CN117007806A - Targeting LXR in liver macrophages for controlling slow hepatitis B progression - Google Patents
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Abstract
本发明涉及生物与医药技术领域,公开了靶向肝巨噬细胞内LXRα用于控制慢乙肝进展。本发明通过构建小鼠慢乙肝模型、巨噬细胞功能分析、巨噬细胞油红染色以及肝巨噬细胞LXRα表达检测等一系列实验,不仅确定了慢乙肝进展(依次为急性炎症、慢性炎症、肝纤维化和肝癌)的效应细胞为肝巨噬细胞,还明确了肝巨噬细胞内LXRα为控制慢乙肝进展的炎性靶标,这为慢乙肝治疗中“靶向炎症”策略的实现奠定了基础。The invention relates to the technical fields of biology and medicine, and discloses the use of targeting LXRα in liver macrophages to control the progression of chronic hepatitis B. Through a series of experiments such as constructing a mouse chronic hepatitis B model, macrophage function analysis, macrophage oil red staining, and liver macrophage LXRα expression detection, the present invention not only determines the progression of chronic hepatitis B (in order, acute inflammation, chronic inflammation, The effector cells of liver fibrosis and liver cancer are liver macrophages, and it is also clear that LXRα in liver macrophages is an inflammatory target that controls the progression of chronic hepatitis B, which lays the foundation for the realization of the "targeted inflammation" strategy in the treatment of chronic hepatitis B. Base.
Description
技术领域Technical field
本发明涉及生物与医药技术领域,具体为靶向肝巨噬细胞内LXR用于控制慢乙肝进展。The invention relates to the field of biological and medical technology, specifically targeting LXR in liver macrophages for controlling the progression of chronic hepatitis B.
背景技术Background technique
HBV感染的危害在于其持续感染可启动肝纤维化、肝硬化、肝癌的动态进展。目前全球约有3.5-4亿慢性乙肝病毒携带者,每年有50-100万患者死于慢乙肝相关的肝硬化、肝细胞肝癌(hepatocellular carcinoma,HCC)及肝功能衰竭。目前我国慢性乙肝感染患者高达9300万,预测至2050年,即使在理想模型下,我国的慢乙肝患者人数依然会超过2700万。目前未见针对乙肝病毒的特效药物,宿主靶标成为治疗慢乙肝的重要途径。The danger of HBV infection is that persistent infection can initiate the dynamic progression of liver fibrosis, cirrhosis, and liver cancer. Currently, there are approximately 350-400 million chronic hepatitis B virus carriers worldwide, and 500,000-1 million patients die from chronic hepatitis B-related cirrhosis, hepatocellular carcinoma (HCC) and liver failure every year. Currently, there are 93 million patients with chronic hepatitis B infection in my country. It is predicted that by 2050, even under an ideal model, the number of chronic hepatitis B patients in my country will still exceed 27 million. Currently, there are no specific drugs targeting hepatitis B virus, and host targets have become an important way to treat chronic hepatitis B.
临床上超过一半的HCC源于慢性HBV感染。结合单细胞转录组研究对HBV相关肝癌肝内微环境的研究证实肝内炎症、特别是炎性细胞在推动疾病进展中发挥关键作用。因此确定关键效应细胞及炎性靶标是慢乙肝治疗中“靶向炎症”策略实现的基础。Clinically, more than half of HCC cases result from chronic HBV infection. The study of the intrahepatic microenvironment of HBV-related liver cancer combined with single-cell transcriptome studies confirmed that intrahepatic inflammation, especially inflammatory cells, plays a key role in promoting disease progression. Therefore, identifying key effector cells and inflammatory targets is the basis for the implementation of the "targeted inflammation" strategy in the treatment of chronic hepatitis B.
发明内容Contents of the invention
针对上述问题,本发明提供了靶向肝巨噬细胞内LXRα用于控制慢乙肝进展。In response to the above problems, the present invention provides targeting LXRα in liver macrophages for controlling the progression of chronic hepatitis B.
为了达到上述目的,本发明采用了下列技术方案:In order to achieve the above objects, the present invention adopts the following technical solutions:
第一方面,本发明提供了一种慢乙肝进展、肝巨噬细胞脂代谢异常或肝纤维化及肿瘤形成的诊治标志物,所述标志物为肝巨噬细胞内LXRα。In a first aspect, the present invention provides a diagnostic and therapeutic marker for the progression of chronic hepatitis B, abnormal lipid metabolism in liver macrophages, or liver fibrosis and tumor formation. The marker is LXRα in liver macrophages.
