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Animal models of IgG4-related disease igg4相关疾病的动物模型。
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-07-06 DOI: 10.1016/j.clim.2025.110559
Manqi Tang , Weicheng Shen , Yanying Liu
Immunoglobulin G4-Related Disease (IgG4-RD) is a recently characterized systemic autoimmune disorder marked by multiorgan inflammation and progressive fibrosis. It can affect nearly any organ and may lead to serious clinical consequences. Despite recent progress in developing animal models, therapeutic options for IgG4-RD remain limited, and the pathogenic mechanisms underlying immune dysregulation and fibrosis are still not fully understood. To support mechanistic and therapeutic research, both humanized and non-humanized animal models have been established in recent years. However, the unique biological features of the IgG4 molecule, together with genetic differences between humans and mice, present significant challenges to conventional mouse models. Although several models replicate certain features of IgG4-RD, none fully recapitulate the pathological hallmarks observed in patients. This review critically examines the strengths and limitations of current experimental models and outlines future directions for improving IgG4-RD model systems to better reflect human disease pathogenesis.
免疫球蛋白g4相关疾病(IgG4-RD)是一种以多器官炎症和进行性纤维化为特征的系统性自身免疫性疾病。它几乎可以影响任何器官,并可能导致严重的临床后果。尽管最近在开发动物模型方面取得了进展,但IgG4-RD的治疗选择仍然有限,免疫失调和纤维化的致病机制仍未完全了解。为了支持机制和治疗研究,近年来建立了人源化和非人源化的动物模型。然而,IgG4分子独特的生物学特性,以及人和小鼠之间的遗传差异,对传统的小鼠模型提出了重大挑战。虽然有几个模型复制了IgG4-RD的某些特征,但没有一个模型完全概括了在患者中观察到的病理特征。这篇综述批判性地检查了当前实验模型的优势和局限性,并概述了改进IgG4-RD模型系统以更好地反映人类疾病发病机制的未来方向。
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引用次数: 0
LSP1 deficiency increases IL-17-expressing T cells and accelerates primary Sjögren's syndrome LSP1缺乏增加表达il -17的T细胞,加速原发性Sjögren综合征。
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-06-28 DOI: 10.1016/j.clim.2025.110548
Jayhyun Kim , Jung Gon Kim , Yingjin Li , Sungyong You , Naeun Lee , Wan-Uk Kim
Lymphocyte-specific protein-1 (LSP1) is known to negatively regulate T cell migration in autoimmune diseases. However, its role in the development of T cell-dependent Sjögren's syndrome remains unknown. In this study, we found that LSP1 expression was decreased in T cells in salivary glands (SGs) of mice with experimental Sjögren's syndrome, accompanied by enhanced infiltration of leukocytes into SGs. Moreover, Lsp1−/− mice had higher frequency of IL-17A-expressing T cells in cervical lymph nodes as well as increased severity in SGs than WT mice. Concurrently, LSP1 expression was reduced in human T cells of primary Sjögren's syndrome (pSS) patient. Particularly, pSS patients showed an increased Th17 cells, which inversely correlated with LSP1 expression. Taken together, these findings suggest that LSP1 deficiency promote Th17 cell development and exacerbation of pSS. LSP1 might be a potential therapeutic target to regulate Th17 response and to treat autoimmune diseases like pSS.
