1. Mechanism of fibrogenesis in submandibular glands in patients with IgG4-RD
- Author
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Akito Kakiuchi, Takumi Konno, Ryoto Yajima, Takuya Kakuki, Takayuki Kohno, Kazuaki Nomura, Kenichi Takano, Tetsuo Himi, Takashi Kojima, and Yakuto Kaneko
- Subjects
0301 basic medicine ,Histology ,MMP1 ,Physiology ,Submandibular Gland ,Inflammation ,Proinflammatory cytokine ,CCN Intercellular Signaling Proteins ,03 medical and health sciences ,0302 clinical medicine ,Downregulation and upregulation ,Fibrosis ,Proto-Oncogene Proteins ,medicine ,Humans ,Secretion ,Cells, Cultured ,Cell Proliferation ,Interleukin-6 ,Chemistry ,Cell Biology ,General Medicine ,Fibroblasts ,medicine.disease ,030104 developmental biology ,Immunoglobulin G ,030220 oncology & carcinogenesis ,Cancer research ,Cytokines ,Tumor necrosis factor alpha ,medicine.symptom ,Transforming growth factor - Abstract
The aim of this study was to investigate the mechanisms driving fibrosis in the submandibular glands (SMG) of patients with IgG4-related disease (IgG4-RD). Immunohistochemistry showed that many fibroblast-like cells expressing IL-6, IL-18, TSLP, IL-33, and MMP1 were present in SMG from the affected patients. SMG fibroblasts were derived from patients with or without IgG4-RD and were cultured in vitro. Expression of IL-6, IL-18, TSLP, IL-33 and MMP1, the secretion of IL-6 and G2/M phase were upregulated in the fibroblasts from the affected patients. By treatment with inflammatory cytokines IL-1β, TNFα or TGF-β after treatment with or without the NF-κB inhibitor curcumin, curucumin blocked the production and secretion of IL-6 upregulated by IL-1β, TNFα, or TNFα/TGF-β in all fibroblasts. Wnt1-inducible signaling protein 1 (WISP1), which can enhance fibroblasts proliferation, was also more abundantly expressed in affected fibroblasts, while treatment with IL-6 induced WISP1, treatment with WISP1 increased the G2/M phase, and curucumin inhibited WISP1 induced by TNFα/TGF-β in unaffected fibroblasts. IL-33 in affected fibroblasts was induced by IL-1β, TNFα, or TNFα/TGF-β, while the effect of IL-1β or TNFα/TGF-β was blocked by curcumin. These results suggest fibrosis in the SMG of affected patients is closely linked to the proliferation of fibroblasts following induction of IL-6 and WISP1 by inflammatory cytokines. The Th2 cytokines TSLP and IL-33 are also upregulated in affected SMG, and thus may cause chronic inflammation and IgG4 accumulation.
- Published
- 2018
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