,于第3天测量两组小鼠耳厚度,实验组小鼠耳厚度(0.217 mm ± 0.003 mm)低于对照组(0.232 mm ± 0.002 mm,t = 4.23,P < 0.01),直至用药7 d后,于第8天处死小鼠,实验组小鼠耳厚度均低于对照组(均P < 0.01)。耳皮肤组织病理显示,实验组小鼠耳组织表皮厚度(18.62 μm ± 0.19 μm)低于对照组(27.79 μm ± 1.58 μm,t = 4.35,P < 0.01);免疫荧光染色显示,实验组小鼠耳组织中性粒细胞浸润程度低于对照组。流式细胞仪检测耳组织显示,实验组中性粒细胞比例(1.57% ± 0.12%)低于对照组(3.03% ± 0.33%,t = 3.31,P = 0.016)。耳皮肤组织中,实验组γδT细胞、IL?17+γδT细胞比例(4.88% ± 0.42%、40.53% ± 1.76%)均低于对照组(9.45% ± 1.22%、56.56% ± 0.66%,t值分别为 2.75、10.27,P < 0.05)。引流淋巴结中,实验组γδT细胞、IL?17+γδT细胞比例亦高于对照组(t值分别为5.781、4.140,P < 0.05)。引流淋巴结中,实验组γδT细胞S1P1、CLA的荧光强度均低于对照组(P < 0.05)。结论 FTY720可通过下调γδT细胞S1P1及CLA的表达,使引流淋巴结中γδT细胞的比例升高而降低其在皮肤中的比例,减少皮肤组织IL?17的产生,从而缓解由咪喹莫特诱导的小鼠银屑病。

关键词: 银屑病; 小鼠, 近交C57BL; 受体, 抗原, T细胞, γ-δ; 白细胞介素17; 鞘氨醇1-磷酸盐受体

Abstract: 【Abstract】    Objective    To evaluate therapeutic effect of the sphingosine-1-phosphate receptor antagonist FTY720 on the imiquimod-induced psoriasis-like mouse model, and to explore its molecular mechanism. Methods    A total of 8 specific pathogen-free (SPF) female C57BL/6 mice were used in this study, and divided into experimental group(n = 3) and control group(n = 5): each mouse ear was topically treated with 10 mg/d imiquimod for 7 consecutive days, and the experimental group and control group were intraperitoneally injected with FTY720 and phosphate buffer saline (PBS) respectively on days 2, 4 and 6. Ear skin thickness was measured every day. These mice were sacrificed on day 8, and histopathological changes of the ear skin were observed. The ear tissues and draining cervical lymph node cells were obtained. Flow cytometry was performed to analyze changes in the proportion of interleukin (IL)-17+ γδT cells in the mouse skin and draining lymph node tissues between the two above groups, and to determine the expression of sphingosine-1-phosphate receptor 1 (S1P1) and cutaneous lymphocyte antigen (CLA) on the surface of the γδT cells. The means of two independent samples were compared by using t test. Results    After the 2-day topical application of imiquimod, the mouse ear thickness was significantly lower in the experimental group (0.217 mm ± 0.003 mm) than in the control group (0.232 mm ± 0.002 mm, t = 4.23, P < 0.01) on day 3, and the significant difference existed till day 8 (all P < 0.01). Histopathological examination of the ear skin revealed that the epidermal thickness was significantly lower in the experimental group (18.62 μm ± 0.19 μm) than in the control group (27.79 μm ± 1.58 μm, t = 4.35, P < 0.01). Immunofluorescence staining showed that the degree of neutrophil infiltration in the mouse ear tissue was lower in the experimental group than in the control group. As flow cytometry showed, the proportion of neutrophils was significantly lower in the experimental group (1.57% ± 0.12%) than in the control group (3.03% ± 0.33%, t = 3.31, P = 0.016). In the ear tissues, the experimental group showed significantly decreased proportion of γδT cells or IL-17+ γδT cells (4.88% ± 0.42%, 40.53% ± 1.76% respectively) compared with the control group (9.45% ± 1.22%, 56.56% ± 0.66% respectively; t = 2.75, 10.27 respectively, both P < 0.05). In the draining lymph nodes, the experimental group showed significantly increased proportion of γδT cells or IL-17+ γδT cells compared with the control group (t = 5.781, 4.140 respectively, both P < 0.05), and the fluorescence intensity of S1P1 and CLA in the γδT cells was significantly lower in the experimental group than in the control group (P < 0.05). Conclusion    FTY720 can alleviate imiquimod-induced psoriasis-like manifestations in mouse models, likely by down-regulating the expression of S1P1 and CLA in γδT cells, increasing the proportion of γδT cells in the draining lymph nodes followed by the decrease of their proportion in the skin, and decreasing the production of IL-17 in skin tissues. 

Key words: Psoriasis, Mice, inbred C57BL, Receptors, antigen, T-cell, gamma-delta, Interleukin-17, Sphingosine-1-phosphate receptors ,  

引用本文

覃慧 郑捷. 鞘氨醇1-磷酸盐受体拮抗剂(FTY720)抑制皮肤中分泌白细胞介素17的γδT细胞治疗银屑病的机制研究[J]. 中华皮肤科杂志, 2019,52(6):395-400. doi:10.3760/cma.j.issn.0412-4030.2019.06.005

Qin Hui, Zheng Jie. FTY720 ameliorates psoriasis by inhibiting infiltration of skin Interleukin 17-producing γδT cells[J]. Chinese Journal of Dermatology, 2019, 52(6): 395-400.doi:10.3760/cma.j.issn.0412-4030.2019.06.005