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Absence of increased liver-related inflammatory markers in type 1 diabetes with metabolic syndrome: a nested case-control study from Brazil. 1型糖尿病伴代谢综合征患者肝脏相关炎症标志物缺失:一项来自巴西的巢式病例对照研究
IF 2.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2020-12-01 DOI: 10.1684/ecn.2020.0459
Bianca Senger Vasconcelos Barros, Carlos Terra, Marilia Brito Gomes

To examine the relationship between metabolic syndrome and serum levels of interleukin (IL)-6 and IL-17, tumor necrosis factor-α (TNF-α), and C-reactive protein (CRP), inflammatory biomarkers involved in nonalcoholic fatty liver disease (NAFLD) pathophysiology, in patients with type 1 diabetes.

Methods: This was a cross-sectional, nested case-control study with 232 patients with type 1 diabetes (116 cases with metabolic syndrome and 116 controls without metabolic syndrome) who were matched for age and gender. A multivariable logistic regression with metabolic syndrome as the dependent variable was performed with inflammatory biomarkers and other parameters involved in NAFLD as independent variables.

Results: Chronic kidney disease (CKD), retinopathy, body mass index (BMI), diabetes duration, alanine aminotransferase (ALT), fatty liver index (FLI), and CPR levels were associated with metabolic syndrome in univariate analysis. However, after adjustments in multivariable analysis, none of the liver-related inflammatory biomarkers persisted associated with metabolic syndrome. CKD, BMI, and ALT were associated with metabolic syndrome and retinopathy showed a tendency for association (p = 0.06).

Conclusion: Although CRP, a nonspecific marker of inflammation, was associated with metabolic syndrome in univariate analysis, this fact did not persist after adjustments. No other inflammatory biomarkers showed an association with metabolic syndrome in type 1 diabetes. The group with metabolic syndrome had a higher frequency of diabetes' complications and markedly increased FLI. FLI probably is more useful in detecting NAFLD than inflammatory biomarkers, but further prospective studies in individuals with type 1 diabetes, with abdominal ultrasound and FLI, are necessary to better support this hypothesis.

目的探讨代谢综合征与1型糖尿病患者非酒精性脂肪性肝病(NAFLD)病理生理相关炎症生物标志物白介素(IL)-6和IL-17、肿瘤坏死因子-α (TNF-α)和c反应蛋白(CRP)水平的关系。方法:这是一项横断面、巢式病例对照研究,纳入年龄和性别匹配的232例1型糖尿病患者(116例伴有代谢综合征,116例对照无代谢综合征)。以代谢综合征为因变量,以炎症生物标志物和NAFLD相关的其他参数为自变量,进行多变量logistic回归。结果:在单变量分析中,慢性肾病(CKD)、视网膜病变、体重指数(BMI)、糖尿病病程、丙氨酸转氨酶(ALT)、脂肪肝指数(FLI)和CPR水平与代谢综合征相关。然而,在多变量分析调整后,没有肝脏相关炎症生物标志物持续与代谢综合征相关。CKD、BMI和ALT与代谢综合征相关,视网膜病变有相关趋势(p = 0.06)。结论:尽管在单变量分析中,非特异性炎症标志物CRP与代谢综合征相关,但经过调整后,这一事实并不持续存在。没有其他炎症生物标志物显示与1型糖尿病代谢综合征相关。代谢综合征组糖尿病并发症发生率较高,FLI明显增高。FLI在检测NAFLD方面可能比炎症生物标志物更有用,但需要进一步对1型糖尿病患者进行腹部超声和FLI的前瞻性研究,以更好地支持这一假设。
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引用次数: 0
Interleukin-27 gene variant rs153109 is associated with enhanced cytokine serum levels and susceptibility to Behçet's disease in the Iranian population. 在伊朗人群中,白细胞介素27基因变异rs153109与细胞因子血清水平升高和behet病易感性相关。
IF 2.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2020-12-01 DOI: 10.1684/ecn.2020.0458
Nasser Gholijani, Gholamreza Daryabor, Kurosh Kalantar, Mohammad-Reza Yazdani, Saeedeh Shenavandeh, Maryam Zahed, Zahra Jafarpour, Mohammad-Reza Malekmakan, Zahra Amirghofran

