CN117426352B - Construction method and application of an animal model of interstitial lung disease - Google Patents
Construction method and application of an animal model of interstitial lung disease Download PDFInfo
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Abstract
Description
技术领域Technical field
本发明涉及生物医药技术领域,尤其涉及一种间质性肺病变动物模型的构建方法与应用。The invention relates to the field of biomedicine technology, and in particular to a construction method and application of an animal model of interstitial lung disease.
背景技术Background technique
间质性肺病变(interstitial lung disease,ILD)是以弥漫性肺实质、肺泡炎症和间质纤维化为病理基本病变,以活动性呼吸困难、X线胸片弥漫性浸润阴影、限制性通气障碍、弥散(DLCO)功能降低和低氧血症为临床表现的不同种类疾病群构成的临床-病理实体的总称。Interstitial lung disease (ILD) is based on diffuse lung parenchyma, alveolar inflammation and interstitial fibrosis as the basic pathological lesions. It is characterized by active dyspnea, diffuse infiltration shadow on chest X-ray, and restrictive ventilation disorder. , reduced diffusion (DLCO) function and hypoxemia are a general term for clinical-pathological entities composed of different types of disease groups with clinical manifestations.
ILD通常不是恶性的,目前也不认为是由已知的感染性致病源所引起的,但却是类风湿关节炎(rheumatoid arthritis,RA)最常见的关节外症状表现,大约发生在40~80%的RA患者,其死亡率为10~20%,平均生存期为5~8年。ILD预后极差,是导致RA患者死亡的主要原因之一。ILD is usually not malignant and is not currently thought to be caused by a known infectious agent. However, it is the most common extra-articular symptom of rheumatoid arthritis (RA), occurring approximately between 40 and 40 years old. For 80% of RA patients, the mortality rate is 10 to 20%, and the average survival time is 5 to 8 years. ILD has a very poor prognosis and is one of the main causes of death in RA patients.
建立实验动物模型是研究发病机制及研发创新药物的重要基础。虽然RA动物模型如胶原诱导型关节炎(CIA)和佐剂诱导型关节炎(AA)等能非常好地模拟关节炎的临床症状和病理特征,但ILD发病率较低。气管注射博来霉素致是目前ILD最为常见的方法,但该法虽操作简单、成本低,但肺部病变范围较局限,与人类病变的弥漫性分布有差异,且会给动物造成不可逆的器质性伤害。因此需要建立一种既有RA特征,又有高ILD发病率和显著ILD症状的RA-ILD动物模型。The establishment of experimental animal models is an important basis for studying pathogenesis and developing innovative drugs. Although RA animal models such as collagen-induced arthritis (CIA) and adjuvant-induced arthritis (AA) can very well simulate the clinical symptoms and pathological characteristics of arthritis, the incidence of ILD is low. Tracheal injection of bleomycin is currently the most common method for ILD. However, although this method is simple to operate and low-cost, the scope of lung lesions is relatively limited, which is different from the diffuse distribution of human lesions, and it will cause irreversible damage to animals. Organic damage. Therefore, it is necessary to establish an RA-ILD animal model that not only has RA characteristics, but also has a high incidence of ILD and significant ILD symptoms.
根据现有文献报道RA-ILD的动物模型主要有CIA、AA、胶原诱导联合博来霉素型(CIA+BLM)、转基因小鼠、转基因小鼠联合酵母聚糖五种动物模型。但是:According to the existing literature, there are five animal models of RA-ILD: CIA, AA, collagen induction combined with bleomycin (CIA+BLM), transgenic mice, and transgenic mice combined with zymosan. but:
(1)运用最多的CIA模型和AA模型都是RA的常用动物模型,且CIA模型和AA模型在RA的基础上并发肺部间质性病变的发病率较低。(1) The most used CIA model and AA model are commonly used animal models of RA, and the CIA model and AA model have a lower incidence of interstitial lung disease on the basis of RA.
(2)CIA+BLM模型(例如CN110604098A、CN116076438A)肺部病变范围较局限,与人类病变的弥漫性分布有差异,且会给动物造成不可逆的器质性伤害。(2) The range of lung lesions in CIA+BLM models (such as CN110604098A, CN116076438A) is relatively limited, which is different from the diffuse distribution of human lesions, and will cause irreversible organic damage to animals.
(3)转基因小鼠和转基因小鼠联合酵母聚糖动物模型,需要较长时间才能成型,不能完全复制RA-ILD中主要类型UIP(寻常性间质性肺炎)的相关肺部病理表现。(3) Transgenic mice and transgenic mice combined with zymosan animal models take a long time to take shape and cannot fully replicate the lung pathological manifestations related to UIP (common interstitial pneumonia), the main type of RA-ILD.
除此之外,环境因素包括吸烟和牙周炎是公认的可引起肺部炎症的环境触发因素,同时也是RA患者发生ILD的关键危险因素。它可能诱导RA患者中自身抗体的形成,与抗环瓜氨酸肽(CCP)抗体的高滴度相关。而上述动物模型均未涉及环境因素,因此上述模型与RA-ILD的产生机制均不同。In addition, environmental factors including smoking and periodontitis are recognized environmental triggers that can cause lung inflammation and are also key risk factors for the development of ILD in RA patients. It may induce the formation of autoantibodies in RA patients, associated with high titers of anti-cyclic citrullinated peptide (CCP) antibodies. None of the above animal models involve environmental factors, so the mechanisms of generation of the above models and RA-ILD are different.
发明内容Contents of the invention
为克服现有技术中存在的不足,本发明提供了通过牙周病原体感染结合II型胶原蛋白建立的一种既有RA特征,又有高ILD发病率和显著ILD症状的RA-ILD动物模型。具体的:In order to overcome the deficiencies in the prior art, the present invention provides an RA-ILD animal model that has RA characteristics, high ILD incidence and significant ILD symptoms, established through periodontal pathogen infection combined with type II collagen. specific:
本发明的第一方面,提供了一种动物模型的构建方法,所述的构建方法包括施用牙周病原体,所述的动物模型为间质性肺病变动物模型。A first aspect of the present invention provides a method for constructing an animal model. The construction method includes administering periodontal pathogens, and the animal model is an interstitial lung disease animal model.
优选的,所述的牙周病原体包括但不限于牙龈卟啉单胞菌(Porphyromonas gingivalis,Pg)、福赛坦氏菌(Tannerella forsythia)、齿垢密螺旋体(Treponema denticola)、伴放线放线杆菌(Actinobacillus actinomycetemcomitans)、具核梭杆菌(Fusobacterium nucleatum)、中间普氏菌(Prevotella intermedia)、变黑普氏菌(Prevotella nigrescens)或粘性放线菌(Actinomyces viscosus)中的一种或两种以上组合。Preferably, the periodontal pathogens include but are not limited to Porphyromonas gingivalis (Pg), Tannerella forsythia , Treponema denticola , Actinomycetemcomitans One or more of Actinobacillus actinomycetemcomitans , Fusobacterium nucleatum , Prevotella intermedia , Prevotella nigrescens or Actinomyces viscosus combination.
在一个具体实施方式中,所述的牙周病原体可以为牙龈卟啉单胞菌(Porphyromonas gingivalis)。或者为牙龈卟啉单胞菌(Porphyromonas gingivalis)与其他牙周病原体(例如福赛坦氏菌(Tannerella forsythia)、齿垢密螺旋体(Treponema denticola)、伴放线放线杆菌(Actinobacillus actinomycetemcomitans)、具核梭杆菌(Fusobacterium nucleatum)、中间普氏菌(Prevotella intermedia)、变黑普氏菌(Prevotella nigrescens)或粘性放线菌(Actinomyces viscosus)中的一种或两种以上组合)的组合。In a specific embodiment, the periodontal pathogen may be Porphyromonas gingivalis . Or Porphyromonas gingivalis and other periodontal pathogens (such as Tannerella forsythia ), Treponema denticola ( Treponema denticola ), Actinobacillus actinomycetemcomitans ( Actinobacillus actinomycetemcomitans ), One or a combination of two or more of Fusobacterium nucleatum , Prevotella intermedia , Prevotella nigrescens or Actinomyces viscosus ).
优选的,所述的牙周病原体每1-7(例如1、2、3、4、5、6、7)天施用一次。Preferably, the periodontal pathogen is administered once every 1-7 (eg, 1, 2, 3, 4, 5, 6, 7) days.
