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Interleukin-6 (IL-6)-associated tumor microenvironment remodelling and cancer immunotherapy 白细胞介素-6 (IL-6)相关的肿瘤微环境重塑和癌症免疫治疗。
IF 11.8 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-01 Epub Date: 2025-01-10 DOI: 10.1016/j.cytogfr.2025.01.001
Songsong Wu , Zhumin Cao , Rongying Lu , Zhenwang Zhang , Gautam Sethi , Yulai You
Interleukin-6 (IL-6) is a pro-inflammatory cytokine playing a pivotal role during inflammation and immune responses. In the recent years, the function of IL-6 in the tumor microenvironment (TME) for affecting tumorigenesis and immunotherapy response has been investigated. The genetic mutations are mainly responsible for the development of cancer, while interactions in TME are also important, involving both cancers and non-cancerous cells. IL-6 plays a significant role in these interactions, enhancing the proliferation, survival and metastasis of tumor cells through inflammatory pathways, highlighting its carcinogenic function. Multiple immune cells including macrophages, T cells, myeloid-derived suppressor cells, dendritic cells and natural killer cells can be affected by IL-6 to develop immunosuppressive TME. IL-6 can also participate in the immune evasion through increasing levels of PD-L1, compromising the efficacy of therapeutics. Notably, IL-6 exerts a double-edge sword function and it can dually increase or decrease cancer immunotherapy, providing a challenge for targeting this cytokine in cancer therapy. Highlighting the complicated function of IL-6 in TME can lead to the development of effective therapeutics for cancer immunity.
白细胞介素-6 (IL-6)是一种促炎细胞因子,在炎症和免疫反应中起关键作用。近年来,人们对IL-6在肿瘤微环境(tumor microenvironment, TME)中影响肿瘤发生和免疫治疗应答的功能进行了研究。基因突变是癌症发生的主要原因,而TME中的相互作用也很重要,涉及癌症和非癌细胞。IL-6在这些相互作用中发挥重要作用,通过炎症途径增强肿瘤细胞的增殖、存活和转移,突出其致癌功能。包括巨噬细胞、T细胞、髓源性抑制细胞、树突状细胞和自然杀伤细胞在内的多种免疫细胞可受IL-6的影响而产生免疫抑制性TME。IL-6也可以通过增加PD-L1的水平参与免疫逃避,从而影响治疗的疗效。值得注意的是,IL-6具有双刃剑功能,可以双重增加或减少癌症免疫治疗,这为靶向治疗癌症提供了挑战。强调IL-6在TME中的复杂功能有助于开发有效的癌症免疫治疗方法。
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引用次数: 0
Designing immunity with cytokines: A logic-based framework for programmable CAR therapies 用细胞因子设计免疫:可编程CAR疗法的逻辑框架
IF 11.8 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-09-18 DOI: 10.1016/j.cytogfr.2025.09.004
Saurabh Upadhyay, Kirti Upmanyu, Moustafa T. Gabr
Adoptive cellular immunotherapy has transformed cancer care, with chimeric antigen receptor (CAR) T cells achieving unprecedented remission in hematologic malignancies. Yet solid tumor translation remains limited by antigen escape, hostile microenvironments, and life-threatening toxicities. Cytokines and chemokines are central to these barriers, shaping trafficking, persistence, and toxicity in ways that demand engineered solutions. This review introduces the first unified five-layer framework—Recognition, Navigation, Safety, Persistence, and Translation—that organizes CAR engineering through cytokine and chemokine logic. Innovations include dual-target and logic-gated CARs to counter heterogeneity, hypoxia- and chemokine-responsive circuits to enhance infiltration, inducible safety switches to mitigate IL-6/IL-1β–driven cytokine storm, and IL-7/IL-15 support to extend persistence. Beyond T cells, CAR logic is now ported into NK cells and macrophages, complementing adaptive memory with innate cytotoxicity and stromal remodeling, while iPSC-derived effectors offer scalable, standardized production. Together, these advances reframe cellular immunotherapy as a cytokine-guided, programmable immune ecosystem, providing a conceptual roadmap for therapies engineered not only for potency but also for safety, durability, and broad clinical integration.
过继细胞免疫疗法已经改变了癌症治疗,嵌合抗原受体(CAR) T细胞在血液恶性肿瘤中实现了前所未有的缓解。然而,实体肿瘤翻译仍然受到抗原逃逸、不良微环境和危及生命的毒性的限制。细胞因子和趋化因子是这些障碍的核心,以需要工程解决方案的方式塑造贩运,持久性和毒性。这篇综述介绍了第一个统一的五层框架——识别、导航、安全、持久和翻译——通过细胞因子和趋化因子逻辑组织CAR工程。创新包括双靶点和逻辑门控car来对抗异质性,缺氧和趋化因子响应电路来增强浸润,诱导安全开关来减轻IL-6/ il -1β驱动的细胞因子风暴,以及IL-7/IL-15支持来延长持久性。除了T细胞,CAR逻辑现在也被移植到NK细胞和巨噬细胞中,通过先天细胞毒性和基质重塑来补充适应性记忆,而ipsc衍生的效应物则提供可扩展的、标准化的生产。总之,这些进展将细胞免疫疗法重新定义为一个细胞因子引导的、可编程的免疫生态系统,为治疗方案的设计提供了一个概念性路线图,不仅针对效力,还针对安全性、持久性和广泛的临床整合。
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引用次数: 0
