Abstract

目的探讨脑源性神经营养因子(BDNF)增强间充质干细胞(MSC)抑制滤泡辅助性T细胞(Tfh细胞)的作用及机制。方法ELISA法检测MSC培养上清中吲哚胺2,3-二加氧酶(IDO)、IL-10、TGF-β和IL-21的含量;采集健康志愿者的外周血标本,采用人淋巴细胞分离液分离外周血中的淋巴细胞;采用Transwell小室进行MSC和淋巴细胞共培养,流式细胞术检测CD4+CXCR5+ Tfh细胞及其亚群的比例。结果①BDNF组(BDNF刺激的MSC)培养上清IL-10、TGF-β、IDO浓度均高于对照组(加入等体积磷酸盐缓冲液)[IL-10:(42.1±4.4)ng/ml对(19.3±2.1)ng/ml,t=4.761,P=0.009;TGF-β:(13.9±1.7)ng/ml对(5.3±0.6)ng/ml,t=5.129,P=0.008;IDO:(441.3±56.9)ng/ml对(226.7±37.6)ng/ml,t=3.130,P=0.035];②BDNF组(淋巴细胞与BDNF刺激的MSC共培养)与MSC组(淋巴细胞与MSC共培养)比较:CD4+CXCR5+Tfh细胞比例降低[(3.37±0.21)%对(6.51±0.27)%,t=9.353,P<0.001],CD4+ CXCR5+ CXCR3+ CCR6−Tfh1细胞比例升高[(41.14±2.04)%对(26.72±2.57)%,t=4.383,P=0.012],CD4+CXCR5+CXCR3−CCR6−Tfh2细胞和CD4+CXCR5+CXCR3−CCR6+Tfh17细胞比例降低[Tfh2:(30.16±5.38)%对(43.26±4.11)%,t=4.426,P=0.012;Tfh17:(15.61±1.52)%对(22.32±0.72)%,t=4.202,P=0.014],CD4+CXCR5+Foxp3+ Tfr细胞比例升高[(4.95±0.22)%对(2.32±0.16)%,t=10.241,P<0.001],淋巴细胞培养上清中IL-21浓度降低[(0.28±0.03)ng/ml对(0.85±0.08)ng/ml,t=6.675,P=0.003]。结论BDNF能够增强MSC抑制Tfh细胞的作用,机制是抑制淋巴细胞中Tfh细胞比例升高及其向Tfh2和Tfh17亚群的分化。

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