Epithelial barrier function

  • 文章类型: Journal Article
    动物胃肠道疾病的管理代表了兽医和动物技术实践中的重大挑战。传统上,急性症状已经用抗生素和高剂量的氧化锌(ZnO)治疗。然而,由于这种化合物的过度施用,人们对微生物抗性和生态损害的可能性提出了担忧。这些担忧凸显了尽量减少ZnO使用和探索可持续营养解决方案的紧迫性。可水解单宁(HTs),以其在传统医学中对急性胃肠道问题的作用而闻名,已经成为一个有希望的替代方案。本研究检测了食品级HT和亚治疗性ZnO浓度对Caco-2细胞相关生物学功能的联合影响。一种广泛使用的肠上皮屏障模型。我们发现,当一起使用时,ZnO和HTs(ZnO/HTs)增强组织修复和改善上皮屏障功能,规范紧密连接蛋白的表达和功能组织。最后,ZnO/HTs组合增强了肠上皮细胞对炎症刺激诱导的氧化应激的防御。总之,ZnO和HT的结合可以为降低兽医营养应用中的ZnO水平提供合适且实用的方法。
    The management of gastrointestinal disease in animals represents a significant challenge in veterinary and zootechnic practice. Traditionally, acute symptoms have been treated with antibiotics and high doses of zinc oxide (ZnO). However, concerns have been raised regarding the potential for microbial resistance and ecological detriment due to the excessive application of this compound. These concerns highlight the urgency of minimizing the use of ZnO and exploring sustainable nutritional solutions. Hydrolysable tannins (HTs), which are known for their role in traditional medicine for acute gastrointestinal issues, have emerged as a promising alternative. This study examined the combined effect of food-grade HTs and subtherapeutic ZnO concentration on relevant biological functions of Caco-2 cells, a widely used model of the intestinal epithelial barrier. We found that, when used together, ZnO and HTs (ZnO/HTs) enhanced tissue repair and improved epithelial barrier function, normalizing the expression and functional organization of tight junction proteins. Finally, the ZnO/HTs combination strengthened enterocytes\' defense against oxidative stress induced by inflammation stimuli. In conclusion, combining ZnO and HTs may offer a suitable and practical approach for decreasing ZnO levels in veterinary nutritional applications.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    肥胖是一个巨大的全球健康挑战,个体易患大量慢性疾病,如心血管疾病,糖尿病,和癌症。遗传多态性的融合,次优的饮食选择,久坐不动的生活方式显著导致肥胖发生率升高。这种多方面的健康问题深刻地破坏了机体和细胞水平的稳态平衡,肠道通透性的显著改变是一个显著的结果。这些改变背后的复杂机制尚未完全阐明。尽管如此,证据表明,炎症细胞因子水平升高和紧密连接(TJ)蛋白的重塑,尤其是claudins,在肥胖的上皮屏障功能障碍的表现中起关键作用。在这些途径中涉及的蛋白质和代谢产物(例如短链脂肪酸)的战略靶向对于恢复患有肥胖症的个体中的屏障功能提出了有希望的干预。尽管如此,认识到受影响个体之间的异质性是最重要的;针对特定遗传背景和过敏概况的个性化医疗干预或饮食方案可能被证明是不可或缺的.这篇全面的综述深入探讨了肥胖的关系,紧密连接重塑,和屏障功能障碍,提供对潜在治疗干预措施的批判性评估。
    Obesity stands as a formidable global health challenge, predisposing individuals to a plethora of chronic illnesses such as cardiovascular disease, diabetes, and cancer. A confluence of genetic polymorphisms, suboptimal dietary choices, and sedentary lifestyles significantly contribute to the elevated incidence of obesity. This multifaceted health issue profoundly disrupts homeostatic equilibrium at both organismal and cellular levels, with marked alterations in gut permeability as a salient consequence. The intricate mechanisms underlying these alterations have yet to be fully elucidated. Still, evidence suggests that heightened inflammatory cytokine levels and the remodeling of tight junction (TJ) proteins, particularly claudins, play a pivotal role in the manifestation of epithelial barrier dysfunction in obesity. Strategic targeting of proteins implicated in these pathways and metabolites such as short-chain fatty acids presents a promising intervention for restoring barrier functionality among individuals with obesity. Nonetheless, recognizing the heterogeneity among affected individuals is paramount; personalized medical interventions or dietary regimens tailored to specific genetic backgrounds and allergy profiles may prove indispensable. This comprehensive review delves into the nexus of obesity, tight junction remodeling, and barrier dysfunction, offering a critical appraisal of potential therapeutic interventions.