Behcet's disease (BD) is a systemic vasculitis, characterized by recurrent oral aphthous, genital ulcers, ocular lesions, and other organ involvement. Interleukin (IL)-27 with its pro- and anti-inflammatory effects might be an important effective cytokine in this disease. The aim of this study was to investigate the association of IL-27 serum concentration and a single-nucleotide polymorphism (SNP) rs153109 (-964 A > G) with the risk and clinical features of the patients with BD. IL-27 Genotyping was performed using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) and the IL-27 serum levels were measured using enzyme-linked immunosorbent assay (ELISA). It is shown that AG, GG, and AG + GG genotypes, as well as G allele of rs153109, can significantly increase the risk of BD in total and in male individuals. Significantly higher frequencies of AG and GG genotypes and G allele were observed in total and male patients with an active form of BD. AG and GG genotypes were associated with joint (p = 0.046) and vascular (p = 0.02) involvement. The frequency of the G allele was higher in all patients, as well as in female patients with vascular involvement (p = 0.02). Serum cytokine analysis indicated an increased level of IL-27 in BD patients compared to healthy subjects (p = 0.038). Additionally, a higher level of IL-27 was detected in patients carrying the rs153109 GG genotype (p = 0.04) and those with renal (p = 0.009) and skin (p = 0.05) involvement. In conclusion, this study underscores the involvement of IL-27 rs153109 variants and increased serum level in BD susceptibility and pathogenesis.

白塞病(BD)是一种全身性血管炎,以复发性口腔溃疡、生殖器溃疡、眼部病变和其他器官受累为特征。白细胞介素(IL)-27具有促炎和抗炎作用,可能是本病重要的有效细胞因子。采用聚合酶链反应-限制性片段长度多态性(PCR-RFLP)和酶联免疫吸附试验(ELISA)检测血清IL-27水平,探讨血清IL-27浓度和单核苷酸多态性(SNP) rs153109 (-964 a > G)与BD患者发病风险和临床特征的关系。结果表明,AG、GG和AG + GG基因型以及rs153109的G等位基因可显著增加总体和男性个体患BD的风险。AG和GG基因型及G等位基因的频率在男性和男性BD活动性患者中均明显较高。AG和GG基因型与关节(p = 0.046)和血管(p = 0.02)受损伤相关。G等位基因的频率在所有患者中都较高,在血管受累的女性患者中也是如此(p = 0.02)。血清细胞因子分析显示,与健康受试者相比,BD患者IL-27水平升高(p = 0.038)。此外,携带rs153109 GG基因型的患者(p = 0.04)以及肾脏(p = 0.009)和皮肤(p = 0.05)受损伤的患者中检测到较高水平的IL-27。总之,本研究强调IL-27 rs153109变异和血清水平升高参与双相障碍的易感性和发病机制。
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引用次数: 7
Innate lymphoid cell subsets and their cytokines in autoimmune diseases. 自身免疫性疾病中的先天淋巴样细胞亚群及其细胞因子。
IF 2.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2020-12-01 DOI: 10.1684/ecn.2020.0460
Asma Maleki, Jamal Motallebzadeh Khanmiri, Mohammad Khani Eshrat Abadi, Faezeh Soveyzi, Bobak Moazzami, Michael R Hamblin, Nima Rezaei

Both the innate and adaptive arms of the immune system are involved in the development of autoimmune diseases. The main mechanism of disease is due to adaptive immune cells that are active against self-antigens. These cells can cause major damage to body tissues. Innate lymphoid cells (ILCs) are an important type of innate immune cell, whose role has been highlighted in recent years. ILCs are responsible for some of the inflammation in the pathogenesis of autoimmune diseases. In this review, we discuss the role of ILCs in the immune response, as well as their involvement in various autoimmune diseases.

