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Development and characterization of a multimeric recombinant protein using the spike protein receptor binding domain as an antigen to induce SARS-CoV-2 neutralization 利用尖峰蛋白受体结合域作为抗原,开发多聚重组蛋白并确定其特性,以诱导 SARS-CoV-2 中和。
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-07-26 DOI: 10.1002/iid3.1353
Veronica A. de Lima, João P. S. Nunes, Daniela S. Rosa, Rodrigo Ferreira, Maria L. V. Oliva, Robert Andreata-Santos, Marcia Duarte-Barbosa, Luiz M. R. Janini, Juliana T. Maricato, Milena A. Akamatsu, Paulo L. Ho, Sergio Schenkman

Background

SARS-CoV2 virus, responsible for the COVID-19 pandemic, has four structural proteins and 16 nonstructural proteins. S-protein is one of the structural proteins exposed on the virus surface and is the main target for producing neutralizing antibodies and vaccines. The S-protein forms a trimer that can bind the angiotensin-converting enzyme 2 (ACE2) through its receptor binding domain (RBD) for cell entry.

Aims

The goal of this study was to express in HEK293 cells a new RBD recombinant protein in a constitutive and stable manner in order to use it as an alternative immunogen and diagnostic tool for COVID-19.

Materials & Methods

The protein was designed to contain an immunoglobulin signal sequence, an explanded C-terminal section of the RBD, a region responsible for the bacteriophage T4 trimerization inducer, and six histidines in the pCDNA-3.1 plasmid. Following transformation, the cells were selected with geneticin-G418 and purified from serum-fre culture supernatants using Ni2+-agarand size exclusion chromatography. The protein was structurally identified by cross-linking and circular dichroism experiments, and utilized to immunize mice in conjuction with AS03 or alum adjuvants. The mice sera were examined for antibody recognition, receptor-binding inhibition, and virus neutralization, while spleens were evaluated for γ-interferon production in the presence of RBD.

Results

The protein released in the culture supernatant of cells, and exhibited a molecular mass of 135 kDa with a secondary structure like the monomeric and trimeric RBD. After purification, it formed a multimeric structure comprising trimers and hexamers, which were able to bind the ACE2 receptor. It generated high antibody titers in mice when combined with AS03 adjuvant (up to 1:50,000). The sera were capable of inhibiting binding of biotin-labeled ACE2 to the virus S1 subunit and could neutralize the entry of the Wuhan virus strain into cells at dilutions up to 1:2000. It produced specific IFN-γ producing cells in immunized mouse splenocytes.

Discussion

Our data describe a new RBD containing protein, forming trimers and hexamers, which are able to induce a protective humoral and cellular response against SARS-CoV2.

背景:导致 COVID-19 大流行的 SARS-CoV2 病毒有 4 种结构蛋白和 16 种非结构蛋白。S 蛋白是暴露在病毒表面的结构蛋白之一,是产生中和抗体和疫苗的主要目标。S蛋白形成三聚体,可通过其受体结合域(RBD)与血管紧张素转换酶2(ACE2)结合,从而进入细胞。目的:本研究的目的是在HEK293细胞中以组成型和稳定的方式表达一种新的RBD重组蛋白,以便将其用作COVID-19的替代免疫原和诊断工具:该蛋白被设计为包含免疫球蛋白信号序列、RBD的C末端扩展区、噬菌体T4三聚体诱导区和pCDNA-3.1质粒中的6个组氨酸。转化后,用遗传因子-G418 挑选细胞,并用 Ni2+-agarand 尺寸排阻色谱法从无血清培养上清液中纯化。通过交联和圆二色性实验确定了蛋白质的结构,并将其与 AS03 或明矾佐剂一起用于免疫小鼠。对小鼠血清进行了抗体识别、受体结合抑制和病毒中和检测,同时对脾脏在 RBD 存在下的γ-干扰素产生情况进行了评估:该蛋白在细胞培养上清液中释放,分子量为 135 kDa,二级结构类似于单体和三聚体 RBD。纯化后,它形成了由三聚体和六聚体组成的多聚体结构,能够与 ACE2 受体结合。与 AS03 佐剂结合后,它能在小鼠体内产生高抗体滴度(高达 1:50,000)。血清能抑制生物素标记的 ACE2 与病毒 S1 亚基的结合,并能中和武汉病毒株进入细胞的能力,稀释度可达 1:2000。它能在免疫小鼠脾细胞中产生特异性 IFN-γ 生成细胞:讨论:我们的数据描述了一种新的含 RBD 的蛋白质,它能形成三聚体和六聚体,能诱导体液和细胞对 SARS-CoV2 产生保护性反应:结论:这些结果为抗击 COVID-19 增添了新的手段,可作为诊断的替代免疫原或抗原。
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引用次数: 0
Increase in bile acids after sleeve gastrectomy improves metabolism by activating GPBAR1 to increase cAMP in mice with nonalcoholic fatty liver disease 袖带胃切除术后胆汁酸的增加可通过激活 GPBAR1 增加非酒精性脂肪肝小鼠体内的 cAMP 来改善新陈代谢
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-07-19 DOI: 10.1002/iid3.1149
Guoliang Li, Xin Xu, Lixin Chai, Qunhao Guo, Wei Wu

