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Promises and Limitations of Current Models for Understanding Barrett’s Esophagus and Esophageal Adenocarcinoma 了解巴雷特食管和食管腺癌的现有模型的前景和局限。
IF 7.2 1区 医学 Q1 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.jcmgh.2024.01.017
Omar Martinez-Uribe , Thomas C. Becker , Katherine S. Garman

Background & Aims

This review was developed to provide a thorough and effective update on models relevant to esophageal metaplasia, dysplasia, and carcinogenesis, focusing on the advantages and limitations of different models of Barrett’s esophagus (BE) and esophageal adenocarcinoma (EAC).

Methods

This expert review was written on the basis of a thorough review of the literature combined with expert interpretation of the state of the field. We emphasized advances over the years 2012–2023 and provided detailed information related to the characterization of established human esophageal cell lines.

Results

New insights have been gained into the pathogenesis of BE and EAC using patient-derived samples and single-cell approaches. Relevant animal models include genetic as well as surgical mouse models and emphasize the development of lesions at the squamocolumnar junction in the mouse stomach. Rat models are generated using surgical approaches that directly connect the small intestine and esophagus. Large animal models have the advantage of including features in human esophagus such as esophageal submucosal glands. Alternatively, cell culture approaches remain important in the field and allow for personalized approaches, and scientific rigor can be ensured by authentication of cell lines.

Conclusions

Research in BE and EAC remains highly relevant given the morbidity and mortality associated with cancers of the tubular esophagus and gastroesophageal junction. Careful selection of models and inclusion of human samples whenever possible will ensure relevance to human health and disease.

背景与目的:本综述旨在全面、有效地更新与食管变性、发育不良和癌变相关的模型,重点关注巴雷特食管(BE)和食管腺癌(EAC)不同模型的优势和局限性:这篇专家综述是在全面查阅文献的基础上撰写的,并结合了专家对该领域现状的解读。我们强调了 2012-2023 年间的研究进展,并提供了与已建立的人类食管细胞系特征相关的详细信息:结果:利用患者样本和单细胞方法,我们对 BE 和 EAC 的发病机制有了新的认识。相关的动物模型包括遗传和外科小鼠模型,强调小鼠胃部鳞状结肠交界处(SCJ)病变的发展。大鼠模型是通过直接连接小肠和食道的手术方法产生的。大型动物模型的优点是能包含人类食道的特征,如食道粘膜下腺体(ESMGs)。另外,细胞培养方法在该领域仍然非常重要,它允许采用个性化方法,而且通过对细胞系进行鉴定可以确保科学的严谨性:鉴于与管状食管和胃食管交界处癌症相关的发病率和死亡率,对 BE 和 EAC 的研究仍具有高度相关性。谨慎选择模型并尽可能纳入人类样本将确保研究与人类健康和疾病相关。
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引用次数: 0
Mesencephalic Astrocyte-derived Neurotrophic Factor Supports Hepatitis B Virus-induced Immunotolerance 间脑星形胶质细胞源性神经营养因子支持乙型肝炎病毒诱导的免疫耐受性
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.jcmgh.2024.05.008
Huiyuan Xie , Haiyan Deng , Xiaoping Yang , Xianxian Gao , Shanru Yang , Weiyi Chen , Yixuan Wang , Naibin Yang , Liang Yong , Xin Hou

Background & Aims

The immune tolerance induced by hepatitis B virus (HBV) is a major challenge for achieving effective viral clearance, and the mechanisms involved are not well-understood. One potential factor involved in modulating immune responses is mesencephalic astrocyte-derived neurotrophic factor (MANF), which has been reported to be increased in patients with chronic hepatitis B. In this study, our objective is to examine the role of MANF in regulating immune responses to HBV.

Methods

We utilized a commonly used HBV-harboring mouse model, where mice were hydrodynamically injected with the pAAV/HBV1.2 plasmid. We assessed the HBV load by measuring the levels of various markers including hepatitis B surface antigen, hepatitis B envelope antigen, hepatitis B core antigen, HBV DNA, and HBV RNA.