已知淋巴细胞特异性蛋白-1 (LSP1)在自身免疫性疾病中负性调节T细胞迁移。然而,它在T细胞依赖性Sjögren综合征发展中的作用仍然未知。在本研究中,我们发现实验性Sjögren综合征小鼠唾液腺(SGs) T细胞中LSP1表达降低,并伴有白细胞向SGs的浸润增强。此外,与WT小鼠相比,Lsp1-/-小鼠颈淋巴结中表达IL-17 a的T细胞频率更高,SGs的严重程度也有所增加。同时,LSP1在原发性Sjögren’s综合征(pSS)患者的人T细胞中表达降低。特别是pSS患者Th17细胞增加,与LSP1表达呈负相关。综上所述,这些发现表明LSP1缺失促进Th17细胞的发育和pSS的恶化。LSP1可能是调节Th17反应和治疗pSS等自身免疫性疾病的潜在治疗靶点。
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引用次数: 0
IL-33 regulates abnormally increased expression of ST2 in bone marrow follicular helper T cell in SLE with hematological abnormalities IL-33调节SLE伴血液学异常患者骨髓滤泡辅助T细胞ST2表达异常升高。
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-06-24 DOI: 10.1016/j.clim.2025.110550
Shaowei Pan , Xiaoyun Xie , Tong Li , Shiyao Wu , Ying Jiang , Huali Zhang , Xiaoli Zhang
Systemic lupus erythematosus (SLE) is often accompanied by hematological complications, with T follicular helper (Tfh) cells playing a pivotal role in its pathogenesis. This study explores the relationship between bone marrow Tfh and Interleukin-33 (IL-33) in SLE patients with hematological abnormalities. Using flow cytometry and ELISA, we found elevated percentages of bone marrow ST2+ Tfh cells in SLE patients, which correlated with disease activity, white blood cell count, and B cell percentage. Increased bone marrow IL-33 and BLyS levels were also observed. Keyhole-limpet hemocyanin (KLH)-immunized mouse model demonstrated IL-33-dependent Tfh expansion, while ST2 knockdown reduced Tfh frequency. In vitro co-culture experiments demonstrated that the IL-33/ST2 axis plays a pivotal role in enhancing the function of Tfh and T peripheral helper (Tph) cells, thereby promoting B cell differentiation into antibody-secreting plasma cells. These findings establish IL-33/ST2 as a key regulator of humoral immunity and a potential therapeutic target for SLE.
系统性红斑狼疮(SLE)常伴有血液学并发症,T滤泡辅助细胞(Tfh)在其发病机制中起关键作用。本研究探讨血液学异常SLE患者骨髓Tfh与白细胞介素-33 (IL-33)的关系。通过流式细胞术和ELISA,我们发现SLE患者骨髓ST2+ Tfh细胞百分比升高,其与疾病活动性、白细胞计数和B细胞百分比相关。骨髓IL-33和BLyS水平升高。Keyhole-limpet hemocyanin (KLH)免疫小鼠模型显示il -33依赖性Tfh扩增,而ST2敲除可降低Tfh频率。体外共培养实验表明,IL-33/ST2轴在增强Tfh和T外周辅助细胞(Tph)的功能,从而促进B细胞向分泌抗体的浆细胞分化中起关键作用。这些发现表明IL-33/ST2是体液免疫的关键调节因子和SLE的潜在治疗靶点。
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引用次数: 0
Etiopathogenesis of Behçet's disease: A systematic literature review behaperet病的发病机制:系统的文献综述。
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-06-24 DOI: 10.1016/j.clim.2025.110549
Nabil Belfeki , Nouha Ghriss , Alexandre Le Joncour , David Saadoun
Behçet's disease (BD) is a chronic, multisystemic inflammatory vasculitis affecting veins and arteries. Its etiopathogenesis remains unclear but is thought to result from genetic predisposition combined with environmental triggers. Recent genome-wide association studies (GWAS) have linked various genetic polymorphisms (e.g., HLA*B51, ERAP1) to an increased risk of BD, with particular focus on cytokine-related gene variants. Infectious agents, such as Streptococcus species and herpes simplex virus, along with oral and intestinal dysbiosis and molecular mimicry, are key environmental triggers of innate immune inflammation, which is further amplified by adaptive immune responses. The innate immune system's primary cells, including neutrophils and NK cells, are upregulated, leading to an overproduction of proinflammatory cytokines. Additionally, an imbalance in T cell populations, characterized by a decrease in Tregs and expansion of Th1 and Th17 cells, contributes to disease pathogenesis. This review provides an overview of recent advances in understanding BD's etiopathogenesis.
