金诺芬在真菌性角膜炎中的治疗作用和机制研究
Therapeutic Effect and Mechanism Study of Auranofin in Fungal Keratitis
DOI: 10.12677/acm.2025.1551622, PDF,    科研立项经费支持
作者: 王桢涵, 段慧瑾, 刘 星*:青岛大学青岛医学院,山东 青岛;青岛大学附属医院眼科,山东 青岛;高成磊:山东第一医科大学第一附属医院(千佛山医院)临床输血科,山东 济南
关键词: 金诺芬烟曲霉菌抗炎Auranofin Aspergillus fumigatus Anti-Inflammatory
摘要: 目的:探索金诺芬(Auranofin)在小鼠烟曲霉菌感染角膜炎模型中的抗炎作用。方法:采用细胞计数试剂盒(CCK-8)及Calcein/PI细胞活性与细胞毒性检测试剂盒检测金诺芬的细胞毒性,采用RT-PCR方法检测人角膜上皮细胞(Hcecs)中肿瘤坏死因子α (TNF-α)、白细胞介素1β (IL-1β)、白细胞介素6 (IL-6)及趋化因子2 (CCL-2)的mRNA的表达水平;采用ELISA方法检测Hcecs细胞中的TNF-α、IL-1β、IL-6和CCL2蛋白表达水平;采用RT-PCR方法检测金诺芬处理后Hcecs细胞中Nrf2、HO-1的mRNA表达水平;给予Brusatol (简称BT,Nrf2抑制剂)、Znpp (HO-1抑制剂)预处理Hcecs细胞,检测金诺芬对炎症因子表达情况的影响。结果:1 µg/mL的金诺芬对Hcecs细胞活力无影响,PCR结果显示金诺芬可降低真菌感染角膜细胞中TNF-α、IL-1β、IL-6和CCL-2的mRNA及蛋白水平,差异具有统计学意义;金诺芬可显著激活Nrf2/HO-1通路,逆转真菌刺激对炎症因子产生的促进作用。结论:金诺芬通过抑制炎症因子产生并激活Nrf2/HO-1信号通路在烟曲霉菌感染中发挥抗炎作用。
Abstract: Purpose: To explore the anti-inflammatory effects of Auranofin in a mouse model of Aspergillus fumigatus-infected keratitis. Methods: The cytotoxicity of Auranofin was detected using a cell counting kit (CCK-8) and a Calcein/PI cell activity and cytotoxicity kit; mRNA expression levels of tumor necrosis factor-α (TNF-α), interleukin 1β (IL-1β), interleukin 6 (IL-6) and chemokine 2 (CCL-2) were detected by RT-PCR in human corneal epithelial cells (Hcecs); TNF-α, IL-1β, IL-6 and CCL2 protein expression levels in Hcecs cells were detected by ELISA; mRNA expression levels of Nrf2 and HO-1 were detected by RT-PCR in Hcecs cells treated with Auranofin; administration of Brusatol (abbreviated as BT, the Nrf2 inhibitor) and Znpp (HO-1 inhibitor) were given to pretreat Hcecs cells, and the effect of Auranofin on the expression of inflammatory factors was detected. Results: 1 µg/mL of Auranofin had no effect on Hcecs cell activity. PCR and ELISA results showed that Auranofin reduced the mRNA and protein levels of TNF-α, IL-1β, IL-6, and CCL-2 in fungal-infected corneal cells, with significant differences; Auranofin significantly activated the Nrf2/HO-1 pathway, reversing the promotion of inflammatory factor production by fungal stimulation. Conclusion: Auranofin exerts anti-inflammatory effects in Aspergillus fumigatus infection by inhibiting inflammatory factor production and activating the Nrf2/HO-1 signaling pathway.
文章引用:王桢涵, 段慧瑾, 高成磊, 刘星. 金诺芬在真菌性角膜炎中的治疗作用和机制研究[J]. 临床医学进展, 2025, 15(5): 2296-2303. https://doi.org/10.12677/acm.2025.1551622

参考文献

[1] Niu, L. (2020) Fungal Keratitis: Pathogenesis, Diagnosis and Prevention. Microbial Pathogenesis, 138, Article ID: 103802.