Results

Our study revealed that following HBV infection, both myeloid cells and hepatocytes exhibited increased expression of MANF. Moreover, we observed that mice with myeloid-specific MANF knockout (ManfMye-/-) displayed reduced HBV load and improved HBV-specific T cell responses. The decreased HBV-induced tolerance in ManfMye-/- mice was associated with reduced accumulation of myeloid-derived suppressor cells (MDSCs) in the liver. Restoring MDSC levels in ManfMye-/- mice through MDSC adoptive transfer reinstated HBV-induced tolerance. Mechanistically, we found that MANF promoted MDSC expansion by activating the IL-6/STAT3 pathway. Importantly, our study demonstrated the effectiveness of a combination therapy involving an hepatitis B surface antigen vaccine and nanoparticle-encapsulated MANF siRNA in effectively clearing HBV in HBV-carrier mice.

Conclusion

The current study reveals that MANF plays a previously unrecognized regulatory role in liver tolerance by expanding MDSCs in the liver through IL-6/STAT3 signaling, leading to MDSC-mediated CD8+ T cell exhaustion.

背景与目的:乙型肝炎病毒(HBV)诱导的免疫耐受是实现有效病毒清除的一大挑战,其相关机制尚不十分清楚。参与调节免疫反应的一个潜在因素是间脑星形胶质细胞源性神经营养因子(MANF),有报道称慢性乙型肝炎患者体内的MANF增加:我们采用了一种常用的 HBV 携带小鼠模型,即给小鼠水动力注射 pAAV/HBV1.2 质粒。我们通过测量各种标记物(包括 HBsAg、HBeAg、HBcAg、HBV DNA 和 HBV RNA)的水平来评估 HBV 负荷:我们的研究发现,HBV 感染后,髓系细胞和肝细胞都表现出 MANF 表达的增加。此外,我们观察到髓系特异性 MANF 基因敲除(ManfMye-/-)小鼠的 HBV 负荷降低,HBV 特异性 T 细胞反应改善。ManfMye-/-小鼠的HBV诱导耐受性降低与肝脏中髓源性抑制细胞(MDSCs)的积累减少有关。通过MDSC收养性转移恢复ManfMye-/-小鼠的MDSC水平可恢复HBV诱导的耐受性。从机理上讲,我们发现MANF通过激活IL-6/STAT3通路促进了MDSC的扩增。重要的是,我们的研究表明,HBsAg疫苗和纳米颗粒包裹的MANF siRNA联合疗法能有效清除HBV携带者小鼠体内的HBV:目前的研究揭示了MANF在肝脏耐受性中发挥着之前未被发现的调节作用,它通过IL-6/ STAT3信号在肝脏中扩增MDSC,导致MDSC介导的CD8+ T细胞衰竭。
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引用次数: 0
Th2 Cell Activation in Chronic Liver Disease Is Driven by Local IL33 and Contributes to IL13-Dependent Fibrogenesis 慢性肝病中的 Th2 细胞活化是由局部 IL-33 驱动的,并促成了 IL-13 依赖性纤维形成
IF 7.2 1区 医学 Q1 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.jcmgh.2023.12.011
Johanna Reißing , Marie Berres , Pavel Strnad , Alexander Wree , Maria Eugenia Inzaugarat , Christian Trautwein , Tony Bruns , Henning Wolfgang Zimmermann

Background & Aims

Type 2 immune responses contribute to liver fibrosis in parasite infections, but their role in other liver diseases is less well understood. Here, we aimed at unravelling mechanisms involved in T helper 2 (Th2) T-cell polarization, activation, and recruitment in human liver fibrosis and cirrhosis.

