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Obesity and inflammation. 肥胖和炎症。
IF 2.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2018-09-01 DOI: 10.1684/ecn.2018.0415
Jacek Karczewski, Ewelina Śledzińska, Alina Baturo, Izabela Jończyk, Aleksander Maleszko, Paweł Samborski, Beata Begier-Krasińska, Agnieszka Dobrowolska

The prevalence of obesity has recently increased dramatically and has contributed to the increasing prevalence of various pathological conditions, including type 2 diabetes mellitus, nonalcoholic fatty liver disease, asthma, various types of cancer, cardiovascular and neurodegenerative diseases, and others. Accumulating evidence points to localized inflammation in adipose tissue, which, in turn, promotes systemic low-grade inflammation as a primary force contributing to the development of these pathologies. A better understanding of the underlying mechanisms behind obesity-induced adipose tissue inflammation is required to develop effective therapeutic or prophylactic strategies. This review is aimed to present the current knowledge of adipose tissue inflammation associated with obesity.

肥胖症的流行率最近急剧增加,并导致各种病理状况的流行率增加,包括2型糖尿病、非酒精性脂肪性肝病、哮喘、各种类型的癌症、心血管和神经退行性疾病等。越来越多的证据表明,脂肪组织的局部炎症反过来又促进了全身性低级别炎症,这是促成这些病理发展的主要力量。需要更好地了解肥胖引起的脂肪组织炎症背后的潜在机制,以制定有效的治疗或预防策略。本综述旨在介绍与肥胖相关的脂肪组织炎症的最新知识。
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引用次数: 140
Clinical significance of serum leptin level in patients with gastric cancer. 胃癌患者血清瘦素水平的临床意义。
IF 2.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2018-06-01 DOI: 10.1684/ecn.2018.0408
Faruk Tas, Senem Karabulut, Kayhan Erturk, Derya Duranyildiz

Leptin may support the proliferation and hinder the apoptosis of tumor cells. Although leptin expression has been studied in several human tumors, its potential clinical significance remains uncertain in patients with gastric carcinoma. Furthermore, the majority of available findings have been determined from preclinical studies using stomach carcinoma tissue section and, to date, few studies have evaluated the clinical significance of leptin in the serum or plasma of gastric carcinoma patients. In the current study, the serum concentration of soluble leptin was assessed in gastric carcinoma patients, and its contributions to the clinical parameters and prognosis of patients were determined. A total of 63 pathologically confirmed gastric cancer patients and 30 healthy subjects were enrolled in the study and circulating leptin levels in the serum of all subjects were determined by ELISA. The serum leptin concentrations were significantly lower in the gastric cancer patients compared with the healthy control group (P = 0.009). In the gastric cancer patients, the clinical features of patient age, sex, lesion localization, histopathology, pathological grade, stage of disease, and serum tumor markers including lactate dehydrogenase, carcinoembryonic antigen, and carbohydrate antigen 19-9 were not correlated with serum leptin concentration. Furthermore, no association was observed between serum leptin concentration and responsiveness to chemotherapy (P = 0.51), and leptin level had no apparent prognostic role in clinical outcome (P = 0.57). In conclusion, although it was not predictive or prognostic, serum leptin level may be a valuable diagnostic indicator in patients with gastric carcinoma.

瘦素可能支持肿瘤细胞增殖,阻碍肿瘤细胞凋亡。虽然瘦素在几种人类肿瘤中的表达已被研究,但其在胃癌患者中的潜在临床意义仍不确定。此外,大多数现有的发现都是通过使用胃癌组织切片的临床前研究确定的,迄今为止,很少有研究评估胃癌患者血清或血浆中瘦素的临床意义。本研究评估胃癌患者血清可溶性瘦素浓度,并确定其对患者临床参数及预后的影响。本研究共纳入63例病理证实的胃癌患者和30名健康受试者,采用ELISA法测定所有受试者血清循环瘦素水平。胃癌患者血清瘦素浓度明显低于健康对照组(P = 0.009)。在胃癌患者中,患者年龄、性别、病变部位、组织病理学、病理分级、疾病分期等临床特征及血清肿瘤标志物乳酸脱氢酶、癌胚抗原、碳水化合物抗原19-9等与血清瘦素浓度无相关性。此外,血清瘦素浓度与化疗反应性无相关性(P = 0.51),瘦素水平对临床预后无明显影响(P = 0.57)。总之,血清瘦素水平虽然不能预测或预后,但可能是胃癌患者有价值的诊断指标。
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引用次数: 8
Characterization of new anti-IL-6 antibodies revealed high potency candidates for intracellular cytokine detection and specific targeting of IL-6 receptor binding sites. 新的抗IL-6抗体的特性揭示了细胞内细胞因子检测和特异性靶向IL-6受体结合位点的高效候选物。
IF 2.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2018-06-01 DOI: 10.1684/ecn.2018.0409
Karinna Chouman, Birgit Korioth-Schmitz, Markus Sack, Jörn Engelbert Schmitz, Anh Tuan Pham, Rainer Fischer, Stefan Barth, Torsten Klockenbring, Rolf Fendel