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  • 文章类型: Journal Article
    IgG4相关性胆管炎(IRC)是IgG4相关性疾病的肝胆表现。抗层粘连蛋白511-E8自身抗体已在其胰腺表现中被鉴定。层粘连蛋白511-E8促进内皮屏障功能,淋巴细胞募集,和胆管细胞分化。这里,我们调查了IRC中抗层粘连蛋白511-E8自身抗体的存在,以及层粘连蛋白511可能有助于保护胆管细胞的机制。
    通过ELISA评估抗层粘连蛋白511-E8血清自身抗体阳性。在用重组层粘连蛋白511-E8处理的人H69胆管细胞上进行RNA测序和RT-qPCR。使H69胆管细胞经受编码层粘连蛋白511(LAMA5、LAMB1、LAMC1)的shRNA敲低靶向基因或用重组层粘连蛋白511-E8处理。使用22,23-3H-糖脱氧胆酸(GCDC)进行放射性化学定量胆总管胆汁酸流入。通过Caspase-3/7测定确定GCDC诱导的细胞凋亡。通过FITC-葡聚糖通透性测定评估胆管细胞屏障功能。对对照和抗IRC层粘连蛋白511-E8阳性个体的肝外胆管组织进行层粘连蛋白511和claudin1的免疫荧光染色。
    52个IRC个体中有7个具有抗层粘连蛋白511-E8的自身抗体。重组层粘连蛋白511-E8导致参与分泌的基因的差异表达,屏障功能,和炎症。层粘连蛋白511成分的敲除增加了毒性胆汁酸渗透和GCDC诱导的细胞凋亡。层粘连蛋白511-E8处理降低了毒性胆汁酸渗透并剂量依赖性地减轻了GCDC诱导的细胞凋亡。LAMA5和LAMC1敲低增加跨上皮通透性。层粘连蛋白511-E8治疗降低跨上皮通透性并预防T淋巴细胞诱导的屏障功能障碍。层粘连蛋白511和claudin1染色模式在具有IRC的抗层粘连蛋白511-E8阳性个体中出现改变。
    层粘连蛋白511-E8是IRC个体亚群的自身抗原。层粘连蛋白511增强胆管细胞屏障功能,保护胆管细胞免受T淋巴细胞诱导的屏障功能障碍,毒性胆汁酸渗透和胆汁酸诱导的细胞凋亡。
    IgG4相关性胆管炎(IRC)患者的一个子集具有抗层粘连蛋白511-E8的自身抗体。在人类胆管细胞中,层粘连蛋白511可防止(T淋巴细胞诱导的)上皮屏障功能障碍和疏水性胆汁酸。层粘连蛋白511和claudin1染色可能在抗层粘连蛋白511-E8阳性的IRC患者的肝外胆管中改变。这使得人们倾向于推测,由于自身抗体结合导致的层粘连蛋白511的功能障碍,降低的上皮屏障功能和免疫细胞的吸引力以及受损的碳酸氢盐分泌可能潜在地是IgG4-RD患者亚组中常见的全身性致病机制。
    UNASSIGNED: IgG4-related cholangitis (IRC) is the hepatobiliary manifestation of IgG4-related disease. Anti-laminin 511-E8 autoantibodies have been identified in its pancreatic manifestation. Laminin 511-E8 promotes endothelial barrier function, lymphocyte recruitment, and cholangiocyte differentiation. Here, we investigate anti-laminin 511-E8 autoantibody presence in IRC, and mechanisms via which laminin 511 may contribute to cholangiocyte protection.
    UNASSIGNED: Anti-laminin 511-E8 serum autoantibody positivity was assessed by ELISA. RNA sequencing and RT-qPCR were performed on human H69 cholangiocytes treated with recombinant laminin 511-E8. H69 cholangiocytes were subjected to shRNA knockdown targeting genes encoding laminin 511 (LAMA5, LAMB1, LAMC1) or treated with recombinant laminin 511-E8. Cholangiocellular bile acid influx was quantified radiochemically using 22,23-3H-glycochenodeoxycholic acid (GCDC). GCDC-induced apoptosis was determined by Caspase-3/7 assays. Cholangiocellular barrier function was assessed by FITC-Dextran permeability assays. Immunofluorescent staining of laminin 511 and claudin 1 was performed on extrahepatic bile duct tissue of control and anti-laminin 511-E8 positive individuals with IRC.