Myokines and osteokines in aging-related degenerative diseases: Regulatory networks in the muscle-bone-brain axis 衰老相关退行性疾病中的肌因子和骨因子:肌-骨-脑轴的调节网络。
IF 11.8 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-09-07 DOI: 10.1016/j.cytogfr.2025.09.001
Shang Gao , Nianhu Li , Lijie Qi , Xin Li , Jie Zhang , Zhaoqi Zhang , Zhaoyao Xu , Songlin Liang , Weiming Zhu , Wei Liu
This review summarizes the biological properties of key myokines (Irisin, Apelin, CLCF1, and Myostatin) and osteokines (Osteocalcin, Sclerostin, FGF23 and the RANKL/OPG system). This work provides an in-depth analysis of the age-related network imbalance mechanism characterized by "downregulation of protective factors (Irisin, CLCF1, and uncarboxylated Osteocalcin) – upregulation of pro-degenerative factors (Myostatin, Sclerostin, and FGF23) – inflammation-driven amplification", and reveals the mechanism by which this network imbalance contributes to the comorbidity of sarcopenia, osteoporosis, and neurodegenerative diseases. Furthermore, the review evaluates the intersecting regulatory networks and molecular pathways through which myo-osteogenic factors modulate neurotrophic factors (BDNF, NGF and GDNF), and proposes intervention strategies based on these intersecting regulatory networks.
本文综述了关键的肌因子(Irisin、Apelin、CLCF1和Myostatin)和骨因子(Osteocalcin、Sclerostin、FGF23和RANKL/OPG系统)的生物学特性。本研究深入分析了以“保护因子(鸢尾素、CLCF1和未羧化骨钙素)下调-促退行性因子(肌生长抑制素、硬化蛋白和FGF23)上调-炎症驱动放大”为特征的年龄相关网络失衡机制,揭示了这种网络失衡导致肌肉减少症、骨质疏松症和神经退行性疾病共病的机制。此外,本文还评估了肌成骨因子调节神经营养因子(BDNF、NGF和GDNF)的交叉调控网络和分子途径,并提出了基于这些交叉调控网络的干预策略。
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引用次数: 0
TLR-based therapeutic strategies for hepatocellular carcinoma 基于tlr的肝细胞癌治疗策略。
IF 11.8 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-08-08 DOI: 10.1016/j.cytogfr.2025.08.002
Manoj Kumar Gupta , Ramakrishna Vadde
Hepatocellular carcinoma (HCC) is the most common primary liver cancer and a leading cause of cancer-related deaths worldwide. Chronic inflammation and immune dysregulation, often driven by viral infections or metabolic disorders, play a significant role in its pathogenesis. Toll-like receptors (TLRs), key components of innate immunity, have emerged as important regulators in the progression of liver disease and tumorigenesis. This review aims to evaluate the role of TLR signaling in the development, progression, and therapeutic potential of HCC. While TLRs are mainly found on immune cells, they are also functionally expressed in various human cancers, including HCC. TLRs, such as TLR4, can either promote or inhibit tumor progression, depending on the cellular context and microenvironment. TLR polymorphisms, including TLR1 rs5743551 and TLR4 rs1927914, are associated with inflammation, infection risk, and cancer recurrence. Although preclinical studies support the use of TLR agonists to enhance immunotherapy, their clinical translation remains limited due to inconsistent patient responses. This might be due to the diverse effects these agonists exert on various cell types within the tumor microenvironment. Future research should focus on patient-specific TLR profiles, the development of improved biomarkers, and the combination of therapies to optimize outcomes. Understanding the dual role of TLRs could lead to more precise and effective HCC treatments.
肝细胞癌(HCC)是最常见的原发性肝癌,也是全球癌症相关死亡的主要原因。慢性炎症和免疫失调,通常由病毒感染或代谢紊乱驱动,在其发病机制中起重要作用。toll样受体(TLRs)是先天免疫的关键组成部分,在肝脏疾病和肿瘤发生的进展中已成为重要的调节因子。本综述旨在评估TLR信号在HCC的发生、进展和治疗潜力中的作用。虽然tlr主要存在于免疫细胞上,但它们在包括HCC在内的各种人类癌症中也有功能性表达。tlr,如TLR4,可以促进或抑制肿瘤进展,这取决于细胞背景和微环境。TLR多态性,包括TLR1 rs5743551和TLR4 rs1927914,与炎症、感染风险和癌症复发有关。尽管临床前研究支持使用TLR激动剂来增强免疫治疗,但由于患者反应不一致,其临床转化仍然有限。这可能是由于这些激动剂在肿瘤微环境中对不同类型的细胞发挥不同的作用。未来的研究应侧重于患者特异性TLR谱,开发改进的生物标志物,以及联合治疗以优化结果。了解tlr的双重作用可能会导致更精确和有效的HCC治疗。
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引用次数: 0
Neuroprotective properties of ciliary neurotrophic factor in the retina for the treatment of macular telangiectasia type 2. 视网膜睫状体神经营养因子治疗2型黄斑毛细血管扩张的神经保护作用。
IF 11.8 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-08-01 Epub Date: 2025-06-18 DOI: 10.1016/j.cytogfr.2025.06.005
Arne Nystuen, Eugene Gonzalez-Lopez, Konrad A Kauper, Kevin Eade, Thomas M Aaberg

