痛风性关节炎炎症机制及干细胞治疗研究进展

ISSN:2811-051X(P)

EISSN:2811-0781(O)

语言:中文

作者
张 利,苏 娟
文章摘要
痛风是一种由单钠尿酸盐(MSU)晶体沉积引起的炎症性关节炎,其发病机制复杂,涉及NLRP3炎症小体激活、IL-1β释放及免疫细胞浸润。缺氧诱导因子-1α(HIF-1α)在炎症反应中具有双向调控作用。近年来,间充质干细胞(MSCs)因其免疫调节和组织修复能力,成为痛风治疗的新方向。本文综述了痛风炎症机制的研究进展,并探讨MSCs在抗炎治疗中的潜力及未来发展方向。
文章关键词
痛风性关节炎;作用机制;NLRP3;炎症因子;MSC;肠道菌群;HIF-1α
参考文献
[1] Chen J H,Chuang S Y,Chen H J,et al.Serum uric acid level as an independent risk factor for all-cause cardiovas cular,and ischemic stroke mortality:a Chinese cohort study[J].Arthritis Rheum,2009,61(2):225-232. [2] Charoenwutthikun, S., Chanjitwiriya, K., Roytrakul, S., & Kunthalert, D. (2023). A wild rice-derived peptide R14 ameliorates monosodium urate crystals-induced IL-1β secretion through inhibition of NF-κB signaling and NLRP3 inflammasome activation. PeerJ, 11, e15295. [3] Terkeltaub, R. Gout & Other Crystal Arthropathies (Elsevier Health Sciences, New York, 2011). [4] Martinon F, Pétrilli V, Mayor A, Tardivel A, Tschopp J. Gout-associated uric acid crystals activate the NALP3 inflammasome. Nature. 2006;440:237–241. [5] Malawista SE, de Boisfleury AC, Naccache PH. Inflammatory gout: observations over a half-century. FASEB J. 2011;25:4073–4078. [6] Xu H, et al. Type II collagen facilitates gouty arthritis by regulating MSU crystallisation and inflammatory cell recruitment. Ann. Rheumatol. Dis. 2023;82:416–427. [7] 孙平安,马晓峰,吴穹,等.HIF-1α在高原缺氧疾病中的分子调控机制研究进展[J].现代医药卫生,2022,38(10):1703-1706. [8] Cramer T Yamanishi Y Clausen BE et al∙HIF-lalpha is essential for myeloid cel l mediated inflammation[J]∙Cell 2003112(5):645~657. [9] Jeong HJ Chung HS Lee BR et al∙Expression of proinflammatory cytokines via HIF-1alpha and NF-kappa B activation on desferriox amine-stimulated HMC-1cells[J]∙Biochem Biophys Res Commun 2003306(4):805~811. [10] Kojima H Sitkovsky MV Cascalho M∙HIF-1alpha deficiency per turbs T and B cell functions[J]∙Curr Pharm Des 20039(23):1827~1832. [11] 韦富贵,徐志文.环氧化酶-2、缺氧诱导因子-1 在炎症中的作用[J].医学文选,2005,(06):162-165. [12] Noonin C, Thongboonkerd V. Exosome-inflammasome cross-talk and their roles in inflammatory responses. Theranostics. 2021;11(9):4436–51. [13] Fu J, Wu H. Structural mechanisms of nlrp3 inflammasome assembly and activation. Annu Rev Immunol. 2023;41:301–16.的释放。 [14] Zhang R, Han L, Lin W, et al. Mechanisms of NLRP3 inflammasome in rheumatoid arthritis and osteoarthritis and the effects of traditional Chinese medicine. J Ethnopharmacol. 2024;321:117432. [15] Jiang N, An J, Yang K, et al. NLRP3 inflammasome: A new target for prevention and control of osteoporosis? Front Endo-crinol (Lausanne). 2021;12:752546. [16] Xiao Y, Zhang L. Mechanistic and therapeutic insights into the function of NLRP3 inflammasome in sterile arthritis. Front Immunol. 2023;14:1273174. [17] Xiao Y, Zhang L. Mechanistic and therapeutic insights into the function of NLRP3 inflammasome in sterile arthritis. Front Immunol. 2023;14:1273174. [18] Biasizzo M, Kopitar-Jerala N. Interplay between NLRP3 inflammasome and autophagy. Front Immunol. 2020;11: 591803. [19] Schmid-Burgk JL, Chauhan D, Schmidt T, et al. A genome-wide CRISPR (clustered regularly interspaced short pal-indromic repeats) screen identifies NEK7 as an essential component of NLRP3 inflammasome activation. J Biol Chem. 2016;291(1):103–9. [20] Swanson KV, Deng M, Ting JP. The NLRP3 inflammasome:molecular activation and regulation to therapeutics. Nat Rev Immunol. 2019;19(8):477–89. [21] Lu A, Magupalli VG, Ruan J, et al. Unified polymerization mech-anism for the assembly of ASC-dependent inflammasomes. Cell.2014;156(6):1193–206. [22] Xiao Y, Zhang L. Mechanistic and therapeutic insights into the function of NLRP3 inflammasome in sterile arthritis. Front Immunol. 2023;14:1273174. [23] Sharma M, de Alba E. Structure, activation and regulation of NLRP3 and aim2 inflammasomes. Int J Mol Sci. 2021;22(2):872. [24] DALBETH N,GOSLING A L,GAFFO A,et al.Gout[J].Lancet, 2021,397(10287):1843-1855. [25] SCHLESINGER N,THIELE R G.The pathogenesis of bone erosions in gouty arthritis[J].Ann Rheum Dis,2010,69(11):1907-1912. [26] Zhou T, Yuan Z, Weng J, Pei D, Du X, He C, et al. Challenges and advances in clinical applications of mesenchymal stromal cells. J Hematol Oncol. (2021) 14:24. [27] Zakrzewski W, Dobrzyński M, Szymonowicz M, Rybak Z. Stem cells: past, present, and future. Stem Cell Res Ther. (2019) 10:68. [28] Bernardo M.E., Locatelli F., Fibbe W.E. Mesenchymal stromal cells. Ann N Y Acad Sci. 2009;1176:101–117. [29] Krueger T.E.G., Thorek D.L.J., Denmeade S.R., Isaacs J.T., Brennen W.N. Concise review: mesenchymal stem cell-based drug delivery: the good, the bad, the ugly, and the promise. Stem Cells Transl Med. 2018;7:651–663. [30] Shi YF,Yu W, Qing L,et al.Immunoregulatory mechanisms of mesenchymal stem and stromal cells in inflammatory diseases[J].Nat Rev Nephrol,2018,14(8):493-507. [31] Francois M,Romieu-Mourez R,Li M,et al.Human MSCS suppression correlates with cytokine induction of indoleamine 2,3-dioxygenase and bystander M2 macrophage differentiation[J].Mol Ther,2012,20(1):187-195. [32] Lu, W., Qu, J., Yan, L., Tang, X., Wang, X., Ye, A., Zou, Z., Li, L., Ye, J., & Zhou, L. (2023). Efficacy and safety of mesenchymal stem cell therapy in liver cirrhosis: a systematic review and meta-analysis. Stem cell research & therapy, 14(1), 301. [33] Lu, C., Guo, Y., Luo, Z., Hu, X., Xiong, H., Xiang, Y., Shu, Y., & Jian, G. (2024). Research hotspots and trends related to pain in gouty arthritis from 2014 to 2024: A bibliometric analysis. Medicine, 103(46), e40525.
Full Text:
DOI