关键词: 多房棘球蚴, 囊液, 原头节, 巨噬细胞极化, 葡萄糖代谢, 代谢表型

Abstract: Objective　To investigate the effects of Echinococcus multilocularis on the phenotypic transformations of glucose metabolism, polarization types and inflammatory responses in macrophages, so as to provide insights into elucidation of echinococcosis pathogenesis. Methods　Bone marrow cells were isolated from C57BL/6J mice at ages of 6 to 8 weeks, and induced into bone marrow⁃derived macrophages (BMDMs) with mouse macrophage colony⁃stimulating factor (M⁃CSF), which served as controls (BMDMs⁃M0). BMDMs⁃M0 induced M2 macrophages by interleukin⁃4 for 24 hours served as the IL⁃4 induction group, and BMDMs⁃M0 co⁃cultured with 2.4 ng/mL E. multilocularis cystic fluid (CF) served as the BMDM⁃CF co⁃culture group, while BMDMs⁃M0 co⁃cultured with E. multilocularis protoscolex (PSC) at a ratio of 500∶1 served as the BMDM⁃PSC co⁃culture group. The types of polarization of BMDMs co⁃cultured with E. multilocularis CF and PSC were analyzed using flow cytometry, and the expression of macrophage markers, inflammatory factors, and glucose metabolism⁃related enzymes was quantified using fluorescent quantitative real⁃time PCR (qPCR) and Western blotting assays. Results　There were significant differences among the four groups in terms of Arginase⁃1 (Arg1) (F = 1 457.00, P < 0.000 1), macrophages⁃derived C⁃C motif chemokine 22 (Ccl22) (F = 22 203.00, P < 0.000 1), resistin⁃like α (Retnla) (F = 151.90, P < 0.000 1), inducible nitric oxide synthase (iNOS) (F = 107.80, P < 0.001), hexokinase (HK) (F = 9 389.00, P < 0.000 1), pyruvate kinase (PK) (F = 641.40, P < 0.001), phosphofructokinase 1 (PFK1) (F = 43.97, P < 0.01), glucokinase (GK) (F = 432.50, P < 0.000 1), pyruvate dehydrogenase kinases1 (PDK1) (F = 737.30, P < 0.000 1), lactic dehydrogenase (LDH) (F = 3 632.00, P < 0.000 1), glucose transporter 1 (GLUT1) (F = 532.40, P < 0.000 1), glyceraldehyde⁃3⁃phosphate dehydrogenase (GAPDH) (F = 460.00, P < 0.000 1), citrate synthase (CS) (F = 5 642.00, P < 0.01), glycogen synthase1 (GYS1) (F = 273.30, P < 0.000 1), IL⁃6 (F = 1 823.00, P < 0.000 1), IL⁃10 (F = 291.70, P < 0.000 1), IL⁃1β (F = 986.60, P < 0.000 1), and tumor necrosis factor (TNF)⁃α (F = 334.80, P < 0.000 1) and transforming growth factor (TGF)⁃β mRNA expression (F = 163.30, P < 0.001). The proportion of M2 macrophages was significantly higher than that of M1 macrophages in the BMDM⁃PSC co⁃culture group [(22.87% ± 1.48%) vs. (1.70% ± 0.17%); t = 24.61, P < 0.001], and the proportion of M2 macrophages was significantly higher than that of M1 macrophages in the BMDM⁃CF co⁃culture group [(20.07% ± 0.64%) vs. (1.93% ± 0.25%); t = 45.73, P < 0.001]. The mRNA expression of M2 macrophages markers Arg1, Ccl22 and Retnla was significantly higher in the BMDM⁃CF and BMDM⁃PSC co⁃culture groups than in the control group (all P values < 0.01), and no significant difference was seen in the mRNA expression of the M1 macrophage marker iNOS among the three groups (P > 0.05), while qPCR assay quantified higher mRNA expression of key glycolytic enzymes HK, PK and PFK, as well as inflammatory factors IL⁃10, IL⁃1β, TNF⁃α and TGF⁃β in the BMDM⁃CF and BMDM⁃PSC co⁃culture groups than in the control group (all P values < 0.01). Western blotting assay determined higher HK, PK and PFK protein expression in the BMDM⁃PSC co⁃culture group than in the control group (all P values < 0.05), and qPCR quantified higher GLUT1, GAPDH and IL⁃6 mRNA expression in the BMDM⁃CF co⁃culture group than in the control group (all P values < 0.05), while higher HK, PK and PFK protein and mRNA expression (all P values < 0.01), as well as lower IL⁃6 and TNF⁃α and higher TGF⁃β mRNA expression (both P values < 0.05) was detected in the IL⁃4 induction group than in the control group. Glycolytic stress test showed no significant difference in the extracellular acidification rate (ECAR) of mouse BMDM among the control group, IL⁃4 induction group and BMDM⁃PSC co⁃culture group (F = 124.4, P < 0.05), and a higher ECAR was seen in the BMDM⁃PSC co⁃culture group and a lower ECAR was found in the IL⁃4 induction group than in the control group (both P values < 0.05). Conclusions Treatment of E. multilocularis CF or PSC mainly causes polarization of BMDM into M2 macrophages, and phenotypic transformation of glucose metabolism into high⁃energy and high⁃glycolytic metabolism, and affects inflammatory responses in BMDM.

Key words: Echinococcus multilocularis, Hydatid fluid, Protoscolex, Macrophage polarization, Glucose metabolism, Metabolic phenotype