Neurotrophic factors are a family of proteins that promote the growth and survival of both developing and mature neurons. Extensive preclinical studies have demonstrated neuroprotective properties conferred by ciliary neurotrophic factor (CNTF) in a variety of neuron types across several species. Neuroprotection that CNTF confers slows or prevents neuron loss and appears to be agnostic to the nature of the neurodegenerative mutation or injury. However, translation of these studies to the clinic remains a challenge due in part to delivery barriers inherent to the central nervous system and the short half-life of CNTF. The molecular effect of CNTF delivered by a variety of strategies in model systems has been extensively studied in the neural retina. Long-term retinal neuroprotection has been documented using encapsulated cells that have been genetically modified to produce a stable source of CNTF. Clinical trials have shown that CNTF is well tolerated for use in the human retina. This review focuses on the mechanism of action of CNTF and its potential as a therapeutic agent in retinal disease, with a focus on macular telangiectasia type 2 where CNTF has shown efficacy in slowing the rate of ellipsoid zone loss.

神经营养因子是促进发育和成熟神经元生长和存活的一类蛋白质。广泛的临床前研究已经证明了睫状神经营养因子(CNTF)在几种物种的多种神经元类型中所具有的神经保护特性。CNTF赋予的神经保护减缓或防止神经元丢失,并且似乎与神经退行性突变或损伤的性质无关。然而,将这些研究转化为临床仍然是一个挑战,部分原因是中枢神经系统固有的传递障碍和CNTF的半衰期短。CNTF在模型系统中通过多种策略传递的分子效应已经在神经视网膜中得到了广泛的研究。长期的视网膜神经保护已被记录使用包封细胞已被基因改造,以产生稳定的CNTF来源。临床试验表明,CNTF在人视网膜中的耐受性良好。这篇综述的重点是CNTF的作用机制及其作为视网膜疾病治疗剂的潜力,重点是2型黄斑毛细血管扩张,CNTF在减缓椭球区丢失的速度方面显示出疗效。
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引用次数: 0
Nuclear receptors in pulmonary hypertension: From pathophysiological mechanisms to clinical implications. 肺动脉高压中的核受体:从病理生理机制到临床意义。
IF 11.8 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-08-01 Epub Date: 2025-05-30 DOI: 10.1016/j.cytogfr.2025.05.008
Tianxin Xiong, Yi Li, Hong Chen, Ding-Sheng Jiang, Xin Yi