Methods

Tissues, cells, and serum from human livers were analyzed using quantitative reverse-transcription polymerase chain reaction, enzyme-linked immunosorbent assay, fluorescence in situ hybridization, immunostaining, flow cytometry, and various functional in vitro assays. Cellular interactions and soluble mediators involved in T-cell polarization and recruitment were studied, as well as their effect on hepatic stellate cell (HSC) activation, proliferation, and extracellular matrix synthesis.

Results

In human liver fibrosis, a stage-dependent increase in Th2-related transcription factors, Th2 cytokines, and trans-acting T-cell–specific transcription factor–expressing T cells was observed, and was highest in cirrhotic livers. The alarmin interleukin (IL)33 was found to be increased in livers and sera from patients with cirrhosis, to act as a chemotactic agent for Th2 cells, and to induce type 2 polarization of CD4+ T cells. Oval cells, liver sinusoidal endothelial cells, intrahepatic macrophages, and migrating monocytes were identified as sources of IL33. IL33-activated T cells, but not IL33 alone, induced HSC activation, as shown by Ki67 and α-smooth muscle actin staining, increased collagen type I alpha 1 chain messenger RNA expression, and wound healing assays. The profibrotic effect of IL33-activated T cells was contact-independent and could be antagonized using monoclonal antibodies against IL13.

Conclusion

In patients with chronic liver disease, the alarmin IL33 promotes the recruitment and activation of CD4+ T cells with Th2-like properties, which activate paracrine HSC in an IL13-dependent manner and promotes fibrogenesis.

背景& 目的Th2免疫反应在寄生虫感染中导致肝纤维化,但它们在其他肝病中的作用还不太清楚。方法 使用 qRT-PCR、ELISA、FISH、免疫染色、流式细胞术和各种体外功能测试分析人肝脏的组织、细胞和血清。研究了参与 T 细胞极化和招募的细胞相互作用和可溶性介质,以及它们对肝星状细胞(HSC)活化、增殖和细胞外基质合成的影响。结果在人类肝纤维化中,观察到 Th2 相关转录因子、Th2 细胞因子和 GATA3 表达 T 细胞的增加呈阶段依赖性,在肝硬化中增幅最大。研究发现,肝硬化患者的肝脏和血清中警戒素 IL-33 增加,可作为 Th2 细胞的趋化因子,并诱导 CD4+ T 细胞的 2 型极化。卵圆形细胞、肝窦内皮细胞、肝内巨噬细胞和迁移的单核细胞被确定为 IL-33 的来源。通过Ki67和α-SMA染色、COL1A1 mRNA表达增加和伤口愈合试验证明,IL-33激活的T细胞而非单独的IL-33可诱导造血干细胞活化。结论在慢性肝病患者中,警戒素 IL-33 可促进具有 Th2 类特性的 CD4+ T 细胞的募集和活化,从而以 IL-13 依赖性方式激活旁分泌型造血干细胞并促进纤维化。
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引用次数: 0
Gut Bacteria-derived Membrane Vesicles Induce Colonic Dysplasia by Inducing DNA Damage in Colon Epithelial Cells 肠道细菌衍生的膜囊泡通过诱导结肠上皮细胞 DNA 损伤而诱发结肠发育不良
IF 7.2 1区 医学 Q1 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.jcmgh.2024.01.010
Yu Miyakawa , Motoyuki Otsuka , Chikako Shibata , Takahiro Seimiya , Keisuke Yamamoto , Rei Ishibashi , Takahiro Kishikawa , Eri Tanaka , Takayuki Isagawa , Norihiko Takeda , Noriaki Kamio , Kenichi Imai , Mitsuhiro Fujishiro

Background & Aims

Colorectal cancer (CRC) is the third most common cancer in the world. Gut microbiota has recently been implicated in the development of CRC. Actinomyces odontolyticus is one of the most abundant bacteria in the gut of patients with very early stages of CRC. A odontolyticus is an anaerobic bacterium existing principally in the oral cavity, similar to Fusobacterium nucleatum, which is known as a colon carcinogenic bacterium. Here we newly determined the biological functions of A odontolyticus on colonic oncogenesis.

