https://scholars.lib.ntu.edu.tw/handle/123456789/145133
Title: | IL-6反式訊息傳遞途徑在放射線導致之肺纖維化中所扮演的角色 The Role of IL-6 trans-signaling pathway in Radiation-induced Pulmonary Fibrosis |
Authors: | 吳晉睿 Wu, Chin-Jui |
Keywords: | 放射;肺纖維化;IL-6反式訊息傳遞途徑;Radiation;pulmonary fibrosis;interleukin-6 trans-signaling | Issue Date: | 2016 | Abstract: | 放射線造成之肺部纖維化是胸腔接受放射治療後產生的長期副作用,目前的治療方法仍然屈指可數,這些肺纖維化不只阻礙了後續治療更會導致威脅生命的情況,放射線肺纖維化的機制至今沒有被我們清楚的理解。但是我們知道血清中介白素-6(IL-6)的濃度是一個指標可以呈現疾病的嚴重度,而抑制小鼠的IL-6也確實減輕了肺纖維化的強度。然而,我們並不知道這樣子的原因是由於IL-6傳統途徑經由細胞膜上的接受器mIL-6還是經由反式訊息傳遞途徑(trans-signaling pathway)的sIL-6。在這篇研究中,我們探討IL-6在放射線肺纖維化過程中所扮演的角色。我們證明了IL-6反式訊息傳遞途徑在小鼠的肺纖維化過程中有活化,利用小鼠放射肺纖維化的動物模式,我們證明相較於一般C57BL/6小鼠,sgp130Tg小鼠可以有效減輕放射肺纖維化的程度並降低死亡率,而這個現象又與sgp130Tg小鼠的肺部上皮間質轉化(Epithelial-Mesenchymal-Transition)有關。在體外,IL-6反式訊息傳遞途徑會刺激STAT3的磷酸化並壓制E-cadherin在肺上皮細胞的表現,進一步影響肺纖維化的嚴重度。總而言之,這些証據是第一次有人証實IL-6的反式訊息傳遞途徑在放射線肺纖維化中扮演重要的角色,更進一步指出選擇性地抑制IL-6反式訊息傳遞途徑可能是另一種治療放射線肺纖維化的新方向 Radiation-induced pulmonary fibrosis (RIPF) is a late side effect of thoracic radiotherapy with few effective treatments available. Fibrosis progression not only impedes further radiation treatment but also brings life-threatening condition. The pathophysiology of RIPF is not well understood, but elevated serum levels of IL-6 is a reliable marker for disease severity. Inhibition of IL-6 results in attenuation of pulmonary fibrosis in mice. However, it is unclear whether this is due to blockade of classical signaling, mediated by membrane-bound IL-6Rα(mIL-6Rα), or trans-signaling, mediated by soluble IL-6Rα (sIL-6Rα). Here, we assessed the role of sIL-6Rα in RIPF. We demonstrated activation of IL-6 trans-signaling in mice during the onset and progression of lung fibrosis. Using a mouse model of RIPF, we demonstrated that sgp130Tg mice had a remarkable reduction in RIPF and a lower death rate compared with wild type C57BL/6 mice. This observation was associated with an attenuation of pulmonary epithelial-to-mesenchymal transition (EMT) in sgp130Tg mice. In vitro, IL-6 trans-signaling stimulated phosphorylation of STAT3 and suppressed of E-cadherin expression in lung epithelial cells, effects relevant in the progression of pulmonary fibrosis. Taken together, these results provide the first evidence that IL-6 trans-signaling mediated signaling cascade plays an essential role in the pathogenesis of RIPF, and suggest that selective inhibition of IL-6 trans-signaling may be a novel therapeutic strategy for the management of RIPF. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/277279 | DOI: | 10.6342/NTU201602099 | Rights: | 論文公開時間: 2018/8/26 論文使用權限: 同意有償授權(權利金給回饋學校) |
Appears in Collections: | 臨床醫學研究所 |
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ntu-105-P03421011-1.pdf | 23.32 kB | Adobe PDF | View/Open |
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