Interleukin-6 (IL-6) expression and secretion, induced by inflammatory processes, stimulate the acute phase response cascade. The overexpression of IL-6 contributes to a variety of inflammatory diseases, e.g. rheumatoid arthritis, Castleman's disease, multiple myeloma, and prostate cancer. Screening for high amounts of IL-6 in the patients' blood serum can be crucial for an adequate treatment. In this study, five novel murine monoclonal antibodies (mAbs) reactive to human IL-6 were generated. The mAbs were characterized for potential diagnostic purposes and recombinant antibodies were derived thereof. Initial epitope mapping using a combination of blocking experiments and Hyper-IL-6, a fusion protein consisting of IL-6 and the soluble IL-6 receptor revealed distinct but overlapping binding sites. At least one of the mAbs was found to interact with the region of IL-6/ IL-R complex formation. Three mAbs were applied successfully in intracellular staining by flow cytometry, whereas one of the mAbs showed comparable binding as a reference reagent. Furthermore, the mAbs were tested for applications in various immunological assays such as ELISA, Western blot and surface plasmon resonance spectroscopy (SPR), using IL-6 from commercial sources as well as in-house produced protein (IL-6_IME). The limit of detection was determined by sandwich ELISA (0.5 ng/mL, SD ±0.005). Our results also demonstrated that the recombinant IL-6 produced was functional and correctly folded. These findings support the use of the generated mAb clones as promising candidates for application in various immunological assays for diagnostic and scientific purposes.

炎症过程诱导的白细胞介素-6 (IL-6)的表达和分泌,刺激急性期反应级联。IL-6的过度表达与多种炎症性疾病有关,如类风湿关节炎、Castleman病、多发性骨髓瘤和前列腺癌。筛查患者血清中大量的IL-6对于适当的治疗至关重要。在这项研究中,产生了五种新的小鼠单克隆抗体(mab),它们对人IL-6有反应。这些单克隆抗体具有潜在的诊断目的,并由此衍生出重组抗体。利用阻断实验和Hyper-IL-6(一种由IL-6和可溶性IL-6受体组成的融合蛋白)进行初始表位定位,发现了不同但重叠的结合位点。发现至少一个单抗与IL-6/ IL-R复合物形成区域相互作用。三种单克隆抗体成功应用于流式细胞术细胞内染色,而其中一种单克隆抗体作为参比试剂具有可比的结合性。此外,使用商业来源的IL-6和内部生产的蛋白质(IL-6_IME),对单克隆抗体在各种免疫学分析中的应用进行了测试,如ELISA、Western blot和表面等离子体共振光谱(SPR)。采用夹心ELISA法测定检出限(0.5 ng/mL, SD±0.005)。我们的结果也证明了重组IL-6的功能和正确折叠。这些发现支持将生成的单抗克隆作为诊断和科学目的的各种免疫分析的有希望的候选物。
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引用次数: 1
Role of IL-18 in transplant biology. IL-18在移植生物学中的作用。
IF 2.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2018-06-01 DOI: 10.1684/ecn.2018.0410
Chen Liu, Juntao Chen, Baoqing Liu, Shunzong Yuan, Dawei Shou, Liang Wen, Xiaoying Wu, Weihua Gong