Pulmonary hypertension is one of the most intractable cardiovascular diseases in the world today. The current pharmacological treatments can temporarily relieve symptoms, but the therapeutic effect is unsatisfactory in advanced pulmonary hypertension with severe pulmonary vascular remodeling and right ventricular hypertrophy. The nuclear receptor superfamily is a vital class of transcriptional regulators in the human body. Extensive research has demonstrated that these regulators play pivotal roles in a multitude of physiological processes and are involved in the regulation of the pathogenesis of a variety of pathological diseases, providing potential therapeutic targets for pulmonary hypertension. The targeting of nuclear receptors, such as MR, PPARγ, and NUR77, has demonstrated potential in improving pulmonary vascular remodeling and preventing the progression of experimental pulmonary hypertension. However, further in-depth mechanistic exploration and large-scale preclinical studies are necessary to facilitate eventual clinical application. In this review, we describe in detail the various types of nuclear receptors that affect the function of pulmonary vascular endothelial cells and smooth muscle cells by regulating inflammation, oxidative stress, metabolism, and other processes, thereby affecting the prognosis of pulmonary hypertension, and highlight the clinical therapeutic potential of nuclear receptors. Intensive research on the regulatory role of nuclear receptors in pulmonary hypertension has yielded new avenues for targeted therapy of pulmonary hypertension and has prompted the exploration of new therapeutic strategies to combat this life-threatening disease.

肺动脉高压是当今世界上最棘手的心血管疾病之一。目前的药物治疗可以暂时缓解症状,但对于伴有严重肺血管重构和右心室肥厚的晚期肺动脉高压患者,治疗效果并不理想。核受体超家族是人体中一类重要的转录调控因子。大量研究表明,这些调节因子在多种生理过程中发挥关键作用,参与多种病理疾病的发病机制调节,为肺动脉高压提供了潜在的治疗靶点。核受体(如MR、PPARγ和NUR77)的靶向已被证明具有改善肺血管重构和预防实验性肺动脉高压进展的潜力。然而,为了促进最终的临床应用,需要进一步深入的机制探索和大规模的临床前研究。在本文中,我们详细介绍了各种类型的核受体通过调节炎症、氧化应激、代谢等过程影响肺血管内皮细胞和平滑肌细胞的功能,从而影响肺动脉高压的预后,并强调了核受体的临床治疗潜力。核受体在肺动脉高压中的调控作用的深入研究为肺动脉高压的靶向治疗提供了新的途径,并促使探索新的治疗策略来对抗这一威胁生命的疾病。
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引用次数: 0
The secretion of interleukin-1β. 白细胞介素-1β的分泌。
IF 11.8 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-08-01 Epub Date: 2025-05-22 DOI: 10.1016/j.cytogfr.2025.05.005
Susanna G Ford, Patrick Caswell, David Brough, Paula I Seoane

Interleukin (IL)-1β is a pro-inflammatory cytokine largely produced by cells of the innate immune system in response to tissue damage or to the presence of pathogens. IL-1β-driven inflammation is an established contributor to many disease processes and thus there is great interest in understanding its regulation. This review focusses on the mechanisms involved in the secretion of IL-1β by macrophages. As IL-1β secretion does not follow the conventional ER-Golgi secretory pathway, various mechanisms for IL-1β secretion are proposed, with evidence suggesting that multiple pathways may exist. This review considers the proposed mechanisms determining the secretory pathway of IL-1β.

