湖北民族學(xué)院附屬民大醫(yī)院急診科,湖北 恩施 445000
特異性小干擾RNA沉默Itch基因增強(qiáng)小鼠T細(xì)胞對(duì)MFC胃癌細(xì)胞的免疫殺傷作用
粟英 蘭亞明 盧義瓊 田國(guó)紅 胡烈獻(xiàn)
湖北民族學(xué)院附屬民大醫(yī)院急診科,湖北 恩施 445000
背景與目的:Itch蛋白是一種具有調(diào)節(jié)T細(xì)胞免疫應(yīng)答起始的關(guān)鍵分子,屬于E3泛素轉(zhuǎn)移酶家族,廣泛參與細(xì)胞內(nèi)多種信號(hào)蛋白如ZAP70、P85、VAV、PLC-γ和PKC-θ等的泛素化修飾過(guò)程,在腫瘤誘導(dǎo)機(jī)體免疫耐受中起著重要作用。Itch通過(guò)調(diào)節(jié)T細(xì)胞表面受體活性及轉(zhuǎn)移生長(zhǎng)因子-β信號(hào)通路來(lái)介導(dǎo)T細(xì)胞免疫無(wú)反應(yīng)性,誘導(dǎo)外周組織Treg細(xì)胞增殖。因此,通過(guò)改變Itch蛋白表達(dá)活性有望成為一種治療自體免疫性疾病和腫瘤的有效途徑。我們利用特異性小干擾RNA(small interfering RNA,siRNA)沉默T細(xì)胞Itch基因的表達(dá),觀察轉(zhuǎn)染T細(xì)胞對(duì)小鼠MFC胃癌細(xì)胞的體外免疫殺傷作用。方法:分離615小鼠脾臟T細(xì)胞,篩選高效特異性沉默Itch基因的siRNA序列轉(zhuǎn)染T細(xì)胞,蛋白質(zhì)印跡法檢測(cè)各分組Itch蛋白的表達(dá)水平;轉(zhuǎn)染72 h后,利用酶聯(lián)免疫吸附法(enzyme-linked immunosorbent assay,ELISA)檢測(cè)細(xì)胞因子IL-2、INF-γ分泌情況,比較空白組、空轉(zhuǎn)組及轉(zhuǎn)染組T細(xì)胞與小鼠MFC胃癌細(xì)胞混合培養(yǎng)腫瘤殺傷率。結(jié)果:轉(zhuǎn)染48 h后,與對(duì)照組相比,轉(zhuǎn)染T細(xì)胞Itch蛋白表達(dá)率降低至16%;轉(zhuǎn)染72 h后,檢測(cè)轉(zhuǎn)染組、空轉(zhuǎn)組、空白組細(xì)胞因子IL-2分泌水平分別為(1 891.96±141.91)pg/mL,(1 241.69±91.67)pg/mL,(1 175.03±89.14)pg/mL(P<0.001),轉(zhuǎn)染組、空轉(zhuǎn)組、空白組細(xì)胞因子INF-γ分泌水平分別為(958.33±75.46)pg/mL,(683.33±66.67)pg/mL,(691.72±68.72)pg/mL(P<0.05)。在體外實(shí)驗(yàn)中,與空白組及空轉(zhuǎn)組T細(xì)胞相比,轉(zhuǎn)染組T細(xì)胞能更高效地殺傷小鼠MFC胃癌細(xì)胞,最高殺瘤率達(dá)到(54.18±2.96)%。結(jié)論:利用特異性siRNA技術(shù)沉默Itch基因能夠促進(jìn)小鼠T細(xì)胞因子IL-2、INF-γ分泌,增強(qiáng)T細(xì)胞對(duì)小鼠MFC胃癌細(xì)胞的體外免疫殺傷作用。
Itch;基因沉默;T淋巴細(xì)胞;胃腫瘤;免疫療法
胃癌是全球最常見(jiàn)的惡性腫瘤之一,全球超過(guò)40%的胃癌患者發(fā)生在中國(guó),死亡率居全部惡性腫瘤第2位[1]。對(duì)于大多數(shù)胃癌患者,外科手術(shù)是目前最主要的治療手段,但術(shù)后5年生存率不超過(guò)20%[2]。對(duì)于晚期轉(zhuǎn)移性胃癌,因喪失手術(shù)切除時(shí)機(jī),對(duì)放化療敏感性不高,易產(chǎn)生化療耐藥現(xiàn)象,難以獲得持久緩解,預(yù)后較差。腫瘤免疫治療通過(guò)激發(fā)或調(diào)動(dòng)機(jī)體的免疫系統(tǒng),增強(qiáng)腫瘤微環(huán)境抗腫瘤免疫力,從而控制和殺傷腫瘤細(xì)胞,通過(guò)增強(qiáng)T細(xì)胞抗腫瘤免疫可望成為一種治療晚期胃癌的有效途徑。Itch蛋白是一種與T細(xì)胞活化和耐受直接相關(guān)的E3泛素鏈接酶,其通過(guò)泛素化T細(xì)胞信號(hào)轉(zhuǎn)導(dǎo)通路中PLC-1、PKC-θ、JunB、notch等底物蛋白以負(fù)性調(diào)節(jié)受體信號(hào)和誘導(dǎo)免疫耐受[3]。