behet病(BD)是一种影响静脉和动脉的慢性多系统炎症性血管炎。其发病机制尚不清楚,但被认为是遗传易感性与环境诱因相结合的结果。最近的全基因组关联研究(GWAS)已经将各种遗传多态性(如HLA*B51, ERAP1)与BD风险增加联系起来,特别关注细胞因子相关基因变异。感染因子,如链球菌和单纯疱疹病毒,以及口腔和肠道生态失调和分子模仿,是先天免疫炎症的关键环境触发因素,适应性免疫反应进一步放大了先天免疫炎症。先天免疫系统的原代细胞,包括中性粒细胞和NK细胞,被上调,导致促炎细胞因子的过度产生。此外,以Tregs减少和Th1和Th17细胞扩增为特征的T细胞群失衡有助于疾病的发病机制。本文综述了双相障碍发病机制的最新进展。
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引用次数: 0
Comment on: “A national survey of four decades of hereditary angioedema prophylaxis” — The emerging role of Garadacimab 评论:“一项关于40年遗传性血管性水肿预防的全国性调查”——加拉达西单抗的新作用
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-06-23 DOI: 10.1016/j.clim.2025.110547
Haris Afridi, Kainat Afzal
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引用次数: 0
Scavenger receptors: An auspicious therapeutic target for autoimmune diseases 清道夫受体:自身免疫性疾病的理想治疗靶点
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-06-19 DOI: 10.1016/j.clim.2025.110546
Yi-Kai Liu , Meng Hao , Fan Yang , Ke-Xin Jing , Shun Zhao , Changhao Wu , Hai-Feng Pan
Scavenger receptors (SRs) belong to a large receptor family expressed on immune and non- immune cells. Initially, SRs are regarded as removers able to recognize and clear modified lipoproteins; However, it is now realized that they are pattern recognition receptors (PRRs) that identify damage-associated molecular pattern (DAMP) and pathogen-associated molecular patterns (PAMPs). The wide range of ligands that bind to SRs demonstrates their diverse functions, including pathogen clearance, lipid transport, cellular differentiation, and signaling pathway activation. Previous studies have revealed the significance of SRs in regulating innate immunity and adaptive immunity. Recently, a large body of evidence further indicates the involvement of SRs in autoimmune diseases, including systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), multiple sclerosis (MS), type 1 diabetes (T1D) and inflammatory bowel disease (IBD). In this comprehensive review, we will summarize molecular structure and immunological functions of different types of SRs, and discuss the recent insights into the involvement of SRs in the development and pathogenesis of autoimmune diseases and their clinical implications and therapeutic potential.
清道夫受体(Scavenger receptor, SRs)是一个在免疫细胞和非免疫细胞上表达的受体家族。最初,SRs被认为是一种能够识别和清除修饰脂蛋白的去除剂;然而,现在人们认识到它们是识别损伤相关分子模式(DAMP)和病原体相关分子模式(PAMPs)的模式识别受体(PRRs)。广泛的与SRs结合的配体显示了它们的多种功能,包括病原体清除、脂质转运、细胞分化和信号通路激活。已有研究揭示了SRs在调节先天免疫和适应性免疫中的重要作用。最近,大量证据进一步表明,SRs参与自身免疫性疾病,包括系统性红斑狼疮(SLE)、类风湿性关节炎(RA)、多发性硬化症(MS)、1型糖尿病(T1D)和炎症性肠病(IBD)。在这篇综述中,我们将总结不同类型SRs的分子结构和免疫功能,并讨论SRs参与自身免疫性疾病的发展和发病机制及其临床意义和治疗潜力的最新见解。
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引用次数: 0
High activity of human cytomegalovirus in patients with Sjögren's disease Sjögren病患者巨细胞病毒高活性研究。
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-06-18 DOI: 10.1016/j.clim.2025.110545
Mattia Russel Pantalone , Xinling Xu , Nerea Martín Almazán , Christina Gerstner , Marie Fischer , Marika Kvarnström , Cecilia Söderberg-Nauclér , Marie Wahren-Herlenius , Afsar Rahbar
Sjögren's disease (SD) is a chronic autoimmune disease characterized by immune-mediated damage to salivary and lacrimal glands. This study aimed to explore the potential link between SD and human cytomegalovirus (HCMV), by analyzing presence of HCMV proteins in salivary gland tissue specimens and prevalence of HCMV-specific antibodies in serum samples from SD patients and controls. HCMV-immediate early (IE) and late proteins (LA and pp65) were highly abundant in tissue specimens from SD patients (88.9 %, 69.2 %, 45.8 %, respectively), and less abundant in patients with Sicca symptoms without SD (70.5 %, 20.0 %, 12.5 %, respectively). Samples in the SD group were also positive at higher scores for the HCMV proteins than Sicca symptom patients without SD. IgM prevalence was higher in SD patients than in healthy controls (32.1 % vs. 13.4 %, P = 0.04) and HCMV-IgG titers were higher (P < 0.0001). Understanding the potential role of HCMV in SD pathogenesis may contribute to advancements in disease prevention and treatment.