免疫系统的先天臂和适应性臂都参与自身免疫性疾病的发展。疾病的主要机制是由于适应性免疫细胞对自身抗原具有活性。这些细胞会对身体组织造成严重损害。先天淋巴样细胞(Innate lymphoid cells, ILCs)是一种重要的先天免疫细胞,近年来其作用越来越受到重视。在自身免疫性疾病的发病机制中,ilc与一些炎症有关。在这篇综述中,我们讨论了白细胞介素在免疫反应中的作用,以及它们在各种自身免疫性疾病中的作用。
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引用次数: 2
Extensive longitudinal immune profiling reveals sustained innate immune activation in COVID-19 patients with unfavorable outcome 广泛的纵向免疫分析显示,COVID-19患者持续的先天免疫激活具有不利的结果
IF 2.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2020-12-01 DOI: 10.1684/ecn.2020.0456
Benjamin Schrijver, Jorn L J C Assmann, Adriaan J van Gammeren, Roel C H Vermeulen, Lützen Portengen, Peter Heukels, Anton W Langerak, Willem A Dik, Vincent H J van der Velden, Ton A A M Ermens

COVID-19 differs substantially between individuals, ranging from mild to severe or even fatal. Heterogeneity in the immune response against SARS-COV-2 likely contributes to this. Therefore, we explored the temporal dynamics of key cellular and soluble mediators of innate and adaptive immune activation in relation to COVID-19 severity and progression. Forty-four patients with a PCR-proven diagnosis of COVID-19 were included. Extensive cellular (leukocytes and T-lymphocyte subsets) and serological immune profiling (cytokines, soluble cell surface molecules, and SARS-CoV-2 antibodies) was performed at hospital admission and every 3-4 days during hospitalization. Measurements and disease outcome were compared between patients with an unfavorable (IC admission and/or death) and favorable (all others) outcome. Patients with an unfavorable outcome had higher leukocyte numbers at baseline, mostly due to increased neutrophils, whereas lymphocyte and monocyte numbers were reduced. CRP, IL-6, CCL2, CXCL10, and GM-CSF levels were higher at baseline in the unfavorable group, whereas IL-7 levels were lower. SARS-CoV-2 antibodies were more frequently absent in the unfavorable group. Longitudinal analysis revealed delayed kinetics of activated CD4 and CD8 T-lymphocyte subsets in the unfavorable group. Furthermore, whereas CRP, IL-6, CXCL10, and GM-CSF declined in the favorable group, these cytokines declined with delayed kinetics, remained increased, or even increased further in the unfavorable group. Our data indicate a state of increased innate immune activation in COVID19-patients with an unfavorable outcome at hospital admission, which remained over time, as compared with patients with a favorable outcome.

COVID-19在个体之间存在很大差异,从轻微到严重甚至致命。针对SARS-COV-2的免疫反应的异质性可能是造成这种情况的原因。因此,我们探索了先天性和适应性免疫激活的关键细胞和可溶性介质与COVID-19严重程度和进展的时间动态关系。纳入了44名经pcr证实诊断为COVID-19的患者。在入院时和住院期间每3-4天进行一次广泛的细胞(白细胞和t淋巴细胞亚群)和血清学免疫谱分析(细胞因子、可溶性细胞表面分子和SARS-CoV-2抗体)。测量和疾病结果比较了不利(IC入院和/或死亡)和有利(所有其他)结果的患者。结果不佳的患者在基线时白细胞数量较高,主要是由于中性粒细胞增加,而淋巴细胞和单核细胞数量减少。不利组CRP、IL-6、CCL2、CXCL10和GM-CSF水平在基线时较高,而IL-7水平较低。阴性组更常无SARS-CoV-2抗体。纵向分析显示,在不利组活化CD4和CD8 t淋巴细胞亚群的延迟动力学。此外,尽管CRP、IL-6、CXCL10和GM-CSF在有利组中下降,但这些细胞因子在不利组中随延迟动力学下降,保持增加,甚至进一步增加。我们的数据表明,与结果良好的患者相比,入院时结果不利的covid - 19患者存在先天免疫激活增加的状态,这种状态随着时间的推移而保持不变。
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引用次数: 7
Variations in IL-22, IL-27 and IL-35 serum levels in untreated and treated hepatitis C patients. 未经治疗和接受治疗的丙型肝炎患者血清中 IL-22、IL-27 和 IL-35 水平的变化。
IF 2.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2020-12-01 DOI: 10.1684/ecn.2020.0455
Azam Taghinejad, Shaghik Barani, Naser Gholijani, Farzad Ghandehari, Soolmaz Khansalar, Morvarid Asadipour, Mohammadali Davarpanah, Mohammadreza Fattahi, Kurosh Kalantar

Background: Hepatitis C virus (HCV) is the leading cause of chronic liver diseases including hepatic fibrosis, cirrhosis, and hepatocellular carcinoma. We aimed to assess serum levels of interleukin (IL)-22, IL-27 and IL-35 in patients with hepatitis C and healthy controls to investigate their possible relationship with viral genotypes and liver enzyme levels.

