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The involvement of oxidative stress and the TLR4/NF-κB/NLRP3 pathway in acute lung injury induced by high-altitude hypoxia 氧化应激和 TLR4/NF-κB/NLRP3 通路参与高海拔缺氧诱发的急性肺损伤
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2024-05-01 DOI: 10.1016/j.imbio.2024.152809
Wangjie Cao , Yuanding Zeng , Yun Su , Hongxia Gong , Jianzheng He , Yongqi Liu , Congyi Li

Objective

This study investigated the effect of oxidative stress and the TLR4/NF-κB/NLRP3 pathway on the pathogenesis of acute lung injury (ALI) induced by high-altitude hypoxia.

Methods

Rats were placed in an animal hyperbaric oxygen chamber to establish a rat model of ALI induced by high-altitude hypoxia after treatment with N-acetylcysteine (NAC; a reactive oxygen species [ROS] inhibitor) or/and MCC950 (an NLPR3 inflammasome inhibitor). After modeling, the wet-to-dry weight ratio (W/D) of rat lung tissues was calculated. In lung tissues, ROS levels were detected with immunofluorescence, the enzyme activity was tested with the kit, and the expression of TLR4/NF-κB/NLRP3 pathway-related genes and proteins was measured with western blotting and qRT-PCR. The levels of inflammatory factors in the serum were quantified with ELISA.

Results

After modeling, rats showed significantly increased W/D, ROS levels, and Malondialdehyde (MDA) concentrations and markedly diminished Superoxide dismutase (SOD) and Glutathione (GSH) concentrations in lung tissues (all P < 0.01), accompanied by substantially enhanced serum levels of TNF-α, IL-6, and IL-1β, significantly reduced serum levels of IL-10, and remarkably augmented TLR4, NLRP3, p-NF-κB p65, NF-κB p65 mRNA, and Caspase-1 expression in lung tissues (all P < 0.01). Furthermore, treatment with NAC or MCC950 alone or in combination prominently lowered the W/D of lung tissues (P < 0.01), serum levels of TNF-α (P < 0.05), IL-6 (P < 0.05), and IL-1β (P < 0.01), and NF-κB p65 expression and phosphorylation (P < 0.05, P < 0.01) while significantly increasing SOD and GSH concentrations (P < 0.05, P < 0.01) and serum levels of IL-10 (P < 0.01) in modeled rats. Meanwhile, treatment of NAC alone or combined with MCC950 significantly reduced MDA concentration and ROS levels (P < 0.05, P < 0.01) in modeled rats, and treatment of MCC950 alone or combined with NAC considerably declined TLR4, NLRP3, and Caspase-1 expression in modeled rats (P < 0.05, P < 0.01).

Conclusion

Inhibition of oxidative stress and the TLR4/NF-κB/NLRP3 pathway can ameliorate ALI in rats exposed to high-altitude hypoxia.

方法将大鼠置于动物高压氧舱中,用N-乙酰半胱氨酸(NAC,一种活性氧[ROS]抑制剂)或/和MCC950(一种NLPR3炎性体抑制剂)处理后,建立大鼠高海拔缺氧诱发的急性肺损伤(ALI)模型。建模后,计算大鼠肺组织的干湿重量比(W/D)。用免疫荧光法检测肺组织中的 ROS 水平,用试剂盒检测酶的活性,用 Western 印迹法和 qRT-PCR 法检测 TLR4/NF-κB/NLRP3 通路相关基因和蛋白的表达。结果建模后,大鼠肺组织中的 W/D、ROS 水平和丙二醛(MDA)浓度明显升高,超氧化物歧化酶(SOD)和谷胱甘肽(GSH)浓度明显降低(均为 P < 0.01),伴随着血清中 TNF-α、IL-6 和 IL-1β 水平的大幅提高,血清中 IL-10 水平的显著降低,以及肺组织中 TLR4、NLRP3、p-NF-κB p65、NF-κB p65 mRNA 和 Caspase-1 表达的明显增加(均为 P < 0.01)。此外,单独或联合使用 NAC 或 MCC950 能显著降低肺组织的 W/D (P < 0.01)、血清中 TNF-α (P < 0.05)、IL-6 (P < 0.05) 和 IL-1β (P < 0. 01)、NF-κB p65 mRNA 和 Caspase-1 的表达。01)、NF-κB p65 表达和磷酸化(P <;0.05,P <;0.01),同时显著增加模型大鼠的 SOD 和 GSH 浓度(P <;0.05,P <;0.01)以及 IL-10 的血清水平(P <;0.01)。同时,NAC单独或与MCC950联合治疗可显著降低模型大鼠体内MDA浓度和ROS水平(P < 0.05, P < 0.01),MCC950单独或与NAC联合治疗可显著降低模型大鼠体内TLR4、NLRP3和Caspase-1的表达(P < 0.结论抑制氧化应激和 TLR4/NF-κB/NLRP3 通路可改善暴露于高海拔缺氧的大鼠的 ALI。
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引用次数: 0
Retraction notice to “In vitro anticholinergic drugs affect CD8+ peripheral blood T-cells apoptosis in COPD” [Immunobiology 217/3 (2012) 345–353] 体外抗胆碱能药物影响慢性阻塞性肺病患者CD8+外周血T细胞凋亡》的撤稿通知[免疫生物学 217/3 (2012) 345-353]
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2024-05-01 DOI: 10.1016/j.imbio.2024.152800
Mirella Profita , Loredana Riccobono , Angela Marina Montalbano , Anna Bonanno , Maria Ferraro , Giusy Daniela Albano , Stefania Gerbino , Paola Casarosa , Michael Paul Pieper , Mark Gjomarkaj
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引用次数: 0
The safety and efficacy of tumor necrosis factor-alpha inhibitor on pregnancy outcomes in patients with unexplained recurrent miscarriage 肿瘤坏死因子-α抑制剂对不明原因复发性流产患者妊娠结局的安全性和有效性
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2024-05-01 DOI: 10.1016/j.imbio.2024.152808
Fangxiang Mu, Chen Wang, Lin Liu, Xianghui Zeng, Fang Wang

Objectives

Although tumor necrosis factor-alpha inhibitor (TNFi) treatment may improve pregnancy outcomes in unexplained recurrent miscarriage (URM) patients, evidence for its efficacy and safety is still insufficient. The goal of this study was to evaluate the efficacy and safety of TNFi on pregnancy outcomes in patients with URM.