Since pro-inflammatory cytokine IL-18 and its receptor (IL-18R) are closely involved in regulating both adaptive and innate immune responses, it is conceivable that they might play an important role in organ transplantation. IL-18 can stimulate lymphocytes to produce the IFN-γ and regulate macrophage activity, thereby increasing the expression of proinflammatory cytokines including IL-1β, IL-6, CCL4 (macrophage inflammatory protein-1 β), CXCL2 (macrophage inflammatory protein-2), and CCL2 (monocyte chemotactic protein-1). Nevertheless, the IL-18 signaling pathway and its underlying mechanisms remain obscure in transplant biology. This review is to summarize recent advances in our knowledge about the IL-18 signaling pathway and to analyze their functions in transplant-related biology. It was found that IL-18/IL-18R signaling pathway contributed to vascular transplantation, ischemmia/reperfusion, acute kidney injury, and acute rejection of kidney/liver/heart transplantation. IL-18 was a potential CYP3A expression modulator and was capable of affecting tacrolimus pharmacokinetics. Neutralizing IL-18 by its inhibitor IL-18 binding protein could efficiently suppress the production of injury-associated cytokines such as IL-6, TNF-α, IFN-γ, CXCL10 (IFN-γ-inducible protein10), and CX3CL1 (fractalkine) and improve allograft function. Blockade of IL-18 signaling could regulate cardiomyocyte apoptosis and inhibit Th17 cells differentiation. Alteration of IL-18 levels was suggested as a biomarker for predicting ongoing allograft outcome. All these activities could deepen our understanding of immunobiological role of IL-18 and its receptor in the field of organ transplantation. Intervention of IL-18 signaling pathway might be utilized as a therapeutic strategy in clinic.

由于促炎细胞因子IL-18及其受体(IL-18R)密切参与调节适应性和先天免疫反应,因此可以想象它们可能在器官移植中发挥重要作用。IL-18可以刺激淋巴细胞产生IFN-γ,调节巨噬细胞活性,从而增加IL-1β、IL-6、CCL4(巨噬细胞炎症蛋白-1β)、CXCL2(巨噬细胞炎症蛋白-2)、CCL2(单核细胞趋化蛋白-1)等促炎细胞因子的表达。然而,IL-18信号通路及其潜在机制在移植生物学中仍然不清楚。本文综述了IL-18信号通路的最新研究进展,并对其在移植相关生物学中的作用进行了分析。发现IL-18/IL-18R信号通路参与血管移植、缺血/再灌注、急性肾损伤和肾/肝/心移植急性排斥反应。IL-18是一种潜在的CYP3A表达调节剂,能够影响他克莫司的药代动力学。通过IL-18抑制剂IL-18结合蛋白中和IL-18可有效抑制IL-6、TNF-α、IFN-γ、CXCL10 (IFN-γ诱导蛋白10)、CX3CL1 (fractalkine)等损伤相关细胞因子的产生,改善同种异体移植物功能。阻断IL-18信号通路可调节心肌细胞凋亡,抑制Th17细胞分化。IL-18水平的改变被认为是预测同种异体移植物预后的生物标志物。这些活动可以加深我们对IL-18及其受体在器官移植领域的免疫生物学作用的认识。干预IL-18信号通路可作为临床治疗策略。
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引用次数: 21
TL1A mediates fibroblast-like synoviocytes migration and Indian Hedgehog signaling pathway via TNFR2 in patients with rheumatoid arthritis. TL1A通过TNFR2介导类风湿性关节炎患者成纤维细胞样滑膜细胞迁移和印度刺猬信号通路
IF 2.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2018-03-01 DOI: 10.1684/ecn.2018.0405
Mahmoud Al-Azab, Jing Wei, Xunli Ouyang, Abdalkhalig Elkhider, Williams Walana, Xiaotong Sun, Yawei Tang, Bing Wang, Xia Li

Rheumatoid arthritis (RA) is a chronic autoimmune disease characterized by joints inflammation. One of the aggressive characteristics of RA fibroblast-like synoviocytes (FLS) is the tendency for migration in the local environment, which plays a central role in the RA pathogenesis. Tumor Necrosis Factor (TNF)-like cytokine 1A (TL1A) is a member of TNF superfamily, which has a role in autoimmunity and influences the RA-FLS behavior through TNF receptor 2 (TNFR2). We investigated the effect of TNF-like cytokine 1A (TL1A) on RA-FLS migration using patients' samples. Specifically, we examined the hedgehog signaling pathway which is a key regulator in chondrocyte growth and differentiation. We found that TL1A increased significantly the hedgehog homologue Indian hedgehog (IHH) and its receptor Patched 1, 2 (PTCH 1, 2) in RA-FLS. In addition, TL1A-stimulated RA-FLS promoted significantly IHH protein expression. However, both mRNA and protein levels decreased substantially after blocking TL1A with TNFR2 antagonist. The migratory property of RA-FLS was enhanced after stimulation of RA-FLS with TL1A, but was compromised following TL1A blockage. In conclusion, our study has revealed that TL1A modulated RA-FLS migration and Indian hedgehog signaling pathway using TNFR2.