Method: A total of 30 newly diagnosed hepatitis C patients with no history of antiviral therapy and 30 healthy individuals participated in this study. Serum levels of IL-22, IL-27 and IL-35 were determined by ELISA in peripheral blood samples from patients prior to and following treament with pan-genotypic direct-acting anti-viral therapy. Serum levels of alanine transaminase (ALT), aspartate transaminase (AST), and alkaline phosphatase (ALP) were measured to determine any possible association between hepatic enzymes and cytokine serum levels concentrations.

Result: The results show elevated serum levels of of IL-35 in HCV-infected patients compared to treated cases and healthy controls, whereas there was no significant difference in IL-22 and IL-27 serum levels among the three groups. Additionally, the cytokine levels were not significantly correlated with certain genotypes and levels of liver enzymes.

Conclusion: Our findings indicate a potential role for IL-35 in chronic HCV infection and therapeutic management of patients with hepatitis C infection.

背景:丙型肝炎病毒(HCV)是导致肝纤维化、肝硬化和肝细胞癌等慢性肝病的主要原因。我们的目的是评估丙型肝炎患者和健康对照者血清中白细胞介素(IL)-22、IL-27 和 IL-35 的水平,研究它们与病毒基因型和肝酶水平的可能关系:方法:共有 30 名新确诊且无抗病毒治疗史的丙型肝炎患者和 30 名健康人参与了这项研究。在使用泛基因型直接作用抗病毒疗法之前和之后,用酶联免疫吸附法测定患者外周血样本中 IL-22、IL-27 和 IL-35 的血清水平。此外,还测定了血清中丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)和碱性磷酸酶(ALP)的水平,以确定肝酶与细胞因子血清水平浓度之间是否存在关联:结果:结果显示,与治疗病例和健康对照组相比,HCV 感染者的 IL-35 血清水平升高,而 IL-22 和 IL-27 血清水平在三组之间无明显差异。此外,细胞因子水平与某些基因型和肝酶水平无明显相关性:我们的研究结果表明,IL-35 在慢性 HCV 感染和丙型肝炎感染患者的治疗管理中具有潜在作用。
{"title":"Variations in IL-22, IL-27 and IL-35 serum levels in untreated and treated hepatitis C patients.","authors":"Azam Taghinejad, Shaghik Barani, Naser Gholijani, Farzad Ghandehari, Soolmaz Khansalar, Morvarid Asadipour, Mohammadali Davarpanah, Mohammadreza Fattahi, Kurosh Kalantar","doi":"10.1684/ecn.2020.0455","DOIUrl":"10.1684/ecn.2020.0455","url":null,"abstract":"<p><strong>Background: </strong>Hepatitis C virus (HCV) is the leading cause of chronic liver diseases including hepatic fibrosis, cirrhosis, and hepatocellular carcinoma. We aimed to assess serum levels of interleukin (IL)-22, IL-27 and IL-35 in patients with hepatitis C and healthy controls to investigate their possible relationship with viral genotypes and liver enzyme levels.</p><p><strong>Method: </strong>A total of 30 newly diagnosed hepatitis C patients with no history of antiviral therapy and 30 healthy individuals participated in this study. Serum levels of IL-22, IL-27 and IL-35 were determined by ELISA in peripheral blood samples from patients prior to and following treament with pan-genotypic direct-acting anti-viral therapy. Serum levels of alanine transaminase (ALT), aspartate transaminase (AST), and alkaline phosphatase (ALP) were measured to determine any possible association between hepatic enzymes and cytokine serum levels concentrations.</p><p><strong>Result: </strong>The results show elevated serum levels of of IL-35 in HCV-infected patients compared to treated cases and healthy controls, whereas there was no significant difference in IL-22 and IL-27 serum levels among the three groups. Additionally, the cytokine levels were not significantly correlated with certain genotypes and levels of liver enzymes.</p><p><strong>Conclusion: </strong>Our findings indicate a potential role for IL-35 in chronic HCV infection and therapeutic management of patients with hepatitis C infection.</p>","PeriodicalId":11749,"journal":{"name":"European cytokine network","volume":"31 4","pages":"134-139"},"PeriodicalIF":2.8,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25418357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
BTK targeting suppresses inflammatory genes and ameliorates insulin resistance. BTK靶向抑制炎症基因并改善胰岛素抵抗。
IF 2.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2020-12-01 DOI: 10.1684/ecn.2020.0454
Mohammad Althubiti, Riyad Almaimani, Safaa Yehia Eid, Mohammad Elzubaier, Bassem Refaat, Shakir Idris, Turki Atia Alqurashi, Mahmoud Zaki El-Readi