Methods

This retrospective study was conducted at a single institution in China, involving 121 patients treated with TNFi for URM from 2019 to 2022. Patients enrolled were divided into treatment group (receiving TNFi and heparin therapy) and control group (receiving heparin therapy). The outcome variables were the 24-week live birth rate, miscarriage rate, ectopic pregnancy rate, neonatal outcomes, and adverse events.

Results

In our study, patients receiving TNFi treatment exhibited a significant increase in live birth rates, achieving 71.2 % compared to the 50.9 % observed in the control group (OR 2.507, 95 % CI: 1.127–5.579). Concurrently, there was a discernible reduction in the miscarriage rate within the TNFi-treated group, marking 24.2 %, in contrast to 43.6 % in the control group (OR 0.387, 95 % CI: 0.170–0.884). Subgroup analyses further illuminated that those under the age of 35 benefitted remarkably from TNFi treatment, with live birth rates soaring to 62.5 % (OR 2.525, 95 % CI: 1.041–6.125). For patients with a history of two miscarriages, the TNFi regimen significantly augmented the live birth rate to 58.9 % (OR 3.044, 95 % CI: 1.039–8.921). Patients with a normal weight range registered a 58.4 % live birth rate post-TNFi treatment (OR 4.261, 95 % CI: 1.539–11.397). Notably, an evident interaction between BMI and TNFi treatment was identified, suggesting a potential modulatory role of BMI on the therapeutic efficacy of TNFi. About safety assessments, neither the TNFi-treated group nor the control manifested any significant disparities in liver function abnormalities, platelet count anomalies, or other pregnancy-related complications.

Conclusions

TNFi, alongside basic therapy, notably enhances the live birth rate in URM patients under 35, with two prior miscarriages or a normal BMI, without increasing adverse event risk. Further prospective studies are essential to validate these observations.

目的尽管肿瘤坏死因子-α抑制剂(TNFi)治疗可改善不明原因复发性流产(URM)患者的妊娠结局,但其疗效和安全性的证据仍然不足。本研究旨在评估TNFi对URM患者妊娠结局的疗效和安全性。方法本回顾性研究在中国的一家医疗机构进行,涉及2019年至2022年期间接受TNFi治疗的121例URM患者。入组患者分为治疗组(接受TNFi和肝素治疗)和对照组(接受肝素治疗)。结果在我们的研究中,接受TNFi治疗的患者活产率显著增加,达到71.2%,而对照组为50.9%(OR 2.507,95% CI:1.127-5.579)。同时,TNFi治疗组的流产率明显降低,为24.2%,而对照组为43.6%(OR 0.387,95% CI:0.170-0.884)。分组分析进一步表明,35岁以下的患者从TNFi治疗中获益匪浅,活产率飙升至62.5%(OR 2.525,95% CI:1.041-6.125)。对于有过两次流产史的患者,TNFi疗法可将活产率显著提高至58.9%(OR 3.044,95% CI:1.039-8.921)。体重正常的患者在接受TNFi治疗后的活产率为58.4%(OR 4.261,95% CI:1.539-11.397)。值得注意的是,BMI与TNFi治疗之间存在明显的交互作用,这表明BMI对TNFi的疗效具有潜在的调节作用。在安全性评估方面,TNFi治疗组和对照组在肝功能异常、血小板计数异常或其他与妊娠相关的并发症方面均无明显差异。结论TNFi与基础治疗相结合,可显著提高35岁以下、曾流产两次或体重指数正常的尿毒症患者的活产率,且不会增加不良事件风险。进一步的前瞻性研究对于验证这些观察结果至关重要。
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引用次数: 0
The heterogeneity of tumour-associated macrophages contributes to the clinical outcomes and indications for immune checkpoint blockade in colorectal cancer patients 肿瘤相关巨噬细胞的异质性有助于结直肠癌患者的临床疗效和免疫检查点阻断剂的适应症
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2024-04-18 DOI: 10.1016/j.imbio.2024.152805
Junhui Tang , Liang Ming , Feiyu Qin , Yan Qin , Duo Wang , Liuying Huang , Yulin Cao , Zhaohui Huang , Yuan Yin

Tumor-associated macrophages (TAMs), one of the major immune cell types in colorectal cancer (CRC) tumor microenvironment (TME), play indispensable roles in immune responses against tumor progression. In this study, we aimed to know whether the extensive inter and intra heterogeneity of TAMs contributes to the clinical outcomes and indications for immune checkpoint blockade (ICB) in CRC. We used single-cell RNA sequencing (scRNA-Seq) data from 60 CRC patients and charactrized TAMs based on anatomic locations, tumor regions, stages, grades, metastatic status, MSS/MSI classification and pseudotemporal differentiation status. We then defined a catalog of 21 gene modules that determine macrophage status, and identified 7 of them as relevant to clinical outcomes and 11 as indications for ICB therapy. On this basis, we constructed a unique TAM subgroup profile, aiming to find features that may be highly responsive to immunotherapy for the CRC with poor prognosis under conventional treatment. This TAM subpopulation is enriched in tumors and is associated with poor prognosis, but exhibits a high immunotherapy response signature (HIM TAM). Further spatial transcriptome analysis and ligand-receptor interaction analysis confirmed that HIM TAM is involved in shaping TIME, especially the regulation of T cells. Our study provides insights into different TAM subtypes, highlights the importance of TAM heterogeneity in relation to patient prognosis and immunotherapy response, and reveals potential immunotherapy strategies based on TAM characteristics for CRC that does not respond well to conventional therapy.