类风湿性关节炎(RA)是一种以关节炎症为特征的慢性自身免疫性疾病。RA成纤维细胞样滑膜细胞(FLS)的侵袭性特征之一是在局部环境中的迁移倾向,这在RA的发病机制中起着核心作用。肿瘤坏死因子(TNF)样细胞因子1A (TL1A)是TNF超家族成员,在自身免疫中起作用,并通过TNF受体2 (TNFR2)影响RA-FLS行为。我们利用患者样本研究了tnf样细胞因子1A (TL1A)对RA-FLS迁移的影响。具体来说,我们研究了hedgehog信号通路,这是软骨细胞生长和分化的关键调节因子。我们发现TL1A显著增加了RA-FLS中刺猬同源物印度刺猬(IHH)及其受体补丁1,2 (PTCH 1,2)。此外,tl1a刺激的RA-FLS显著促进了IHH蛋白的表达。然而,用TNFR2拮抗剂阻断TL1A后,mRNA和蛋白水平均显著下降。TL1A刺激RA-FLS后,RA-FLS的迁移能力增强,TL1A阻断后,RA-FLS的迁移能力减弱。总之,我们的研究揭示了TL1A通过TNFR2调节RA-FLS迁移和印度刺猬信号通路。
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引用次数: 11
Interleukin-32 plays an essential role in human calcified aortic valve cells. 白细胞介素-32在人主动脉瓣钙化细胞中起重要作用。
IF 2.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2018-03-01 DOI: 10.1684/ecn.2018.0407
Chung-Lin Tsai, Ying-Ming Chiu, Yi-Ju Lee, Chin-Tung Hsieh, Dong-Chen Shieh, Gregory J Tsay, Da-Tian Bau, Yi-Ying Wu

Interleukin-32 (IL-32) is an inflammatory cytokine produced mainly by T, natural killer, and epithelial cells. Previous studies on IL-32 have primarily investigated its proinflammatory properties. The IL-32 also has been described as an activator of the p38 mitogen-activated protein kinase (MAPK) and NF-κB, and induces several cytokines. In this study, we hypothesized that the inflammatory regulators NF-κB, MAP kinase, STAT1, and STAT3 are associated with the expression of the IL-32 protein in human calcified aortic valve cells. This study comprised aortic valve sclerotic patients and control group patients without calcified aortic valve. Increased IL-32 expression in calcified aortic valvular tissue was shown by immunohistochemical staining and western blotting. There was an increase in NF-κB p65 level, p-ERK, p-JNK, and p-p38 MAPK activation underlying IL-32 expression in the study. The level of p-STAT3 but not p-STAT1 was found to be increased in calcified aortic valve tissue. In cultured primary human aortic valve interstitial cells, inhibition of NF-κB or MAPK kinase pathways results in a decrease of IL-32 expression. Treatment of recombinant IL-32 induced the levels of TNF-α, IL-6, IL-1β, and IL-8. Our findings demonstrate that IL-32 may be an important pro-inflammatory molecule involved in calcific aortic valve disease.

白细胞介素-32 (IL-32)是一种炎性细胞因子,主要由T细胞、自然杀伤细胞和上皮细胞产生。以往对IL-32的研究主要是研究其促炎特性。IL-32也被描述为p38丝裂原活化蛋白激酶(MAPK)和NF-κB的激活剂,并诱导多种细胞因子。在本研究中,我们假设炎症调节因子NF-κB、MAP激酶、STAT1和STAT3与人钙化主动脉瓣细胞中IL-32蛋白的表达有关。本研究以主动脉瓣硬化患者和无主动脉瓣钙化的对照组为研究对象。免疫组化染色和western blotting显示钙化主动脉瓣组织中IL-32表达升高。在IL-32表达的基础上,NF-κB p65水平、p-ERK、p-JNK和p-p38 MAPK激活增加。钙化主动脉瓣组织中p-STAT3水平升高,而p-STAT1水平不升高。在培养的原代人主动脉瓣间质细胞中,抑制NF-κB或MAPK激酶途径导致IL-32表达降低。重组IL-32处理可诱导TNF-α、IL-6、IL-1β和IL-8的表达。我们的研究结果表明,IL-32可能是一个重要的促炎分子,参与钙化性主动脉瓣疾病。
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引用次数: 20
Interleukin-6 and cardiac operations. 白细胞介素-6和心脏手术。
IF 2.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2018-03-01 DOI: 10.1684/ecn.2018.0406
Shi-Min Yuan

