p38丝裂原活化蛋白激酶在溃疡性结肠炎中的作用
Role of p38 Mitogen-activated Protein Kinase Pathway in Pathogenesis of Ulcerative Colitis
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摘要: 目的 探讨p38丝裂原活化蛋白激酶(p38MAPK)在溃疡性结肠炎(UC)以及葡聚糖硫酸钠(DSS)诱导的小鼠结肠炎中的作用。 方法 ①7只Balb/c小鼠随机分为3组:正常对照组、DSS结肠炎组、p38MAPK选择性抑制剂SB203580干预组。结肠炎组小鼠每日饮用5% DSS溶液,干预组小鼠则在饮用5% DSS溶液72 h后,加用SB2035801 mg/(kg·d)进行腹腔注射。观察并记录各组小鼠的疾病活动指数(DAI);7 d后处死小鼠,观察各组小鼠肠黏膜组织中肿瘤坏死因子α(TNF-α)和白细胞介素-1β(IL-1β)的表达。②收集36例活动性UC患者的肠黏膜组织标本,并以18例结肠癌旁的正常组织标本作对照,通过体外组织培养,观察SB203580对UC患者肠黏膜活检组织中TNF-α和IL-1β表达的影响。 结果 ①DSS结肠炎小鼠的DAI评分、肠黏膜组织中TNF-α和IL-1β的水平明显升高(P均<0.01),经SB203580干预后,其DAI评分、TNF-α、IL-1β的水平均明显降低,但仍然高于正常对照组(P均<0.01)。②体外组织培养结果显示,与未用SB203580处理的UC组比较,SB203580处理后UC患者肠黏膜组织中TNF-α和IL-1β的水平明显降低(P<0.01)。 结论 SB203580能阻断p38MAPK信号转导通路,从而降低促炎性细胞因子TNF-α和IL-1β的释放。Abstract: Objecitve To elucidate the role of p38 mitogen-activated protein kinase (p38MAPK) in the pathogenesis of ulcerative colitis (UC) and DSS-induced colitis in mice. Methods ① 27 Balb/c mice were divided randomly into three groups:DSS-induced colitis group, normal control group and SB203580 treatment group. In DSS-induced colitis group, mice were feed with 5%DSS solution. In SB203580 treatment group, mice were feed with 5%DSS solution for 72 hours, then treated with intraperitoneal injection of SB203580 (1 mg/kg) once daily. Disease activity index (DAI) was record to evaluate the severity of colitis. The mice were executed after 7 days. The levels of TNF-α and IL-1β were measured by ELISA. ② A total of 54 cases were included in the study. 36 cases were patients with active ulcerative colitis, 18 cases were normal mucosa from 18 colon cancer cases served as control. Effects of SB203580 (a selective p38MAPK inhibitor) on expression of TNF-α and IL-1β in intestinal mucosal biopsy specimens from patients with ulcerative colitis were determined on condition of tissue culture. Results ① The DAI scores, the levels of TNF-α and IL-1β in SB203580 group were lower significantly compared with DSS group (P<0.05), and were increased significantly compared with normal control group (P<0.05). ② The levels of TNF-α and IL-1β in intestinal mucosal biopsy specimens in SB203580 treatment group were lower significantly than those in UC group (P<0.05). Conclusion SB203580 can inhibit p38MAPK signal transduction pathway, then reduce the expression of pro-inflammatory cytokine TNF-α and IL-1β.