肿瘤相关巨噬细胞(TAMs)是结直肠癌(CRC)肿瘤微环境(TME)中的主要免疫细胞类型之一,在抗肿瘤进展的免疫应答中发挥着不可或缺的作用。在这项研究中,我们的目的是了解 TAMs 之间和内部的广泛异质性是否会影响 CRC 的临床结果和免疫检查点阻断(ICB)的适应症。我们使用了来自 60 例 CRC 患者的单细胞 RNA 测序(scRNA-Seq)数据,并根据解剖位置、肿瘤区域、分期、分级、转移状态、MSS/MSI 分类和假时性分化状态对 TAMs 进行了特征描述。然后,我们定义了决定巨噬细胞状态的 21 个基因模块目录,并确定其中 7 个与临床结果相关,11 个为 ICB 治疗的适应症。在此基础上,我们构建了一个独特的 TAM 亚群档案,旨在为常规治疗下预后不良的 CRC 找出对免疫疗法高度敏感的特征。该TAM亚群在肿瘤中富集,与预后不良有关,但表现出高免疫治疗反应特征(HIM TAM)。进一步的空间转录组分析和配体-受体相互作用分析证实,HIM TAM参与了TIME的形成,尤其是对T细胞的调控。我们的研究深入揭示了不同的TAM亚型,强调了TAM异质性对患者预后和免疫治疗反应的重要性,并揭示了基于TAM特征的潜在免疫治疗策略,以治疗对传统疗法反应不佳的CRC。
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引用次数: 0
Increased co-expression of ICOS and PD-1 predicts poor overall survival in patients with acute myeloid leukemia ICOS和PD-1的共表达增加预示着急性髓性白血病患者的总生存率较低
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2024-04-11 DOI: 10.1016/j.imbio.2024.152804
Shiyi Pan , Qinghua Cai , Yiqiong Wei , Tang Haifeng , Yuping Zhang , Wei Zhou , Tingfen Deng , Wenjian Mo , Shunqing Wang , Caixia Wang , Cunte Chen

Background

Inducible co-stimulatory factor (ICOS) has a dual role: activating cytotoxic T cells against tumors or exacerbating immunosuppression of regulatory T cells (Tregs) to participate in immune evasion. However, the correlation between ICOS and its co-expression with inhibitory immune checkpoints (IICs) and prognosis in acute myeloid leukemia (AML) is little known.

Methods

The prognostic importance of ICOS and IICs in 62 bone marrow (BM) samples of de novo AML patients from our clinical center (GZFPH) was explored and then the RNA sequencing data of 155 AML patients from the Cancer Genome Atlas (TCGA) database was used for validation.

Results

In both GZFPH and TCGA cohorts, high expression of ICOS was significantly associated with poor overall survival (OS) in patients with AML (P < 0.05). Importantly, co-expression of ICOS and PD-1, PD-L1, PD-L2, CTLA-4, and LAG-3 predicted poor OS in AML; among them, ICOS/PD-1 was the optimal combination of immune checkpoints (ICs). The co-expression of ICOS and PD-1 was correlated with poor OS in non-acute promyelocytic leukemia (non-APL) patients following chemotherapy. Additionally, ICOS/PD-1 was an independent OS-predicting factor (P < 0.05). Notably, a nomogram model was constructed by combining ICOS/PD-1, age, European Leukemia Net (ELN) risk stratification, and therapy to visually and personalized predict the 1-, 3-, and 5-year OS of patients with non-APL.

Conclusion

Increased expression of ICOS predicted poor outcomes, and ICOS/PD-1 was the optimal combination of ICs to predict outcomes in patients with AML, which might be a potential immune biomarker for designing novel AML therapy.

背景诱导性共刺激因子(ICOS)具有双重作用:激活细胞毒性T细胞对抗肿瘤或加剧调节性T细胞(Tregs)的免疫抑制以参与免疫逃避。然而,ICOS及其与抑制性免疫检查点(IICs)的共同表达与急性髓性白血病(AML)预后之间的相关性却鲜为人知。结果在GZFPH和TCGA队列中,ICOS的高表达与急性髓性白血病患者的总生存期(OS)差显著相关(P< 0.05)。重要的是,ICOS与PD-1、PD-L1、PD-L2、CTLA-4和LAG-3的共同表达预示着急性髓细胞性白血病患者的不良生存率;其中,ICOS/PD-1是免疫检查点(ICs)的最佳组合。ICOS和PD-1的共同表达与非急性早幼粒细胞白血病(非APL)患者化疗后的不良OS相关。此外,ICOS/PD-1还是一个独立的OS预测因子(P < 0.05)。值得注意的是,通过将 ICOS/PD-1、年龄、欧洲白血病网(ELN)风险分层和治疗相结合,构建了一个提名图模型,可直观、个性化地预测非 APL 患者 1 年、3 年和 5 年的 OS。
{"title":"Increased co-expression of ICOS and PD-1 predicts poor overall survival in patients with acute myeloid leukemia","authors":"Shiyi Pan ,&nbsp;Qinghua Cai ,&nbsp;Yiqiong Wei ,&nbsp;Tang Haifeng ,&nbsp;Yuping Zhang ,&nbsp;Wei Zhou ,&nbsp;Tingfen Deng ,&nbsp;Wenjian Mo ,&nbsp;Shunqing Wang ,&nbsp;Caixia Wang ,&nbsp;Cunte Chen","doi":"10.1016/j.imbio.2024.152804","DOIUrl":"https://doi.org/10.1016/j.imbio.2024.152804","url":null,"abstract":"<div><h3>Background</h3><p>Inducible co-stimulatory factor (ICOS) has a dual role: activating cytotoxic T cells against tumors or exacerbating immunosuppression of regulatory T cells (Tregs) to participate in immune evasion. However, the correlation between ICOS and its co-expression with inhibitory immune checkpoints (IICs) and prognosis in acute myeloid leukemia (AML) is little known.</p></div><div><h3>Methods</h3><p>The prognostic importance of ICOS and IICs in 62 bone marrow (BM) samples of de novo AML patients from our clinical center (GZFPH) was explored and then the RNA sequencing data of 155 AML patients from the Cancer Genome Atlas (TCGA) database was used for validation.</p></div><div><h3>Results</h3><p>In both GZFPH and TCGA cohorts, high expression of ICOS was significantly associated with poor overall survival (OS) in patients with AML (<em>P</em> &lt; 0.05). Importantly, co-expression of ICOS and PD-1, PD-L1, PD-L2, CTLA-4, and LAG-3 predicted poor OS in AML; among them, ICOS/PD-1 was the optimal combination of immune checkpoints (ICs). The co-expression of ICOS and PD-1 was correlated with poor OS in non-acute promyelocytic leukemia (non-APL) patients following chemotherapy. Additionally, ICOS/PD-1 was an independent OS-predicting factor (<em>P</em> &lt; 0.05). Notably, a nomogram model was constructed by combining ICOS/PD-1, age, European Leukemia Net (ELN) risk stratification, and therapy to visually and personalized predict the 1-, 3-, and 5-year OS of patients with non-APL.</p></div><div><h3>Conclusion</h3><p>Increased expression of ICOS predicted poor outcomes, and ICOS/PD-1 was the optimal combination of ICs to predict outcomes in patients with AML, which might be a potential immune biomarker for designing novel AML therapy.</p></div>","PeriodicalId":13270,"journal":{"name":"Immunobiology","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0171298524000226/pdfft?md5=a41818c33f867a0053765c2149deef06&pid=1-s2.0-S0171298524000226-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140551740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Alterations in the immune landscape characterized by inflammatory activation and immune escape within 12 h after trauma 创伤后 12 小时内以炎症激活和免疫逃逸为特征的免疫格局变化
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2024-04-07 DOI: 10.1016/j.imbio.2024.152801
Chenghu Song , Weici Liu , Yu Luo , Jiwei Liu , Guanyu Jiang , Ruixin Wang , Zhao He , Xiaokun Wang , Wenjun Mao