有實(shí)驗(yàn)研究表明Itch-/-T淋巴細(xì)胞明顯活化,能直接通過(guò)MHC-TCR/CD3相互作用激活T細(xì)胞,誘導(dǎo)TH2細(xì)胞增殖分化,促進(jìn)細(xì)胞因子IL-4、IL-5分泌,提高血清IgE水平,增強(qiáng)機(jī)體抗腫瘤免疫[4]。在本實(shí)驗(yàn)中,我們體外觀察Itch基因沉默的轉(zhuǎn)染T細(xì)胞對(duì)于615小鼠MFC胃癌細(xì)胞的免疫殺傷作用,為以Itch基因?yàn)榘邢蛎庖咧委熚赴┳龀鲆欢ㄌ剿鳌?/p>
1.1 實(shí)驗(yàn)動(dòng)物和細(xì)胞株
615小鼠購(gòu)于上海中國(guó)科學(xué)院,SPF級(jí),6周齡,體質(zhì)量約15~20 g。利用美天尼免疫磁珠分離615小鼠脾臟T細(xì)胞,T細(xì)胞純度達(dá)94.2%,培養(yǎng)基配置:90%1640培養(yǎng)基、10%胎牛血清、0.197 g NaHC03、0.000 5 g ConA(5 μg/mL)。小鼠MFC胃癌細(xì)胞源自615小鼠前胃鱗癌移植瘤FC瘤組織,小塊法培養(yǎng)得到,購(gòu)自上海中國(guó)科學(xué)院細(xì)胞庫(kù),培養(yǎng)基配置:90%1640培養(yǎng)基、10%胎牛血清、0.197 g NaHC03、青霉素(100 IU/mL)、鏈霉素(l00 μg/mL)。
1.2 Itch siRNA設(shè)計(jì)合成
根據(jù)pubmed GENE信息查詢615小鼠ItchmRNA序列,打開(kāi)Ambion公司在線設(shè)計(jì)軟件確定針對(duì)小鼠Itch基因的siRNA靶序列,根據(jù)siRNA設(shè)計(jì)原則進(jìn)行篩選得出4條符合條件的siRNA。序列如下:siRNA-1:正義鏈5’-CCACAACACUCGGAUUACUTT-3’,反義鏈 5’-AGUAAUCCGAGUGUUGUGGTT-3’;siRNA-2:正義鏈 5’-GCAAGCAGAUCAUGUGG UUTT-3’,反義鏈5’-GCAAGCAGAUCAU GUGGUUTT-3’;siRNA-3:正義鏈 5’-CACCUUAGUUACAUUUCAUTT-3’,反義鏈 5’-AUGAAAUGUAACUAAGGUGTT-3’;siRNA-4:正義鏈5’-GUAAUCCAACACCUUAGU UTT-3’,反義鏈5’-AACUAAGGUGUUGGAUUA CTT-3’。所有siRNA序列均由上海吉?jiǎng)P基因技術(shù)有限公司合成。
1.3 T淋巴細(xì)胞轉(zhuǎn)染
T細(xì)胞在6孔板中培養(yǎng)至細(xì)胞80%~90%融合時(shí),用PBS緩沖液洗滌細(xì)胞3次,用Opti-MEM培養(yǎng)基稀釋吹打成單細(xì)胞懸液,按濃度1×105個(gè)/mL接種96孔板,每孔100 μL。按轉(zhuǎn)染內(nèi)容和目的不同,設(shè)轉(zhuǎn)染組、空轉(zhuǎn)組和空白組共3組,轉(zhuǎn)染組將LipofectamineTM2000脂質(zhì)體和4條siRNA、陰性對(duì)照分別溶于5 μL opti-MEM培養(yǎng)基中,LipofectamineTM2000脂質(zhì)體和siRNA含量各為0.5、1.5 μL(siRNA終濃度為200 nmol/L),室溫放置5 min。輕輕混勻上述2管液體,室溫溫育20 min。將轉(zhuǎn)染混合物加入96孔板中,混勻后,加入小鼠CD3功能性抗體15 μL。37 ℃溫育6 h,加入20 μL胎牛血清。空轉(zhuǎn)組中每孔加入等量陰性對(duì)照siRNA序列和LipofectamineTM2000脂質(zhì)體,空白組則僅加入等量opti-MEM培養(yǎng)基,其余處理同轉(zhuǎn)染組。另外利用熒光標(biāo)記的siRNA(FAM-siRNA)檢測(cè)轉(zhuǎn)染效率,方法同上,轉(zhuǎn)染6 h后熒光顯微鏡下觀察轉(zhuǎn)染效果,流式細(xì)胞儀檢測(cè)轉(zhuǎn)染效率。
1.4 Western blot檢測(cè)蛋白表達(dá)