Type 2 diabetes (T2D) causes profound psychological and physical distress to patients and burdens the health-care system. Although several antidiabetic drugs have been approved, none of them are adequately effective in the long-term management of T2D. Therefore, novel treatment options are needed for disease prevention or delaying disease progression. Bruton's tyrosine kinase (BTK) is a cytoplasmic enzyme that plays a role in B-cell differentiation and proliferation, and therapeutic targeting of BTK offers protection against chronic diseases. In this study, we analyzed BTK expression and its correlation with inflammatory mediators in patients with diabetes and obesity. The levels of BTK were significantly high in visceral adipose tissues of patients (p < 0.01) with diabetes and obesity compared with healthy controls. Additionally, a positive correlation was noted between the expression of BTK and the inflammatory cytokine genes TNF-α, INF-γ, IL-6, and IL-1 (p < 0.01) in adipose tissue. In insulin-resistant HepG2 cells (IR-HepG2), ibrutinib inhibited BTK expression in parallel with inflammatory genes, and increased insulin signaling and activity compared with untreated IR-HepG2 cells. Additionally, ibrutinib-treated IR-HepG2 cells showed increased glucose uptake compared with untreated IR-HepG2 cells. These results provide evidence that BTK inhibition may serve as a novel therapeutic strategy for the treatment of T2D. These findings also uncover the novel role of BTK in diabetes and insulin resistance; however, further in vivo studies are required prior to translating the findings into clinical settings.

2型糖尿病(T2D)给患者造成深刻的心理和生理困扰,并给卫生保健系统带来负担。虽然有几种抗糖尿病药物已被批准,但没有一种药物在长期治疗T2D方面足够有效。因此,需要新的治疗方案来预防疾病或延缓疾病进展。布鲁顿酪氨酸激酶(Bruton's tyrosine kinase, BTK)是一种细胞质酶,在b细胞的分化和增殖中起作用,BTK的治疗靶向可以预防慢性疾病。在本研究中,我们分析了BTK在糖尿病和肥胖患者中的表达及其与炎症介质的相关性。患者内脏脂肪组织中BTK水平显著升高(p
{"title":"BTK targeting suppresses inflammatory genes and ameliorates insulin resistance.","authors":"Mohammad Althubiti,&nbsp;Riyad Almaimani,&nbsp;Safaa Yehia Eid,&nbsp;Mohammad Elzubaier,&nbsp;Bassem Refaat,&nbsp;Shakir Idris,&nbsp;Turki Atia Alqurashi,&nbsp;Mahmoud Zaki El-Readi","doi":"10.1684/ecn.2020.0454","DOIUrl":"https://doi.org/10.1684/ecn.2020.0454","url":null,"abstract":"<p><p>Type 2 diabetes (T2D) causes profound psychological and physical distress to patients and burdens the health-care system. Although several antidiabetic drugs have been approved, none of them are adequately effective in the long-term management of T2D. Therefore, novel treatment options are needed for disease prevention or delaying disease progression. Bruton's tyrosine kinase (BTK) is a cytoplasmic enzyme that plays a role in B-cell differentiation and proliferation, and therapeutic targeting of BTK offers protection against chronic diseases. In this study, we analyzed BTK expression and its correlation with inflammatory mediators in patients with diabetes and obesity. The levels of BTK were significantly high in visceral adipose tissues of patients (p < 0.01) with diabetes and obesity compared with healthy controls. Additionally, a positive correlation was noted between the expression of BTK and the inflammatory cytokine genes TNF-α, INF-γ, IL-6, and IL-1 (p < 0.01) in adipose tissue. In insulin-resistant HepG2 cells (IR-HepG2), ibrutinib inhibited BTK expression in parallel with inflammatory genes, and increased insulin signaling and activity compared with untreated IR-HepG2 cells. Additionally, ibrutinib-treated IR-HepG2 cells showed increased glucose uptake compared with untreated IR-HepG2 cells. These results provide evidence that BTK inhibition may serve as a novel therapeutic strategy for the treatment of T2D. These findings also uncover the novel role of BTK in diabetes and insulin resistance; however, further in vivo studies are required prior to translating the findings into clinical settings.</p>","PeriodicalId":11749,"journal":{"name":"European cytokine network","volume":"31 4","pages":"168-179"},"PeriodicalIF":2.8,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25418361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Evaluation of treatment response in active tuberculosis using QuantiFERON-TB Gold Plus. 应用QuantiFERON-TB Gold Plus评价活动性肺结核的治疗效果。
IF 2.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2020-12-01 DOI: 10.1684/ecn.2020.0457
Setareh Mamishi, Majid Marjani, Babak Pourakbari, Reihaneh Hosseinpour Sadeghi, Shima Mahmoudi

