摘要
目的探讨人粒细胞巨噬细胞集落刺激因子(GM-CSF)DNA疫苗预防非肥胖糖尿病(NOD)小鼠糖尿病的作用机制。方法 4周龄NOD雌鼠随机分为PBS(n=15)、PcDNA(n=15)、GM(n=15)3组,由胫前肌分别注射PBS、质粒PcDNA3.1、人GM-CSF DNA疫苗100μg,1周后重复1次,观察30周龄小鼠的累积糖尿病发病率。各组取12周龄未发病NOD鼠(n=6)胰腺HE染色观察胰岛炎;取PBS组未发病10~12周龄NOD鼠脾脏制成细胞悬液加GM-CSF(2ng/mL)培养72h;ELISA法测定血清、脾细胞培养上清液干扰素-γ(IFN-γ)、白细胞介素-1β(IL-1β)、IL-4和IL-10水平。结果 30周龄时,PBS、PcDNA、GM组糖尿病发病率分别为80.0%、73.3%和46.7%;平均发病时间分别为(143.9±46.1)、(156.9±40.0)、(188.3±30.0)d,与PBS组和PcDNA组比较,GM组发病时间显著延迟(P=0.004和P=0.034)。12周龄时GM组胰岛炎积分低于PBS组(P=0.001)和PcDNA组(P=0.027),GM组血清及脾细胞培养上清液IL-10水平显著高于PBS组和PcDNA组,IL-4水平显著性高于PBS组,而IFN-γ、IL-1β水平则低于PBS组和PcDNA组。GM组脾细胞上清液IL-4和IL-10水平高于PBS组;IFN-γ和IL-1β水平则低于PBS组。结论人GM-CSF DNA疫苗上调了IL-10、IL-4及下调IFN-γ、IL-1β,使免疫平衡偏向Th2,而减轻NOD鼠胰岛炎,预防和延缓糖尿病发生。
Objective To investigate the mechanism of human granulocyte macrophage colony-stimulating factor(GM-CSF)DNA vaccine in preventing diabetes mellitus in(non-obese diabetes)NOD mice.Methods Female NOD mice aged 4 weeks were randomly divided into the PBS(n=15),PcDNA(n=15)and GM(n=15)group.PBS,plasmid PcDNA3.1 and human GM-CSF DNA vaccine were injected into tibialis anterior muscle respectively.The cumulative incidence of diabetes mellitus at 30 weeks was observed.Pancreas was removed from NOD mice at 12-week age in each group(n=6)to score insulitis severity by HE staining.The spleens of 10 to 12-week-old NOD mice in the PBS group were used to prepare cell suspension and cultured with GM-CSF(2 ng/mL)for 72 hours.The levels of IFN-γ,IL-1β,IL-4 and IL-10 in serum and supernatant of spleen cells were determined by ELISA.Results At the age of 30 weeks,the incidence of diabetes mellitus was 80.0%,73.3% and 46.7%in the PBS,PcDNA and GM group,respectively,and the average onset time was(143.9±46.1),(156.9±40.0)and(188.3±30.0)d,respectively.Compared with the PBS and PcDNA groups,the onset time of diabetes mellitus in the GM group was significantly delayed(P=0.004 and P=0.034).At the age of 12 weeks,the score of insulitis in the GM group was lower than that in the PBS group(P=0.001)and the PcDNA group(P=0.027).The levels of IL-10 in serum and spleen cell supernatant of the GM group were significantly higher than those of the PBS group and the PcDNA group,and IL-4 was significantly higher than those of the PBS group,while the levels of IFN-γand IL-1βwere lower than those of the PBS group and the PcDNA group.The levels of IL-4 and IL-10 in spleen cell supernatant of the GM group were higher than those of the PBS group,while the levels of IFN-γand IL-1βwere lower than those of PBS group.Conclusion Human GM-CSF DNA vaccine can up-regulate IL-10,IL-4 and down-regulate IFN-γand IL-1β,so as to make the immune balance incline to Th2 which alleviate insulitis in NOD mice and prevent and delay the occurrence of diabetes.