T細(xì)胞轉(zhuǎn)染后繼續(xù)培養(yǎng)48 h,1 000 r/min離心5 min,PBS緩沖液洗1遍,全蛋白提取試劑盒提取T淋巴細(xì)胞蛋白,Lowry法測(cè)定蛋白濃度,取蛋白樣品對(duì)目的蛋白Itch的表達(dá)水平進(jìn)行檢測(cè),轉(zhuǎn)PVDF膜80 V 2 h后,TBST稀釋的BSA(濃度1%)封閉l h,剪膜,加入一抗(1∶1 000稀釋) 4 ℃過(guò)夜溫育,加入HRP標(biāo)記二抗(l∶1 500稀釋)室溫溫育45 min,ECL顯色系統(tǒng)定影顯色,觀察雜交條帶。
1.5 ELISA檢測(cè)細(xì)胞因子IL-2,INF-γ分泌變化
參照凱基ELISA試劑盒說(shuō)明要求,轉(zhuǎn)染48 h后,取細(xì)胞培養(yǎng)上清液,把標(biāo)準(zhǔn)品、稀釋液和待測(cè)樣品分別加入酶標(biāo)板中,每孔0.1 mL。37 ℃反應(yīng)120 min后,加入0.1 mL生物素抗小鼠細(xì)胞因子IL-2、INF-γ抗體工作液,37 ℃反應(yīng)60 min。加入親和素過(guò)氧化物酶復(fù)合物的工作液0.1 mL,37 ℃反應(yīng)30 min。每孔依次加入TMB顯色液,37 ℃避光反應(yīng)30 min,加入0.1 mL終止液,酶聯(lián)免疫監(jiān)測(cè)儀450 nm測(cè)定A值。
1.6 腫瘤殺傷率測(cè)定
轉(zhuǎn)染T細(xì)胞24 h后,將轉(zhuǎn)染T細(xì)胞、陰性對(duì)照T細(xì)胞及單純T細(xì)胞分別與MFC胃癌細(xì)胞按照效靶比40∶1、20∶1、10∶1接種于96孔板,每組3個(gè)復(fù)孔,體積各為100 μL。同時(shí)設(shè)單純T細(xì)胞和單純腫瘤細(xì)胞作為效應(yīng)細(xì)胞組和靶細(xì)胞組,每孔100 μL。共同培養(yǎng)72 h后,CCK-8試劑盒測(cè)定各組T細(xì)胞對(duì)小鼠MFC胃癌細(xì)胞的腫瘤殺傷作用。腫瘤殺傷率計(jì)算公式如下[5]:
腫瘤細(xì)胞殺傷率(%)=[(AE+AT)- AE+T]/AT×100%
AE+T=效應(yīng)細(xì)胞+靶細(xì)胞孔A值
AE=相應(yīng)濃度單獨(dú)效應(yīng)細(xì)胞的A值
AT=相應(yīng)濃度單獨(dú)靶細(xì)胞的A值
1.7 統(tǒng)計(jì)學(xué)處理
2.1 T淋巴細(xì)胞轉(zhuǎn)染率測(cè)定及Itch蛋白表達(dá)
LipofectamineTM2000脂質(zhì)體轉(zhuǎn)染T淋巴細(xì)胞6 h后,流式細(xì)胞儀檢測(cè)T淋巴細(xì)胞轉(zhuǎn)染率達(dá)81.39%(圖1),熒光鏡下觀察視野中綠色熒光亮點(diǎn)(圖2)。Western blot檢測(cè)各組蛋白表達(dá),可見(jiàn)4條siRNA抑制率分別是52%、24%、18%和84%,陰性對(duì)照組與空白組差異不大,siRNA-1抑制率最高,達(dá)84%,表明siRNA-1序列能高效特異性抑制615小鼠脾臟T細(xì)胞Itch蛋白表達(dá)(圖3)。
2.2 沉默Itch基因能增加T細(xì)胞因子IL-2,INF-γ分泌水平
轉(zhuǎn)染48 h后,ELISA檢測(cè)各分組T細(xì)胞上清液中細(xì)胞因子IL-2、INF-γ分泌水平變化,測(cè)定結(jié)果表明轉(zhuǎn)染組、空轉(zhuǎn)組、空白組細(xì)胞因子IL-2分泌水平分別為(1 891.96±141.91) pg/mL、(1 241.69±91.67)pg/mL和(1 175.03± 89.14)pg/mL,轉(zhuǎn)染組IL-2水平較空轉(zhuǎn)組和空白組均明顯升高(P<0.001);轉(zhuǎn)染組、空轉(zhuǎn)組、空白組細(xì)胞因子INF-γ分泌水平分別為(958.33±75.46)pg/mL、(683.33±66.67)pg/mL和(691.72±68.72)pg/mL,轉(zhuǎn)染組INF-γ水平較空轉(zhuǎn)組和空白組有所增加(P<0.05,圖4)。
圖1 FAM-siRNA轉(zhuǎn)染T淋巴細(xì)胞效率Fig. 1 Transfection ef fi ciency of FAM-siRNA for T lymphocyte
圖2 T淋巴細(xì)胞熒光轉(zhuǎn)染圖Fig. 2 T lymphocyte fl uorescence transfection picture(×100)