优选的,所述的牙周病原体每次施用量为1×107-1×1010(例如1×107、2×107、3×107、4×107、5×107、6×107、7×107、8×107、9×107、1×108、2×108、3×108、4×108、5×108、6×108、7×108、8×108、9×108、1×109、2×109、3×109、4×109、5×109、6×109、7×109、8×109、9×109、1×1010)CFU。Preferably, the amount of periodontal pathogen applied per time is 1×10 7 -1×10 10 (for example, 1×10 7 , 2×10 7 , 3×10 7 , 4×10 7 , 5×10 7 , 6×10 7 , 7×10 7 , 8×10 7 , 9×10 7 , 1×10 8 , 2×10 8 , 3×10 8 , 4×10 8 , 5×10 8 , 6×10 8 , 7×10 8 , 8×10 8 , 9×10 8 , 1×10 9 , 2×10 9 , 3×10 9 , 4×10 9 , 5×10 9 , 6×10 9 , 7×10 9 , 8×10 9 , 9×10 9 , 1×10 10 ) CFU.
优选的,所述的施用总天数为45-60(例如45、46、47、48、49、50、51、52、53、54、55、56、57、58、59、60)天。Preferably, the total number of days of administration is 45-60 (for example, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60) days.
优选的,所述的牙周病原体施用方式包括但不限于涂抹给药、口服给药、皮内注射、皮下注射、肌内注射、腹腔内注射或静脉内注射,进一步优选的,所述的施用方式为涂抹给药,更优选为口腔涂抹,更进一步优选为在上下颚龈缘涂抹。Preferably, the periodontal pathogen administration method includes but is not limited to smear administration, oral administration, intradermal injection, subcutaneous injection, intramuscular injection, intraperitoneal injection or intravenous injection. Further preferably, the administration method The method of administration is smearing, more preferably oral smearing, and even more preferably smearing on the gingival margins of the upper and lower jaws.
优选的,所述的构建方法还包括施用II型胶原蛋白。优选的,施用II型胶原蛋白至少一次,例如1次、2次、3次或4次以上;优选的,两次施用II型胶原蛋白的间隔时间为15-25(例如15、16、17、18、19、20、21、22、23、24、25)天。Preferably, the construction method further includes administering type II collagen. Preferably, type II collagen is applied at least once, such as once, 2 times, 3 times or more than 4 times; preferably, the interval between two applications of type II collagen is 15-25 (for example, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25) days.
首次施用牙周病原体与首次施用II型胶原蛋白的间隔时间为8-20(例如8、9、10、11、12、13、14、15、16、17、18、19、20)天,进一步优选为间隔14天。优选的,首次施用牙周病原体与首次施用II型胶原蛋白和佐剂组合的间隔时间为8-20(例如8、9、10、11、12、13、14、15、16、17、18、19、20)天。The interval between the first application of periodontal pathogens and the first application of type II collagen is 8-20 (e.g., 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20) days, further An interval of 14 days is preferred. Preferably, the interval between the first application of periodontal pathogens and the first application of type II collagen and adjuvant combination is 8-20 (for example, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 ,20 days.
进一步优选的,还包括施用佐剂。更进一步优选为II型胶原蛋白和佐剂组合施用。再优选为将佐剂与II型胶原蛋白同时施用。优选的,所述的佐剂包括但不限于完全弗氏佐剂、不完全弗氏佐剂、氢氧化铝、明矾、热休克蛋白或细胞因子中的一种或两种以上的组合。Further preferably, administration of an adjuvant is also included. It is further preferred to administer type II collagen in combination with an adjuvant. It is further preferred that the adjuvant is administered simultaneously with type II collagen. Preferably, the adjuvant includes but is not limited to one or a combination of two or more of complete Freund's adjuvant, incomplete Freund's adjuvant, aluminum hydroxide, alum, heat shock protein or cytokines.
在一个具体实施方式中,所述的构建方法为仅施用牙周病原体、II型胶原蛋白和佐剂。In a specific embodiment, the construction method is to administer only periodontal pathogens, type II collagen and adjuvants.
优选的,所述的构建方法包括先施用牙周病原体,再施用II型胶原蛋白(优选其与佐剂的组合)。Preferably, the construction method includes first applying periodontal pathogens and then applying type II collagen (preferably in combination with an adjuvant).
优选的,所述的II型胶原蛋白和/或佐剂的施用方式包括但不限于涂抹给药、口服给药、皮内注射、皮下注射、肌内注射、腹腔内注射或静脉内注射。Preferably, the administration methods of the type II collagen and/or adjuvant include but are not limited to smear administration, oral administration, intradermal injection, subcutaneous injection, intramuscular injection, intraperitoneal injection or intravenous injection.
优选的,所述的II型胶原蛋白和佐剂等体积施用。Preferably, the type II collagen and adjuvant are administered in equal volumes.
在一个具体实施方式中,所述的造模方法包括从第1天起在非人动物上下颚龈缘每天涂抹1×107-1×1010CFU(例如1×107-1×1010CFU/mL的Pg的2% CMC的PBS液10-1000μL)的牙龈卟啉单胞菌(Porphyromonas gingivalis),持续到造模结束;在第8-20天和第30-40天分别用II型胶原蛋白和佐剂的组合(其中II型胶原蛋白和佐剂等体积)免疫。In a specific embodiment, the modeling method includes applying 1×10 7 -1×10 10 CFU (for example, 1×10 7 -1×10 10 CFU/mL Pg of 2% CMC in PBS solution 10-1000 μL) of Porphyromonas gingivalis ( Porphyromonas gingivalis ), continued until the end of modeling; type II was used on days 8-20 and 30-40 days respectively. Immunization with a combination of collagen and adjuvant (equal volumes of type II collagen and adjuvant).
优选的,所述的动物模型为关节炎合并间质性肺病变动物模型,进一步优选的,所述的关节炎为类风湿关节炎。Preferably, the animal model is an animal model of arthritis combined with interstitial lung disease, and further preferably, the arthritis is rheumatoid arthritis.
优选的,所述动物模型可以是除人类以外的任何哺乳动物,例如马、绵羊、猪、山羊、骆驼、羚羊、狗或啮齿动物如小鼠、大鼠、豚鼠和仓鼠。特别优选为小鼠、大鼠、豚鼠、仓鼠等啮齿动物。Preferably, the animal model can be any mammal other than humans, such as horses, sheep, pigs, goats, camels, antelopes, dogs or rodents such as mice, rats, guinea pigs and hamsters. Rodents such as mice, rats, guinea pigs, and hamsters are particularly preferred.
优选的,所述的动物模型为具有免疫易感性的大鼠或小鼠。Preferably, the animal model is an immune-susceptible rat or mouse.
在一个具体实施方式中,鼠的种类包括但不限于:ICR或DDY; BALB/cA、C57BL/6N、C3H/HeN、DBA/1J、DBA/2N或CBA/N; BDF1 (C57BL/6 x DBA/2), CDF1 (CBA/N x DBA/2)或B6C3F1(C57BL6 x C3H/HeN); 可以使用任何用作实验小鼠的东西,例如属于突变系统的BALB/c-nu或C,B-17SCID。In a specific embodiment, mouse species include, but are not limited to: ICR or DDY; BALB/cA, C57BL/6N, C3H/HeN, DBA/1J, DBA/2N or CBA/N; BDF1 (C57BL/6 x DBA /2), CDF1 (CBA/N x DBA/2) or B6C3F1 (C57BL6 x C3H/HeN); anything used as an experimental mouse can be used, such as BALB/c-nu or C,B- belonging to the mutant system 17SCID.
优选的,所述的构建方法还包括在施用牙周病原体前,施用抗生素,进一步优选的,所述的抗生素包括但不限于氨苄青霉素、万古霉素、新霉素、甲硝唑或四环素。Preferably, the construction method also includes administering antibiotics before applying periodontal pathogens. Further preferably, the antibiotics include but are not limited to ampicillin, vancomycin, neomycin, metronidazole or tetracycline.
本发明的第二方面,提供了一种上述的构建方法获得的动物模型。A second aspect of the present invention provides an animal model obtained by the above-mentioned construction method.
优选的,所述的动物模型出现关节肿胀、滑膜炎症、血管翳、软骨破坏、骨破坏并伴随肺泡炎病变、间质炎症细胞浸润和肺泡壁增厚症状。Preferably, the animal model exhibits symptoms of joint swelling, synovial inflammation, pannus, cartilage destruction, and bone destruction accompanied by alveolitis lesions, interstitial inflammatory cell infiltration, and alveolar wall thickening.