进一步,所述慢乙肝进展依次为急性炎症、慢性炎症、肝纤维化和肝癌。Furthermore, the progression of chronic hepatitis B is acute inflammation, chronic inflammation, liver fibrosis and liver cancer.
第二方面,本发明提供了肝巨噬细胞内LXRα作为慢乙肝进展、肝巨噬细胞脂代谢异常或肝纤维化及肿瘤形成药物靶点的应用。In a second aspect, the present invention provides the application of LXRα in liver macrophages as a drug target for the progression of chronic hepatitis B, abnormal lipid metabolism of liver macrophages, or liver fibrosis and tumor formation.
第三方面,本发明提供了检测肝巨噬细胞内LXRα的试剂在制备慢乙肝进展、肝巨噬细胞脂代谢异常或肝纤维化及肿瘤形成的诊断工具中的应用。In a third aspect, the present invention provides the application of a reagent for detecting LXRα in liver macrophages in preparing diagnostic tools for the progression of chronic hepatitis B, abnormal lipid metabolism in liver macrophages, or liver fibrosis and tumor formation.
进一步,所述工具包括试剂盒、芯片、试纸或高通量测序平台。Further, the tools include kits, chips, test strips or high-throughput sequencing platforms.
第四方面,本发明提供了一种用于调控肝巨噬细胞内LXRα含量的产品。In a fourth aspect, the present invention provides a product for regulating LXRα content in liver macrophages.
进一步,所述调控为增强,所述增强肝巨噬细胞内LXRα含量的产品为LXRα激动剂或任何可以引起/增强LXR表达的试剂/试剂盒、mRNA疫苗、小核酸、表达载体(病毒表达载体、Crispr表达载体)、病毒等。Further, the regulation is enhancement, and the product that enhances the LXRα content in liver macrophages is an LXRα agonist or any reagent/kit that can cause/enhance LXR expression, mRNA vaccine, small nucleic acid, expression vector (viral expression vector , Crispr expression vector), viruses, etc.
第五方面,本发明提供了用于调控肝巨噬细胞内LXRα含量的试剂在制备控制慢乙肝进展、逆转肝巨噬细胞脂代谢异常或逆转肝纤维化及肿瘤形成产品中的应用。In the fifth aspect, the present invention provides the use of reagents for regulating LXRα content in liver macrophages in preparing products to control the progression of chronic hepatitis B, reverse abnormal lipid metabolism in liver macrophages, or reverse liver fibrosis and tumor formation.
进一步,所述产品为药物、试剂或试剂盒。Further, the product is a drug, reagent or kit.
第六方面,本发明提供了一种用于控制慢乙肝进展、逆转肝巨噬细胞脂代谢异常或逆转肝纤维化及肿瘤形成的试剂或药物,所述试剂或药物包括用于调控肝巨噬细胞内LXRα含量的试剂。In the sixth aspect, the present invention provides a reagent or drug for controlling the progression of chronic hepatitis B, reversing abnormal lipid metabolism of hepatic macrophages, or reversing liver fibrosis and tumor formation. The reagent or drug includes a reagent or drug for regulating hepatic macrophages. Reagent for intracellular LXRα content.
第七方面,本发明提供了一种用于控制慢乙肝进展、逆转肝巨噬细胞内脂代谢异常或逆转肝纤维化及肿瘤形成的试剂盒,所述试剂盒包括用于控制慢乙肝进展、逆转肝巨噬细胞脂代谢异常或逆转肝纤维化及肿瘤形成的试剂或药物。In the seventh aspect, the present invention provides a kit for controlling the progression of chronic hepatitis B, reversing abnormal lipid metabolism in liver macrophages, or reversing liver fibrosis and tumor formation. The kit includes: for controlling the progression of chronic hepatitis B, Reagents or drugs that reverse abnormal lipid metabolism of liver macrophages or reverse liver fibrosis and tumor formation.
