FXR通过调节促甲状腺素胚胎因子减轻Con A诱导的自身免疫性肝炎病变

 目的：观察法尼酯衍生物X受体（farnesoid X receptor，FXR)-促甲状腺素胚胎因子（thyrotropin embryonic factor，TEF）通路在自身免疫性肝炎模型小鼠肝损害中的作用，探讨FXR-TEF通路改善自身免疫性肝炎的部分可能机制。方法：检测FXR在伴刀豆球蛋白A (concanavalin A, Con A) 诱导的肝炎（Con A-induced hepatitis, CIH）小鼠肝脏的表达；检测FXR激活对TEF表达的影响；观察C57BL/6小鼠和鹅去氧胆酸（chenodeoxycholic acid，CDCA）激活FXR的CIH小鼠肝脏病理、肝脏酶学及炎症因子变化。结果：FXR在CIH小鼠中低表达；CDCA激活FXR的C57BL/6小鼠TEF表达上调；FXR被激活的CIH小鼠的肝损害较轻，FXR激活可减轻肝脏炎症因子释放。结论：CDCA激活FXR能减轻CIH引起的肝功能损害和炎症反应。FXR激活使TEF上调。FXR可能是自身免疫性肝炎的保护因素，其保护作用可能是通过TEF来实现的。激活FXR可能成为治疗自身免疫性肝炎的一个途径。

Farnesoid X receptor up-regulates thyrotropin embryonic factor and attenuates pathological injury of Con A-induced hepatitis

AIM：To observe how farnesoid X receptor (FXR) functioned in concanavalin A (Con A) -induced hepatitis (CIH) and the regulation of FXR-thyrotropin embryonic factor (TEF) pathway. METHODS：C57BL/6 mice were injected with Con A to induce hepatitis. The expression of FXR and TEF in the liver specimens was determined by qRT-PCR and Western blotting. The concentrations of serum ALT/AST and inflammatory cytokines IFN-γ, TNF-α, IL-4 and IL-2 in the blood samples were tested after Con A injection. RESULTS：FXR was down-regulated in CIH mice. TEF was up-regulated when FXR was activated by chenodeoxycholic acid (CDCA). Activation of FXR reduced the levels of aminotransferases and inflammatory cytokines IFN-γ, TNF-α, IL-4 and IL-2 in the CIH mice induced by Con A injection. CONCLUSION：FXR activation attenuates CIH mouse liver injury and reduces inflammatory cytokines. FXR activation results in TEF up-regulation. The FXR-TEF pathway may play a protective role in autoimmune hepatitis.