本发明的第三方面,提供了上述的构建方法获得动物模型或上述的动物模型在筛选或制备治疗间质性肺病变或关节炎合并间质性肺病变的药物中的应用。The third aspect of the present invention provides the above-mentioned construction method to obtain an animal model or the application of the above-mentioned animal model in screening or preparing drugs for treating interstitial lung disease or arthritis combined with interstitial lung disease.
本申请是借助牙周病原体牙龈卟啉单胞菌(Porphyromonas gingivalis,Pg)结合Ⅱ型胶原诱导关节炎(Pg+CIA)建立RA-ILD动物模型,通过小鼠关节炎指数评分、膝关节HE染色、抗CCP抗体检测和免疫球蛋白IgG结果共同证实了RA的发生。同时统计了小鼠的发病率和发病情况,结合小鼠组织的HE染色、Masson染色证实ILD的发生。与以往的RA-ILD的动物模型相比本申请动物模型具有以下优点:This application uses the periodontal pathogen Porphyromonas gingivalis (Pg) combined with type II collagen-induced arthritis (Pg+CIA) to establish an RA-ILD animal model, and uses mouse arthritis index scores and HE staining of knee joints , anti-CCP antibody detection and immunoglobulin IgG results jointly confirmed the occurrence of RA. At the same time, the incidence and incidence of mice were counted, and the occurrence of ILD was confirmed by HE staining and Masson staining of mouse tissues. Compared with previous animal models of RA-ILD, the animal model of this application has the following advantages:
(1)Pg+CIA模型ILD发病率高。(1) The Pg+CIA model has a high incidence of ILD.
(2)由于Pg是牙周炎引起RA的主要危险因素,因此Pg+CIA模型更好的模拟了吸烟患者和牙周炎患者在RA-ILD的关节表现和肺部表现。(2) Since Pg is the main risk factor for RA caused by periodontitis, the Pg+CIA model better simulates the joint manifestations and lung manifestations of RA-ILD in smoking patients and periodontitis patients.
(3)Pg+CIA模型组小鼠肺部HE和Masson染色病理报告显示病变程度高,病变特点与人类高度相似。(3) The HE and Masson staining pathology reports of the lungs of mice in the Pg+CIA model group showed a high degree of lesions, and the characteristics of the lesions were highly similar to those of humans.
本发明术语“包括”或“包含”是开放式的描述,含有所描述的指定成分或步骤,以及不会实质上影响的其他指定成分或步骤。The term "comprises" or "comprises" in the present invention is an open-ended description containing the specified ingredients or steps described, as well as other specified ingredients or steps that do not materially affect.
附图说明Description of drawings
图1:DBA/1J小鼠的临床特征,A为后爪代表性照片;B为关节炎评分。其中,P<0.01 vs Control组。Figure 1: Clinical characteristics of DBA/1J mice. A is a representative photo of the hind paw; B is the arthritis score. in, P<0.01 vs Control group.
图2:DBA/1J小鼠自身抗体检测,其中,P<0.01 vs Control组;##P<0.01,#P<0.05 vs Pg+CIA组;&&P<0.01 vs CIA组。Figure 2: DBA/1J mouse autoantibody detection, where, P<0.01 vs Control group; ##P<0.01, #P<0.05 vs Pg+CIA group; &&P<0.01 vs CIA group.
图3:膝关节病理染色(A)及病理学评分(B),其中,P<0.01 vs Control组;##P<0.01 vs Pg+CIA组;&&P<0.01 vs CIA组。Figure 3: Pathological staining (A) and pathological score (B) of the knee joint, where, P<0.01 vs Control group; ##P<0.01 vs Pg+CIA group; &&P<0.01 vs CIA group.
图4:Micro-CT影像学检测、骨计量学参数检测结果,其中,P<0.01 vs Control组;##P<0.01,#P<0.05 vs Pg+CIA组; &&P<0.01,&P<0.05 vs CIA组;BMD为膝关节骨密度、BV/TV为骨体积分数、Tb.Th为骨小梁厚度、Tb.N为骨小梁数量。Figure 4: Micro-CT imaging test and osteometric parameter test results, among which, P<0.01 vs Control group; ##P<0.01, #P<0.05 vs Pg+CIA group; &&P<0.01, &P<0.05 vs CIA group; BMD is knee joint bone density, BV/TV is bone volume fraction, Tb .Th is the thickness of trabecular bone, and Tb.N is the number of trabecular bone.
图5:肺组织病理染色及病理学评分结果,P<0.01 vs Control组,##P<0.01,#P<0.05 vs Pg+CIA组。Figure 5: Pathological staining and pathological scoring results of lung tissue. P<0.01 vs Control group, ##P<0.01, #P<0.05 vs Pg+CIA group.
图6:肺组织Masson染色及胶原面积比,P<0.01 vs Control组;##P<0.01 vsPg+CIA组。Figure 6: Masson staining and collagen area ratio of lung tissue, P<0.01 vs Control group; ##P<0.01 vsPg+CIA group.
图7:肺组织α-SMA、Col Ⅰ、FN蛋白的表达水平和KL-6 mRNA表达量(A)(B)小鼠各组肺组织α-SMA、Col Ⅰ、FN蛋白的表达水平(免疫组化,×400);(C)α-SMA、Col Ⅰ、FN、和KL-6mRNA表达量;其中, P <0.01 vs Control组; #P<0.05 vs Pg+CIA组; ##P <0.01 vs Pg+CIA组。Figure 7: Expression levels of α-SMA, Col Ⅰ, and FN proteins in lung tissue and KL-6 mRNA expression (A) (B) Expression levels of α-SMA, Col Ⅰ, and FN proteins in lung tissue of mice in each group (immune Histochemistry, ×400); (C) α-SMA, Col Ⅰ, FN, and KL-6 mRNA expression levels; among them, P <0.01 vs Control group; # P <0.05 vs Pg+CIA group; ## P <0.01 vs Pg+CIA group.
图8:肺组织TNF- α、IL-6、IL-1β mRNA的表达水平,P<0.01 vs Control 组;&&P<0.01 vs CIA 组; #P<0.05 vs Pg+CIA组; ##P<0.01 vs Pg+CIA组。Figure 8: Expression levels of TNF-α, IL-6, and IL-1β mRNA in lung tissue. P<0.01 vs Control group;&&P<0.01 vs CIA group; #P<0.05 vs Pg+CIA group; ##P<0.01 vs Pg+CIA group.
具体实施方式Detailed ways
为了使本技术领域的人员更好地理解本发明中的技术方案,下面将对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都应当属于本发明保护的范围。In order to enable those skilled in the art to better understand the technical solutions in the present invention, the technical solutions in the embodiments of the present invention will be clearly and completely described below. Obviously, the described embodiments are only some of the embodiments of the present invention. Not all examples. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts should fall within the scope of protection of the present invention.
下述实施例中所用的材料、试剂、仪器等,如无特殊说明,均可从商业途径得到。The materials, reagents, instruments, etc. used in the following examples can all be obtained from commercial sources unless otherwise specified.
实施例Example
1 实验方法和材料1 Experimental methods and materials
1.1 实验动物1.1 Experimental animals
雄性6周龄DBA/1J小鼠40只,购自北京华阜康生物科技股份有限公司[许可证号:SYXK(京)2019-0008],实验单位使用许可证编号:SYXK(京)2021-0017。饲养于22±2℃的环境中,自由摄食和饮水,适应饲养7天后用于后续实验。本研究中动物福利和实验过程均遵循中国中医科学院动物伦理委员会的相关规定。Forty male 6-week-old DBA/1J mice were purchased from Beijing Huafukang Biotechnology Co., Ltd. [License number: SYXK (Beijing) 2019-0008], experimental unit use license number: SYXK (Beijing) 2021- 0017. They were raised in an environment of 22±2°C, with free access to food and water. They were used for subsequent experiments after adapting to feeding for 7 days. The animal welfare and experimental procedures in this study complied with the relevant regulations of the Animal Ethics Committee of the China Academy of Chinese Medical Sciences.