圖3 Itch蛋白表達(dá)Fig. 3 The expression of The Itch protein
圖4 轉(zhuǎn)染48 h后細(xì)胞因子IL-2、INF-γ分泌水平Fig. 4 The secretion level of IL-2, INF-γ after 48 hours of transfection
2.3 沉默Itch基因能增強(qiáng)小鼠T細(xì)胞對(duì)MFC胃癌細(xì)胞免疫殺傷
轉(zhuǎn)染T細(xì)胞與MFC胃癌細(xì)胞共同培養(yǎng)72 h后,在各個(gè)不同效靶比水平轉(zhuǎn)染組T淋巴細(xì)胞均較空轉(zhuǎn)組及空白組T細(xì)胞殺瘤活性增強(qiáng)(P<0.05),隨著靶效比升高,T細(xì)胞對(duì)于MFC胃癌細(xì)胞殺傷率亦逐漸增加,當(dāng)效靶比為40∶1時(shí),轉(zhuǎn)染組T細(xì)胞殺傷腫瘤細(xì)胞活性最高,達(dá)到(54.18±2.96)%(圖5)。
圖5 共同培養(yǎng)72 h后后腫瘤殺傷率測(cè)定Fig. 5 The killing activity measurement after co-cultured 48 h
目前認(rèn)為誘導(dǎo)抗腫瘤免疫應(yīng)答較其他腫瘤治療方法具有明顯優(yōu)勢(shì),表現(xiàn)在一方面刺激活化的特異性T淋巴細(xì)胞不斷地增殖活化并在體內(nèi)游走,能清除體內(nèi)一切表達(dá)有特異性腫瘤免疫原性的腫瘤細(xì)胞;另一方面,免疫系統(tǒng)會(huì)產(chǎn)生對(duì)腫瘤細(xì)胞的記憶和監(jiān)視能力從而有效防止腫瘤復(fù)發(fā)[6]。胃癌發(fā)生、發(fā)展與機(jī)體免疫密切相關(guān),有學(xué)者證實(shí)胃癌患者血液中能夠分離出針對(duì)癌細(xì)胞的腫瘤特異性T淋巴細(xì)胞,而腫瘤特異性T細(xì)胞在腫瘤組織中的大量增殖浸潤(rùn)可明顯改善患者預(yù)后[7-8]。而胃癌患者腫瘤組織中髓源性抑制細(xì)胞和Treg細(xì)胞增殖可明顯抑制抗腫瘤免疫應(yīng)答,減少細(xì)胞毒性T細(xì)胞的產(chǎn)生,此類(lèi)患者通常預(yù)后較差[9]。目前應(yīng)用于胃癌免疫療法研究主要包括非特異性免疫刺激劑、腫瘤疫苗和單克隆抗體及過(guò)繼免疫治療等,并取得一定進(jìn)展。已有Ⅲ期臨床實(shí)驗(yàn)結(jié)果表明胃癌患者接受CTLA-4單克隆抗體治療,其總體生存期和無(wú)進(jìn)展生存期均優(yōu)于安慰劑組,且副作用小,機(jī)體耐受良好[10]。而B(niǎo)azas等[11]研究結(jié)果也表明,在應(yīng)用了自體腫瘤細(xì)胞疫苗的86例胃癌患者中,超過(guò)30%的Ⅲ期胃癌患者和14%的Ⅳ期胃癌患者3年生存率有一定程度提高。T細(xì)胞通過(guò)介導(dǎo)細(xì)胞免疫直接殺傷腫瘤細(xì)胞,在機(jī)體抗腫瘤免疫過(guò)程中扮演關(guān)鍵作用,而Itch蛋白在T淋巴細(xì)胞活化增殖及分化誘導(dǎo)過(guò)程中起著重要的負(fù)性調(diào)節(jié)作用。T淋巴細(xì)胞活化是一系列復(fù)雜的級(jí)聯(lián)反應(yīng),需要多種活性蛋白酶的參與和調(diào)節(jié)[12],而腫瘤從啟動(dòng)到效應(yīng)整個(gè)階段中均伴隨著CD4+CD25+FOX3+調(diào)節(jié)性T細(xì)胞增殖,后者有利于腫瘤免疫耐受微環(huán)境形成[13]。E3泛素連接酶Itch蛋白通過(guò)泛素化T淋巴細(xì)胞活化信號(hào)通路的酪氨酸激酶及其下游重要信號(hào)蛋白分子來(lái)負(fù)性調(diào)節(jié)受體信號(hào)和誘導(dǎo)免疫無(wú)反應(yīng)性,以達(dá)到精細(xì)調(diào)節(jié)抗原受體信號(hào)和免疫應(yīng)答[14]。研究表明Itch 基因缺失的人[15]或小鼠[16]均發(fā)生嚴(yán)重的自身免疫和炎性反應(yīng)疾病,表現(xiàn)為肝脾腫大,廣泛的多器官(肺、肝臟、腸等)自體免疫性疾病,病理活檢示:肝、脾、肺等臟器淋巴細(xì)胞和巨噬細(xì)胞大量增殖與廣泛浸潤(rùn)。因此,Itch蛋白的負(fù)性免疫調(diào)控作用為以Itch基因?yàn)榘邢蚣せ頣細(xì)胞免疫治療胃癌提供了可能。