Methods

We examined the induction of intracellular signaling by A odontolyticus in human colonic epithelial cells (CECs). DNA damage levels in CECs were confirmed using the human induced pluripotent stem cell-derived gut organoid model and mouse colon tissues in vivo.

Results

A odontolyticus secretes membrane vesicles (MVs), which induce nuclear factor kappa B signaling and also produce excessive reactive oxygen species (ROS) in colon epithelial cells. We found that A odontolyticus secretes lipoteichoic acid-rich MVs, promoting inflammatory signaling via TLR2. Simultaneously, those MVs are internalized into the colon epithelial cells, co-localize with the mitochondria, and cause mitochondrial dysfunction, resulting in excessive ROS production and DNA damage. Induction of excessive DNA damage in colonic cells by A odontolyticus-derived MVs was confirmed in the gut organoid model and also in mouse colon tissues.

Conclusions

A odontolyticus secretes MVs, which cause chronic inflammation and ROS production in colonic epithelial cells, leading to the initiation of CRC.

背景和目的结直肠癌(CRC)是全球第三大常见癌症。肠道微生物群最近被认为与 CRC 的发病有关。奥氏溶放线菌(A. odontolyticus)是早期 CRC 患者肠道中含量最高的细菌之一。奥氏放线菌是一种主要存在于口腔中的厌氧菌,与被称为结肠致癌细菌的核酸镰刀菌类似。在这里,我们新近确定了奥杜氏菌对结肠癌发生的生物学功能。方法我们研究了奥杜氏菌在人结肠上皮细胞(CECs)中诱导细胞内信号转导的情况。结果奥冬菌分泌的膜囊泡可诱导核因子-κB(NF-κB)信号传导,并在结肠上皮细胞中产生过量的活性氧(ROS)。我们发现,奥陶虫会分泌富含脂质邻苯二甲酸(LTA)的微粒体,通过 TLR2 促进炎症信号传导。同时,这些MV被内化到结肠上皮细胞中,与线粒体共定位,引起线粒体功能障碍,导致ROS产生过多和DNA损伤。在肠道类器官模型和小鼠结肠组织中都证实了奥东溶菌毒素诱导结肠细胞DNA过度损伤。
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引用次数: 0
Therapeutic Effect of Proteinase-Activated Receptor-1 Antagonist on Colitis-Associated Carcinogenesis 蛋白酶活化受体-1 拮抗剂对结肠炎相关癌变的治疗效果。
IF 7.2 1区 医学 Q1 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.jcmgh.2024.04.001
Xiaodong Li , Lin-Hai Kurahara , Zhixin Zhao , Feiyan Zhao , Ryo Ishikawa , Kiyomi Ohmichi , Gaopeng Li , Tetsuo Yamashita , Takeshi Hashimoto , Mayumi Hirano , Zhihong Sun , Katsuya Hirano

Background & Aims

Inflammatory bowel disease is associated with carcinogenesis, which limits the prognosis of the patients. The local expression of proteinases and proteinase-activated receptor 1 (PAR1) increases in inflammatory bowel disease. The present study investigated the therapeutic effects of PAR1 antagonism on colitis-associated carcinogenesis.

Methods

A colitis-associated carcinogenesis model was prepared in mice by treatment with azoxymethane (AOM) and dextran sulfate sodium (DSS). PAR1 antagonist E5555 was administered in long- and short-term protocol, starting on the day of AOM injection and 1 week after completing AOM/DSS treatment, respectively. The fecal samples were collected for metagenome analysis of gut microbiota. The intestinal myofibroblasts of the Crohn’s disease patients were used to elucidate underlying cellular mechanisms. Caco-2 cells were used to investigate a possible source of PAR1 agonist proteinases.