1.2 药品与试剂1.2 Drugs and reagents
Pg(Porphyromonas gingivalis,Pg)菌株(ATCC#33277)购自北纳创联生物科技有限公司;哥伦比亚血琼脂培养基购自比克曼生物科技有限公司;牛二型胶原乙酸溶液(货号:NO.2002-2)和完全弗氏佐剂(货号:NO.7001)均购自美国Chondrex公司;小鼠抗环瓜氨酸肽抗体(Anti-CCP-antibody)ELISA试剂盒(货号:CSB-EQ027743MO)购自CUSBIO公司;小鼠牙龈卟啉单胞菌抗体检测试剂盒(货号:ml023665-J)、小鼠免疫球蛋白IgG(货号:ml057874)检测试剂盒均购自上海酶联生物科技有限公司;Masson三色染色液试剂盒(批号:C210601)购自珠海贝索生物技术有限公司;DEPC无酶水购自北京兰杰柯科技有限公司(货号:BL510B),逆转录试剂盒(货号:AE311)购自全式金生物科技有限公司,康为世纪Ultra SYBR Mixture (High ROX),无水乙醇(货号:100092683),环保型脱蜡透明液(货号:G1128),20×柠檬酸抗原修复液(pH 6.0)(货号:G1202),20×Tris-EDTA 抗原修复液(pH9.0)(货号:G1203),20×Tris-EDTA 抗原修复液(pH 8.0)(货号:G1206),苏木素染液(货号:G1004),苏木素分化液(G1039),苏木素返蓝液(货号:G1040),组化试剂盒 DAB显色剂(货号:G1212)均购自武汉赛维尔生物科技有限公司。Pg ( Porphyromonas gingivalis , Pg) strain (ATCC#33277) was purchased from Beina Chuanglian Biotechnology Co., Ltd.; Columbia blood agar culture medium was purchased from Beekman Biotechnology Co., Ltd.; bovine type II collagen acetic acid solution (Product No.: NO. 2002-2) and complete Freund's adjuvant (Cat. No.: NO.7001) were purchased from Chondrex Company of the United States; mouse anti-cyclic citrullinated peptide antibody (Anti-CCP-antibody) ELISA kit (Cat. No.: CSB-EQ027743MO) Purchased from CUSBIO Company; Mouse Porphyromonas gingivalis antibody detection kit (Cat. No.: ml023665-J) and mouse immunoglobulin IgG (Cat. No.: ml057874) detection kit were purchased from Shanghai Enzyme Biotechnology Co., Ltd.; Masson's three-color staining solution kit (batch number: C210601) was purchased from Zhuhai Besuo Biotechnology Co., Ltd.; DEPC enzyme-free water was purchased from Beijing Lanjieke Technology Co., Ltd. (item number: BL510B), reverse transcription kit (item number: AE311) Purchased from Quanshijin Biotechnology Co., Ltd., Kangwei Century Ultra SYBR Mixture (High ROX), absolute ethanol (Cat. No.: 100092683), environmentally friendly dewaxing transparent liquid (Cat. No.: G1128), 20× citric acid antigen retrieval solution ( pH 6.0) (Cat. No.: G1202), 20×Tris-EDTA Antigen Retrieval Solution (pH9.0) (Cat. No.: G1203), 20×Tris-EDTA Antigen Retrieval Solution (pH 8.0) (Cat. No.: G1206), Hematoxylin Staining Solution (Cat. No.: G1203) Catalog No.: G1004), hematoxylin differentiation solution (G1039), hematoxylin blue-returning solution ( Catalog No.: G1040), and histochemistry kit DAB chromogen ( Catalog No.: G1212) were purchased from Wuhan Sevier Biotechnology Co., Ltd.
1.3 实验仪器1.3 Experimental instruments
三菱2.5LMGC厌氧罐,厌氧产气袋(日本三菱化学株式会社);Multiskan MK3酶标仪(Thermo Fisher Scientific公司)。烤片机(KPJ-1A)、轮转式切片机(QPJ-C)、生物组织包埋机(BMJ-1B)(天津天利航空机电有限公司);BX50型正置显微镜(奥林巴斯(日本)公司);微计算机断层扫描Micro-CT(GE Healthcare公司,RS0800604-0063),涡旋混匀仪购自宁波新芝生物科技股份有限公司、预冷离心机购自上海楚柏实验室设备有限公司,匀浆机购自艾卡(广州)仪器设备有限公司,PCR仪(德国耶拿),赛默飞qPCR仪。Mitsubishi 2.5LMGC anaerobic tank, anaerobic gas-generating bag (Mitsubishi Chemical Corporation, Japan); Multiskan MK3 microplate reader (Thermo Fisher Scientific). Baking machine (KPJ-1A), rotary microtome (QPJ-C), biological tissue embedding machine (BMJ-1B) (Tianjin Tianli Aviation Mechanical and Electrical Co., Ltd.); BX50 upright microscope (Olympus (Olympus) Japan) Company); micro-computed tomography Micro-CT (GE Healthcare Company, RS0800604-0063), the vortex mixer was purchased from Ningbo Xinzhi Biotechnology Co., Ltd., and the pre-cooling centrifuge was purchased from Shanghai Chubai Laboratory Equipment Co., Ltd., the homogenizer was purchased from Aika (Guangzhou) Instrument Equipment Co., Ltd., the PCR instrument (Jena, Germany), and the Thermo Fisher qPCR instrument.
1.4 细菌活化1.4 Bacterial activation
将0.3-0.5ml左右无菌水或液体培养基注入冻干管中,轻轻吹打,充分溶解成菌悬液。吸取菌悬液,均匀打入2个哥伦比亚血琼脂培养基表面上(约200uL/个),涂布均匀,在厌氧罐和厌氧产气袋中用90%的氮、5%的二氧化碳和5%的氢的混合物平衡。活化成功后,即可进行相关试验。用分光光度计测定细菌细胞计数,分光光度在600nm时为1.0,相当于1×109CFU/ml。然后收集109CFU/ml细菌重悬于PBS中。Inject about 0.3-0.5ml of sterile water or liquid culture medium into the freeze-drying tube, and pipe gently to fully dissolve the bacteria into a suspension. Aspirate the bacterial suspension, evenly pour it onto the surface of two Columbia blood agar media (about 200uL/each), spread it evenly, and use 90% nitrogen, 5% carbon dioxide and A mixture of 5% hydrogen is in equilibrium. After activation is successful, relevant tests can be carried out. Determine the bacterial cell count using a spectrophotometer. The spectrophotometer at 600 nm is 1.0, which is equivalent to 1×10 9 CFU/ml. Then collect 10 9 CFU/ml bacteria and resuspend in PBS.
1.5 造模和分组1.5 Modeling and grouping
将实验动物随机分为四组,分别为正常对照组(Control)、胶原诱导组(CIA)、单纯牙龈卟啉单胞菌感染组(Pg)和胶原诱导结合牙龈卟啉单胞菌感染组(Pg+CIA)。所有小鼠均适应性饲养7天,在适应性饲养前三天内,所有组别均饲喂氨苄青霉素(10 mg/500mL)以消除不利于Pg定植的内源性细菌。各组别的具体造模方法如下:(1)Control组:从第1天起小鼠上下颚龈缘每天涂抹2%CMC(羧甲基纤维素)的PBS液200μL,持续到造模结束;(2)CIA组:从第1天起小鼠上下颚龈缘每天涂抹2%CMC的PBS液200μL,持续到造模结束。在第14天和第35天分别用CII(Ⅱ型胶原蛋白,2mg/ml)和CFA(完全弗氏佐剂,4mg/ml)等体积(各100μl)的乳浊液免疫,从小鼠尾部皮下注射;(3)Pg组:从第1天起小鼠上下颚龈缘每天涂抹含1×109CFU/mL的Pg的2% CMC的PBS液100μL,持续到造模结束;(4)Pg+CIA组:从第1天起小鼠上下颚龈缘每天涂抹含1×109CFU/mL的Pg的2%CMC的PBS液100μL,持续到造模结束。在第14天和第35天分别用CII和CFA等体积(各100μl)的乳浊液免疫,从小鼠尾部皮下注射。整个造模天数为56天。其中,CII具体使用牛二型胶原乙酸溶液。The experimental animals were randomly divided into four groups, namely the normal control group (Control), the collagen induction group (CIA), the simple Porphyromonas gingivalis infection group (Pg), and the collagen induction combined with P. gingivalis infection group ( Pg+CIA). All mice were adaptively fed for 7 days. Within three days before adaptive feeding, all groups were fed ampicillin (10 mg/500mL) to eliminate endogenous bacteria that are not conducive to Pg colonization. The specific modeling methods of each group are as follows: (1) Control group: From the first day onwards, 200 μL of 2% CMC (carboxymethyl cellulose) in PBS was applied to the gingival margins of the upper and lower jaws of mice every day until the end of the modeling; (2) CIA group: From the first day, 200 μL of 2% CMC in PBS was applied to the gingival margins of the upper and lower jaws of mice every day until the end of the modeling. On days 14 and 35, emulsions of equal volumes (100 μl each) of CII (type II collagen, 2 mg/ml) and CFA (complete Freund's adjuvant, 4 mg/ml) were used to immunize mice subcutaneously from the tail. Injection; (3) Pg group: From the first day, 100 μL of 2% CMC in PBS containing 1×10 9 CFU/mL Pg was applied to the gingival margins of the upper and lower jaws of mice every day until the end of the modeling; (4) Pg +CIA group: From the first day, 100 μL of 2% CMC in PBS containing 1×10 9 CFU/mL Pg was applied to the gingival margins of the upper and lower jaws of mice every day until the end of the modeling. On days 14 and 35, they were immunized with emulsions of equal volumes (100 μl each) of CII and CFA, and injected subcutaneously from the tail of mice. The entire modeling period is 56 days. Among them, CII specifically uses bovine type II collagen acetic acid solution.