Background

Bile acids (BAs) concentration can affect metabolic improvement caused by bariatric surgery and BA concentrations increase in patients after sleeve gastrectomy (SG). Here, how BAs after SG affect metabolism in nonalcoholic fatty liver disease (NAFLD) was studied.

Methods

Mice were given high-fat diet (HFD) to induce NAFLD and received SG surgery. Hepatic and fecal BA concentrations in mice were detected by liquid chromatography-tandem mass spectrometry method. BA-related genes were detected by quantitative real-time polymerase chain reaction. G protein BA receptor 1 (GPBAR1) expression was identified using western blot analysis. NAFLD mice after SG received GPBAR1 inhibitor Triamterene. The weight of mice and mice liver was detected. Mouse liver tissue was observed by hematoxylin–eosin and Oil Red O staining. Triglyceride (TG), nonesterified fatty acid (NEFA), and cyclic adenosine monophosphate (cAMP) levels in mouse liver tissue were analyzed by metabolic assay and enzyme-linked immune sorbent assay.

Results

SG boosted increase in hepatic total/conjugated BAs and related genes and GPBAR1 expression, and attenuated increase in fecal total BAs/muricholic acid in HFD-induced mice and increased fecal taurine-BAs in HFD-induced mice. Triamterene (72 mg/kg) reversed the inhibitory role of SG in HFD-induced increase of body weight, lipid accumulation, inflammatory cell infiltration, and increase of hepatic weight and TG/NEFA content, and counteracted the positive role of SG in HFD-induced increase of hepatic cAMP concentration in mice.

Conclusions

BAs improve metabolism via activating GPBAR1 to increase cAMP in NAFLD mice after SG.

背景 胆汁酸(BAs)浓度会影响减肥手术对代谢的改善,袖带胃切除术(SG)后患者体内的胆汁酸浓度会增加。本文研究了袖带胃切除术后胆汁酸如何影响非酒精性脂肪肝(NAFLD)的代谢。 方法 给予小鼠高脂饮食(HFD)以诱导非酒精性脂肪肝,并让其接受 SG 手术。采用液相色谱-串联质谱法检测小鼠肝脏和粪便中的 BA 浓度。通过实时定量聚合酶链反应检测BA相关基因。通过 Western 印迹分析确定了 G 蛋白 BA 受体 1 (GPBAR1) 的表达。SG后的NAFLD小鼠接受GPBAR1抑制剂Triamterene治疗。检测小鼠和小鼠肝脏的重量。用苏木精-伊红和油红 O 染色观察小鼠肝组织。通过代谢测定和酶联免疫吸附测定分析小鼠肝组织中甘油三酯(TG)、非酯化脂肪酸(NEFA)和环磷酸腺苷(cAMP)的水平。 结果 SG 促进了肝脏总/结合乙酰胆碱和相关基因及 GPBAR1 表达的增加,并减缓了高氟酸脱氢诱导型小鼠粪便中总乙酰胆碱/熊果酸的增加,以及高氟酸脱氢诱导型小鼠粪便中牛磺酸-乙酰胆碱的增加。曲安奈德(72 毫克/千克)逆转了 SG 在 HFD 诱导的体重增加、脂质积累、炎症细胞浸润以及肝脏重量和 TG/NEFA 含量增加中的抑制作用,并抵消了 SG 在 HFD 诱导的小鼠肝脏 cAMP 浓度增加中的积极作用。 结论 BAs 可通过激活 GPBAR1 来增加 SG 后非酒精性脂肪肝小鼠体内的 cAMP,从而改善新陈代谢。
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引用次数: 0
Potential mechanisms and targeting strategies of the gut microbiota in antitumor immunity and immunotherapy 肠道微生物群在抗肿瘤免疫和免疫疗法中的潜在机制和靶向策略
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-07-19 DOI: 10.1002/iid3.1263
Qian Yin, Jiao-jiao Ni, Jie-er Ying