Sjögren's disease (SD)是一种慢性自身免疫性疾病,其特征是免疫介导的唾液腺和泪腺损伤。本研究旨在通过分析SD患者和对照组唾液腺组织标本中HCMV蛋白的存在以及血清样本中HCMV特异性抗体的流行情况,探讨SD与人巨细胞病毒(HCMV)之间的潜在联系。hcmv早期(IE)和晚期蛋白(LA和pp65)在SD患者的组织标本中含量较高(分别为88.9% %、69.2% %、45.8% %),而在无SD的Sicca症状患者中含量较低(分别为70.5 %、20.0 %、12.5 %)。与没有SD的Sicca症状患者相比,SD组样本的HCMV蛋白得分也更高。SD患者IgM患病率高于健康对照组(32.1% % vs. 13.4 %,P = 0.04),HCMV-IgG滴度高于健康对照组(P < 0.05)
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引用次数: 0
Genetic variability associates with ancestry, age at disease onset, organ involvement and disease severity in juvenile-onset systemic lupus erythematosus 遗传变异与祖先、发病年龄、器官受累和青少年系统性红斑狼疮的疾病严重程度有关。
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-06-15 DOI: 10.1016/j.clim.2025.110540
Valentina Natoli , Amandine Charras , Megan S.R. Hasoon , Andrea L. Jorgensen , Eve M.D. Smith , Eva Caamaño Gutiérrez , Michael W. Beresford , Christian M. Hedrich
Juvenile-onset systemic lupus erythematosus (jSLE) is a complex autoimmune/inflammatory disease in which genetic factors likely contribute to pathophysiology and clinical expression. This study explored associations between general (alternate allele counts; AAC) and gene-specific (alternate allele scores; GAAS) sequence variability, age at onset, sex, ancestry, disease activity/severity, organ involvement and treatments in jSLE. 289 participants from the UK JSLE Cohort Study underwent panel sequencing of 62 genes/genomic regions. Weighted AAC and GAAS were calculated. Correlation analyses and generalized linear models assessed associations between genetic burden, ancestry, age at diagnosis and clinical variables. AAC inversely correlated with age at diagnosis (R = -0.15, p = 0.01), primarily driven by South Asians (R = -0.28, p < 0.001). African/Caribbean patients exhibited higher AAC (p < 0.001). Clinical variables, including severity of renal involvement (ACP5, ITGAM, LYN, p < 0.001; TNFAIP3, p = 0.007), associated with GAAS. Genetic variability likely contributes to early disease expression and severity in jSLE, supporting patient stratification and personalised care.