1.6 发病率和关节炎评分1.6 Morbidity and Arthritis Score
统计小鼠RA发病率,发病率=每组小鼠发病只数/每组小鼠总数×100%。关节炎评分参考表1小鼠评价其4个踝腕关节、4个足中段、12个指趾关节。Statistics on the incidence of RA in mice, incidence rate = number of mice with disease in each group/total number of mice in each group × 100%. Refer to Table 1 for arthritis scores. The mice were evaluated at 4 ankle and wrist joints, 4 midfoot joints, and 12 digit joints.
表1:关节炎评分Table 1: Arthritis Score
1.7 ELISA检测1.7 ELISA test
小鼠处死后摘眼球取血,静置、离心后获得血清。取试剂盒自备的96孔板,加入稀释好后的标准品50ul于反应孔、加入待测样品50ul于反应孔内。将50ul生物素标记抗体立即加入到反应孔内,用封孔膜贴合96孔板,在37℃振荡的条件下温育60分钟。甩去并拍干96孔板内的液体,然后在各孔中加入200ul洗涤液,重复洗板3次。洗板后拍干,往每孔加入80ul的亲和链酶素-HRP,在37℃振荡的条件下温育30分钟。甩去并拍干96孔板内的液体,然后在各孔中加入200ul洗涤液,重复洗板3次。向反应孔中加入底物A(试剂盒中的显色剂A(含过氧化氢)为供氢体(DH2))和底物B(显色剂B(含TMB),用于显色)的等体积混合溶液100ul,在37℃振荡的条件下温育10分钟,并避免光照。最后将96孔板取出,向反应孔中加入50ul终止液,加入完毕后立即于Multiskan MK3酶标仪中检测吸光度。在试剂盒(小鼠抗环瓜氨酸肽抗体(Anti-CCP-antibody)ELISA试剂盒、小鼠牙龈卟啉单胞菌抗体检测试剂盒、小鼠免疫球蛋白IgG检测试剂盒)指定波长处测定各孔的OD值。After the mice were sacrificed, the eyeballs were removed to collect blood, and the serum was obtained after standing and centrifuging. Take the 96-well plate prepared by the kit, add 50ul of the diluted standard into the reaction well, and add 50ul of the sample to be tested into the reaction well. Immediately add 50ul of biotin-labeled antibody to the reaction well, cover it with a sealing film on a 96-well plate, and incubate at 37°C for 60 minutes with shaking. Shake off and pat dry the liquid in the 96-well plate, then add 200ul of washing solution to each well, and repeat washing the plate 3 times. After washing the plate, pat it dry, add 80ul of streptavidin-HRP to each well, and incubate at 37°C for 30 minutes with shaking. Shake off and pat dry the liquid in the 96-well plate, then add 200ul of washing solution to each well, and repeat washing the plate 3 times. Add substrate A (the chromogen A in the kit (containing hydrogen peroxide) is the hydrogen donor (DH2)) and substrate B (the chromogen B (containing TMB) for color development) into the reaction well. Mix an equal volume of 100ul of the solution and incubate at 37°C for 10 minutes with shaking and avoid light. Finally, take out the 96-well plate, add 50ul of stop solution to the reaction well, and detect the absorbance in a Multiskan MK3 microplate reader immediately after the addition. At the specified wavelength of the kit (mouse anti-cyclic citrullinated peptide antibody (Anti-CCP-antibody) ELISA kit, mouse Porphyromonas gingivalis antibody detection kit, mouse immunoglobulin IgG detection kit) Determine the OD value of each well.
1.8 膝关节HE染色1.8 HE staining of knee joint
取膝关节,多聚甲醛固定,用10%EDTA慢速脱钙后用石蜡使用生物组织包埋机包埋,轮转式切片机切片备用。切片置于烤片机上60℃烤片30 min,将切片放在二甲苯和梯度乙醇中脱蜡至水,载切片依次放入苏木素染液和伊红染液中染色,流水冲洗,分化液分化后0.5%氨水返蓝,最后再次用流水冲洗。切片稍稍晾干后用中性树脂封片,BX50型正置显微镜下观察拍照。具体观察内容和评分标准如下表2分值越高提示病变程度越高。The knee joint was removed, fixed in paraformaldehyde, slowly decalcified with 10% EDTA, embedded in paraffin using a biological tissue embedding machine, and sectioned with a rotary microtome for later use. Place the slices on a baking machine at 60°C for 30 minutes. Dewax the slices in xylene and graded ethanol until they reach water. Place the slices in hematoxylin and eosin stains for staining. Rinse with running water and differentiate with differentiation solution. Finally, 0.5% ammonia water returns to blue, and finally rinsed with running water again. After the sections were dried slightly, they were sealed with neutral resin and observed and photographed under a BX50 upright microscope. The specific observation contents and scoring standards are as follows in Table 2. The higher the score, the higher the degree of the disease.
表2:膝关节病理学评分表Table 2: Knee joint pathology score sheet
1.9 炎症膝关节Micro-CT扫描骨计量学分析1.9 Osteometric analysis of Micro-CT scans of inflammatory knee joints
将膝关节置于10%甲醛溶液中固定48h,然后在25μm的分辨率下进行Micro-CT扫描,待扫描的膝关节组织扫描的单次时长为72min,Micro-CT扫描摄片后进行关节重建,同时进行骨计量学参数分析。对各组小鼠膝关节骨密度(bone mineral density,BMD)、骨体积分数(bone volume/tissue volume,BV/TV)、骨小梁厚度(trabecular thickness,Tb.Th)、骨小梁数量(trabecular number,Tb.N)等骨计量学参数进行统计分析。The knee joint was fixed in a 10% formaldehyde solution for 48 hours, and then a Micro-CT scan was performed at a resolution of 25 μm. The duration of a single scan of the knee joint tissue to be scanned was 72 minutes. The Micro-CT scan was followed by joint reconstruction. , and analyze osteometric parameters at the same time. The bone mineral density (BMD), bone volume fraction (bone volume/tissue volume, BV/TV), trabecular thickness (Tb.Th), trabecular number ( Trabecular number, Tb.N) and other osteometric parameters were statistically analyzed.
