[1]朱烜烨,梁浩博,张蕾蕾,等.辅助性T细胞17在股骨头坏死发生发展中的作用[J].中国中医骨伤科杂志,2024,32(11):93-96.[doi:10.20085/j.cnki.issn1005-0205.241119]
 ZHU Xuanye,LIANG Haobo,ZHANG Lei Lei,et al.The Role of Helper T Cells 17 in the Development of Osteonecrosis of the Femoral Head[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(11):93-96.[doi:10.20085/j.cnki.issn1005-0205.241119]
点击复制

辅助性T细胞17在股骨头坏死发生发展中的作用()
分享到:

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年11期
页码:
93-96
栏目:
文献综述
出版日期:
2024-11-15

文章信息/Info

Title:
The Role of Helper T Cells 17 in the Development of Osteonecrosis of the Femoral Head
文章编号:
1005-0205(2024)11-0093-04
作者:
朱烜烨12梁浩博12张蕾蕾2贾宇东2刘又文12
1河南中医药大学(郑州,450046)
2河南省洛阳正骨医院(河南省骨科医院)
Author(s):
ZHU Xuanye12LIANG Haobo12ZHANG Lei Lei2JIA Yudong2LIU Youwen12
1Henan University of Chinese Medicine,Zhengzhou 450046,China; 2Luoyang Orthopedic-Traumatological Hospital of Henan Province(Henan Provincial Orthopedic Hospital),Luoyang 471000,Henan China.
关键词:
股骨头坏死 辅助性T细胞17 信号通路 炎症
Keywords:
osteonecrosis of the femoral head helper T cell 17 signaling pathway inflammation
分类号:
R681.8
DOI:
10.20085/j.cnki.issn1005-0205.241119
文献标志码:
A
摘要:
股骨头坏死是指股骨头血供中断引起骨组织坏死的一种疾病,其确切的发病机制至今尚未完全明确。辅助性T细胞17(Helper T Cell 17,Th17)作为骨免疫系统的关键细胞类型T淋巴细胞(T-lymphocyte)的亚群,在股骨头坏死的发生发展中起着至关重要的作用。概述 Th17细胞在股骨头坏死炎症反应、股骨头细胞凋亡、股骨头血管生成中的作用以及Th17细胞与其他免疫细胞的相互作用,探讨其在股骨头坏死中的作用机制。Th17细胞的调控作用可能成为股骨头坏死治疗的一种新的方向和选择,其具体机制需要进一步的实验室研究和临床验证。
Abstract:
Osteonecrosis of the femeral head(ONFH)is a disease in which the blood supply to the femoral head is interrupted and the exact pathogenesis of bone tissue is not fully understood.Helper T cell 17(Th17),as a subset of T-lymphocytes,a key cell type of the bone immune system,plays a crucial role in the occurrence and development of ONFH.This article summarizes the role of Th17 cells in ONFH inflammatory response,apoptosis of femoral head cells,angiogenesis of femoral head,and the interaction of Th17 cells with other immune cells,explores its mechanism of action in ONFH as well.The regulatory role of Th17 cells may become a new direction and option for ONFH treatment,and its specific mechanism needs further laboratory and clinical validation.

参考文献/References:

[1] 中国医师协会骨科医师分会骨循环与骨坏死专业委员会,中华医学会骨科分会骨显微修复学组,国际骨循环学会中国区.中国成人股骨头坏死临床诊疗指南(2020)[J].中华骨科杂志,2020,40(20):1365-1376.
[2] 高宇鹤,张晓峰,徐西林,等.酒精致股骨头坏死的中西医研究进展[J].中医药学报,2021,49(11):109-114.
[3] 黄为,刘琴,韦宗波,等.激素性股骨头坏死研究现状及趋势可视化分析[J].世界中西医结合杂志,2023,18(2):225-235.
[4] LAI S W,LIN C L,LIAO K F.Real-world database examining the association between avascular necrosis of the femoral head and diabetes in taiwan[J].Diabetes Care,2019,42(1):39-43.
[5] FAN R,LIU K,ZHOU Z.Abnormal lipid profile in fast-growing broilers with spontaneous femoral head necrosis[J].Front Physiol,2021,12:685968.
[6] ZHOU Z,PAN C,WANG N,et al.A high-fat diet aggravates osteonecrosis through a macrophage-derived IL-6 pathway[J].Int Immunol,2019,31(4):263-273.
[7] WANG Y,ZHONG W,WANG S,et al.FTO rs62033406 A>G associated with the risk of osteonecrosis of the femoral head among the Chinese Han population[J].BMC Med Genomics,2022,15(1):132.
[8] TANI T,ANDO W,FUKUSHIMA W,et al.Geographic distribution of the incidence of osteonecrosis of the femoral head in Japan and its relation to smoking prevalence[J].Mod Rheumatol,2022,32(1):186-192.
[9] YASUDA K,TAKEUCHI Y,HIROTA K.The pathogenicity of Th17 cells in autoimmune diseases[J].Semin Immunopathol,2019,41(3):283-297.
[10] SHI Y,WEI B,LI L,et al.Th17 cells and inflammation in neurological disorders:possible mechanisms of action[J].Front Immunol,2022,13:932152.
[11] YANG Y M,KIM S Y,SEKI E.Inflammation and liver cancer:molecular mechanisms and therapeutic targets[J].Semin Liver Dis,2019,39(1):26-42.
[12] ZHANG W,LIU X,ZHU Y,et al.Transcriptional and posttranslational regulation of Th17/Treg balance in health and disease[J].Eur J Immunol,2021,51(9):2137-2150.
[13] CERBONI S,GEHRMANN U,PREITE S,et al.Cytokine-regulated Th17 plasticity in human health and diseases[J].Immunology,2021,163(1):3-18.
[14] ZOU D,ZHANG K,YANG Y,et al.Th17 and IL-17 exhibit higher levels in osteonecrosis of the femoral head and have a positive correlation with severity of pain[J].Endokrynol Pol,2018,69(3):283-290.
[15] 吴元胜,马茂潇,朱英杰,等.Th17/Treg在骨科疾病中的研究进展[J].中国骨质疏松杂志,2023,29(5):713-718.
[16] GAO Y H,DONG N,YANG C,et al.Elevated synovial fluid IL-33 and IL-6 levels and cartilage degeneration in stage Ⅲ osteonecrosis of the femoral head[J].Technol Health Care,2020,28(2):203-212.
[17] CHENG J H,JHAN S W,HSU C C,et al.Extracorporeal shockwave therapy modulates the expressions of proinflammatory cytokines IL33 and IL17A,and their receptors ST2 and IL17RA,within the articular cartilage in early avascular necrosis of the femoral head in a rat model[J].Mediators Inflamm,2021,2021:9915877.
[18] HUANG W,MABROUK M E,SYLVESTER J,et al.Enhanced expression of tissue inhibitor of metalloproteinases-4 gene in human osteoarthritic synovial membranes and its differential regulation by cytokines in chondrocytes[J].Open Rheumatol J,2011,5:81-87.
[19] 凡一诺,陈明海,李伟峰,等.祛痰逐瘀治疗股骨头坏死的网络药理学分析[J].中国组织工程研究,2020,24(35):5638-5643.
[20] TAO S C,TAN Y,RUI B Y,et al.Exosomes derived from human platelet-rich plasma prevent apoptosis induced by glucocorticoid-associated endoplasmic reticulum stress in rat osteonecrosis of the femoral head via the Akt/Bad/Bcl-2 signal pathway[J].Theranostics,2017,7(3):733-750.
[21] GUERADO E,CASO E.The physiopathology of avascular necrosis of the femoral head:an update[J].Injury,2016,47(Suppl 6):S16-S26.
[22] FAN Z Q,BAI S C,XU Q,et al.Oxidative stress induced osteocyte apoptosis in steroid-induced femoral head necrosis[J].Orthop Surg,2021,13(7):2145-2152.