Tuberculosis (TB) is one of the leading infectious causes of death worldwide and despite the progress recently made in TB control at a global level, the decline in its incidence is still slow. It is therefore crucial to evaluate the performance of new tools for monitoring of TB treatment. The aim of this study was to evaluate the response to tuberculosis treatment using the QuantiFERON-TB Gold Plus (QFT-Plus) kit. Blood samples of 100 patients with active TB were taken before treatment and after three months, if treatment was successful and sputum culture was negative. Whole blood was incubated in the presence or absence of the TB antigens, TB1 and TB2-specific antigens, and the production of IFN-γ was determined using the QuantiFERON-TB Gold Plus (QFT-Plus) test. The data were analyzed using SPSS 16 software and statistical significance was assessed at a two-tailed P value of 0.05. The median values of IFN-γ released following stimulation with TB1 peptides decreased slightly after treatment (2.5 IU/mL (IQR: 0.9-5.3), compared to the baseline (3.4 IU/mL (IQR: 0.5-6.6)). Also, with respect to the TB1 antigen, 38 out of 45 patients were positive for the QFT test before treatment (84.4%) and 37 cases after treatment (82.2%). On the other hand, the median values of IFN-γ determined with the TB2 test declined marginally after treatment (2.7 IU/mL; IQR: 0.95-5.8), as compared to pretreatment (3.0 IU/mL; IQR: 0.7-8.9). Thirty-nine out of 45 patients (86.7%) before initiation of treatment and 37 cases following a 3-month treatment (82.2%) were had positive values. Moreover, the median values of IFN-γ of TB2 minus TB1 before and after treatment were 0.17 (IQR: 0-1.0) and 0.03 (IQR: 0.0.48), respectively; however, these differences were not significant (p value=0.29). Conclusion: The results of this study show no significant differences between the IFN-γ release in TB patients prior to and after treatment. However, more extensive studies are needed in different populations with higher sample sizes to validate these results.