1.10 肺组织HE染色1.10 HE staining of lung tissue
轮转式切片机切片,并脱蜡至水,苏木素染液10min,自来水充分洗,分化液5s,自来水充分洗,反蓝液反蓝5s,自来水充分洗,0.1%伊红1min,95%乙醇2min,95%乙醇2min,100%乙醇Ⅰ3min,100%乙醇Ⅱ3min,二甲苯Ⅰ7min,二甲苯Ⅱ7min,中性树胶封固,BX50型正置显微镜下观察拍照。病理形态学改变(肺泡炎病变程度,间质炎症细胞浸润,肺泡壁增厚程度)根据轻重标记为“+”“++”“+++”“++++”,分别表示轻微、轻度、中度、重度,对应评分为1-4分,无病变标记为0分,缺失记“无”。个体评分为各个病变评分(肺泡炎病变程度,间质炎症细胞浸润,肺泡壁增厚程度)之和,具体评分标准见表3。Slice with rotary microtome and dewax to water, stain with hematoxylin for 10 minutes, wash fully with tap water, differentiate with solution for 5 seconds, wash fully with tap water, reverse blue with anti-blue solution for 5 seconds, wash fully with tap water, 0.1% eosin for 1 minute, 95% ethanol for 2 minutes , 95% ethanol for 2 min, 100% ethanol I for 3 min, 100% ethanol II for 3 min, xylene I for 7 min, xylene II for 7 min, fixed with neutral gum, and observed and photographed under a BX50 upright microscope. Pathological morphological changes (degree of alveolar inflammation, interstitial inflammatory cell infiltration, alveolar wall thickening) are marked as "+", "++", "+++" and "++++" according to severity, indicating mild and mild respectively. Severe, moderate, and severe, the corresponding scores are 1-4 points, no lesions are marked as 0 points, and missing marks are recorded as "none". The individual score is the sum of each lesion score (degree of alveolar inflammation, interstitial inflammatory cell infiltration, and alveolar wall thickening). The specific scoring standards are shown in Table 3.
表3:肺组织病理评分标准Table 3: Lung tissue pathology scoring criteria
1.11 Masson染色1.11 Masson staining
切片置于烤片机上65℃烤片1h,将切片放在二甲苯和梯度乙醇中脱蜡至水,载切片依次放入苏木素染液、丽春红、磷钼酸和苯胺蓝中染色,1%冰醋酸溶液冲洗,梯度乙醇脱水二甲苯透明。切片稍稍晾干后用中性树脂封片,BX50型正置显微镜下观察拍照。在光镜下(10×10)同一样本随机选取3个视野,测算胶原面积比,采用Image-ProPlus测量胶原面积、整个图像总面积,计算胶原面积比,胶原面积比(%)=(胶原面积/整个图像总面积)×100%。具体使用了Masson三色染色液试剂盒进行实验。Bake the slices on a baking machine at 65°C for 1 hour. Dewax the slices in xylene and graded ethanol until they reach water. Place the slices in hematoxylin stain, Ponceau red, phosphomolybdic acid and aniline blue for staining. 1 % glacial acetic acid solution, gradient ethanol dehydration and xylene transparency. After the sections were dried slightly, they were sealed with neutral resin and observed and photographed under a BX50 upright microscope. Randomly select 3 visual fields of the same sample under a light microscope (10×10) to calculate the collagen area ratio. Use Image-ProPlus to measure the collagen area and the total area of the entire image, and calculate the collagen area ratio. Collagen area ratio (%) = (collagen area /Total area of the entire image)×100%. Specifically, Masson's tricolor staining solution kit was used for the experiment.
1.12 肺组织免疫组化1.12 Immunohistochemistry of lung tissue
将石蜡切片脱蜡至水后进行抗原修复,阻断内源性过氧化物酶,血清封闭,滴加一抗,在切片上滴加 PBS 按一定比例配好的一抗,切片平放于试剂盒内 4°C 孵育过夜;滴加二抗,室温孵育 50min,然后进行DAB显色,复染细胞核,脱水封片镜检。Dewax the paraffin sections to water and then perform antigen retrieval, block endogenous peroxidase, seal with serum, add primary antibody dropwise, add PBS on the sections, and add primary antibodies prepared in a certain proportion, and place the sections flat on the reagent Incubate overnight at 4°C in the box; add secondary antibody dropwise and incubate at room temperature for 50 minutes, then perform DAB color development, counterstain cell nuclei, and dehydrate and mount the slide for microscopic examination.
1.13 q-PCR检测肺组织IL-1β,TNF-α,IL-61.13 q-PCR detection of IL-1β, TNF-α, and IL-6 in lung tissue
TRIzol法提取组织RNA,检测浓度及纯度,调齐浓度,逆转录成cDNA,以cDNA为模版,通过RT-qPCR检测IL-1β,TNF-α,IL-6的mRNA的表达。GAPDH的上游引物为AGTGGCAAAGTGGAGATT(SEQ ID NO:1),下游引物为GTGGAGTCATACTGGAACA(SEQ ID NO:2);IL-1β的上游引物为TCCTTGTGCAAGTGTCTGAAGC(SEQ ID NO:3),下游引物为ATGAGTGATACTGCCTGCCTGA(SEQ ID NO:4);TNF-α的上游引物为CACCACCATCAAGGACTCAA(SEQID NO:5),下游引物为AGGCAACCTGACCACTCTCC(SEQ ID NO:6);IL-6的上游引物为CTCTGCAAGAGACTTCCATCCAGT(SEQ ID NO:7),下游引物为GAAGTAGGGAAGGCCGTGG(SEQ IDNO:8)。Extract tissue RNA by TRIzol method, detect the concentration and purity, adjust the concentration, and reverse-transcribe into cDNA. Using cDNA as a template, RT-qPCR is used to detect the expression of IL-1β, TNF-α, and IL-6 mRNA. The upstream primer of GAPDH is AGTGGCAAAGTGGAGATT (SEQ ID NO: 1), and the downstream primer is GTGGAGTCATACTGGAACA (SEQ ID NO: 2); the upstream primer of IL-1β is TCCTTGTGCAAGTGTCTGAAGC (SEQ ID NO: 3), and the downstream primer is ATGAGTGATACTGCCTGCCTGA (SEQ ID NO :4); the upstream primer of TNF-α is CACCACCATCAAGGACTCAA (SEQ ID NO:5), and the downstream primer is AGGCAACCTGACCACTCTCC (SEQ ID NO:6); the upstream primer of IL-6 is CTCTGCAAGAGACTTCCATCCAGT (SEQ ID NO:7), and the downstream primer is GAAGTAGGGAAGGCCGTGG (SEQ ID NO: 8).
1.14 数据处理及统计分析1.14 Data processing and statistical analysis
数据统计和绘图使用GraphPad Prism 8.0.2软件和Image-ProPlus软件进行,计量资料的结果用平均数(Mean)±标准差(SD)表示。Data statistics and graphics were performed using GraphPad Prism 8.0.2 software and Image-ProPlus software. The results of measurement data were expressed as mean (Mean) ± standard deviation (SD).
2实验结果2Experimental results
2.1小鼠造模后的症状表现2.1 Symptoms after mouse modeling
评估了Pg感染结合胶原诱导对小鼠RA发生的影响作用,首先观察了关节炎指数、发病率及发病相关情况。结果表明,CIA组和Pg+CIA组均出现明显关节红肿、足趾变形、皮肤充血,部分关节出现活动受限等症状,发病率均为100%(10/10),关节炎临床积分分别为70和68,且两组间临床积分无统计学差异,具体见图1和表4。To evaluate the effect of Pg infection combined with collagen induction on the occurrence of RA in mice, we first observed the arthritis index, incidence rate and disease-related conditions. The results showed that both the CIA group and the Pg+CIA group had symptoms such as obvious joint redness and swelling, toe deformation, skin congestion, and limited movement of some joints. The incidence rate was 100% (10/10), and the clinical arthritis scores were respectively 70 and 68, and there was no statistical difference in clinical scores between the two groups. See Figure 1 and Table 4 for details.
表4:DBA/1J小鼠不同组别RA临床特点Table 4: Clinical characteristics of RA in different groups of DBA/1J mice
2.2 模型动物血清抗体水平2.2 Serum antibody levels in model animals
小鼠血清抗体的检测结果显示,相较于正常对照组,Pg组的抗Pg抗体表达量明显升高(P<0.01),CIA组的IgG抗体含量显著升高(P<0.01),Pg + CIA组的抗Pg抗体和IgG抗体均明显升高,且均有统计学差异(P<0.01)。与CIA组比较,Pg组IgG含量明显降低(P<0.01)。与Pg + CIA组相比,Pg组抗CCP抗体、抗Pg抗体和IgG抗体表达量明显少(P<0.01、0.05),CIA组抗Pg抗体表达量减少(P<0.05、0.01),具体如图2所示。The detection results of mouse serum antibodies showed that compared with the normal control group, the expression of anti-Pg antibodies in the Pg group was significantly increased ( P <0.01), the IgG antibody content in the CIA group was significantly increased ( P <0.01), and Pg + The anti-Pg antibodies and IgG antibodies in the CIA group were significantly increased, and there were statistical differences ( P <0.01). Compared with the CIA group, the IgG content in the Pg group was significantly reduced ( P <0.01). Compared with the Pg + CIA group, the expression levels of anti-CCP antibodies, anti-Pg antibodies, and IgG antibodies in the Pg group were significantly less ( P <0.01, 0.05), and the expression levels of anti-Pg antibodies in the CIA group were reduced ( P <0.05, 0.01). Specifically, as follows: As shown in Figure 2.