Background

Immunotherapies, notably immune checkpoints inhibitors that target programmed death 1/programmed death ligand 1(PD-1/PD-L1) and cytotoxic T lymphocyte-associated antigen 4 (CTLA-4), had profoundly changed the way advanced and metastatic cancers are treated and dramatically improved overall and progression-free survival.

Aims

This review article aimed to explore the underlying molecular mechanisms by which the gut microbiota affects antitumor immunity and the efficacy of cancer immunotherapy.

Methods

We summarized the latest knowledge supporting the associations among the gut microbiota, antitumor immunity, and immunotherapy. Moreover, we disscussed the therapeutic strategy for improving immunotherapy efficacy by modulating gut microbiota in cancer treatment.

Results

The potential molecular mechanisms underlying these associations are explained in terms of four aspects: immunomodulation, molecular mimicry, mamps, and microbial metabolites.

Conclusion

The gut microbiota significantly impacts antitumor immunity and alters the effectiveness of cancer immunotherapy.

背景 免疫疗法,特别是针对程序性死亡1/程序性死亡配体1(PD-1/PD-L1)和细胞毒性T淋巴细胞相关抗原4(CTLA-4)的免疫检查点抑制剂,深刻地改变了晚期和转移性癌症的治疗方式,并极大地改善了总生存期和无进展生存期。 目的 这篇综述文章旨在探讨肠道微生物群影响抗肿瘤免疫和癌症免疫疗法疗效的潜在分子机制。 方法 我们总结了支持肠道微生物群、抗肿瘤免疫和免疫疗法之间关联的最新知识。此外,我们还讨论了在癌症治疗中通过调节肠道微生物群提高免疫疗法疗效的治疗策略。 结果 从免疫调节、分子模拟、mamps 和微生物代谢物四个方面解释了这些关联的潜在分子机制。 结论 肠道微生物群对抗肿瘤免疫产生重大影响,并改变癌症免疫疗法的有效性。
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引用次数: 0
Persistence of lung structural and functional alterations at one year post-COVID-19 is associated with increased serum PD-L2 levels and altered CD4/CD8 ratio COVID-19 一年后肺部结构和功能改变的持续存在与血清 PD-L2 水平升高和 CD4/CD8 比率改变有关
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-07-19 DOI: 10.1002/iid3.1305
Ivette Buendia-Roldan, Karen Martínez-Espinosa, Maria-Jose Aguirre, Hiram Aguilar-Duran, Alexia Palma-Lopez, Yadira Palacios, Andy Ruiz, Lucero A. Ramón-Luing, Ranferi Ocaña-Guzmán, Gloria Pérez-Rubio, Ramcés Falfán-Valencia, Moisés Selman, Leslie Chavez-Galan

Background

Persistent respiratory symptoms and lung abnormalities post-COVID-19 are public health problems. This study evaluated biomarkers to stratify high-risk patients to the development or persistence of post-COVID-19 interstitial lung disease.

Methods

One hundred eighteen patients discharged with residual lung abnormalities compatible with interstitial lung disease (COVID-ILD patients) after a severe COVID-19 were followed for 1 year (post-COVID-ILD patients). Physical examination, pulmonary function tests, and chest high-resolution computed tomography (HRCT) were performed. Soluble forms (s) of PD-L1, PD-L2, TIM-3, and GAL-9 were evaluated in serum and cell culture supernatant, as well as T-cells subsets and the transmembrane expression of PD-L1 and PD-L2 on the cell surface.

Results

Eighty percent of the post-COVID-ILD patients normalized their lung function at 1-year follow-up, 8% presented COVID-independent ILD, and 12% still showed functional and HRCT alterations. PD-L2 levels were heterogeneous during acute COVID-19 (aCOVID); patients who increased (at least 30%) their sPD-L2 levels at 1 year post-COVID-19 and exhibited altered CD4/CD8 ratio showed persistence of chest tomographic and functional alterations. By contrast, patients who decreased sPD-L2 displayed a complete lung recovery. sPD-L1, sTIM-3, and sGAL-9 increased significantly during aCOVID and decreased in all patients after 1-year follow-up.