[23] KANG P,WU Z,ZHONG Y,et al.A network pharmacology and molecular docking strategy to explore potential targets and mechanisms underlying the effect of curcumin on osteonecrosis of the femoral head in systemic lupus erythematosus[J].Biomed Res Int,2021:5538643.
[24] NAN K,ZHANG Y,ZHANG X,et al.Exosomes from miRNA-378-modified adipose-derived stem cells prevent glucocorticoid-induced osteonecrosis of the femoral head by enhancing angiogenesis and osteogenesis via targeting miR-378 negatively regulated suppressor of fused(Sufu)[J].Stem Cell Res Ther,2021,12(1):331.
[25] HEILIG J,DIETMAR H F,BRACHVOGEL B,et al.Collagen Ⅸ deficiency leads to premature vascularization and ossification of murine femoral heads through an imbalance of pro- and antiangiogenic factors[J].Osteoarthritis Cartilage,2020,28(7):988-999.
[26] 沈琼,朱琰,杨光辉.西地那非对系统性红斑狼疮合并肺动脉高压患者的临床疗效及对血清Th17、TSP-1水平的影响[J].中华航海医学与高气压医学杂志,2021,28(4):480-483.
[27] LUO Q,JIANG Z H,JIANG J Y,et al.Tsp-1+ microglia attenuate retinal neovascularization by maintaining the expression of Smad3 in endothelial cells through exosomes with decreased miR-27a-5p[J].Theranostics,2023,13(11):3689-3706.
[28] LEE G R.The balance of Th17 versus treg cells in autoimmunity[J].Int J Mol Sci,2018,19(3):730.
[29] WU X F,SUN Q B,LI X,et al.Halofuginone inhibits osteoclastogenesis and enhances osteoblastogenesis by regulating Th17/Treg cell balance in multiple myeloma mice with bone lesions[J].Indian Journal of Hematology and Blood Transfusion,2024,40(3):407-414.
[30] YASUDA K,TAKEUCHI Y,HIROTA K.The pathogenicity of Th17 cells in autoimmune diseases[J].Semin Immunopathol,2019,41(3):283-297.
[31] HARRISON S R,LI D,JEFFERY L E,et al.Vitamin D,autoimmune disease and rheumatoid arthritis[J].Calcif Tissue Int,2020,106(1):58-75.
[32] YANG J,SUNDRUD M S,SKEPNER J,et al.Targeting Th17 cells in autoimmune diseases[J].Trends Pharmacol Sci,2014,35(10):493-500.
[33] SAMUELS J S,HOLLAND L,LOPEZ M,et al.Prostaglandin E2 and IL-23 interconnects STAT3 and RORγ pathways to initiate Th17 CD4(+)T-cell development during rheumatoid arthritis[J].Inflamm Res,2018,67(7):589-596.
[34] WEI L,LAURENCE A,O'SHEA J J.New insights into the roles of Stat5a/b and Stat3 in T cell development and differentiation[J].Semin Cell Dev Biol,2008,19(4):394-400.
[35] LUCAS C,PERDRIGER A,AME P.Definition of B cell helper T cells in rheumatoid arthritis and their behavior during treatment[J].Semin Arthritis Rheum,2020,50(5):867-872.
[36] SINGH B,SUMMERS K L,KERFOOT S M.Novel regulatory Th17 cells and regulatory B cells in modulating autoimmune diseases[J].Cell Immunol,2019,339:29-32.
[37] BAO Y,CAO X.The immune potential and immunopathology of cytokine-producing B cell subsets:a comprehensive review[J].J Autoimmun,2014,55:10-23.
[38] VAN LANGELAAR J,RIJVERS L,SMOLDERS J,et al.B and T cells driving multiple sclerosis:identity,mechanisms and potential triggers[J].Front Immunol,2020,11:760.
[39] SCHINOCCA C,RIZZO C,FASANO S,et al.Role of the IL-23/IL-17 pathway in rheumatic diseases:an overview[J].Front Immunol,2021,12:637829.
[40] SCHMITT H,NEURATH M F,ATREYA R.Role of the IL-23/IL-17 pathway in Crohn's disease[J].Front Immunol,2021,12:622934.
[41] YIN X,CHEN S,EISENBARTH S C.Dendritic cell regulation of T helper cells[J].Annu Rev Immunol,2021,39:759-790.
[42] PARK S H,KIM M S,LIM H X,et al.IL-33-matured dendritic cells promote Th17 cell responses via IL-1β and IL-6[J].Cytokine,2017,99:106-113.
[43] ZELANTE T,WONG A Y,PING T J,et al.CD103(+)dendritic cells control Th17 cell function in the lung[J].Cell Rep,2015,12(11):1789-1801.

备注/Memo

备注/Memo:
基金项目:河南省二〇二三年科技发展计划项目(232102311219)
洛阳市公益性项目行业医疗卫生专项(2022007A)
更新日期/Last Update: 2024-11-05