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Gastroenterology:局部的ROCK抑制剂治疗肠纤维化梗阻

2017-06-20 zhangfan MedSci原创

局部ROCK抑制剂可以预防和逆转肠纤维化过程,减少成纤维细胞p38 MAPK激活并增加MRTF和自噬,局部的ROCK抑制剂有望成为CD纤维化的治疗药物

肠纤维化梗阻是克罗恩病(CD)的常见并发症。研究发现Rho激酶(ROCKs)在TGF-β1诱导的肌成纤维细胞激活过程中发挥作用,有望成为潜在的治疗靶点。近日研究人员ROCK抑制剂(AMA0825)对于小肠间质纤维化的作用。

研究人员使用葡聚糖硫酸钠(DSS)和过继性T细胞移植构建小鼠纤维化模型。在不同类型的细胞和CD活体组织中研究AMA0825体内外作用。

ROCK在成纤维细胞、上皮细胞,内皮细胞和肌肉的人体肠道细胞中表达,在炎症和组织纤维化过程中激活。AMA0825预防治疗可抑制肌成纤维细胞积累以及促纤维化因子和纤维组织积累表达,但不影响纤维化模型的临床疾病活动和组织炎症。ROCK抑制剂可逆转DSS模型纤维化并且阻碍CD组织细胞促纤维化蛋白分泌。AMA0825可降低TGFβ1 诱导的心肌素相关转录因子(MRTF)以及p38丝裂原活化蛋白激酶(MAPK)的激活,下调基质金属蛋白酶,成纤维细胞胶原和IL-6的分泌。细胞研究发现抑制ROCK可增强自噬,减少胶原和IL6生成。AMA0825不影响其他ROCK阳性细胞促炎性细胞因子分泌,对体内纤维化作用表现出选择性。

研究发现局部ROCK抑制剂可以预防和逆转肠纤维化过程,减少成纤维细胞p38 MAPK激活并增加MRTF和自噬,局部的ROCK抑制剂有望成为CD纤维化的治疗药物。

原始出处:


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    2018-01-02 linlin2312
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    2017-08-19 仁心济世
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    2017-09-13 jklm09
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    2017-06-22 chg122
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