Background

Trauma is statistically a significant cause of mortality among patients across countries. Nevertheless, the precise correlation between genetic diagnostic markers and the intricate mechanism of trauma remains indistinct.

Methods

Our study exclusively centered on trauma patients and selected three trauma-related datasets from the Gene Expression Omnibus (GEO) database, all of which had blood samples collected within post-traumatic 12 h. Differential gene screening, the WGCNA and Cytoscape software were employed to analyze the two datasets, with a particular emphasis on the top 100 genes selected based on MCC algorithm scores. A logistic diagnostic model was constructed by analyzing the intersection genes in the third dataset, leading to the identification of diagnostic biomarkers with high efficiency. The global immune landscape of these patients was extensively investigated using a multidimensional approach. Meanwhile, the underlying pathological and physiological mechanisms associated with early trauma status are summarized by integrating existing literature.

Results

Out of these two GEO datasets, 21 overlapping genes were identified and incorporated into in the logistic diagnostic model constructed in the GSE36809 dataset. A panel of 9 genes was uncovered as a diagnostic biomarker, and their expression and correlation were subsequently verified. Additionally, by virtue of various algorithms, the findings revealed an upregulation of neutrophil expression and a downregulation of CD8+ T cell expression, indicating characteristic early trauma-induced inflammation activation and immune suppression. The correlation observed between the feature genes and immune cells serves to validate the exceptional diagnostic capability of these 9 genes in identifying trauma status and their promising potential for patients who could benefit from targeted immune interventions. Drawing from these findings, the discussion section offers insights into the underlying pathological and physiological mechanisms at play.

Conclusion

Our research has discovered a novel diagnostic biomarker and unveiled its association with post-traumatic immune alterations. This breakthrough enables accurate and timely diagnosis of early trauma, facilitating the implementation of appropriate healthcare interventions.

背景据统计,创伤是导致各国患者死亡的重要原因之一。方法我们的研究专门以创伤患者为研究对象,从基因表达总库(GEO)数据库中选取了三个创伤相关数据集,所有数据集都采集了创伤后 12 小时内的血液样本。我们采用差异基因筛选、WGCNA 和 Cytoscape 软件对两个数据集进行了分析,重点分析了根据 MCC 算法评分选出的前 100 个基因。通过分析第三个数据集中的交叉基因,构建了一个逻辑诊断模型,从而高效地确定了诊断生物标志物。利用多维方法广泛研究了这些患者的全球免疫景观。结果在这两个 GEO 数据集中,共发现了 21 个重叠基因,并将其纳入到 GSE36809 数据集构建的逻辑诊断模型中。其中有 9 个基因被确定为诊断生物标志物,其表达和相关性随后也得到了验证。此外,通过各种算法,研究结果显示了中性粒细胞表达的上调和 CD8+ T 细胞表达的下调,这表明早期创伤诱导的炎症激活和免疫抑制具有特征性。在特征基因和免疫细胞之间观察到的相关性验证了这 9 个基因在识别创伤状态方面的卓越诊断能力,以及它们对于可能受益于靶向免疫干预的患者的巨大潜力。我们的研究发现了一种新的诊断生物标志物,并揭示了它与创伤后免疫改变的关系。这一突破有助于准确、及时地诊断早期创伤,促进实施适当的医疗干预措施。
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引用次数: 0
LncRNA SNHG1 overexpression alleviates osteoarthritis via activating PI3K/Akt signal pathway and suppressing autophagy LncRNA SNHG1过表达可通过激活PI3K/Akt信号通路和抑制自噬缓解骨关节炎
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2024-04-06 DOI: 10.1016/j.imbio.2024.152799
Qiushi Wang, Jie Yang, Rui Pan, Zhengang Zha

We hereby intend to further explore and confirm the underlying mechanism of Small nucleolar RNA Host Gene 1 (SNHG1) in osteoarthritis (OA). For in vitro assays, OA was induced in primary chondrocytes with interleukin-1β (IL-1β) treatment; while for in vivo tests, OA model was established in mice using the destabilization of the medial meniscus (DMM) method. Cell viability and apoptosis were assessed with MTT and flow cytometry assays, respectively. Cartilage tissue was stained by Safranin-O/Fast Green Staining. The mRNA and protein levels were separately determined via quantitative real-time polymerase chain reaction (qRT-PCR) and western blot. SNHG1 overexpression promoted the viability yet inhibited the apoptosis of chondrocytes injured by IL-1β. Moreover, the overexpression of SNHG1 promoted B-cell lymphoma-2 (Bcl-2) expression and activated phosphoinositol-3 kinase (PI3K)/protein kinase B (Akt) pathway but suppressed the process of autophagy, which led to down-regulation of light chain 3 (LC3)-II/I level and up-regulation of P62 level. However, rapamycin (RAPA, an autophagy activator) and LY294002 (a PI3K inhibitor) reversed the effects of SNHG1 overexpression on the viability and apoptosis of chondrocytes as well as on the proteins related to PI3K/Akt pathway and autophagy. In OA-modeled mice, SNHG1 overexpression prevented the loss of chondrocytes via the activation of PI3K/Akt pathway and the suppression of autophagy. SNHG1 overexpression might inhibit the apoptosis of chondrocytes by promoting PI3K/Akt pathway and inhibiting autophagy.