    UNASSIGNED: Seven out of 52 individuals with IRC had autoantibodies against laminin 511-E8. Recombinant laminin 511-E8 led to differential expression of genes involved in secretion, barrier function, and inflammation. Knockdown of laminin 511 constituents increased toxic bile acid permeation and GCDC-induced apoptosis. Laminin 511-E8 treatment decreased toxic bile acid permeation and dose-dependently alleviated GCDC-induced apoptosis. LAMA5 and LAMC1 knockdown increased transepithelial permeability. Laminin 511-E8 treatment reduced transepithelial permeability and prevented T lymphocyte-induced barrier dysfunction. Laminin 511 and claudin 1 staining patterns appeared altered in anti-laminin 511-E8 positive individuals with IRC.
    UNASSIGNED: Laminin 511-E8 is an autoantigen in subsets of individuals with IRC. Laminin 511 enhances cholangiocellular barrier function and protects cholangiocytes against T lymphocyte-induced barrier dysfunction, toxic bile acid permeation and bile acid-induced apoptosis.
    UNASSIGNED: A subset of patients with IgG4-related cholangitis (IRC) has autoantibodies against laminin 511-E8. In human cholangiocytes, laminin 511 protects against (T lymphocyte-induced) epithelial barrier dysfunction and hydrophobic bile acids. Laminin 511 and claudin 1 staining may be altered in extrahepatic bile ducts of patients with IRC who are anti-laminin 511-E8 positive. This makes it tempting to speculate that a decreased epithelial barrier function with attraction of immune cells and impaired bicarbonate secretion as a result of dysfunction of laminin 511 by autoantibody binding could potentially be a common systemic pathogenic mechanism in a subset of patients with IgG4-RD.
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  • 文章类型: Journal Article
    肠道菌群在维持上皮屏障功能中起着至关重要的作用。尽管多项研究已经证明了饮食因素对肠道菌群和粘膜屏障功能的重要性,净化饮食的影响,长期用于各种动物实验,对肠道稳态的影响还有待阐明。这里,我们比较了两种不同饮食的影响,粗粮和AIN-93G配方的纯饮食,上皮完整性和肠道微生物群。纯化的饮食喂养小鼠表现出较短的绒毛和隐窝长度和较慢的上皮更新,特别是在回肠。此外,抗菌产品,包括胰岛衍生蛋白3γ(REG3γ),在纯饮食喂养的小鼠中大幅下降。纯化的饮食喂养还抑制了上皮表面的α1,2-岩藻糖基化。此外,纯化的饮食诱导代谢重新连接到脂肪酸氧化和生酮。回肠内容物和粘液层的16S核糖体RNA基因测序揭示了纯化和粗粮喂养小鼠之间不同的肠道微生物群组成。纯化的饮食喂养减少了分段丝状细菌(SFB)的丰度,通过刺激第3组先天淋巴样细胞(ILC3)产生IL-22,从而有效上调REG3γ和岩藻糖基转移酶2(Fut2)。这些观察结果表明,粗粮的摄入通过促进SFB定植来确保上皮屏障功能,而纯净的饮食不足以建立上皮屏障,至少部分是由于SFB的损失。我们的数据表明,在使用纯化饮食的实验中应考虑纯化饮食对上皮屏障完整性的影响。
    The gut microbiota plays a crucial role in maintaining epithelial barrier function. Although multiple studies have demonstrated the significance of dietary factors on the gut microbiota and mucosal barrier function, the impact of a purified diet, which has long been used in various animal experiments, on intestinal homeostasis remains to be elucidated. Here, we compared the impact of two different types of diets, a crude diet and an AIN-93G-formula purified diet, on epithelial integrity and the gut microbiota. Purified diet-fed mice exhibited shorter villi and crypt lengths and slower epithelial turnover, particularly in the ileum. In addition, antimicrobial products, including REG3γ, were substantially decreased in purified diet-fed mice. Purified diet feeding also suppressed α1,2-fucosylation on the epithelial surface. Furthermore, the purified diet induced metabolic rewiring to fatty acid oxidation and ketogenesis. 16S ribosomal RNA gene sequencing of the ileal contents and mucus layer revealed distinct gut microbiota compositions between the purified and crude diet-fed mice. Purified diet feeding reduced the abundance of segmented filamentous bacteria (SFB), which potently upregulate REG3γ and fucosyltransferase 2 (Fut2) by stimulating group 3 innate lymphoid cells (ILC3s) to produce IL-22. These observations illustrate that the intake of a crude diet secures epithelial barrier function by facilitating SFB colonization, whereas a purified diet insufficiently establishes the epithelial barrier, at least partly owing to the loss of SFB. Our data suggest that the influence of purified diets on the epithelial barrier integrity should be considered in experiments using purified diets.