[2] Mahmoudi, S., Masoomi, A., Ahmadikia, K., Tabatabaei, S.A., Soleimani, M., Rezaie, S., et al. (2018) Fungal Keratitis: An Overview of Clinical and Laboratory Aspects. Mycoses, 61, 916-930. [Google Scholar] [CrossRef] [PubMed]
[3] Lakhundi, S., Siddiqui, R. and Khan, N.A. (2017) Pathogenesis of Microbial Keratitis. Microbial Pathogenesis, 104, 97-109. [Google Scholar] [CrossRef] [PubMed]
[4] Madeira, J.M., Gibson, D.L., Kean, W.F. and Klegeris, A. (2012) The Biological Activity of Auranofin: Implications for Novel Treatment of Diseases. Inflammopharmacology, 20, 297-306. [Google Scholar] [CrossRef] [PubMed]
[5] Kim, N., Lee, M., Park, S., Choi, J., Oh, M. and Kim, I. (2007) Auranofin Blocks Interleukin‐6 Signalling by Inhibiting Phosphorylation of JAK1 and Stat3. Immunology, 122, 607-614. [Google Scholar] [CrossRef] [PubMed]
[6] Kim, N., Oh, M., Park, H.J. and Kim, I. (2010) Auranofin, a Gold(I)-Containing Antirheumatic Compound, Activates Keap1/Nrf2 Signaling via Rac1/iNOS Signal and Mitogen-Activated Protein Kinase Activation. Journal of Pharmacological Sciences, 113, 246-254. [Google Scholar] [CrossRef] [PubMed]
[7] Stern, I., Wataha, J.C., Lewis, J.B., Messer, R.L.W., Lockwood, P.E. and Tseng, W.Y. (2005) Anti-Rheumatic Gold Compounds as Sublethal Modulators of Monocytic LPS-Induced Cytokine Secretion. Toxicology in Vitro, 19, 365-371. [Google Scholar] [CrossRef] [PubMed]
[8] Han, S., Kim, K., Kim, H., Kwon, J., Lee, Y., Lee, C., et al. (2008) Auranofin Inhibits Overproduction of Pro-Inflammatory Cytokines, Cyclooxygenase Expression and PGE2 Production in Macrophages. Archives of Pharmacal Research, 31, 67-74. [Google Scholar] [CrossRef] [PubMed]
[9] Jeon, K., Jeong, J. and Jue, D. (2000) Thiol-Reactive Metal Compounds Inhibit NF-κB Activation by Blocking IκB Kinase. The Journal of Immunology, 164, 5981-5989. [Google Scholar] [CrossRef] [PubMed]
[10] Park, S. and Kim, I. (2005) The Role of P38 MAPK Activation in Auranofin‐Induced Apoptosis of Human Promyelocytic Leukaemia HL‐60 Cells. British Journal of Pharmacology, 146, 506-513. [Google Scholar] [CrossRef] [PubMed]
[11] Garg, P., Roy, A. and Roy, S. (2016) Update on Fungal Keratitis. Current Opinion in Ophthalmology, 27, 333-339. [Google Scholar] [CrossRef] [PubMed]
[12] Shen, S., Shen, J., Luo, Z., Wang, F. and Min, J. (2023) Molecular Mechanisms and Clinical Implications of the Gold Drug Auranofin. Coordination Chemistry Reviews, 493, Article ID: 215323. [Google Scholar] [CrossRef
[13] Zhan, L., Peng, X., Lin, J., Zhang, Y., Gao, H., Zhu, Y., et al. (2020) Honokiol Reduces Fungal Load, Toll-Like Receptor-2, and Inflammatory Cytokines in aspergillus Fumigatus Keratitis. Investigative Opthalmology & Visual Science, 61, Article No. 48. [Google Scholar] [CrossRef] [PubMed]
[14] Al-Kharashi, L.A., Al-Harbi, N.O., Ahmad, S.F., Attia, S.M., Algahtani, M.M., Ibrahim, K.E., et al. (2023) Auranofin Modulates Thioredoxin Reductase/Nrf2 Signaling in Peripheral Immune Cells and the CNS in a Mouse Model of Relapsing-Remitting EAE. Biomedicines, 11, Article No. 2502. [Google Scholar] [CrossRef] [PubMed]
[15] Hybertson, B.M., Gao, B., Bose, S.K. and McCord, J.M. (2011) Oxidative Stress in Health and Disease: The Therapeutic Potential of Nrf2 Activation. Molecular Aspects of Medicine, 32, 234-246. [Google Scholar] [CrossRef] [PubMed]
[16] Tu, W., Wang, H., Li, S., Liu, Q. and Sha, H. (2019) The Anti-Inflammatory and Anti-Oxidant Mechanisms of the Keap1/Nrf2/Are Signaling Pathway in Chronic Diseases. Aging and Disease, 10, Article No. 637. [Google Scholar] [CrossRef] [PubMed]
[17] Chen, Q.M. and Maltagliati, A.J. (2018) Nrf2 at the Heart of Oxidative Stress and Cardiac Protection. Physiological Genomics, 50, 77-97. [Google Scholar] [CrossRef] [PubMed]
[18] Schafer, H., Geismann, C., Arlt, A. and Sebens, S. (2014) Cytoprotection “Gone Astray’’: Nrf2 and Its Role in Cancer. OncoTargets and Therapy, 7, 1497-1518. [Google Scholar] [CrossRef] [PubMed]
[19] Wall, S.B., Li, R., Butler, B., et al. (2021) Auranofin-Mediated Nrf2 Induction Attenuates Interleukin 1 Beta Expression in Alveolar Macrophages. Antioxidants, 10, 632.
[20] Hayashi, R., Himori, N., Taguchi, K., Ishikawa, Y., Uesugi, K., Ito, M., et al. (2013) The Role of the Nrf2-Mediated Defense System in Corneal Epithelial Wound Healing. Free Radical Biology and Medicine, 61, 333-342. [Google Scholar] [CrossRef] [PubMed]
[21] Liu, S., Qin, T., Zou, F., Dong, H., Yu, L., Wang, H., et al. (2023) Pseudolaric Acid B Exerts an Antifungal Effect and Targets SIRT1 to Ameliorate Inflammation by Regulating Nrf2/NF-κB Pathways in Fungal Keratitis. Inflammopharmacology, 32, 1133-1146. [Google Scholar] [CrossRef] [PubMed]