引文
[1]YANG J,WEN X,XU H,et al.Antigen-Specific T cell analysis reveals that active immune responses toβcell antigens are focused on a unique set of epitopes[J].J Immunol,2017,199(1):91-96.
[2]COQUERELLE C,MOSER M.Are dendritic cells central to regulatory T cell function?[J].Immunol Lett,2008,119(1/2):12-16.
[3]DONG Y,ARIF A A,POON G F,et al.Generation and I-dentification of GM-CSF derived alveolar-like macrophages and dendritic cells from mouse bone marrow[J].J Vis Exp,2016,25112:.
[4]BHATTACHARYA P,THIRUPPATHI M,ELSHABRAWYH A,et al.GM-CSF:an immune modulatory cytokine that can suppress autoimmunity[J].Cytokine,2015,75(2):261-271.
[5]罗建华,周智广,蒋铁建,等.人GAD65DNA疫苗预防NOD鼠糖尿病的机制探讨[J].中华医学杂志,2004,84(21):1791-1795.
[6]裴剑浩,周智广,罗建华,等.吡格列酮对NOD鼠糖尿病的预防作用及机制探讨[J].中华医学杂志,2004,84(5):411-415.
[7]PUGLIESE A.Autoreactive T cells in type 1diabetes[J].J Clin Invest,2017,127(8):2881-2891.
[8]GOGESCH P,SCHLKE S,SCHEURER S,et al.Modular MLV-VLPs co-displaying ovalbumin peptides and GM-CSF effectively induce expansion of CD11b+APCand antigen-specific T cell responses in vitro[J].Mol Immunol,2018,101:19-28.
[9]MBONGUE J C,NIEVES H,TORREZ T W,et al.The role of dendritic cell maturation in the induction of Insulin-Dependent diabetes mellitus[J].Front Immunol,2017,8:327.
[10]RAKER V K,DOMOGALLA M P,STEINBRINK K.Tolerogenic dendritic cells for regulatory T cell induction in man[J]Front Immunol,2015,6:569.
[11]MAHNKE K,RING S,ENK A H.Antibody targeting of“Steady-State”dendritic cells induces tolerance mediated by regulatory T cells[J].Front Immunol,2016,7:63.
[12]BOUDALY S,MORIN J,BERTHIER R,et al.Altered dendritic cells(DC)might be responsible for regulatory T cell imbalance and autoimmunity in nonobese diabetic(NOD)mice[J].Eur Cytokine Netw,2002,13(1):29-37.
[13]GANGI E,VASU C,CHEATEM D,et al.IL-10-producing CD4+CD25+regulatory T cells play a critical role in granulocyte-macrophage colony-stimulating factor-induced suppression of experimental autoimmune thyroiditis[J].J Immunol,2005,174(11):7006-7013.
[14]BHATTACHARYA P,THIRUPPATHI M,ELSHABRAWYH A,et al.GM-CSF:An immune modulatory cytokine that can suppress autoimmunity[J].Cytokine,2015,75(2):261-271.
[15]CURTI A,FOGLI M,RATTA M,et al.Stem cell factor and FLT3-ligand are strictly required to sustain the longterm expansion of primitive CD34+DR-dendritic cell precursors[J].J Immunol,2001,166(2):848-854.
[16]VASU C,HOLTERMAN M J,PRABHAKAR B S.Modulation of dendritic cell function and cytokine production to prevent thyroid autoimmunity[J].Autoimmunity,2003,36(6/7):389-396.
[17]SATO K,UTO T,FUKAYA T,et al.Regulatory dendritic cells[J].Curr Top Microbiol Immunol,2017,410:47-71.
[18]MORRIS G P,KONG Y C.Interference with CD4+CD25+T-cell-mediated tolerance to experimental autoimmune thyroiditis by glucocorticoid-induced tumor necrosis factor receptor monoclonal antibody[J].J Autoimmun,2006,26(1):24-31.
[19]O′SULLIVAN B J,THOMAS H E,PAI S,et al.IL-1beta breaks tolerance through expansion of CD25+effector T cells[J].J Immunol,2006,176(12):7278-7287.
[20]SUN S C,CHANG J H,JIN J.Regulation of nuclear factor-κB in autoimmunity[J].Trends Immunol,2013,34(6):282-289.