在此,我们打算进一步探索和证实小核糖核酸宿主基因1(SNHG1)在骨关节炎(OA)中的潜在机制。在体外试验中,用白细胞介素-1β(IL-1β)处理原代软骨细胞诱导 OA;在体内试验中,用内侧半月板失稳(DMM)法建立小鼠 OA 模型。细胞活力和细胞凋亡分别用 MTT 和流式细胞术进行评估。软骨组织采用沙弗宁-O/快绿染色法染色。通过实时定量聚合酶链反应(qRT-PCR)和免疫印迹分别测定mRNA和蛋白质水平。结果表明,SNHG1的过表达促进了受IL-1β损伤的软骨细胞的活力并抑制了其凋亡。此外,SNHG1的过表达促进了B细胞淋巴瘤-2(Bcl-2)的表达,激活了磷酸肌醇-3激酶(PI3K)/蛋白激酶B(Akt)通路,但抑制了自噬过程,导致轻链3(LC3)-II/I水平下调和P62水平上调。然而,雷帕霉素(RAPA,一种自噬激活剂)和LY294002(一种PI3K抑制剂)逆转了SNHG1过表达对软骨细胞活力和凋亡以及PI3K/Akt通路和自噬相关蛋白的影响。在OA模型小鼠中,SNHG1过表达可通过激活PI3K/Akt通路和抑制自噬防止软骨细胞的损失。SNHG1的过表达可能通过促进PI3K/Akt通路和抑制自噬来抑制软骨细胞的凋亡。
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引用次数: 0
Association of neutrophil extracellular trap levels with Raynaud’s phenomenon, glomerulonephritis and disease index score in SLE patients from Brazil 巴西系统性红斑狼疮患者的中性粒细胞胞外捕获物水平与雷诺现象、肾小球肾炎和疾病指数评分的关系
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2024-04-05 DOI: 10.1016/j.imbio.2024.152803
Eduardo Delabio Auer , Valéria Bumiller-Bini Hoch , Emiliano Borges da Silva , Yohan Ricci Zonta , Luciane Alarcão Dias-Melicio , Thelma Larocca Skare , Vanessa F. Picceli , Iara José Messias-Reason , Angelica Beate Winter Boldt

Neutrophil extracellular traps (NETs) are cell-extruded DNA strands coated with neutrophils' nuclear proteins and enzymes from cytotoxic granules, produced by NETosis, a cell death pathway. They perform an important defensive role in innate immunity, but their increased production and/or inefficient degradation expose new antigens, such as DNA or citrullinated histone peptides, triggering autoimmunity. This study aimed to access possible associations between serum NETs levels with epidemiological, clinical, and serological data from a well-characterized SLE Brazilian patients’ cohort. NET levels were evaluated in one hundred seventy serum samples of patients with Systemic Lupus Erythematosus (SLE) using an Immunoassay. Univariate and multivariate binary logistic regression used clinical patients' data as independent variables. Parametric and non-parametric tests compared log10 base serum NET levels transformed between patients' groups. SLE patients were also dichotomized into “High serum NET levels” and “Low serum NET levels” groups. All analyses were performed in R language 4.1.2, and p < 0.05 were considered significant. Increased susceptibility for high serum NET levels was observed in SLE patients with Raynaud's phenomenon (OR = 2.30, 95 % CI = 1.06–5.21 and p = 0.039), independently of any other risk factor. Also, SLE patients with Raynaud's phenomenon presented higher mean NET serum levels (mean = −0.13 vs. −0.51, p = 0.01). In addition, higher mean NET serum levels were associated with glomerulonephritis (mean = -0.45 vs. −0.12, p = 0.03). Ultimately, the SLEDAI index scored higher in the high NETs serum levels group (median = 2.0 vs. 0.0, p = 6 × 10−3). The formation of NETs might be implicated in Raynaud's phenomenon, glomerulonephritis, and disease index score in SLE patients. Our results highlight the importance of serum NET levels as a possible therapeutical target to modulate the clinical course of SLE.