2.3 膝关节组织病理学检测2.3 Histopathological examination of knee joint
RA的病理特征是慢性侵袭性关节炎,关节的组织病理学观察是目前实验研究中评估RA模型动物发病特点及疾病严重度的最重要方法。膝关节HE染色结果显示,正常组和Pg组小鼠均关节表面光滑,无血管翳形成,细胞排列整齐。CIA组和Pg+CIA组均出现明显踝关节腔周围滑膜组织明显增生并突入关节腔,关节间隙变窄,增生的滑膜组织侵犯皮下,部分形成纤维硬化灶,伴滑膜内大量的炎性细胞浸润和肉芽组织增生,滑膜血管翳形成,骨和软骨出现明显损伤,如图3所示。病理积分分滑膜炎症、血管翳、软骨破坏、骨破坏等4方面进行。The pathological characteristic of RA is chronic invasive arthritis. Histopathological observation of joints is currently the most important method to evaluate the pathogenesis characteristics and disease severity of RA model animals in experimental research. HE staining results of knee joints showed that the joint surfaces of mice in the normal group and Pg group were smooth, without pannus formation, and cells were arranged neatly. Both the CIA group and the Pg+CIA group showed obvious hyperplasia of synovial tissue around the ankle joint cavity and protruding into the joint cavity. The joint space narrowed. The proliferated synovial tissue invaded the subcutaneous tissue and partially formed fibrosclerotic lesions, accompanied by a large amount of inflammation in the synovium. There was infiltration of sex cells and proliferation of granulation tissue, formation of synovial pannus, and obvious damage to bone and cartilage, as shown in Figure 3. The pathological score is divided into four aspects: synovial inflammation, pannus, cartilage destruction, and bone destruction.
2.4 Micro-CT影像学检测2.4 Micro-CT imaging detection
Micro-CT 3D重建结果显示,Control组膝关节光滑完整,骨轮廓清晰。Pg组出现轻微骨质侵蚀和关节腔狭窄等变化。CIA组和Pg+CIA组小鼠膝关节表面疏松粗糙,凹凸不平,骨结构遭到侵蚀,骨组织表明出现成片蜂窝状侵蚀点。进一步骨计量学统计结果显示,Pg+CIA组BMD、BV/TV、Tb.Th、Tb.N均与Control组和Pg组有统计学差异(P<0.05),见图4所示。Micro-CT 3D reconstruction results showed that the knee joint of the Control group was smooth and complete, with clear bone contours. Changes such as slight bone erosion and joint cavity narrowing occurred in the Pg group. The surface of the knee joints of mice in the CIA group and Pg+CIA group was loose, rough, and uneven. The bone structure was eroded, and the bone tissue showed honeycomb-like erosion spots. Further osteometric statistical results showed that the BMD, BV/TV, Tb.Th, and Tb.N of the Pg+CIA group were statistically different from those of the Control group and Pg group (P<0.05), as shown in Figure 4.
2.5 肺组织HE染色病理学检测2.5 Pathological detection of lung tissue by HE staining
肺间质病变的病理特征是肺泡和肺间质炎性细胞浸润,泡壁严重增厚,出现纤维化和结节形成,肺的组织病理学观察是目前实验研究中评估肺间质病变模型动物发病特点及疾病严重度的最重要方法。肺组织HE染色结果显示,正常组小鼠肺组织结构清晰,肺泡表面光滑,无明显变形或破裂,呼吸道上皮细胞排列整齐,间质未见炎症细胞浸润;Pg组小鼠肺泡大面积出血、水肿、坏死,肺泡间隔中度或重度增厚,伴轻度或中度炎症细胞浸润,以淋巴细胞和单核细胞为主。较正常组有明显差异;间质和支气管可见少量纤维组织增生;CIA组小鼠肺泡壁轻度或中度增厚,伴轻微或轻度炎症细胞浸润,以淋巴细胞和单核巨噬细胞为主,较正常组有明显差异;间质和支气管有少量纤维组织增生,与正常组比较未见统计学差异;Pg+CIA组小鼠大面积肺泡出血、水肿、坏死,肺泡间隔轻度~重度增厚,间质可见中度或重度肉芽肿性炎症细胞浸润,呈团状分布,以淋巴细胞和单核细胞为主,也有少量的中性粒细胞聚集,间质和支气管可见较多纤维组织增生,较正常组、Pg和模型组明显加重(P<0.01)。如图5所示,病理积分分肺泡炎病变程度、间质炎症细胞浸润和肺泡壁增厚程度3方面进行。The pathological characteristics of pulmonary interstitial lesions are infiltration of inflammatory cells in the alveoli and interstitium, severe alveolar wall thickening, fibrosis and nodule formation. Histopathological observation of the lungs is currently used in experimental studies to evaluate model animals for pulmonary interstitial lesions. The most important method is the characteristics of the onset and severity of the disease. HE staining results of lung tissue showed that the lung tissue structure of the mice in the normal group was clear, the alveolar surface was smooth, and there was no obvious deformation or rupture. The respiratory epithelial cells were arranged neatly, and there was no inflammatory cell infiltration in the interstitium; the mice in the Pg group had large areas of alveolar hemorrhage and edema. , necrosis, moderate or severe thickening of the alveolar septa, accompanied by mild or moderate infiltration of inflammatory cells, mainly lymphocytes and monocytes. There were significant differences compared with the normal group; a small amount of fibrous tissue proliferation could be seen in the interstitium and bronchi; the alveolar walls of mice in the CIA group were slightly or moderately thickened, accompanied by slight or mild inflammatory cell infiltration, mainly lymphocytes and mononuclear macrophages. Mainly, there is a significant difference compared with the normal group; there is a small amount of fibrous tissue proliferation in the interstitium and bronchi, and there is no statistical difference compared with the normal group; mice in the Pg+CIA group have large areas of alveolar hemorrhage, edema, and necrosis, and the alveolar interval is mild to severe. Thickening, moderate or severe granulomatous inflammatory cell infiltration can be seen in the interstitium, distributed in a clump shape, mainly lymphocytes and monocytes, with a small amount of neutrophils also gathering, and more fibrous tissue can be seen in the interstitium and bronchi. Hyperplasia was significantly more severe than that of the normal group, Pg and model groups (P<0.01). As shown in Figure 5, the pathological score is divided into three aspects: the degree of alveolar inflammation, interstitial inflammatory cell infiltration, and alveolar wall thickening.
Pg组可以诱导间质性肺病变症状,但在施加Pg一定时间后,如从首次免疫(第14天)或第二次免疫(第28天)开始,Pg干预均不能继续显著加重肺部病变。The Pg group can induce symptoms of interstitial lung lesions, but after applying Pg for a certain period of time, such as starting from the first immunization (day 14) or the second immunization (day 28), Pg intervention cannot continue to significantly aggravate lung lesions. .