Conclusion

Increased sPD-L2 and an altered CD4/CD8 ratio after 12 months of aCOVID are associated with the persistence of lung lesions, suggesting that they may contribute to lung damage post-COVID-19.

背景 COVID-19 后持续的呼吸道症状和肺部异常是一个公共卫生问题。本研究评估了生物标志物,以对 COVID-19 后间质性肺病发生或持续存在的高危患者进行分层。 方法 对 188 名在严重 COVID-19 后出院且肺部残留异常符合间质性肺病的患者(COVID-ILD 患者)进行为期 1 年的随访(COVID-ILD 后患者)。对他们进行了体格检查、肺功能测试和胸部高分辨率计算机断层扫描(HRCT)。评估了血清和细胞培养上清液中 PD-L1、PD-L2、TIM-3 和 GAL-9 的可溶性形式(s),以及 T 细胞亚群和细胞表面 PD-L1 和 PD-L2 的跨膜表达。 结果 80%的COVID-ILD后患者在1年随访时肺功能恢复正常,8%出现COVID-ILD依赖性,12%仍有功能和HRCT改变。在急性 COVID-19 (aCOVID)期间,PD-L2 水平存在差异;在 COVID-19 后 1 年,sPD-L2 水平升高(至少 30%)并表现出 CD4/CD8 比值改变的患者显示出胸部断层扫描和功能改变的持续性。sPD-L1、sTIM-3 和 sGAL-9 在 aCOVID 期间显著增加,但在随访 1 年后,所有患者的 sPD-L2 水平均有所下降。 结论 在 aCOVID 12 个月后,sPD-L2 的增加和 CD4/CD8 比值的改变与肺部病变的持续存在有关,这表明它们可能会导致 COVID-19 后的肺损伤。
{"title":"Persistence of lung structural and functional alterations at one year post-COVID-19 is associated with increased serum PD-L2 levels and altered CD4/CD8 ratio","authors":"Ivette Buendia-Roldan,&nbsp;Karen Martínez-Espinosa,&nbsp;Maria-Jose Aguirre,&nbsp;Hiram Aguilar-Duran,&nbsp;Alexia Palma-Lopez,&nbsp;Yadira Palacios,&nbsp;Andy Ruiz,&nbsp;Lucero A. Ramón-Luing,&nbsp;Ranferi Ocaña-Guzmán,&nbsp;Gloria Pérez-Rubio,&nbsp;Ramcés Falfán-Valencia,&nbsp;Moisés Selman,&nbsp;Leslie Chavez-Galan","doi":"10.1002/iid3.1305","DOIUrl":"https://doi.org/10.1002/iid3.1305","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Persistent respiratory symptoms and lung abnormalities post-COVID-19 are public health problems. This study evaluated biomarkers to stratify high-risk patients to the development or persistence of post-COVID-19 interstitial lung disease.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>One hundred eighteen patients discharged with residual lung abnormalities compatible with interstitial lung disease (COVID-ILD patients) after a severe COVID-19 were followed for 1 year (post-COVID-ILD patients). Physical examination, pulmonary function tests, and chest high-resolution computed tomography (HRCT) were performed. Soluble forms (s) of PD-L1, PD-L2, TIM-3, and GAL-9 were evaluated in serum and cell culture supernatant, as well as T-cells subsets and the transmembrane expression of PD-L1 and PD-L2 on the cell surface.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eighty percent of the post-COVID-ILD patients normalized their lung function at 1-year follow-up, 8% presented COVID-independent ILD, and 12% still showed functional and HRCT alterations. PD-L2 levels were heterogeneous during acute COVID-19 (aCOVID); patients who increased (at least 30%) their sPD-L2 levels at 1 year post-COVID-19 and exhibited altered CD4/CD8 ratio showed persistence of chest tomographic and functional alterations. By contrast, patients who decreased sPD-L2 displayed a complete lung recovery. sPD-L1, sTIM-3, and sGAL-9 increased significantly during aCOVID and decreased in all patients after 1-year follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Increased sPD-L2 and an altered CD4/CD8 ratio after 12 months of aCOVID are associated with the persistence of lung lesions, suggesting that they may contribute to lung damage post-COVID-19.</p>\u0000 </section>\u0000 </div>","PeriodicalId":13289,"journal":{"name":"Immunity, Inflammation and Disease","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/iid3.1305","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141730114","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
Urine metabolomics signature reveals novel determinants of adrenal suppression in children taking inhaled corticosteroids to control asthma symptoms 尿液代谢组学特征揭示了吸入皮质类固醇控制哮喘症状的儿童肾上腺抑制的新决定因素
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-07-19 DOI: 10.1002/iid3.1315
Dung T. Tran, Yulu Chen, Yi Zheng, Julian Hecker, Daniel B. Hawcutt, Munir Pirmohamed, Jessica Lasky-Su, Ann C. Wu, Kelan G. Tantisira, Michael J. McGeachie, Scott T. Weiss, Amber Dahlin