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  • 文章类型: Journal Article
    目的:微孢子虫在自然界中广泛存在,通常在宿主中引起潜伏和持续性感染。鉴于消化道是主要的感染途径,探讨微孢子虫感染对肠上皮屏障的影响以及对宿主的风险具有重要意义。在这项研究中,我们证明了微孢子虫感染对上皮屏障的破坏作用,表现为上皮通透性增加,削弱伤口愈合能力,破坏了紧密连接。此外,微孢子虫使宿主更容易受到葡聚糖硫酸钠诱导的炎症性肠病的影响。这些发现为我们更好地理解和开发微孢子虫预防和疾病控制的新策略提供了新的证据。
    Microsporidia are intracellular fungus-like pathogens and the infection symptoms include recurrent diarrhea and systematic inflammations. The major infection route of microsporidia is the digestive tract. Since microsporidia are hard to fully eliminate, the interactions and persistence of the pathogen within epithelium may modulate host susceptibility to digestive disorders. In this study, both in vitro and in vivo infection models were applied. The alterations of epithelial barrier integrity, permeability, and tight junction proteins after microsporidia infection were assessed on MDCK/Caco-2 monolayers. The fecal intestinal microbiota and tissue alterations after microsporidia infection were assessed on C57BL/6 mice. Moreover, the susceptibility to develop dextran sulfate sodium (DSS)-induced inflammatory bowel diseases (IBDs) was also analyzed by the murine infection model. The results demonstrated that microsporidia infection increased epithelium permeability, weakened wound healing capability, and destructed tight junction protein zonula occludens-1. Microsporidia infection also dysregulates intestinal microbiota. These impairing effects of microsporidia increased host vulnerability to develop enteritis as shown by the murine model of DSS-induced IBD. Our study is the first to elucidate molecular mechanisms of the damaging effects of microsporidia on host epithelium and pointed out the cryptic threats of latent microsporidia infection to public health as reflected by the increased chances of developing more severe diseases.IMPORTANCEMicrosporidia are widely present in nature and usually cause latent and persistent infections in hosts. Given the fact that the digestive tract is the major infection route, it is of great importance to explore the consequences of microsporidia infection on the intestinal epithelial barrier and the risks to the host. In this study, we demonstrated the destructing effects of microsporidium infection on epithelial barriers manifested as increased epithelial permeability, weakened wound healing ability, and disrupted tight junctions. Moreover, microsporidia made the host more susceptible to dextran sulfate sodium-induced inflammatory bowel disease. These findings provide new evidence for us to better understand and develop novel strategies for microsporidia prevention and disease control.
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  • 文章类型: Journal Article
    背景:长期饮酒易导致脓毒症期间的肺损伤和修复障碍。我们先前的研究概述了转化生长因子-β1(TGFβ1)和粒细胞-巨噬细胞集落刺激因子(GM-CSF)在上皮屏障稳态中的作用,以及酒精如何干扰其表达和信号传导。在这里,我们假设乙醇暴露的肺成纤维细胞(LF)是失调的TGFβ1和GM-CSF的来源,从而改变气道上皮屏障功能。
    方法:将人或大鼠LF±乙醇培养2周,然后与接种在Transwell可渗透支持物上的人或大鼠气道上皮细胞(AEC)共培养。在选定的组中,应用TGFβ1受体1型(TGFβR1)抑制剂(SB431542)或TGFβ1中和抗体。在共培养之前和共培养的第5天测量跨上皮电阻(TER)。然后分析AEC选择的紧密连接和间充质蛋白的表达,和transwell膜通过免疫荧光显微镜分析ZO-1的表达和定位。通过ELISA定量来自共培养物的条件培养基中的TGFβ1和GM-CSF水平。
    结果:与乙醇暴露的LF(ELF)共培养的AEC显示TER显着降低,ZO-1表达相应降低,而1A1型胶原和α-平滑肌肌动蛋白表达增加。并行,在ELF+AEC共培养的条件培养基中,活化的TGFβ1水平升高,GM-CSF水平降低。值得注意的是,通过阻断TGFβ1活性来阻止ELF对AEC的所有作用。
    结论:先前乙醇暴露于LF通过激活TGFβ1信号和抑制GM-CSF以旁分泌方式诱导幼稚AEC的屏障功能障碍。这些实验发现提供了慢性酒精摄入损害气道上皮完整性并使个体容易受到肺损伤的潜在机制。
    BACKGROUND: Chronic alcohol ingestion predisposes to lung injury and disrepair during sepsis. Our previous studies outlined roles for transforming growth factor-beta 1 (TGFβ1) and granulocyte-macrophage colony-stimulating factor (GM-CSF) in epithelial barrier homeostasis and how alcohol perturbs their expression and signaling. Here we hypothesize that ethanol-exposed lung fibroblasts (LF) are a source of dysregulated TGFβ1 and GM-CSF and thereby alter airway epithelial barrier function.