本實(shí)驗(yàn)首先選取驗(yàn)證有效的特異性Itch siRNA序列,通過(guò)脂質(zhì)體轉(zhuǎn)染615小鼠脾臟T細(xì)胞以高效抑制Itch蛋白表達(dá)。細(xì)胞因子通過(guò)影響免疫細(xì)胞增殖分化,廣泛參與機(jī)體免疫應(yīng)答,具有抗腫瘤、免疫調(diào)節(jié)等多種生物活性。我們的實(shí)驗(yàn)結(jié)果表明,轉(zhuǎn)染48 h后,轉(zhuǎn)染組細(xì)胞因子IL-2、INF-γ分泌水平明顯升高,表明沉默Itch基因能誘導(dǎo)T淋巴細(xì)胞活化。我們進(jìn)一步體外觀察siRNA沉默Itch基因能否提高T淋巴細(xì)胞對(duì)于MFC胃癌細(xì)胞的體外免疫殺傷作用。T細(xì)胞通過(guò)識(shí)別腫瘤細(xì)胞表面的腫瘤抗原肽-MHCⅠ類(lèi)分子復(fù)合物,進(jìn)而增殖分化,并通過(guò)FasL/Fas、顆粒酶等多種途徑殺傷腫瘤細(xì)胞。T細(xì)胞與靶細(xì)胞混合培養(yǎng)72 h,在不同靶效比情況下,轉(zhuǎn)染組T細(xì)胞均較空轉(zhuǎn)組及空白組具有更強(qiáng)的殺瘤活性。當(dāng)效靶比為40∶1時(shí),腫瘤殺傷力最強(qiáng),達(dá)到(54.18±2.96)%,這提示通過(guò)siRNA技術(shù)沉默T細(xì)胞Itch基因以增強(qiáng)其對(duì)于MFC胃癌細(xì)胞的細(xì)胞毒作用是可能的。當(dāng)然,這種腫瘤抑制作用還需要進(jìn)一步驗(yàn)證,必要時(shí)需要進(jìn)行相關(guān)動(dòng)物實(shí)驗(yàn)研究??傊?,我們的體外實(shí)驗(yàn)證實(shí)利用特異性小干擾RNA技術(shù)沉默Itch基因能夠一定程度地增強(qiáng)T淋巴細(xì)胞對(duì)MFC胃癌細(xì)胞的免疫殺傷作用。
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Silencing itch by small speci fi c interfering RNA enhance immune activity of mouse T lymphocyte to kill MFC stomach neoplasms cells in vitro
SU Ying, LAN Ya-ming, LU Yi-qiong, TIAN Guo-hong, HU
Lie-xian
(Emergency Department, the Affiliated MinDa Hospital of Hubei University for Nationalities, EnShi Hubei 445000, China)
SU-Ying E-mail: fl y100_inthesky@163.com
Background and purpose: Itch protein is an established regulator of T cell immune response thresholds, belong to a class of E3 ubiquitin-transferring enzymes, widely involve in the ubiquitination of several key signaling molecules, such as ZAP70, P85, VAV, PLC-γ, PKC-θ, etc, plays a critical role in tumor induced immunosuppression. Itch ligase activity regulate T-cell anergy and development of regulatory T cells in the periphery by modulating key components of T-cell receptor and transforming growth factor-β signaling. Therefore, manipulation of Itch activities may provide the opportunities to develop future therapies for immune