白细胞介素(IL)-1β是一种促炎细胞因子,主要由先天免疫系统细胞在组织损伤或病原体存在时产生。il -1β驱动的炎症是许多疾病过程的一个确定的贡献者,因此对理解其调控有很大的兴趣。本文就巨噬细胞分泌IL-1β的机制进行综述。由于IL-1β的分泌不遵循常规的er -高尔基体分泌途径,因此人们提出了多种IL-1β分泌机制,并有证据表明可能存在多种途径。本文综述了IL-1β分泌途径的机制。
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引用次数: 0
Role of growth factors and their interplay during oligodendroglial differentiation and maturation. 生长因子在少突胶质细胞分化和成熟过程中的作用及其相互作用。
IF 11.8 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-08-01 Epub Date: 2025-07-10 DOI: 10.1016/j.cytogfr.2025.07.002
Shrey Dwivedi, Sneha Ranjan, Shuvajit Das, Jyoti Kumari, Sangeeta Singh

Oligodendrocytes (OLs) facilitate the myelination within the central nervous system (CNS). Neuronal axons are originally devoid of myelin and acquire myelination during development. OLs are derived from oligodendrocyte precursor cells (OPCs) during development, and this ability to differentiate persists throughout maturity. The abnormal differentiation of oligodendrocytes leads to various neurological disorders and neurodegenerative diseases characterized by disruptions in myelin formation, which is crucial for proper nerve function. In order to develop suitable strategies for their treatments an intimate knowledge of oligodendrocytes differentiation and maturation processes is a pre-requisite. Numerous unique growth factors like PDGF, IGF-1, FGF, etc. function at different phases of lineage specification. The activity of these factors, in turn, is influenced by synergy with other molecules, such as chemokines to control the proliferation of OL precursor cells. The role of growth factors in oligodendrogenesis needs to be revisited constantly with the regular inflow of studies on OL development. An understanding of how different growth factors influence oligodendrogenesis will facilitate their recruitment in stem cell therapy protocols, in vivo studies on OPC and OL development. The end goal of such studies is to enhance neuroregeneration in various demyelinating pathological illnesses. We provide an overview of the research carried out on the role of growth factors on differentiation and maturation of oligodendrocytes. Besides, efforts have been made to identify areas requiring further investigation.

少突胶质细胞(OLs)促进中枢神经系统(CNS)内的髓鞘形成。神经轴突最初缺乏髓磷脂,在发育过程中形成髓鞘。OLs来源于发育过程中的少突胶质前体细胞(OPCs),这种分化能力在整个成熟过程中持续存在。少突胶质细胞的异常分化导致各种神经系统疾病和神经退行性疾病,其特征是髓鞘形成中断,而髓鞘形成对正常的神经功能至关重要。为了制定合适的治疗策略,对少突胶质细胞分化和成熟过程的深入了解是先决条件。许多独特的生长因子,如PDGF, IGF-1, FGF等,在谱系规范的不同阶段起作用。这些因子的活性反过来又受到与其他分子(如趋化因子)协同作用的影响,以控制OL前体细胞的增殖。生长因子在少突胶质发生中的作用需要随着OL发展研究的不断涌入而不断地被重新审视。了解不同的生长因子是如何影响少突胶质细胞形成的,将有助于它们在干细胞治疗方案、OPC和OL发育的体内研究中发挥作用。这些研究的最终目的是增强各种脱髓鞘病理疾病的神经再生。我们对生长因子在少突胶质细胞分化和成熟中的作用进行了综述。此外,已作出努力确定需要进一步调查的领域。
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引用次数: 0
Ferroptosis in immune cells: Implications for tumor immunity and cancer therapy. 免疫细胞中的铁下垂:肿瘤免疫和癌症治疗的意义。
IF 11.8 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-08-01 Epub Date: 2025-06-24 DOI: 10.1016/j.cytogfr.2025.06.007
Jianbo Gao, Xiaoling Zhang, Yu'e Liu, Xu Gu

Ferroptosis, an iron-dependent cell death driven by lipid peroxidation, has emerged as a pivotal mechanism in cancer biology with significant therapeutic potential. Immune cells, both innate and adaptive, are integral in detecting and eliminating tumor cells, yet their response is intricately modulated by ferroptosis. While cancer cell ferroptosis stimulates anti-tumor immunity, ferroptosis in immune cells undermines their effectiveness, compromising overall immune surveillance. The intricate crosstalk between ferroptosis and immune responses is pivotal in tumor progression and therapeutic outcomes, shaping both cancer resistance and treatment effectiveness. This review explores the multifaceted relationship between ferroptosis and immune function in cancer, offering insights into how these processes intersect to shape tumor immunity and guide immunotherapy strategies. We highlight cutting-edge research, uncover key molecular mechanisms, and outline promising avenues for future studies and therapeutic interventions in this evolving field.