Results

AOM/DSS model showed weight loss, diarrhea, tumor development, inflammation, fibrosis, and increased production of inflammatory cytokines. The β-diversity, but not α-diversity, of microbiota significantly differed between AOM/DSS and control mice. E5555 alleviated these pathological changes and altered the microbiota β-diversity in AOM/DSS mice. The thrombin expression was up-regulated in tumor and non-tumor areas, whereas PAR1 mRNA expression was higher in tumor areas compared with non-tumor areas. E5555 inhibited thrombin-triggered elevation of cytosolic Ca2+ concentration and ERK1/2 phosphorylation, as well as IL6-induced signal transducer and activator of transcription 3 (STAT3) phosphorylation in intestinal myofibroblasts. Caco-2 cell-conditioned medium contained immunoreactive thrombin, which cleaved the recombinant protein containing the extracellular domain of PAR1 at the thrombin cleavage site.

Conclusions

PAR1 antagonism is proposed to be a novel therapeutic strategy for treatment of inflammatory bowel disease and its associated carcinogenesis.

背景& 目的炎症性肠病与癌变有关,这限制了患者的预后。在炎症性肠病中,蛋白酶和蛋白酶激活受体 1(PAR1)在局部的表达增加。本研究探讨了 PAR1 拮抗剂对结肠炎相关癌变的治疗作用。方法用偶氮甲烷(AOM)和右旋糖酐硫酸钠(DSS)处理小鼠,制备结肠炎相关癌变模型。在注射 AOM 的当天和完成 AOM/DSS 治疗 1 周后,分别以长期和短期方案给药 PAR1 拮抗剂 E5555。收集粪便样本用于肠道微生物群的元基因组分析。克罗恩病患者的肠道肌成纤维细胞用于阐明潜在的细胞机制。结果AOM/DSS模型表现出体重减轻、腹泻、肿瘤发生、炎症、纤维化和炎症细胞因子分泌增加。AOM/DSS 与对照组小鼠的微生物群 β 多样性(而非 α 多样性)存在显著差异。E5555缓解了AOM/DSS小鼠的这些病理变化,并改变了微生物群β-多样性。肿瘤区和非肿瘤区的凝血酶表达上调,而肿瘤区的PAR1 mRNA表达高于非肿瘤区。E5555 可抑制凝血酶触发的细胞膜 Ca2+ 浓度升高和 ERK1/2 磷酸化,以及 IL6 诱导的肠肌成纤维细胞信号转导和转录激活因子 3(STAT3)磷酸化。Caco-2 细胞条件培养基含有免疫活性凝血酶,凝血酶可在凝血酶裂解位点裂解含有 PAR1 细胞外结构域的重组蛋白。
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引用次数: 0
Role of ICAM-1 in the Adhesion of T Cells to Enteric Glia: Perspectives in the Formation of Plexitis in Crohn’s Disease ICAM-1 在 T 细胞粘附到肠胶质细胞中的作用:克罗恩病丛神经炎形成的前景。
IF 7.2 1区 医学 Q1 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.jcmgh.2024.02.016
Julie Pabois , Tony Durand , Catherine Le Berre , Rhiannon T. Filippone , Théo Noël , Emilie Durieu , Céline Bossard , Sarah Bruneau , Malvyne Rolli-Derkinderen , Kulmira Nurgali , Michel Neunlist , Arnaud Bourreille , Isabelle Neveu , Philippe Naveilhan

Background & Aims

The presence of myenteric plexitis in the proximal resection margins is a predictive factor of early postoperative recurrence in Crohn’s disease. To decipher the mechanisms leading to their formation, T-cell interactions with enteric neural cells were studied in vitro and in vivo.

Methods

T cells close to myenteric neural cells were retrospectively quantified in ileocolonic resections from 9 control subjects with cancer and 20 patients with Crohn’s disease. The mechanisms involved in T-cell adhesion were then investigated in co-cultures of T lymphocytes with enteric glial cells (glia). Finally, the implication of adhesion molecules in the development of plexitis and colitis was studied in vitro but also in vivo in Winnie mice.

