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第45卷第4期         林俊杰,王 舒,赵小静,等. 双调蛋白通过上调LPA⁃LPAR3调控肠成纤维细胞活化促进克
                  2025年4月              罗恩病肠纤维化[J]. 南京医科大学学报(自然科学版),2025,45(4):498-508                   ·505 ·


                A                   B   Control⁃siRNA Control⁃siRNA+LPA LPAR3⁃siRNA+LPA LPAR3⁃siRNA  C
                    1.5                                                                  (μm 2 )  800 000  ***  **

                 LPAR3  relative expression  1.0  0 h  72 μm  72 μm   72 μm      72 μm   Migration area  600 000
                                                                                          400 000
                    0.5
                                                                                          200 000
                     0
                  Control⁃siRNA LPAR3⁃siRNA  48 h                                     Control⁃siRNA 0  - +  +  + -  - -
                                                                                             LPA
                                                                                                      +
                                                                                      LPAR3⁃siRNA  -  -   +   +
                                               72 μm      72 μm       72 μm      72 μm
                                                        E      2.0   **  **

                                                            Relative  1.0
                       D                                      α⁃SMA expression  1.5
                              α⁃SMA            42 kDa          0.5
                             GAPDH             36 kDa           0
                               LPA -   +  +  -                LPA  -   +   +   -
                         Control⁃siRNA +  +  -  -       Control⁃siRNA  +  +  -  -
                         LPAR3⁃siRNA -  -  +  +         LPAR3⁃siRNA  -  -  +   +
                        F      4                       G                             H
                                                             4    **  *                     6   **   *
                                        *
                                    **
                               3
                            Col1a1  relative expression  2 1  Col6a1  relative expression  3 2  Col6a3  relative expression  4 2



                               0                             1 0                            0
                             LPA  -   +   +   -             LPA  -  +   +   -             LPA  -   +   +   -
                       Control⁃siRNA  +  +  -  -     Control⁃siRNA  +  +  -  -      Control⁃siRNA  +  +  -  -
                       LPAR3⁃siRNA  -  -  +   +      LPAR3⁃siRNA  -  -  +   +      LPAR3⁃siRNA  -  -   +   +
                 I                                                                 J       40   **  **
                        Control⁃siRNA  Control⁃siRNA+LPA  LPAR3⁃siRNA+LPA  LPAR3⁃siRNA     30
                                                                                        Percentage of  positive cells  20

                     Ki67/DAPI                                                            Ki67  10

                                                                                            0
                                                                                          LPA  -   +   +   -
                                20 μm          20 μm          20 μm          20 μm  Control⁃siRNA  +  +  -  -
                                                                                   LPAR3⁃siRNA  -  -   +   +

                   A:The expression of LPAR3 of fibroblasts after treating with LPAR3⁃siRNA or control⁃siRNA was measured by qRT⁃PCR(n=3). B,C:The
                migration ability of fibroblasts after treating with LPA while with LPAR3⁃siRNA or control⁃siRNA was assessed by the wound healing assay(n=9). D,E:The
                expression of α⁃SMA in fibroblasts after treating with LPA while with LPAR3⁃siRNA or control⁃siRNA was detected by Western blot(n=3). F-H:The
                expression of Col1a1(F),Col6a1(G),and Col6a3(H)of fibroblasts after treating with LPA while with LPAR3⁃siRNA or control⁃siRNA was measured
                by qRT⁃PCR(n=3). I,J:Fibroblasts were stained with Ki67 immunofluorescence and percentage of Ki67 positive cells were calculated(scale bar=
                                **
                          *
                100 μm,n=3). P < 0.05,P < 0.01,and  *** P < 0.001.
                                       图5 LPA通过LPAR3促进人肠成纤维细胞的运动、活化和增殖
                      Figure 5 LPA promoted the motility,activation,and proliferation of human intestinal fibroblasts via LPAR3

                AREG⁃LPA⁃LPAR3可能是治疗CD相关肠纤维化的                      道狭窄和梗阻,是患者手术的主要原因,目前尚缺
                潜在靶点。                                             乏有效的抗肠道纤维化的治疗手段 ,深入探究肠纤
                                                                                                 [5]
                                                                  维化的发病机制将为寻求新的治疗靶点提供思路。
                3 讨 论
                                                                  纤维化是损伤后组织修复和再生过程中的一部分。
                    肠纤维化是 CD 常见的并发症之一,可导致肠                        过度沉积的ECM是纤维化的典型特征,成纤维细胞
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