结核病是世界范围内导致死亡的主要传染病之一,尽管最近在全球控制结核病方面取得了进展,但其发病率的下降仍然缓慢。因此,评估结核病治疗监测新工具的性能至关重要。本研究的目的是评估使用QuantiFERON-TB Gold Plus (QFT-Plus)试剂盒对结核病治疗的反应。对100名活动性结核病患者在治疗前和治疗成功且痰培养呈阴性的情况下三个月后采集血样。在存在或不存在TB抗原、TB1和tb2特异性抗原的情况下培养全血,使用QuantiFERON-TB Gold Plus (QFT-Plus)试验测定IFN-γ的产生。采用SPSS 16软件对数据进行分析,双侧P值为0.05。治疗后,TB1肽刺激后释放的IFN-γ的中位数(2.5 IU/mL (IQR: 0.9-5.3))与基线(3.4 IU/mL (IQR: 0.5-6.6))相比略有下降。在TB1抗原方面,45例患者治疗前QFT检测阳性38例(84.4%),治疗后37例(82.2%)。另一方面,治疗后用TB2试验测定的IFN-γ中位数略有下降(2.7 IU/mL;IQR: 0.95-5.8),与预处理(3.0 IU/mL;差:0.7 - -8.9)。45例患者治疗前阳性39例(86.7%),治疗3个月后阳性37例(82.2%)。TB2 - TB1治疗前后IFN-γ的中位数分别为0.17 (IQR: 0-1.0)和0.03 (IQR: 0.0.48);然而,这些差异不显著(p值=0.29)。结论:本研究结果显示结核患者治疗前后IFN-γ释放无显著差异。然而,需要在不同的人群中进行更广泛的研究,样本量更大,以验证这些结果。
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引用次数: 1
Cytokine release syndrome: inhibition of pro-inflammatory cytokines as a solution for reducing COVID-19 mortality. 细胞因子释放综合征:抑制促炎细胞因子作为降低COVID-19死亡率的解决方案
IF 2.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2020-09-01 DOI: 10.1684/ecn.2020.0451
Negar Moradian, Mahdi Gouravani, Mohammad Amin Salehi, Arash Heidari, Melika Shafeghat, Michael R Hamblin, Nima Rezaei

Coronavirus disease (COVID-19) reached pandemic proportions at the beginning of 2020 and continues to be a worldwide concern. End organ damage and acute respiratory distress syndrome are the leading causes of death in severely or critically ill patients. The elevated cytokine levels in severe patients in comparison with mildly affected patients suggest that cytokine release syndrome (CRS) occurs in the severe form of the disease. In this paper, the significant role of pro-inflammatory cytokines, including IL-1, IL-6, and TNF-alpha, and their mechanism of action in the CRS cascade is explained. Potential therapeutic approaches involving anti-IL-6 and anti-TNF-alpha antibodies to fight COVID-19 and reduce mortality rate in severe cases are also discussed.

冠状病毒病(COVID-19)在2020年初达到大流行的程度,并继续成为全球关注的问题。终末器官损伤和急性呼吸窘迫综合征是重症或危重症患者死亡的主要原因。与轻度患者相比,重度患者的细胞因子水平升高表明,细胞因子释放综合征(CRS)发生在严重形式的疾病中。本文阐述了促炎细胞因子IL-1、IL-6、tnf - α在CRS级联中的重要作用及其作用机制。还讨论了涉及抗il -6和抗tnf - α抗体的潜在治疗方法,以对抗COVID-19并降低重症病例的死亡率。
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引用次数: 37
Natural cannabinoids suppress the cytokine storm in sepsis-like in vitro model. 天然大麻素抑制脓毒症样体外模型的细胞因子风暴。
IF 2.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2020-06-01 DOI: 10.1684/ecn.2020.0445
Yishay Szekely, Merav Ingbir, Ohad S Bentur, Ohad Hochner, Reuven Porat

Natural cannabinoids may have beneficial effects on various tissues and functions including a positive influence on the immune system and the inflammatory process. The purpose of this study was to investigate the effects of natural cannabinoids on the production of pro-inflammatory cytokines by lipopolysaccharide (LPS)-stimulated whole human blood cells. Levels of the pro-inflammatory cytokines interleukin-1β (IL-1β), interleukin-6 (IL-6), and tumor necrosis factor-α (TNF-α) were measured before and after exposure of LPS-stimulated whole blood to different concentrations of Cannabidiol (CBD) or a combination of CBD and Tetrahydrocannabinol (THC) extract. LPS stimulated the production of the pro-inflammatory cytokines. Exposure to both CBD and CBD/THC extracts significantly suppressed cytokine production in a dose-dependent manner. Exposure to cannabinoid concentrations of 50 μg/ml or 100 μg/ml resulted in a near-complete inhibition of cytokine production. This study demonstrates that natural cannabinoids significantly suppress pro-inflammatory cytokine production in LPS-stimulated whole blood in a dose-dependent manner. The use of human whole blood, rather than isolated specific cells or tissues, may closely mimic an in vivo sepsis environment. These findings highlight the role that natural cannabinoids may play in suppressing inflammation and call for additional studies of their use as possible novel therapeutic agents for acute and chronic inflammation.