    METHODS: Human or rat LF were cultured ± ethanol for 2 weeks and then co-cultured with human or rat airway epithelial cells (AEC) seeded on Transwell permeable supports. In selected groups, a TGFβ1 receptor type 1 (TGFβR1) inhibitor (SB431542) or a TGFβ1 neutralizing antibody was applied. Transepithelial electrical resistance (TER) was measured prior to co-culture and on day 5 of co-culture. AEC were then analyzed for the expression of selected tight junction and mesenchymal proteins, and transwell membranes were analyzed by immunofluorescence microscopy for ZO-1 expression and localization. TGFβ1 and GM-CSF levels in conditioned media from the co-cultures were quantified by ELISA.
    RESULTS: AEC co-cultured with ethanol-exposed LF (ELF) showed a significant reduction in TER and corresponding decreases in ZO-1 expression, whereas collagen type 1A1 and α-smooth muscle actin protein expression were increased. In parallel, in conditioned media from the ELF + AEC co-cultures, activated TGFβ1 levels increased and GM-CSF levels decreased. Notably, all the effects of ELF on the AEC were prevented by blocking TGFβ1 activity.
    CONCLUSIONS: Prior ethanol exposure to LF induces barrier dysfunction in naive AEC in a paracrine fashion through activation of TGFβ1 signaling and suppression of GM-CSF. These experimental findings provide a potential mechanism by which chronic alcohol ingestion impairs airway epithelial integrity and renders individuals susceptible to lung injury.
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  • 文章类型: Journal Article
    脆性毛发综合征(TTD)的特点是可变的临床特征,包括光敏性,鱼鳞病,生长迟缓,小头畸形,智力残疾,性腺功能减退,和贫血.TTD相关突变通常会导致不稳定的突变蛋白参与基因表达的各个步骤,严重降低稳态突变蛋白水平。然而,到目前为止,尚未确定与MPLKIP/TTDN1中TTD相关突变的基因表达因子的不稳定性相关.这里,我们提供了七个来自五个近亲家族的MPLKIP突变的TTD个体,在一个家族中具有新鉴定的MPLKIP变体。通过基于质谱的相互作用蛋白质组学,我们证明MPLKIP与核心剪接因子和套索脱支蛋白DBR1相互作用.MPLKIP缺陷的原代成纤维细胞具有降低的稳态DBR1蛋白水平。使用人类皮肤等价物(HSE),我们观察到与受损剪接相关的角质形成细胞分化受损,最终,影响皮肤发育的不平衡蛋白质组,有趣的是,还有免疫系统。我们的数据显示,MPLKIP,通过其DBR1稳定作用,与mRNA剪接有关,这在高度分化的组织中特别重要。
    The brittle hair syndrome Trichothiodystrophy (TTD) is characterized by variable clinical features, including photosensitivity, ichthyosis, growth retardation, microcephaly, intellectual disability, hypogonadism, and anaemia. TTD-associated mutations typically cause unstable mutant proteins involved in various steps of gene expression, severely reducing steady-state mutant protein levels. However, to date, no such link to instability of gene-expression factors for TTD-associated mutations in MPLKIP/TTDN1 has been established. Here, we present seven additional TTD individuals with MPLKIP mutations from five consanguineous families, with a newly identified MPLKIP variant in one family. By mass spectrometry-based interaction proteomics, we demonstrate that MPLKIP interacts with core splicing factors and the lariat debranching protein DBR1. MPLKIP-deficient primary fibroblasts have reduced steady-state DBR1 protein levels. Using Human Skin Equivalents (HSEs), we observed impaired keratinocyte differentiation associated with compromised splicing and eventually, an imbalanced proteome affecting skin development and, interestingly, also the immune system. Our data show that MPLKIP, through its DBR1 stabilizing role, is implicated in mRNA splicing, which is of particular importance in highly differentiated tissue.