铁下垂是一种由脂质过氧化引起的铁依赖性细胞死亡,已成为癌症生物学中具有重要治疗潜力的关键机制。免疫细胞,无论是先天的还是适应性的,在检测和消除肿瘤细胞中都是不可或缺的,然而它们的反应是由铁凋亡复杂地调节的。虽然癌细胞铁下垂刺激抗肿瘤免疫,但免疫细胞铁下垂破坏其有效性,损害整体免疫监测。铁下垂和免疫应答之间复杂的串扰在肿瘤进展和治疗结果中是关键的,塑造了癌症抵抗和治疗效果。这篇综述探讨了铁下垂和癌症免疫功能之间的多方面关系,提供了这些过程如何交叉形成肿瘤免疫和指导免疫治疗策略的见解。我们重点介绍了前沿研究,揭示了关键的分子机制,并概述了在这一不断发展的领域中未来研究和治疗干预的有希望的途径。
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引用次数: 0
Leptin as a mechanistic link between obesity and systemic lupus erythematous. 瘦素在肥胖和系统性红斑狼疮之间的机制联系。
IF 11.8 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-08-01 Epub Date: 2025-06-24 DOI: 10.1016/j.cytogfr.2025.06.006
Daniel J García-Domínguez, Lourdes Hontecillas-Prieto, Laura Lucenilla-Barrenechea, Rocío Flores-Campos, Raquel Muñoz-Pacheco, Francisco J Toyos, Blanca Hernández-Cruz, Juan A Flores-Cordero, Antonio Pérez-Pérez, Teresa Vilariño-García, Víctor Sánchez-Margalet

Systemic lupus erythematosus (SLE) is a chronic, multisystemic, heterogenic and complex autoimmune disease. Similarly, obesity is a chronic condition characterized by excessive adipose tissue and a sustained state of inflammation. Both conditions have shown increasing incidence in recent years, with evidence of closely intertwined pathogenesis. Leptin, a peptide hormone derived from adipokines and produced in white adipose tissue, exhibits functions like those of pro-inflammatory cytokines and plays a key role in regulating the immune system. There is a clear connection linking obesity and SLE. Extensive studies indicate that obese patients have a higher susceptibility to developing immunological diseases, such as SLE, often at younger ages and with an elevated risk of complications. Leptin appears to play a significant role in immune responses and has been implicated as a mediator in the pathogenesis of SLE and obesity. This hormone contributes to chronic inflammation and immune dysfunction. Elevated leptin levels have been identified in patients with SLE and have been associated with increased disease risk, higher disease activity, and a greater likelihood of complications. Similarly, increased leptin levels have been observed in individuals with obesity and metabolic syndrome. This evidence suggests that leptin may serve as a biomarker and a potential therapeutic target for managing SLE, particularly in obese patients.

系统性红斑狼疮(SLE)是一种慢性、多系统、异质性和复杂的自身免疫性疾病。同样,肥胖是一种慢性疾病,其特征是脂肪组织过多和持续的炎症状态。近年来,这两种疾病的发病率都在增加,有证据表明它们的发病机制密切相关。瘦素是一种由脂肪因子衍生的肽激素,在白色脂肪组织中产生,具有与促炎细胞因子类似的功能,在调节免疫系统中起关键作用。肥胖和SLE之间有明显的联系。大量研究表明,肥胖患者更容易发生免疫性疾病,如SLE,通常年龄更小,并发症的风险更高。瘦素似乎在免疫应答中发挥重要作用,并被认为是SLE和肥胖发病机制的中介。这种激素会导致慢性炎症和免疫功能紊乱。瘦素水平升高已在SLE患者中得到证实,并与疾病风险增加、疾病活动性升高和并发症发生的可能性增加有关。同样,在肥胖和代谢综合征患者中也观察到瘦素水平升高。这一证据表明,瘦素可能作为一种生物标志物和治疗SLE的潜在靶点,特别是在肥胖患者中。
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引用次数: 0
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