与现有技术相比本发明具有以下有点:Compared with the prior art, the present invention has the following advantages:
本发明不仅确定了慢乙肝进展(依次为急性炎症、慢性炎症、肝纤维化和肝癌)的效应细胞为肝巨噬细胞,还明确了肝巨噬细胞内LXRα为控制慢乙肝进展的炎性靶标,这为慢乙肝治疗中“靶向炎症”策略的实现奠定了基础。The present invention not only determines that the effector cells responsible for the progression of chronic hepatitis B (acute inflammation, chronic inflammation, liver fibrosis and liver cancer in sequence) are liver macrophages, but also clarifies that LXRα in liver macrophages is the inflammatory target that controls the progression of chronic hepatitis B. , which lays the foundation for the implementation of the "targeted inflammation" strategy in the treatment of chronic hepatitis B.
附图说明Description of the drawings
图1为小鼠慢乙肝模型模拟人慢乙肝炎癌转化的自然进展结果图。A为急性炎症期、慢性炎症期和肝纤维化期结果图;B为肝癌期结果图。Figure 1 shows the results of the natural progression of human chronic hepatitis B cancer transformation simulated by the mouse chronic hepatitis B model. A shows the results of the acute inflammation phase, chronic inflammation phase and liver fibrosis phase; B shows the results of the liver cancer phase.
图2为巨噬细胞的观察结果;其中,A为肝巨噬细胞的GO分析;B为模型小鼠肝内巨噬细胞的油红染色结果;C为Hep AD38与巨噬细胞共培养后,巨噬细胞的油红染色结果。Figure 2 shows the observation results of macrophages; A is the GO analysis of liver macrophages; B is the oil red staining results of macrophages in the liver of model mice; C is the co-culture of Hep AD38 and macrophages. Oil red staining results of macrophages.
图3A为撤去四环素后,共培养体系的巨噬细胞中LXRα的表达情况;图3B为分别加入两种LXR激动剂后,巨噬细胞内脂滴的变化。Figure 3A shows the expression of LXRα in macrophages in the co-culture system after removing tetracycline; Figure 3B shows the changes in lipid droplets in macrophages after adding two LXR agonists respectively.
图4A、B分别为肝细胞内肝纤维化marker(TGF-β和MMP-2)的含量检测结果图;图4C、D分别为微球个数和直径变化图。Figures 4A and B are respectively the detection results of liver fibrosis markers (TGF-β and MMP-2) in hepatocytes; Figures 4C and D are respectively the changes in the number and diameter of microspheres.
具体实施方式Detailed ways
下面结合本发明实施例和附图,对本发明的技术方案进行具体、详细的说明。应当指出,以下实施例仅用于说明本发明,不用来限制本发明的保护范围。若未特别指明,实施例中所用的技术手段为本领域技术人员所熟知的常规手段。The technical solution of the present invention will be described in detail below with reference to the embodiments of the present invention and the accompanying drawings. It should be noted that the following examples are only used to illustrate the present invention and are not intended to limit the scope of the present invention. Unless otherwise specified, the technical means used in the examples are conventional means well known to those skilled in the art.
1、通过向C57B/L小鼠尾静脉注射慢病毒包装的AAV-HBV D型载体,构建小鼠慢乙肝模型,模拟人慢乙肝炎癌转化的自然进展,发现其经历了急性炎症期、慢性炎症期、肝纤维化期、肝癌期(图1A、1B)。1. A mouse chronic hepatitis B model was constructed by injecting lentivirus-packaged AAV-HBV type D vector into the tail vein of C57B/L mice, simulating the natural progression of human chronic hepatitis B cancer transformation, and found that it experienced an acute inflammatory phase, chronic Inflammation stage, liver fibrosis stage, and liver cancer stage (Figure 1A, 1B).
2、对慢乙肝感染后不同时期小鼠肝内免疫细胞的单细胞数据中肝内定植的巨噬细胞(Kupffer细胞)进行功能富集(GO分析),发现随慢乙肝的进展,Kupffer细胞脂代谢功能发生明显异常(图2A)。进一步分离模型小鼠肝内巨噬细胞进行油红染色可见细胞内明显脂滴聚集(图2B)。2. Functional enrichment (GO analysis) of macrophages (Kupffer cells) colonizing the liver in the single cell data of intrahepatic immune cells in mice at different stages after chronic hepatitis B infection was performed. It was found that with the progression of chronic hepatitis B, Kupffer cell lipids Metabolic function was significantly abnormal (Figure 2A). Further isolation of macrophages in the liver of model mice and oil red staining showed obvious accumulation of lipid droplets in the cells (Figure 2B).