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  • 文章类型: Journal Article
    运输上皮提供了一个保护屏障,防止致病性损伤,同时允许受控的离子交换,溶质和水与外部环境的关系。在无脊椎动物中,这些功能取决于“紧密的”分隔连接(SJs)的形成和维持。然而,SJs影响转运能力和组织稳态的机制,以及这些是如何被老化所调节的,仍然不完全理解。这里,我们证明果蝇肾(Malpighian)小管的分泌能力呈年龄依赖性下降,这与SJ蛋白的错误定位和细胞形态和组织稳态的进行性变性相关。成年小管中隔断连接蛋白Snakeskin的急性丢失会引起细胞和组织结构的进行性变化,包括连接蛋白的表达和定位改变,伴随着细胞极性和屏障完整性的丧失,证明受损的连接完整性足以复制这些与衰老相关的表型。一起来看,我们的工作证明了上皮屏障完整性之间的关键联系,小管运输能力,肾脏稳态和机体活力,以及提供对年龄发病和肾脏疾病的机制的新见解。
    Transporting epithelia provide a protective barrier against pathogenic insults while allowing the controlled exchange of ions, solutes and water with the external environment. In invertebrates, these functions depend on formation and maintenance of \'tight\' septate junctions (SJs). However, the mechanism by which SJs affect transport competence and tissue homeostasis, and how these are modulated by ageing, remain incompletely understood. Here, we demonstrate that the Drosophila renal (Malpighian) tubules undergo an age-dependent decline in secretory capacity, which correlates with mislocalisation of SJ proteins and progressive degeneration in cellular morphology and tissue homeostasis. Acute loss of the SJ protein Snakeskin in adult tubules induced progressive changes in cellular and tissue architecture, including altered expression and localisation of junctional proteins with concomitant loss of cell polarity and barrier integrity, demonstrating that compromised junctional integrity is sufficient to replicate these ageing-related phenotypes. Taken together, our work demonstrates a crucial link between epithelial barrier integrity, tubule transport competence, renal homeostasis and organismal viability, as well as providing novel insights into the mechanisms underpinning ageing and renal disease.
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  • 文章类型: Journal Article
    严重急性呼吸道综合症冠状病毒2(SARS-CoV-2)是2019年冠状病毒病(COVID19)持续流行的原因。与COVID-19相关的一个关键特征是过度的促炎细胞因子产生,导致严重的急性呼吸窘迫综合征。尽管细胞因子风暴在宿主中诱导炎性细胞死亡,在各种器官和细胞中发生的哪种类型的程序性细胞死亡机制仍然难以捉摸。使用极化的人气道上皮(HAE)的体外培养模型,我们观察到坏死,但不是凋亡或焦亡,在SARS-CoV-2感染的极化HAE的上皮屏障损伤中起重要作用。坏死的药理学抑制剂,坏死抑制素-2和坏死磺酰胺,有效预防SARS-CoV-2感染引起的细胞死亡和上皮屏障功能障碍。此外,参与坏死的基因沉默,RIPK1、RIPK3和MLKL,感染SARS-CoV-2的极化HAE的气道上皮损伤改善。这项研究,第一次,证实SARS-CoV-2感染会引发坏死性凋亡,从而破坏体外人气道上皮的屏障功能。
    Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the cause the ongoing pandemic of coronavirus disease 2019 (COVID19). One key feature associated with COVID-19 is excessive pro-inflammatory cytokine production that leads to severe acute respiratory distress syndrome. Although the cytokine storm induces inflammatory cell death in the host, which type of programmed cell death mechanism that occurs in various organs and cells remains elusive. Using an in vitro culture model of polarized human airway epithelium (HAE), we observed that necroptosis, but not apoptosis or pyroptosis, plays an essential role in the damage of the epithelial barrier of polarized HAE infected with SARS-CoV-2. Pharmacological inhibitors of necroptosis, necrostatin-2 and necrosulfonamide, efficiently prevented cell death and epithelial barrier dysfunction caused by SARS-CoV-2 infection. Moreover, the silencing of genes that are involved in necroptosis, RIPK1, RIPK3, and MLKL, ameliorated airway epithelial damage of the polarized HAE infected with SARS-CoV-2. This study, for the first time, confirms that SARS-CoV-2 infection triggers necroptosis that disrupts the barrier function of human airway epithelia in vitro.
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