disorders such as autoimmunity and cancer. speci fi c small interfering RNA(siRNA) was utilized to silence the expression of Itch gene of T-lymphocytes and investigate the cytotoxicity activity of transfected T lymphocytes against MFC stomach neoplasms cells in vitro. Methods: T lymphocytes were isolated from the spleen of 615 mice and transfected by speci fi c siRNA to silence the expression of Itch gene, The expression of Itch protein were examined by Western bolt in each group; 72 hours aftertransfection, The secretion level of IL-2, INF-γ were measured by enzyme-linked immunosorbent assay (ELISA). At the end, the cytotoxicity activity changes against MFC stomach neoplasms cells was compared between transfected T lymphocytes, negative control and blank control in vitro. Results: Compared with control group, the expression rate of Itch protein of transfected T-lymphocytes was decreased to 16% after transfection 48 hours; 72 hours after transfection, the secretion level of IL-2 in transfection group, negative control and blank control respectively were (1 891.96±141.91)pg/ mL, (1 241.69±91.67)pg/mL and (1 175.03±89.14)pg/mL (P<0.001), the secretion level of INF-γ in transfection group, negative control and blank control respectively were (958.33±75.46)pg/mL, (683.33±66.67)pg/mL and (691.72±68.72) pg/mL (P<0.05). Transfected T lymphocyte also showed more ef fi cient killing ability against MFC stomach neoplasms cells than negative control and blank control in vitro, the highest killing rate has reached (54.18±2.96)%. Conclusion: Silencing Itch gene can signi fi cantly promoted the secretion level of IL-2, INF-γ of mice T lymphocyte, enhanced the cytotoxicity activity of T lymphocyte against MFC stomach neoplasms cells in vitro.
Itch; Gene silencing; T-lymphocytes; Stomach neoplasms; Adoptive immunotherapy
10.3969/j.issn.1007-3969.2014.10.011
R73-36;R735.2
A
1007-3639(2014)10-0777-06
2014-07-11
2014-08-25)
粟英 E-mail: fl y100_inthesky@163.com