体外首先通过佛波酯(PMA)诱导THP-1细胞获得巨噬细胞(M0)。Hep AD38细胞系是可诱导型表达HBV的人源细胞系,在撤去四环素(tetracycline,Tet-)时表达HBV。将M0与Hep AD38(Tet-)共培养后发现巨噬细胞内出现脂滴聚集现象(图2C)。Macrophages (M0) were first obtained from THP-1 cells by inducing phorbol ester (PMA) in vitro. The Hep AD38 cell line is an inducible human cell line that expresses HBV. It expresses HBV when tetracycline (Tet-) is withdrawn. After co-culture of M0 and Hep AD38(Tet-), lipid droplet aggregation was found in macrophages (Figure 2C).
以上结果证实,HBV感染慢乙肝会引起肝内巨噬细胞脂代谢异常。The above results confirm that HBV infection with chronic hepatitis B can cause abnormal lipid metabolism in intrahepatic macrophages.
3、进一步通过检测LXRα的表达发现,与脂代谢密切相关的LXRα在共培养体系的巨噬细胞中表达明显下降(图3A);分别加入两种LXR激动剂后,巨噬细胞内脂滴明显减少(图3B)。表明增强LXRα表达可逆转Kupffer细胞的脂代谢异常,从而控制慢乙肝进展。3. Further detection of the expression of LXRα found that the expression of LXRα, which is closely related to lipid metabolism, was significantly reduced in macrophages in the co-culture system (Figure 3A); after adding two LXR agonists respectively, the lipid droplets in macrophages were significantly reduced. decreased (Figure 3B). It shows that enhancing the expression of LXRα can reverse the abnormal lipid metabolism of Kupffer cells, thereby controlling the progression of chronic hepatitis B.
4、脂代谢异常的巨噬细胞与Hep AD38共培养后可引起肝细胞内肝纤维化(TGF-β、MMP-2)marker明显升高(图4A、B),同时增加Hep AD38细胞的肿瘤干细胞形成能力,表现为微球个数和直径的增加(图4C、D);加入LXRα激动剂后可显著逆转相关marker分子的水平,降低肿瘤干细胞成球数量及直径。证实激动巨噬细胞内LXRα的表达可逆转肝纤维化及肿瘤形成。表明可以通过逆转Kupffer细胞的脂代谢异常来逆转肝纤维化及肿瘤形成。4. Co-culture of macrophages with abnormal lipid metabolism and Hep AD38 can cause a significant increase in liver fibrosis (TGF-β, MMP-2) markers in hepatocytes (Figure 4A, B), and increase the number of tumors in Hep AD38 cells. The stem cell formation ability is manifested by the increase in the number and diameter of microspheres (Figure 4C, D); adding LXRα agonist can significantly reverse the levels of related marker molecules and reduce the number and diameter of tumor stem cells forming spheres. It is confirmed that stimulating the expression of LXRα in macrophages can reverse liver fibrosis and tumor formation. It shows that liver fibrosis and tumor formation can be reversed by reversing abnormal lipid metabolism in Kupffer cells.
另外,任何可以引起/增强LXRα表达的试剂/试剂盒、mRNA疫苗、小核酸、表达载体(病毒表达载体、Crispr表达载体)、病毒等也可与LXR激动剂达到同样的效果。In addition, any reagents/kits, mRNA vaccines, small nucleic acids, expression vectors (viral expression vectors, Crispr expression vectors), viruses, etc. that can induce/enhance the expression of LXRα can also achieve the same effect as LXR agonists.
虽然,上文中已经用一般性说明及具体实施方案对本发明作了详尽的描述,但在本发明基础上,可以对之作一些修改或改进,这对本领域技术人员而言是显而易见的。因此,在不偏离本发明精神的基础上所做的这些修改或改进,均属于本发明要求保护的范围。Although the present invention has been described in detail with general descriptions and specific embodiments above, it is obvious to those skilled in the art that some modifications or improvements can be made based on the present invention. Therefore, these modifications or improvements made without departing from the spirit of the present invention all fall within the scope of protection claimed by the present invention.
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CN119112854A (en) * | 2023-09-21 | 2024-12-13 | 中国人民解放军军事科学院军事医学研究院 | Application of agonists targeting LXRα in liver macrophages |
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