1.武汉大学人民医院重症医学科 湖北 武汉 430060
2.浙江大学医学院附属第二医院重症医学科/浙江省急危重症临床医学研究中心 浙江 杭州 310009
3.复旦大学附属中山医院急诊科/复旦大学应急救援与急危重症研究所 上海 200032
竹雪,女,2001—,医学硕士,主要从事ARDS炎症反应研究,E⁃mail: 2023283020118@whu.edu.cn
詹丽英,女,1971—,医学博士,主任医师,主要从事ARDS炎症反应研究,E⁃mail: zhanliying@whu.edu.cn
收稿:2024-07-07,
纸质出版:2025-02-25
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竹雪,刘世平,王慧娟等.NKT细胞缺乏通过促进树突状细胞肺部募集减轻肺损伤[J].武汉大学学报(医学版),2025,46(02):142-146.
ZHU Xue,LIU Shiping,WANG Huijuan,et al.NKT cells promote lung injury by inhibiting lung recruitment of DC cell[J].Medical Journal of Wuhan University,2025,46(02):142-146.
竹雪,刘世平,王慧娟等.NKT细胞缺乏通过促进树突状细胞肺部募集减轻肺损伤[J].武汉大学学报(医学版),2025,46(02):142-146. DOI: 10.14188/j.1671-8852.2024.0509.
ZHU Xue,LIU Shiping,WANG Huijuan,et al.NKT cells promote lung injury by inhibiting lung recruitment of DC cell[J].Medical Journal of Wuhan University,2025,46(02):142-146. DOI: 10.14188/j.1671-8852.2024.0509.
目的
2
探讨自然杀伤T(NKT)细胞促进急性呼吸窘迫综合征(ARDS)肺损伤的机制。
方法
2
利用野生型C57BL/6和CD1d基因敲除小鼠(NKT细胞缺乏),采用气管滴注脂多糖(LPS)的方式构建ARDS模型,分为WT⁃Control组、WT⁃ARDS组、CD1d
-/-
⁃Control组和CD1d
-/-
⁃ARDS组。观察肺组织病理损伤;检测肺组织湿干重比、肺泡灌洗液蛋白浓度及中性粒细胞比例、肺组织树突状细胞(DC)比例及炎症因子变化。
结果
2
与WT⁃ARDS组相比,CD1d
-/-
⁃ARDS组病死率降低,HE染色显示肺组织病理损伤减轻,肺损伤评分减低,肺毛细血管内皮通透性降低(
P
<
0.05);而且缺乏NKT细胞ARDS小鼠肺组织DC细胞比例升高,促炎性细胞因子IL⁃6、TNF⁃α减少,抑炎性细胞因子IL⁃10增多(
P
<
0.05)。
结论
2
NKT细胞通过抑制DC细胞肺部募集加重ARDS肺损伤。
Objective
2
To investigate the mechanism of Natural Killer T (NKT) cells promoting lung injury in acute respiratory distress syndrome (ARDS).
Methods
2
In this study
ARDS mouse models were induced in wild⁃type (C57BL/6) and CD1d knockout (KO) mice by intratracheal instillation of lipopolysaccharide (LPS). The mice were divided into four groups: the WT⁃Control
the WT⁃ARDS
the CD1d
-/-
⁃Control
and the CD1d
-/-
⁃ARDS. We observed the pathological changes in lung tissue and measured the wet/dry (W/D) weight ratio of the lung. Protein concentration and neutrophil ratio in bronchoalveolar lavage fluid (BALF)
the proportion of dendritic cells(DCs) and inflammatory factor levels in the lung were also measured.
Results
2
Compared with those in the WT⁃ARDS group
the mortality
lung injury score and pulmonary capillary permeability all decreased significantly in the CD1d
-/-
⁃ARDS group (
P
<
0.05). HE staining showed that the pathological state of the lung tissues improved obviously in CD1d KO mice. Besides
levels of pro⁃inflammatory cytokines (IL⁃6 and TNF⁃α) were decreased and the expression of anti⁃inflammatory cytokine (IL⁃10) was increased (
P
<
0.05). The proportion of DCs in lung tissues was increased after CD1d gene KO (
P
<
0.05).
Conclusion
2
NKT cells aggravate ARDS lung injury by inhibiting lung recruitment of DCs.
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