Background

Asthma is routinely treated with inhaled corticosteroids (ICS). Asthma patients on ICS are at increased risk of adrenal suppression, a potentially serious effect of long-term glucocorticoid exposure; however, this relationship is poorly understood. Therefore, this study aims to identify metabolite biomarkers related to adrenal suppression in asthma patients taking ICS.

Methods

A total of 571 urine metabolites from 200 children with asthma on ICS in the Pharmacogenetics of Adrenal Suppression with Inhaled Steroids (PASS) cohort were profiled. Samples were grouped by peak plasma cortisol measurement as adrenal sufficient (>350 nmol/L) or insufficient (≤350 nmol/L) (outcome). Regression and discriminant-based statistical models combined with network analyses were utilized to assess relationships between metabolites and the outcome. Finally, prioritized metabolites were validated using data from an ancillary study of the Childhood Asthma Management (CAMP) cohort with similar characteristics to PASS.

Results

Ninety metabolites were significantly associated with adrenal suppression, of which 57 also could discriminate adrenal status. While 26 metabolites (primarily steroids) were present at lower levels in the adrenal insufficient patients, 14 were significantly elevated in this group; the top metabolite, mannitol/sorbitol, was previously associated with asthma exacerbations. Network analyses identified unique clusters of metabolites related to steroids, fatty acid oxidation, and nucleoside metabolism, respectively. Four metabolites including urocanic acid, acetylcarnitine, uracil, and sorbitol were validated in CAMP cohort for adrenal suppression.

Conclusions

Urinary metabolites differ among asthma patients on ICS, by adrenal status. While steroid metabolites were reduced in patients with poor adrenal function, our findings also implicate previously unreported metabolites involved in amino acid, lipid, and nucleoside metabolism.

背景哮喘是吸入性皮质类固醇(ICS)的常规治疗方法。使用 ICS 的哮喘患者肾上腺抑制的风险增加,这是长期暴露于糖皮质激素可能产生的严重后果;然而,人们对这种关系知之甚少。因此,本研究旨在确定与服用 ICS 的哮喘患者肾上腺抑制有关的代谢物生物标志物。 方法 对吸入类固醇肾上腺抑制药物遗传学(PASS)队列中 200 名服用 ICS 的哮喘患儿的 571 个尿液代谢物进行了分析。样本按血浆皮质醇峰值测量值分为肾上腺充足(350 nmol/L)和不足(≤350 nmol/L)(结果)。利用基于回归和判别的统计模型以及网络分析来评估代谢物与结果之间的关系。最后,利用与 PASS 具有相似特征的儿童哮喘管理(CAMP)队列的辅助研究数据对优先代谢物进行了验证。 结果 有 90 种代谢物与肾上腺抑制有显著相关性,其中 57 种代谢物还能区分肾上腺状态。肾上腺功能不足患者体内有26种代谢物(主要是类固醇)含量较低,但有14种代谢物在该组中明显升高;其中最高的代谢物甘露醇/山梨醇以前曾与哮喘加重有关。网络分析发现了分别与类固醇、脂肪酸氧化和核苷代谢有关的独特代谢物群。包括尿氨酸、乙酰肉碱、尿嘧啶和山梨醇在内的四种代谢物在 CAMP 队列中得到验证,可用于肾上腺抑制。 结论 使用 ICS 的哮喘患者的尿液代谢物因肾上腺状态而异。肾上腺功能不佳的患者体内类固醇代谢物减少,而我们的研究结果还显示,氨基酸、脂质和核苷代谢中的代谢物以前未曾报道过。
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引用次数: 0
Associations between gut microbiota and chronic sinusitis: A bidirectional Mendelian randomization study 肠道微生物群与慢性鼻窦炎之间的关系:双向孟德尔随机研究
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-07-19 DOI: 10.1002/iid3.1328
Kunlin Pu, Zhipeng Zhang, Li Li

Background

Studies have indicated a close association between dysbiosis of the gut microbiota and chronic sinusitis. However, the causal relationship between the gut microbiota and the risk of chronic sinusitis remains unclear.