青少年系统性红斑狼疮(jSLE)是一种复杂的自身免疫/炎症性疾病,遗传因素可能参与病理生理和临床表现。本研究探讨了一般(交替)等位基因数量;AAC)和基因特异性(交替等位基因得分;GAAS)序列变异性、发病年龄、性别、血统、疾病活动性/严重程度、器官受累和jSLE的治疗。来自英国JSLE队列研究的289名参与者对62个基因/基因组区域进行了面板测序。计算加权AAC和GAAS。相关分析和广义线性模型评估了遗传负担、血统、诊断年龄和临床变量之间的关联。AAC与诊断年龄呈负相关(R = -0.15,p = 0.01),主要由南亚人驱动(R = -0.28,p
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引用次数: 0
The role of immune cells glycolysis in neuroinflammation secondary to intracerebral hemorrhage 免疫细胞糖酵解在脑出血继发神经炎症中的作用
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-06-14 DOI: 10.1016/j.clim.2025.110543
Baochun Luo , Sifan Liu , Lei Zheng , Baiwen Zhang , Yaxin Shang , Tong Shang , Jia Zheng , Binglin Kuang , Wei Zou
Intracerebral hemorrhage (ICH) is the most lethal subtype of stroke, making the effective prevention and treatment of inflammatory secondary injury crucial. Recently, the role of immune cell metabolism in ICH has gained attention, particularly the regulatory mechanisms of glycolytic reprogramming in neuroinflammation. This review explores how glycolysis activation in peripheral immune cells (including neutrophils, macrophages, T cells, and natural killer cells), central immune cells (microglia), and other glial cells (including astrocytes and oligodendrocytes) involved in immune regulation influences the inflammatory response following ICH. We analyze the metabolic shifts in glycolysis within these immune cells, highlighting its dual role in neuroinflammation: glycolysis not only provides rapid energy to immune cells, which can either promote or inhibit inflammation, but lactate—a glycolysis byproduct—can modulate inflammatory damage by altering pH and immune cell function. Furthermore, we explore the therapeutic potential of targeting glycolysis in immune cells for neuroinflammation treatment. A deeper understanding of the glycolytic mechanism in ICH may facilitate the development of clinical therapeutic strategies targeting metabolism.
脑出血是脑卒中最致命的亚型,因此有效预防和治疗炎症性继发性损伤至关重要。近年来,免疫细胞代谢在脑出血中的作用引起了人们的关注,特别是糖酵解重编程在神经炎症中的调节机制。本文综述了参与免疫调节的外周免疫细胞(包括中性粒细胞、巨噬细胞、T细胞和自然杀伤细胞)、中枢免疫细胞(小胶质细胞)和其他胶质细胞(包括星形胶质细胞和少突胶质细胞)的糖酵解激活如何影响脑出血后的炎症反应。我们分析了这些免疫细胞中糖酵解的代谢变化,强调了它在神经炎症中的双重作用:糖酵解不仅为免疫细胞提供快速能量,可以促进或抑制炎症,而且乳酸-糖酵解的副产物-可以通过改变pH值和免疫细胞功能来调节炎症损伤。此外,我们探索靶向免疫细胞糖酵解治疗神经炎症的治疗潜力。对脑出血中糖酵解机制的深入了解可能有助于开发针对代谢的临床治疗策略。
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引用次数: 0
IKZF1: An important target for the treatment of autoimmune diseases IKZF1:治疗自身免疫性疾病的重要靶点
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-06-13 DOI: 10.1016/j.clim.2025.110544
Siyuan Bu, Cong Ye, Shaozhe Cai, Lingli Dong
IKZF1 is a member of the Ikaros transcription factor family. It is involved in the regulation of the development and function of a variety of immune cells. Mutations or aberrant expression of IKZF1 are closely associated with the development of various immune-related diseases, including hematologic malignancies, solid tumors, and autoimmune diseases. In recent years, more and more studies have revealed the important role of IKZF1 in regulating immune responses, maintaining immune tolerance, and inhibiting the overactivation of immune cells. What's more, IKZF1 has been discovered to have a significant connection to the pathogenesis of autoimmune diseases. This review will summarize the role of IKZF1 in autoimmune diseases and its potential clinical applications.
IKZF1是Ikaros转录因子家族的一员。它参与调节多种免疫细胞的发育和功能。IKZF1的突变或异常表达与各种免疫相关疾病的发展密切相关,包括血液恶性肿瘤、实体瘤和自身免疫性疾病。近年来,越来越多的研究揭示了IKZF1在调节免疫应答、维持免疫耐受、抑制免疫细胞过度活化等方面的重要作用。更重要的是,IKZF1已被发现与自身免疫性疾病的发病机制有重要的联系。本文就IKZF1在自身免疫性疾病中的作用及其潜在的临床应用进行综述。
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引用次数: 0
期刊
Clinical immunology
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