天然大麻素可能对各种组织和功能有有益的影响,包括对免疫系统和炎症过程的积极影响。本研究的目的是研究天然大麻素对脂多糖(LPS)刺激的全人血细胞产生促炎细胞因子的影响。在lps刺激的全血暴露于不同浓度的大麻二酚(CBD)或CBD与四氢大麻酚(THC)提取物的组合前后,测量促炎细胞因子白介素-1β (IL-1β)、白介素-6 (IL-6)和肿瘤坏死因子-α (TNF-α)的水平。LPS刺激促炎细胞因子的产生。暴露于CBD和CBD/THC提取物以剂量依赖的方式显著抑制细胞因子的产生。暴露于大麻素浓度为50 μg/ml或100 μg/ml导致细胞因子产生几乎完全抑制。本研究表明,天然大麻素以剂量依赖的方式显著抑制lps刺激全血中促炎细胞因子的产生。使用人全血,而不是分离的特定细胞或组织,可以很好地模拟体内脓毒症环境。这些发现强调了天然大麻素可能在抑制炎症方面发挥的作用,并呼吁进一步研究其作为急性和慢性炎症的新型治疗剂的用途。
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引用次数: 7
Quantification of angiogenic factors and their clinicopathological associations in breast cancer. 乳腺癌血管生成因子的定量及其临床病理关联。
IF 2.8 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2020-06-01 DOI: 10.1684/ecn.2020.0447
Parisa Karimzadeh, Zahra Faghih, Negin Rahmani, Fatemeh Eghbali, Mahboobeh Razmkhah

Introduction and aim: Breast cancer (BC) is one of the top three common cancers in women, responsible for nearly one-third of all new cancer diagnoses. Angiogenesis plays a crucial role in BC progression. In this study, we aimed to measure the serum concentrations of eight angiogenic factors in BC patients and healthy controls and to assess their correlation with clinicopathological variables.

Methods: In a case-control study, 62 pathologically confirmed BC patients as well as 54 age-matched controls were recruited. A bead-based immunoassay was used to measure serum levels of VEGF-A, ANG-2, PDGF-AA, PDGF-BB, EGF, TGF-α, HGF, and bFGF.

Results: We observed a significant elevation in serum levels of VEGF-A, EGF, and PDGF-AA in BC patients compared with the controls (P < 0.05). Patients with grade III had higher ANG-2 levels compared with those with grades I (P = 0.007) and II of the disease (P = 0.003). In addition, estrogen-positive and progesterone-positive BC patients had higher levels of TGF-α (P < 0.05).

Conclusion: The significant elevation of VEGF-A, EGF, and PDGF-AA serum levels in BC patients suggests these cytokines might have diagnostic value as potential biomarkers in BC. Further large-scale studies are needed to generalize these results to all BC patients.

简介和目的:乳腺癌(BC)是女性最常见的三大癌症之一,占所有新癌症诊断的近三分之一。血管生成在BC的进展中起关键作用。在这项研究中,我们旨在测量BC患者和健康对照者血清中8种血管生成因子的浓度,并评估它们与临床病理变量的相关性。方法:在一项病例对照研究中,招募了62例病理确诊的BC患者和54例年龄匹配的对照组。采用珠状免疫分析法测定血清VEGF-A、ANG-2、PDGF-AA、PDGF-BB、EGF、TGF-α、HGF和bFGF的水平。结果:与对照组相比,我们观察到BC患者血清VEGF-A、EGF和PDGF-AA水平显著升高(P结论:BC患者血清VEGF-A、EGF和PDGF-AA水平显著升高表明这些细胞因子可能作为BC的潜在生物标志物具有诊断价值。需要进一步的大规模研究将这些结果推广到所有BC患者。
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引用次数: 4
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European cytokine network
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