Results

The mean number of T cells close to glia, but not neurons, was significantly higher in the myenteric ganglia of relapsing patients with Crohn’s disease (2.42 ± 0.5) as compared with controls (0.36 ± 0.08, P = .0007). Co-culture experiments showed that exposure to proinflammatory cytokines enhanced T-cell adhesion to glia and increased intercellular adhesion molecule-1 (ICAM-1) expression in glia. We next demonstrated that T-cell adhesion to glia was inhibited by an anti–ICAM-1 antibody. Finally, using the Winnie mouse model of colitis, we showed that the blockage of ICAM-1/lymphocyte function-associated antigen-1 (LFA-1) with lifitegrast reduced colitis severity and decreased T-cell infiltration in the myenteric plexus.

Conclusions

Our present work argues for a role of glia–T-cell interaction in the development of myenteric plexitis through the adhesion molecules ICAM-1/LFA-1 and suggests that deciphering the functional consequences of glia–T-cell interaction is important to understand the mechanisms implicated in the development and recurrence of Crohn’s disease.

背景与目的:近端切除边缘出现肠系膜神经丛炎是克罗恩病术后早期复发的一个预测因素。为了破译导致其形成的机制,我们在体外和体内研究了 T 细胞与肠神经细胞的相互作用:方法:对 9 名癌症对照组患者和 20 名克罗恩病患者的回结肠切除术中靠近肠神经细胞的 T 细胞进行了回顾性定量分析。然后,在 T 淋巴细胞与肠胶质细胞(glia)的共培养物中研究了 T 细胞粘附的机制。最后,不仅在体外,还在 Winnie 小鼠体内研究了粘附分子在丛神经炎和结肠炎发病过程中的作用:结果:与对照组(0.36+/-0.08,P=0.0007)相比,克罗恩病复发患者肠肌节中靠近神经胶质而非神经元的 T 细胞的平均数量显著增加(2.42+/-0.5)。共培养实验表明,暴露于促炎细胞因子会增强 T 细胞对神经胶质的粘附,并增加神经胶质中 ICAM-1 的表达。我们接下来证明,抗 ICAM-1 抗体可抑制 T 细胞粘附到胶质细胞。最后,我们利用 Winnie 小鼠结肠炎模型证明,用利菲格拉司特阻断 ICAM-1/ LFA-1 可降低结肠炎的严重程度,并减少肠肌丛中的 T 细胞浸润:我们目前的工作证明了神经胶质-T 细胞相互作用通过粘附分子 ICAM-1/LFA-1 在肠系膜神经丛炎的发生发展中的作用,并表明破译神经胶质-T 细胞相互作用的功能性后果对于了解克罗恩病的发生发展和复发机制非常重要。
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引用次数: 0
Fatty Acid Esterification as a NASH Therapeutic Target 脂肪酸酯化作为NASH的治疗靶点。
IF 7.2 1区 医学 Q1 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.jcmgh.2023.10.011
Ikki Sakuma, Daniel F. Vatner
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引用次数: 0
Heterozygous Spink1 Deficiency Promotes Trypsin-dependent Chronic Pancreatitis in Mice 杂合子 Spink1 缺乏症会促进小鼠胰蛋白酶依赖性慢性胰腺炎的发生。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.jcmgh.2024.05.009
Alexandra Demcsák, Miklós Sahin-Tóth

Background & Aims

Heterozygous SPINK1 mutations are strong risk factors for chronic pancreatitis in humans, yet heterozygous disruption of mouse Spink1 yielded no pancreatic phenotype. To resolve this contradiction, we used CRISPR/Cas9-mediated genome editing to generate heterozygous Spink1-deleted mice (Spink1-KOhet) in the C57BL/6N strain and studied the effect of this allele in trypsin-independent and trypsin-dependent pancreatitis models.