中性粒细胞胞外捕获物(NET)是由细胞死亡途径--NETosis--产生的涂有中性粒细胞核蛋白和细胞毒性颗粒酶的细胞挤出 DNA 链。它们在先天性免疫中发挥着重要的防御作用,但其产生的增加和/或降解效率低下会暴露新的抗原,如DNA或瓜氨酸组蛋白肽,从而引发自身免疫。本研究旨在从一个特征明确的巴西系统性红斑狼疮患者队列中,了解血清NETs水平与流行病学、临床和血清学数据之间可能存在的关联。研究人员使用免疫测定法对170名系统性红斑狼疮(SLE)患者的血清样本进行了NET水平评估。单变量和多变量二元逻辑回归将患者的临床数据作为自变量。参数检验和非参数检验比较了患者组间转换后的 log10 基底血清 NET 水平。系统性红斑狼疮患者还被分为 "高血清 NET 水平 "组和 "低血清 NET 水平 "组。所有分析均在 R 语言 4.1.2 中进行,< 0.05 为显著。在患有雷诺现象的系统性红斑狼疮患者中观察到高血清NET水平的易感性增加(OR = 2.30, 95 % CI = 1.06-5.21 and = 0.039),与任何其他风险因素无关。此外,患有雷诺现象的系统性红斑狼疮患者的平均NET血清水平较高(平均=-0.13 vs. -0.51,=0.01)。此外,较高的NET血清平均水平与肾小球肾炎有关(平均值=-0.45 vs. -0.12,=0.03)。最终,高NET血清水平组的SLEDAI指数得分更高(中位数=2.0 vs. 0.0,=6×10)。NET的形成可能与系统性红斑狼疮患者的雷诺现象、肾小球肾炎和疾病指数评分有关。我们的研究结果凸显了血清NET水平的重要性,它可能成为调节系统性红斑狼疮临床病程的治疗目标。
{"title":"Association of neutrophil extracellular trap levels with Raynaud’s phenomenon, glomerulonephritis and disease index score in SLE patients from Brazil","authors":"Eduardo Delabio Auer ,&nbsp;Valéria Bumiller-Bini Hoch ,&nbsp;Emiliano Borges da Silva ,&nbsp;Yohan Ricci Zonta ,&nbsp;Luciane Alarcão Dias-Melicio ,&nbsp;Thelma Larocca Skare ,&nbsp;Vanessa F. Picceli ,&nbsp;Iara José Messias-Reason ,&nbsp;Angelica Beate Winter Boldt","doi":"10.1016/j.imbio.2024.152803","DOIUrl":"10.1016/j.imbio.2024.152803","url":null,"abstract":"<div><p>Neutrophil extracellular traps (NETs) are cell-extruded DNA strands coated with neutrophils' nuclear proteins and enzymes from cytotoxic granules, produced by NETosis, a cell death pathway. They perform an important defensive role in innate immunity, but their increased production and/or inefficient degradation expose new antigens, such as DNA or citrullinated histone peptides, triggering autoimmunity. This study aimed to access possible associations between serum NETs levels with epidemiological, clinical, and serological data from a well-characterized SLE Brazilian patients’ cohort. NET levels were evaluated in one hundred seventy serum samples of patients with Systemic Lupus Erythematosus (SLE) using an Immunoassay. Univariate and multivariate binary logistic regression used clinical patients' data as independent variables. Parametric and non-parametric tests compared log10 base serum NET levels transformed between patients' groups. SLE patients were also dichotomized into “High serum NET levels” and “Low serum NET levels” groups. All analyses were performed in R language 4.1.2, and <em>p</em> &lt; 0.05 were considered significant. Increased susceptibility for high serum NET levels was observed in SLE patients with Raynaud's phenomenon (OR = 2.30, 95 % CI = 1.06–5.21 and <em>p</em> = 0.039), independently of any other risk factor. Also, SLE patients with Raynaud's phenomenon presented higher mean NET serum levels (mean = −0.13 vs. −0.51, <em>p</em> = 0.01). In addition, higher mean NET serum levels were associated with glomerulonephritis (mean = -0.45 vs. −0.12, <em>p</em> = 0.03). Ultimately, the SLEDAI index scored higher in the high NETs serum levels group (median = 2.0 vs. 0.0, <em>p</em> = 6 × 10<sup>−3</sup>). The formation of NETs might be implicated in Raynaud's phenomenon, glomerulonephritis, and disease index score in SLE patients. Our results highlight the importance of serum NET levels as a possible therapeutical target to modulate the clinical course of SLE.</p></div>","PeriodicalId":13270,"journal":{"name":"Immunobiology","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0171298524000214/pdfft?md5=2e87b717ec774929921c1e0a21e8600c&pid=1-s2.0-S0171298524000214-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140613605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
PSMC2 promotes glioma progression by regulating immune microenvironment and PI3K/AKT/mTOR pathway PSMC2 通过调节免疫微环境和 PI3K/AKT/mTOR 通路促进胶质瘤进展
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2024-03-30 DOI: 10.1016/j.imbio.2024.152802
Yizheng Wang , Shiyang Zhang , Zijun Zhao , Qianxu Jin , Zairan Wang , Zihan Song , Liqiang Liu , Zongmao Zhao

Background

Glioma, the most frequent and malignant central nervous system (CNS) cancer, has a bad outcome. Proteasome 26S subunit ATPase 2 (PSMC2) is an essential part of the 26S proteasome and promotes the development of several tumors. However, the pathway and function of PSMC2 in glioma have not been unelucidated.

Methods

This study analyzed PSMC2 expression in glioma tissues and its predictive significance for patients. We examined the link between PSMC2 and DNA methylation, immune cell infiltration, tumor immune cycle, immune cell homeostasis, and immune checkpoints. Subsequently, immunohistochemistry and in vitro trials were employed to validate the expression, prognostic potential, and function of PSMC2 in glioma. The mechanisms of PSMC2 in glioma were further explored.

Results

Our study revealed that PSMC2 expression increased in glioma tissues contrasted with healthy tissues, and patients with high PSMC2 glioma exhibited poor overall survival (OS) compared to the low-PSMC2 group. Immune profile analysis revealed that PSMC2 was positively related to immunosuppressive cell infiltration and immune checkpoints and adversely related to the cancer immune cycle and immune cell homeostasis. In cell-based investigations, the inhibition of PSMC2 was found to effectively suppress the aggressiveness and proliferation of glioma cell lines while also enhancing cell cycle arrest and promoting cell death. Gene Set Enrichment Analysis (GSEA), Gene Set Variation Analysis (GSVA), and in vitro experiments showed that PSMC2 promoted glioma development through the PI3K/AKT/mTOR pathway.

Conclusions

PSMC2 was upregulated in glioma and promoted cancer progression by modulating the tumor immune microenvironment, cancer cell biological behavior, immune cell homeostasis, and the PI3K/AKT/mTOR pathway, providing a new option to treat glioma.

