Abstract

The aim of this study is to evaluate the immune mechanism of OCH in the treatment of AA (also named bone marrow failure, BMF) induced in mice. OCH at a dose of 400 μg/kg was injected intraperitoneally (I.P.) prior to the induction of BMF. Our study showed that the incidence of BMF was 100% in BMF group and 13% in OCH treatment group. Significant higher level of IL-4 and lower level of IFN-γ were observed in OCH group than that in BMF group (P < 0.05) as well as untreated group over BMF (P < 0.05). However, there was no significant difference between OCH and untreated group. Compared with untreated, the expression level of T-bet in OCH and BMF was all significantly higher. However, T-bet expression level was lower in OCH than in BMF. In addition, OCH treatment increased NKT cell fractions of bone marrow and the colonies of CFU-GM. In conclusion, treatment of OCH prior to the induction of BMF could prevent the incidence of BMF possibly through downregulating T-bet expression leading to the transition of immune response from Th1 to Th2, suggesting OCH might be a new therapeutic approach in the treatment of BMF or AA.

Highlights

  • Aplastic anemia (AA), known as bone marrow failure (BMF), is a blood disorder, characterized by impaired hematopoiesis, leading to pancytopenia [1]

  • AA has been known as an autoimmune disease, characterized by Th1-mediated abnormal immune response

  • There are a growing numbers of studies demonstrating the association of abnormal numbers and function of NKT cells with many autoimmune diseases, such as diabetes, multiple sclerosis, and rheumatoid arthritis [8, 16]

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Summary

Introduction

Aplastic anemia (AA), known as bone marrow failure (BMF), is a blood disorder, characterized by impaired hematopoiesis, leading to pancytopenia [1]. The pathogenesis of AA is very complicated and the impaired hematopoiesis from bone marrow was reported to be related with abnormal numbers and functions of T lymphocytes as well as dysregulation of cytokine secretion, suggesting that AA was an autoimmune disease, characterized by increased Th1 cells and downstream cytokines [2,3,4]. OCH is a sphingosine truncated derivative of alpha-galactosylceramide (α-GC) and can stimulate NKT cells to selectively produce Th2 cytokines, leading to the transition of immune response from Th1 to Th2 [8]. Previous studies demonstrated different cytokines secretion from NKT cell by different stimulus, with IFN-γ predominant by α-GC stimulation and IL-4 by OCH [9]. Given the critical role in the Th2 immune response via NKT activation, OCH has been under extensive studies as a therapeutic in the treatment of many Th1-related autoimmune diseases, such as experimental encephalomyelitis (EAE), type I diabetes, and collagen-induced arthritis (CIA) [10,11,12,13]

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