Methods

We investigated severity of acute pancreatitis and progression to chronic pancreatitis in Spink1-KOhet mice after transient (10 injections) and prolonged (2 × 8 injections) cerulein hyperstimulation. We crossed Spink1-KOhet mice with T7D23A and T7D22N,K24R mice that carry strongly autoactivating trypsinogen mutants and exhibit spontaneous chronic pancreatitis.

Results

Prolonged but not transient cerulein stimulation resulted in increased intrapancreatic trypsin activity and more severe acute pancreatitis in Spink1-KOhet mice relative to the C57BL/6N control strain. After the acute episode, Spink1-KOhet mice developed progressive disease with chronic pancreatitis-like features, whereas C57BL/6N mice recovered rapidly. Trypsinogen mutant mice carrying the Spink1-KOhet allele exhibited strikingly more severe chronic pancreatitis than the respective parent strains.

Conclusions

Heterozygous Spink1 deficiency caused more severe acute pancreatitis after prolonged cerulein stimulation and promoted chronic pancreatitis after the cerulein-induced acute episode, and in two strains of trypsinogen mutant mice with spontaneous disease. In contrast, acute pancreatitis induced with limited cerulein hyperstimulation was unaffected by heterozygous Spink1 deletion, in agreement with recent observations that trypsin activity does not mediate pathologic responses in this model. Taken together, the findings strongly support the notion that loss-of-function SPINK1 mutations in humans increase chronic pancreatitis risk in a trypsin-dependent manner.

背景和目的:SPINK1杂合子突变是人类慢性胰腺炎的高危因素,但小鼠Spink1的杂合子干扰却不会产生胰腺表型。为了解决这一矛盾,我们利用 CRISPR/Cas9 介导的基因组编辑技术,在 C57BL/6N 品系中产生了杂合子 Spink1 缺失小鼠(Spink1-KOhet),并研究了该等位基因在胰蛋白酶依赖型和胰蛋白酶依赖型胰腺炎模型中的影响:方法:我们研究了Spink1-KOhet小鼠在瞬时(10次注射)和长期(2×8次注射)胰激素过度刺激后急性胰腺炎的严重程度以及慢性胰腺炎的进展。我们将 Spink1-KOhet 小鼠与 T7D23A 和 T7D22N,K24R 小鼠杂交,这些小鼠携带强自激活胰蛋白酶原突变体,表现出自发性慢性胰腺炎。与 C57BL/6N 对照品系相比,Spink1-KOhet 小鼠在长期而非短暂的胰凝乳蛋白刺激下,胰腺内胰蛋白酶活性增加,急性胰腺炎更加严重。急性发作后,Spink1-KOhet 小鼠的疾病呈进行性发展,具有类似慢性胰腺炎的特征,而 C57BL/6N 小鼠则迅速恢复。携带 Spink1-KOhet 等位基因的胰蛋白酶原突变小鼠表现出的慢性胰腺炎比各自的亲本品系要严重得多:结论:杂合子Spink1缺乏症会在长时间胰凝乳蛋白刺激后引起更严重的急性胰腺炎,并在胰凝乳蛋白诱导的急性发作后促进慢性胰腺炎的发生。与此相反,杂合子 Spink1 基因缺失不会影响有限的胰岛素过度刺激诱发的急性胰腺炎,这与最近的观察结果一致,即胰蛋白酶活性并不介导该模型中的病理反应。综上所述,这些发现有力地支持了这样一种观点,即人类功能缺失的 SPINK1 基因突变会以胰蛋白酶依赖性的方式增加慢性胰腺炎的风险。
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引用次数: 0
The Ties That Bind: Enteric Glia Link T Cells to Plexitis in Crohn’s 纽带:肠胶质细胞将 T 细胞与克罗恩病的神经丛炎联系起来。
IF 7.2 1区 医学 Q1 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.jcmgh.2024.03.011
Brian D. Gulbransen
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引用次数: 0
Scaffolding Supports the Hippo 脚手架为河马提供支持
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.jcmgh.2024.05.011
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Cellular and Molecular Gastroenterology and Hepatology
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