背景胶质瘤是最常见的恶性中枢神经系统(CNS)癌症,预后很差。蛋白酶体 26S 亚基 ATPase 2(PSMC2)是 26S 蛋白酶体的重要组成部分,能促进多种肿瘤的发展。本研究分析了PSMC2在胶质瘤组织中的表达及其对患者的预测意义。我们研究了PSMC2与DNA甲基化、免疫细胞浸润、肿瘤免疫周期、免疫细胞平衡和免疫检查点之间的联系。随后,我们采用免疫组化和体外试验验证了PSMC2在胶质瘤中的表达、预后潜力和功能。结果我们的研究发现,与健康组织相比,PSMC2在胶质瘤组织中的表达增加,与低PSMC2组相比,高PSMC2胶质瘤患者的总生存率(OS)较低。免疫谱分析显示,PSMC2 与免疫抑制细胞浸润和免疫检查点呈正相关,与癌症免疫周期和免疫细胞平衡呈负相关。在基于细胞的研究中发现,抑制 PSMC2 能有效抑制胶质瘤细胞株的侵袭性和增殖,同时还能增强细胞周期停滞和促进细胞死亡。结论PSMC2在胶质瘤中上调,并通过调节肿瘤免疫微环境、癌细胞生物学行为、免疫细胞平衡和PI3K/AKT/mTOR通路促进癌症进展,为治疗胶质瘤提供了新的选择。
{"title":"PSMC2 promotes glioma progression by regulating immune microenvironment and PI3K/AKT/mTOR pathway","authors":"Yizheng Wang ,&nbsp;Shiyang Zhang ,&nbsp;Zijun Zhao ,&nbsp;Qianxu Jin ,&nbsp;Zairan Wang ,&nbsp;Zihan Song ,&nbsp;Liqiang Liu ,&nbsp;Zongmao Zhao","doi":"10.1016/j.imbio.2024.152802","DOIUrl":"https://doi.org/10.1016/j.imbio.2024.152802","url":null,"abstract":"<div><h3>Background</h3><p>Glioma, the most frequent and malignant central nervous system (CNS) cancer, has a bad outcome. Proteasome 26S subunit ATPase 2 (PSMC2) is an essential part of the 26S proteasome and promotes the development of several tumors. However, the pathway and function of PSMC2 in glioma have not been unelucidated.</p></div><div><h3>Methods</h3><p>This study analyzed PSMC2 expression in glioma tissues and its predictive significance for patients. We examined the link between PSMC2 and DNA methylation, immune cell infiltration, tumor immune cycle, immune cell homeostasis, and immune checkpoints. Subsequently, immunohistochemistry and in vitro trials were employed to validate the expression, prognostic potential, and function of PSMC2 in glioma. The mechanisms of PSMC2 in glioma were further explored.</p></div><div><h3>Results</h3><p>Our study revealed that PSMC2 expression increased in glioma tissues contrasted with healthy tissues, and patients with high PSMC2 glioma exhibited poor overall survival (OS) compared to the low-PSMC2 group. Immune profile analysis revealed that PSMC2 was positively related to immunosuppressive cell infiltration and immune checkpoints and adversely related to the cancer immune cycle and immune cell homeostasis. In cell-based investigations, the inhibition of PSMC2 was found to effectively suppress the aggressiveness and proliferation of glioma cell lines while also enhancing cell cycle arrest and promoting cell death. Gene Set Enrichment Analysis (GSEA), Gene Set Variation Analysis (GSVA), and in vitro experiments showed that PSMC2 promoted glioma development through the PI3K/AKT/mTOR pathway.</p></div><div><h3>Conclusions</h3><p>PSMC2 was upregulated in glioma and promoted cancer progression by modulating the tumor immune microenvironment, cancer cell biological behavior, immune cell homeostasis, and the PI3K/AKT/mTOR pathway, providing a new option to treat glioma.</p></div>","PeriodicalId":13270,"journal":{"name":"Immunobiology","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0171298524000202/pdfft?md5=2a1cf96018cd94641396b034b544da06&pid=1-s2.0-S0171298524000202-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140342312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The changes of intestinal flora and its relevance with memory Tfh and B cells in rheumatoid arthritis patients treated with csDMARDs and csDMARDs + bDMARDs 使用 csDMARDs 和 csDMARDs + bDMARDs 治疗的类风湿关节炎患者肠道菌群的变化及其与记忆 Tfh 和 B 细胞的相关性
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2024-03-21 DOI: 10.1016/j.imbio.2024.152798
Chunlei Jiang , Shuhong Chi , Fengkui Wang , Chenyang Zhao , Xiaojuan Yang , Miao Liu , Bin Ma , Jian Chen , Chunxia Su , Xiangguo Duan

Background

A growing body of experimental and clinical evidence has implicated gut microbiota in the onset and course of rheumatoid arthritis (RA). The imbalance of intestinal flora in RA patients may lead to abnormal expression of immune cells and related cytokines.

Purpose

Conventional synthetic disease-modifying antirheumatic drugs (csDMARDs) and conventional synthetic disease-modifying antirheumatic drugs combined with biological disease-modifying antirheumatic drugs (csDMARDs + bDMARDs) are widely used to treat RA, but the characteristics of gut microbiota before and after treatment and their relationship with memory Tfh/B cells and cytokines remain unclear.

Methods

Stool samples were collected from 50 RA patients and 25 healthy controls (HCs) for 16SrRNA gene sequencing. We examined the proportion of lymphocyte subsets in healthy controls and RA patients. Enzyme linked immunosorbent assay (ELISA) was used to detect the levels of related cytokines in serum. The α and β diversity of intestinal flora, and the correlation between intestinal flora and clinical indicators, lymphocyte subsets, cytokines were analyzed.

Result

At the genus level, Ruminococcaceae_Ruminococcus was decreased in the csDMARDs and csDMARDs + bDMARDs treatment group, whereas Faecalibacterium was reduced in the csDMARDs treatment group, compared to untreated group. CD4+CD45RO+CCR7+CXCR5+central memory Tfh cells and CD4+CD45RO+CCR7-CXCR5+effector memory Tfh cells were significantly lower in the csDMARDs + bDMARDs treatment group than in untreated group. CD19+CD27+IgD+pre-switched memory B cells were higher in the csDMARDs and csDMARDs + bDMARDs treatment groups, whereas CD19+CD27+IgD-switched memory B cells were significantly lower than in untreated group. Ruminococcaceae_Ruminococcus was negatively correlated with CD19+CD27+IgD+ pre-switched memory B cells but positively correlated with CD4+CD45RO+CCR7-CXCR5+effector memory Tfh and CD19+CD27+IgD-switched memory B cells in patients with RA treated with DMARDs.