Interleukin (IL)-6 is a pleiotropic inflammatory cytokine with both pro- and anti-inflammatory capacities, produced by different cells and tissues, such as leukocytes, adipocytes, and endothelium. From the viewpoint of cardiologists, this cytokine is a reliable biomarker of cardiac dysfunction, occurrence of atrial fibrillation, cardiac myxoma with recurrence, remote metastasis or embolization, and atherosclerotic processes. Although IL-6 levels were detected in patients undergoing cardiac operations and reported sporadically, the perioperative kinetics of IL-6 in cardiac surgical patients was insufficiently elaborated. The influencing factors, clinical implications, and causative effects of IL-6 on clinical outcomes and potential treatment choices among cardiac surgical patients remained to be clarified as well. The purpose of this article is to discuss these aspects of IL-6 in patients undergoing a cardiac operation.

白细胞介素(IL)-6是一种具有促炎和抗炎能力的多效炎性细胞因子,由不同的细胞和组织产生,如白细胞、脂肪细胞和内皮细胞。从心脏病专家的角度来看,这种细胞因子是心功能障碍、房颤发生、心脏黏液瘤复发、远处转移或栓塞以及动脉粥样硬化过程的可靠生物标志物。尽管在心脏手术患者中检测到IL-6水平并偶有报道,但对心脏手术患者IL-6围手术期动力学的阐述并不充分。在心脏外科患者中,IL-6对临床结果和潜在治疗选择的影响因素、临床意义和致病作用仍有待明确。本文的目的是讨论这些方面的IL-6在接受心脏手术的患者。
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引用次数: 11
Associations between interleukin-10 polymorphisms and susceptibility to juvenile idiopathic arthritis: a systematic review and meta-analysis. 白细胞介素-10多态性与青少年特发性关节炎易感性之间的关系:一项系统综述和荟萃分析。
IF 2.2 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2018-03-01 DOI: 10.1684/ecn.2018.0404
Sara Harsini, Amene Saghazadeh, Saharnaz Nedjat, Nima Rezaei

Background: Cytokine genes, including interleukin-10 (IL-10), are known to play important roles in the pathogenesis of juvenile idiopathic arthritis (JIA). This study aims to determine whether the IL-10 polymorphisms confer susceptibility to JIA.

Methods: A meta-analysis was performed on the associations between the IL-10 -1082 G/A, -592 C/A, and -819 C/T polymorphisms and JIA. A total number of 7 studies involving 1,785 patients and 6,142 controls were considered in the meta-analysis.

Results: Meta-analysis of the IL-10 -592 C/A and -819 C/T polymorphisms showed no association with JIA in the study participants, or in Caucasian or Middle Eastern participants. Meta-analysis of the IL-10 -1082 A allele in all study participants, Caucasian and Middle Eastern, showed significant associations with RA (overall ORs were 1.17, 1.15, and 1.41, respectively). Meta-analysis of the AA versus GG genotype of the IL-10 -1082 G/A polymorphism revealed significant associations with JIA (OR = 3.66, 95% CI = 1.44-9.29, P = 0.006) in participants from Middle Eastern countries. Additionally, meta-analysis of the GG versus AA+GA genotypes of the IL-10 -1082 G/A polymorphism revealed the GG genotype as the protective factor against JIA in the Middle Eastern subgroup (OR = 0.44, 95% CI = 0.20-0.94, P = 0,04). Moreover, meta-analysis of the IL-10 -1082 A allele in 4 studies on Hardy-Weinberg equilibrium showed a significant association with JIA (OR = 1.17, 95% CI = 1.07-1.28, P = 0.0009). No association was found between the IL-10 (-1082, -819, -592) ACC, ATA, and GCC haplotypes and JIA.