2.6 肺组织Masson染色2.6 Masson staining of lung tissue
Masson三色染色是结缔组织染色中最经典的一种方法,又称马松染色,是显示组织中纤维的主要方法之一,是胶原纤维染色权威而经典的技术方法。如图6所示,正常组小鼠肺组织结构清晰,肺泡表面光滑,无明显变形或破裂,呼吸道上皮细胞排列整齐,间质未见炎症细胞浸润;Pg组镜下可见肺泡大面积出血、水肿、坏死,肺泡间隔中度或重度增厚,伴轻度或中度炎症细胞浸润,以淋巴细胞和单核细胞为主。较正常对有明显差异;间质和支气管可见少量纤维组织增生;CIA组镜下可见肺泡壁轻度或中度增厚,伴轻微或轻度炎症细胞浸润,以淋巴细胞和单核巨噬细胞为主,较正常组有明显差异;间质和支气管有少量纤维组织增生,与正常组比较未见统计学差异;CIA+Pg组可见大面积肺泡出血、水肿、坏死,肺泡间隔轻度~重度增厚,间质可见中度或重度肉芽肿性炎症细胞浸润,呈团状分布,以淋巴细胞和单核细胞为主,也有少量的中性粒细胞聚集,间质和支气管可见较多纤维组织增生,较正常组、Pg模型组和CIA模型组明显加重(P<0.01)。Masson's trichrome staining is the most classic method of connective tissue staining. It is also called Masson's staining. It is one of the main methods for displaying fibers in tissues. It is an authoritative and classic technical method for collagen fiber staining. As shown in Figure 6, the lung tissue structure of the mice in the normal group is clear, the alveolar surface is smooth, and there is no obvious deformation or rupture. The respiratory epithelial cells are arranged neatly, and there is no inflammatory cell infiltration in the interstitium. In the Pg group, large areas of alveolar hemorrhage and edema can be seen under the microscope. , necrosis, moderate or severe thickening of the alveolar septa, accompanied by mild or moderate infiltration of inflammatory cells, mainly lymphocytes and monocytes. There was a significant difference compared with the normal pair; a small amount of fibrous tissue proliferation could be seen in the interstitium and bronchi; under the microscope, the CIA group showed mild or moderate thickening of the alveolar walls, accompanied by slight or mild inflammatory cell infiltration, mainly lymphocytes and mononuclear macrophages. Mainly, there was a significant difference compared with the normal group; there was a small amount of fibrous tissue proliferation in the interstitium and bronchi, and there was no statistical difference compared with the normal group; in the CIA+Pg group, large areas of alveolar hemorrhage, edema, and necrosis were seen, and the alveolar interval was mild to severe. Thickening, moderate or severe granulomatous inflammatory cell infiltration can be seen in the interstitium, distributed in a clump shape, mainly lymphocytes and monocytes, with a small amount of neutrophils also gathering, and more fibrous tissue can be seen in the interstitium and bronchi. Hyperplasia was significantly more severe than that of the normal group, Pg model group and CIA model group (P<0.01).
2.7肺组织免疫组化2.7 Immunohistochemistry of lung tissue
与正常对照组比较,Pg组、CIA组和Pg + CIA组小鼠肺组织中的α-SMA、ColⅠ和FN蛋白表达水平均比正常组明显升高(P<0. 01);与Pg + CIA组对比,Pg组仅Col Ⅰ蛋白表达水平明显降低(P<0. 01),CIA组α-SMA、ColⅠ和FN蛋白表达水平均明显降低(P<0.05、0. 01);CIA组和Pg组两组间的三种蛋白表达无明显差异。纤维化相关mRNA检测实验结果,显示与正常对照组对比,Pg组α-SMA mRNA表达量明显升高(P<0.01),CIA组α-SMA和FN mRNA表达量明显升高(P<0.01),Pg + CIA组I型胶原(Collagen I, Col Ⅰ) 、α-SMA、FN和唾液酸化糖链抗原-6 (Correlation of Krebs von den Lungen-6, KL-6) mRNA表达量均明显升高(P<0.01);与Pg + CIA组对比,Pg组和CIA组α-SMA、FN和KL-6 mRNA表达量均明显降低(P<0.01、0.05)。结果见图7A、B、C。Compared with the normal control group, the expression levels of α-SMA, ColⅠ and FN proteins in the lung tissue of mice in the Pg group, CIA group and Pg + CIA group were significantly higher than those in the normal group ( P <0. 01); compared with the Pg + Compared with the CIA group, only the Col Ⅰ protein expression level in the Pg group was significantly reduced ( P < 0. 01), and the CIA group α-SMA, Col Ⅰ and FN protein expression levels were all significantly reduced ( P < 0.05, 0. 01); the CIA group and There was no significant difference in the expression of the three proteins between the two groups in the Pg group. The results of fibrosis-related mRNA detection experiments showed that compared with the normal control group, the expression of α-SMA mRNA in the Pg group was significantly increased ( P <0.01), and the expression of α-SMA and FN mRNA in the CIA group was significantly increased ( P <0.01). , the mRNA expression levels of type I collagen (Collagen I, Col Ⅰ), α-SMA, FN and sialylated sugar chain antigen-6 (Correlation of Krebs von den Lungen-6, KL-6) in the Pg + CIA group were significantly increased. ( P <0.01); compared with the Pg + CIA group, the expression levels of α-SMA, FN and KL-6 mRNA in the Pg group and CIA group were significantly reduced ( P <0.01, 0.05). The results are shown in Figures 7A, B, and C.
2.8肺组织q-PCR2.8 Lung tissue q-PCR
炎症因子mRNA检测实验结果,显示与正常对照组对比,Pg组肿瘤坏死因子-α(tumor necrosis factor-α, TNF-α) mRNA表达量均明显升高(P<0.01),CIA组白介素-1β(interleukin-6, IL-1β) mRNA表达量均明显升高(P<0.01),Pg + CIA组TNF- α、白介素-6(interleukin-6, IL-6)、IL-1β mRNA表达量均明显升高(P<0.01);与Pg + CIA组对比,Pg组IL-1β mRNA表达量明显降低(P<0.01),CIA组IL-6、TNF-α mRNA表达量明显降低(P<0.05、0.01);Pg组的TNF- α mRNA表达量比CIA组高(P<0.01)。结果见图8。The results of the inflammatory factor mRNA detection experiment showed that compared with the normal control group, the expression of tumor necrosis factor-α (TNF-α) mRNA in the Pg group was significantly increased ( P <0.01), and the expression of interleukin-1β in the CIA group was significantly increased ( P <0.01). (interleukin-6, IL-1β) mRNA expression levels were significantly increased ( P <0.01), and the mRNA expression levels of TNF- α, interleukin-6 (interleukin-6, IL-6), and IL-1β in the Pg + CIA group were all significantly increased ( P <0.01). significantly increased ( P <0.01); compared with the Pg + CIA group, the expression of IL-1β mRNA in the Pg group was significantly reduced ( P <0.01), and the expression of IL-6 and TNF-α mRNA in the CIA group was significantly reduced ( P <0.05 , 0.01); the TNF-α mRNA expression in the Pg group was higher than that in the CIA group ( P <0.01). The results are shown in Figure 8.
从以上结果可以看出,单独Pg仅可诱导轻度的ILD,不能诱导关节炎,CIA和Pg+CIA均可诱导关节炎和ILD,且二组关节炎病变程度相近;与单独Pg和CIA组相比,Pg+CIA的ILD病变程度尤其是纤维化程度明显严重,抗CCP含量明显升高,提示Pg+CIA可以诱导明显的RA-ILD,其ILD和关节炎的病变程度高,病变特点与人类高度相似,更好的模拟了吸烟患者和牙周炎患者在RA-ILD的关节表现和肺部表现。It can be seen from the above results that Pg alone can only induce mild ILD but not arthritis. Both CIA and Pg+CIA can induce arthritis and ILD, and the degree of arthritis lesions in the two groups is similar; compared with the alone Pg and CIA groups In comparison, the degree of ILD lesions of Pg+CIA, especially the degree of fibrosis, was significantly more serious, and the anti-CCP content was significantly increased, suggesting that Pg+CIA can induce significant RA-ILD. The degree of ILD and arthritis lesions is high, and the lesion characteristics are similar to those of Pg+CIA. It is highly similar to humans and better simulates the joint manifestations and lung manifestations of RA-ILD in smoking patients and periodontitis patients.
尽管通过优选实施例的方式对本发明进行了详细描述,但本发明并不限于此。在不脱离本发明的精神和实质的前提下,本领域普通技术人员可以对本发明的实施例进行各种等效的修改或替换,而这些修改或替换都应在本发明的涵盖范围内/任何熟悉本技术领域的技术人员在本发明揭露的技术范围内,可轻易想到变化或替换,都应涵盖在本发明的保护范围之内。Although the invention has been described in detail by way of preferred embodiments, the invention is not limited thereto. Without departing from the spirit and essence of the invention, those of ordinary skill in the art can make various equivalent modifications or substitutions to the embodiments of the invention, and these modifications or substitutions should be within the scope of the invention/any Those skilled in the art can easily think of changes or substitutions within the technical scope disclosed in the present invention, and they should all be covered by the protection scope of the present invention.
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CN112924671A (en) * | 2021-01-28 | 2021-06-08 | 中国医学科学院北京协和医院 | Biomarker for diagnosing rheumatoid arthritis combined with pulmonary interstitial fibrosis and application thereof |
CN115088676A (en) * | 2022-07-08 | 2022-09-23 | 中国中医科学院中药研究所 | A method for constructing an ACPA-positive rheumatoid arthritis animal model with bone erosion |
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