Conclusion

The gut microbiota, memory Tfh cells, memory B cells, and cytokines of patients with RA changed significantly under different treatment regimens and had certain correlations with the clinical indicators of RA.

背景越来越多的实验和临床证据表明,肠道微生物群与类风湿关节炎(RA)的发病和病程有关。RA 患者肠道菌群的失衡可能导致免疫细胞和相关细胞因子的异常表达。目的常规合成改善病情抗风湿药(csDMARDs)和常规合成改善病情抗风湿药联合生物改善病情抗风湿药(csDMARDs + bDMARDs)被广泛用于治疗RA,但治疗前后肠道微生物群的特征及其与记忆Tfh/B细胞和细胞因子的关系仍不清楚。我们检测了健康对照组和 RA 患者的淋巴细胞亚群比例。酶联免疫吸附试验(ELISA)用于检测血清中相关细胞因子的水平。结果与未治疗组相比,csDMARDs 和 csDMARDs + bDMARDs 治疗组的反刍球菌属减少,而 csDMARDs 治疗组的粪杆菌属减少。CD4+CD45RO+CCR7+CXCR5+ 中心记忆Tfh细胞和CD4+CD45RO+CCR7-CXCR5+效应记忆Tfh细胞在csDMARDs + bDMARDs治疗组明显低于未治疗组。CD19+CD27+IgD+前开关记忆B细胞在csDMARDs和csDMARDs + bDMARDs治疗组较高,而CD19+CD27+IgD-开关记忆B细胞则明显低于未治疗组。在接受DMARDs治疗的RA患者中,反刍球菌与CD19+CD27+IgD+前开关记忆B细胞呈负相关,但与CD4+CD45RO+CCR7-CXCR5+效应记忆Tfh和CD19+CD27+IgD-开关记忆B细胞呈正相关。结论 在不同的治疗方案下,RA 患者的肠道微生物群、记忆 Tfh 细胞、记忆 B 细胞和细胞因子会发生显著变化,并与 RA 的临床指标有一定的相关性。
{"title":"The changes of intestinal flora and its relevance with memory Tfh and B cells in rheumatoid arthritis patients treated with csDMARDs and csDMARDs + bDMARDs","authors":"Chunlei Jiang ,&nbsp;Shuhong Chi ,&nbsp;Fengkui Wang ,&nbsp;Chenyang Zhao ,&nbsp;Xiaojuan Yang ,&nbsp;Miao Liu ,&nbsp;Bin Ma ,&nbsp;Jian Chen ,&nbsp;Chunxia Su ,&nbsp;Xiangguo Duan","doi":"10.1016/j.imbio.2024.152798","DOIUrl":"10.1016/j.imbio.2024.152798","url":null,"abstract":"<div><h3>Background</h3><p>A growing body of experimental and clinical evidence has implicated gut microbiota in the onset and course of rheumatoid arthritis (RA). The imbalance of intestinal flora in RA patients may lead to abnormal expression of immune cells and related cytokines.</p></div><div><h3>Purpose</h3><p>Conventional synthetic disease-modifying antirheumatic drugs (csDMARDs) and conventional synthetic disease-modifying antirheumatic drugs combined with biological disease-modifying antirheumatic drugs (csDMARDs + bDMARDs) are widely used to treat RA, but the characteristics of gut microbiota before and after treatment and their relationship with memory Tfh/B cells and cytokines remain unclear.</p></div><div><h3>Methods</h3><p>Stool samples were collected from 50 RA patients and 25 healthy controls (HCs) for 16SrRNA gene sequencing. We examined the proportion of lymphocyte subsets in healthy controls and RA patients. Enzyme linked immunosorbent assay (ELISA) was used to detect the levels of related cytokines in serum. The α and β diversity of intestinal flora, and the correlation between intestinal flora and clinical indicators, lymphocyte subsets, cytokines were analyzed.</p></div><div><h3>Result</h3><p>At the genus level, Ruminococcaceae_Ruminococcus was decreased in the csDMARDs and csDMARDs + bDMARDs treatment group, whereas Faecalibacterium was reduced in the csDMARDs treatment group, compared to untreated group. CD4<sup>+</sup>CD45RO<sup>+</sup>CCR7<sup>+</sup>CXCR5<sup>+</sup>central memory Tfh cells and CD4<sup>+</sup>CD45RO<sup>+</sup>CCR7<sup>-</sup>CXCR5<sup>+</sup>effector memory Tfh cells were significantly lower in the csDMARDs + bDMARDs treatment group than in untreated group. CD19<sup>+</sup>CD27<sup>+</sup>IgD<sup>+</sup>pre-switched memory B cells were higher in the csDMARDs and csDMARDs + bDMARDs treatment groups, whereas CD19<sup>+</sup>CD27<sup>+</sup>IgD<sup>-</sup>switched memory B cells were significantly lower than in untreated group. Ruminococcaceae_Ruminococcus was negatively correlated with CD19<sup>+</sup>CD27<sup>+</sup>IgD<sup>+</sup> pre-switched memory B cells but positively correlated with CD4<sup>+</sup>CD45RO<sup>+</sup>CCR7<sup>-</sup>CXCR5<sup>+</sup>effector memory Tfh and CD19<sup>+</sup>CD27<sup>+</sup>IgD<sup>-</sup>switched memory B cells in patients with RA treated with DMARDs.</p></div><div><h3>Conclusion</h3><p>The gut microbiota, memory Tfh cells, memory B cells, and cytokines of patients with RA changed significantly under different treatment regimens and had certain correlations with the clinical indicators of RA.</p></div>","PeriodicalId":13270,"journal":{"name":"Immunobiology","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0171298524000160/pdfft?md5=830235ff7c7dafc5ad593cdb26294649&pid=1-s2.0-S0171298524000160-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140282134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Immunobiology
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