Conclusions: These results suggest that the IL-10 -1082 G/A polymorphism confers susceptibility to JIA.

背景:包括白细胞介素-10 (IL-10)在内的细胞因子基因在幼年特发性关节炎(JIA)的发病机制中起重要作用。本研究旨在确定IL-10多态性是否与JIA易感性有关。方法:对IL-10 -1082 G/A、-592 C/A和-819 C/T多态性与JIA之间的关系进行meta分析。荟萃分析共纳入7项研究,涉及1785名患者和6142名对照。结果:IL-10 -592 C/A和-819 C/T多态性的荟萃分析显示,在研究参与者、高加索或中东参与者中,与JIA没有关联。所有研究参与者(高加索人和中东人)的IL-10 -1082等位基因荟萃分析显示与RA有显著相关性(总体or分别为1.17、1.15和1.41)。对IL-10 -1082 G/A多态性的AA与GG基因型的meta分析显示,在中东国家的参与者中,JIA与AA基因型有显著相关性(OR = 3.66, 95% CI = 1.44-9.29, P = 0.006)。此外,对IL-10 -1082 G/A多态性的GG与AA+GA基因型的meta分析显示,GG基因型是中东亚组JIA的保护因素(OR = 0.44, 95% CI = 0.20-0.94, P = 0,04)。此外,4项Hardy-Weinberg平衡研究中IL-10 -1082 A等位基因的meta分析显示,JIA与JIA有显著相关性(OR = 1.17, 95% CI = 1.07-1.28, P = 0.0009)。IL-10 (-1082, -819, -592) ACC、ATA和GCC单倍型与JIA无相关性。结论:这些结果提示IL-10 -1082 G/A多态性与JIA易感性有关。
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引用次数: 0
The prognostic time dependence of intra-tumoural IFNγ mRNA and protein in patients with breast cancer followed for 14 years after surgery and radiotherapy, without subsequent systemic therapy. 乳腺癌患者肿瘤内IFNγ mRNA和蛋白的预后时间依赖性在手术和放疗后随访了14年,没有后续的全身治疗。
IF 2.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2017-11-01 DOI: 10.1684/ecn.2018.0402
Nataša Todorović-Raković, Marko Radulovic, Tijana Vujasinović, Jelena Milovanović, Dragica Nikolić-Vukosavljević

There is increasing evidence for the importance of immunity in breast cancer. IFNγ is expected to have a prognostic value based on its major role in innate and specific cell-mediated immunity. In this retrospective study, based on the 14-year follow-up of 73 patients with breast cancer after surgery and radiotherapy but no subsequent systemic therapy, we investigated the prognostic time dependence of intra-tumoural IFNγ mRNA and protein levels. Over the entire 14 years of follow-up, neither IFNγ mRNA nor protein was significantly associated with metastasis outcome by AUC and Cox regression criteria. However, evaluation of the shorter periods has revealed a prognostic significance in the late follow-up period of 7-14 years for IFNγ mRNA and protein with the maximal respective AUCs of 0.72 and 0.73 and hazard ratios of 6.1 and 5.2, respectively. Interestingly, the opposite prognostic association was discovered for IFNγ mRNA and protein in the first 7 years of follow-up, possibly due to the negative correlation of IFNγ protein and mRNA. Moreover, the prognostic association of IFNγ mRNA has shifted from marking the favourable outcome in the first 7 years to poor outcome thereafter. This study contributes to clarification of the previously inconsistent prognostic performance of IFNγ by providing the first prognostic evaluation with long follow-up, time-dependence assessment and absence of any chemotherapy influence.

越来越多的证据表明免疫在乳腺癌中的重要性。基于IFNγ在先天和特异性细胞介导免疫中的主要作用,IFNγ有望具有预后价值。在这项回顾性研究中,我们对73例乳腺癌患者进行了为期14年的随访,这些患者在手术和放疗后未进行全身治疗,我们研究了肿瘤内IFNγ mRNA和蛋白水平对预后的时间依赖性。在整个14年的随访中,根据AUC和Cox回归标准,IFNγ mRNA和蛋白与转移结果均无显著相关性。然而,对较短时间的评估显示,在7-14年的后期随访期间,IFNγ mRNA和蛋白的预后具有重要意义,最大auc分别为0.72和0.73,风险比分别为6.1和5.2。有趣的是,在前7年的随访中发现IFNγ mRNA和蛋白与预后相反,这可能是由于IFNγ蛋白和mRNA的负相关。此外,IFNγ mRNA的预后关联已经从标记前7年的有利结果转变为此后的不良结果。本研究通过长期随访、时间依赖性评估和没有任何化疗影响的首次预后评估,有助于澄清先前不一致的IFNγ预后表现。
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引用次数: 2
Interleukin-18: a regulator of cancer and autoimmune diseases. 白细胞介素-18:癌症和自身免疫性疾病的调节剂。
IF 2.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2017-11-01 DOI: 10.1684/ecn.2018.0401
Maryam Esmailbeig, Abbas Ghaderi

Interleukin (IL)-18, structurally similar to IL-1β, is a member of IL-1 superfamily of cytokines. This cytokine, which is expressed by many human lymphoid and nonlymphoid cells, has an important role in inflammatory processes. The main function of IL-18 is mediated through induction of interferon-γ (IFN-γ) secretion from T helper (Th1) cells. This cytokine synergistically with IL-12 contributes to Th1 differentiation and, therefore, is important in host defense mechanisms against intracellular bacteria, viruses, and fungi. Recent evidences showing the involvement of IL-18 in Th2 differentiation and ultimately IgE production from B cells have shed a new insight on the dual effects of IL-18 on Th1 and Th2 inflammatory responses. IL-18 in combination with IL-12 can activate cytotoxic T cells (CTLs), as well as natural killer (NK) cells, to produce IFN-γ and, therefore, may contribute to tumor immunity. The biological activity of IL-18 is not limited to these cells, but it also plays a role in development of Th17 cell responses. IL-18 synergistically with IL-23 can induce IL-17 secretion from Th17 cells. The diverse biological activity of IL-18 on T-cell subsets and other immune cells has made this cytokine a good target for investigating its role in various inflammatory-based diseases. Lately, the discovery of IL-18 binding protein (IL-18BP), a physiological inhibitor of IL-18 and a hallmark of IL-18 biology, made this cytokine an attractive target for studying its pros and cons in the treatment of various diseases. In recent years, the biology, genetics, and pathological role of IL-18 have been studied in a number of diseases. In this article, we aimed to present an updated review on these aspects regarding the contribution of IL-18 to important diseases such as cancer, autoimmunity, and inflammatory-mediated conditions including allergic diseases, metabolic syndrome, and atherosclerosis. Emerging data indicating prognostic, diagnostic, and therapeutic features of IL-18 and its related molecules will also be discussed.

白细胞介素(Interleukin, IL)-18是细胞因子IL-1超家族的成员,结构类似于IL-1β。这种细胞因子在许多人淋巴样细胞和非淋巴样细胞中表达,在炎症过程中起重要作用。IL-18的主要功能是通过诱导辅助性T细胞(Th1)分泌干扰素-γ (IFN-γ)介导。这种细胞因子与IL-12协同作用有助于Th1分化,因此在宿主防御细胞内细菌、病毒和真菌的机制中很重要。最近的证据表明,IL-18参与Th2分化并最终从B细胞产生IgE,这为IL-18对Th1和Th2炎症反应的双重作用提供了新的见解。IL-18与IL-12结合可以激活细胞毒性T细胞(ctl)和自然杀伤细胞(NK)产生IFN-γ,因此可能有助于肿瘤免疫。IL-18的生物活性不仅局限于这些细胞,它还在Th17细胞反应的发展中发挥作用。IL-18与IL-23协同作用可诱导Th17细胞分泌IL-17。IL-18对t细胞亚群和其他免疫细胞的不同生物活性使该细胞因子成为研究其在各种炎症性疾病中的作用的良好靶点。近年来,IL-18结合蛋白(IL-18BP)作为IL-18的生理抑制剂和IL-18生物学的标志被发现,使得IL-18成为研究其治疗各种疾病利弊的一个有吸引力的靶点。近年来,人们对IL-18在多种疾病中的生物学、遗传学和病理作用进行了研究。在本文中,我们旨在就IL-18在癌症、自身免疫和炎症介导的疾病(包括过敏性疾病、代谢综合征和动脉粥样硬化)等重要疾病中的作用进行最新的综述。新数据表明预后,诊断和治疗的特点IL-18及其相关分子也将讨论。
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引用次数: 62
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European cytokine network
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