Methods

Using genome-wide association study (GWAS) data for the gut microbiota and chronic sinusitis, we conducted a two-sample Mendelian randomization (MR) study to determine the potential causal relationship between the microbiota and chronic sinusitis. We employed the inverse variance-weighted (IVW) method as the primary analytical approach to estimate the effect. Additionally, sensitivity, heterogeneity, and pleiotropy analyses were conducted to evaluate the robustness of the results. Reverse MR analysis was also applied to investigate potential reverse causality.

Results

Through MR analysis, we identified 17 gut microbiota classifications that are closely associated with chronic sinusitis. However, after Bonferroni multiple correction, only class Bacilli (odds ratio: 0.785, 95% confidence interval: 0.677–0.911, p = .001, false discovery rate = 0.023) maintained a significant causal negative relationship with chronic sinusitis. Sensitivity analysis did not reveal any evidence of heterogeneity or horizontal pleiotropy. Reverse MR analysis found five gut microbiota classifications that are significantly associated with chronic sinusitis, but they were no longer significant after Bonferroni multiple correction. There was no evidence to suggest a reverse causal relationship between chronic sinusitis and class Bacilli.

Conclusion

Specific gut microbiota predicted by genetics exhibit a potential causal relationship with chronic sinusitis, and class Bacilli may have a protective effect on chronic sinusitis.

背景 研究表明,肠道微生物群失调与慢性鼻窦炎之间存在密切联系。然而,肠道微生物群与慢性鼻窦炎风险之间的因果关系仍不清楚。 方法 利用肠道微生物群和慢性鼻窦炎的全基因组关联研究(GWAS)数据,我们进行了一项双样本孟德尔随机化(MR)研究,以确定微生物群和慢性鼻窦炎之间的潜在因果关系。我们采用了反方差加权法(IVW)作为主要分析方法来估计效应。此外,我们还进行了敏感性、异质性和多向性分析,以评估结果的稳健性。我们还采用了反向 MR 分析来研究潜在的反向因果关系。 结果 通过MR分析,我们确定了17种与慢性鼻窦炎密切相关的肠道微生物群分类。然而,经过 Bonferroni 多重校正后,只有芽孢杆菌类(几率比:0.785,95% 置信区间:0.677-0.911,P = .001,误发现率 = 0.023)与慢性鼻窦炎保持着显著的因果负相关。敏感性分析未发现任何异质性或水平多向性证据。反向 MR 分析发现,有五种肠道微生物群分类与慢性鼻窦炎有显著相关性,但经过 Bonferroni 多重校正后,这些分类不再显著。没有证据表明慢性鼻窦炎与类杆菌之间存在反向因果关系。 结论 由遗传学预测的特定肠道微生物群与慢性鼻窦炎有潜在的因果关系,而类杆菌可能对慢性鼻窦炎有保护作用。
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引用次数: 0
Clinical characteristics, risk factor analysis and peripheral blood cell changes for early warning of multidrug-resistant bacteria (MDR) infection in elderly patients 老年患者耐多药细菌(MDR)感染预警的临床特征、风险因素分析和外周血细胞变化。
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-07-18 DOI: 10.1002/iid3.1347
Yalan Nie, Yulan Zeng

Objective

To explore peripheral blood indicators that may serve as early indicators for multidrug-resistant bacteria (MDR) infections in this demographic, with the goal of providing reference suggestions for the clinical prevention of MDR infections in elderly inpatients.

Methods

Clinical data of patients were divided into the MDR-infected group (n = 488) and the MDR-uninfected group (n = 233) according to the results of drug sensitivity experiments, risk factors for MDR infection, and peripheral blood indicators related to MDR infections were analyzed using univariate and multivariate logistic regression in conjunction with the construction of a Chi-squared automatic interaction detector (CHAID) decision tree model, considering statistical significance at p < .05.

Results

Of 721 patients, 488 multidrug-resistant strains were identified. Among them, with Staphylococcus spp. the most prevalent in 148 strains. The most frequent detection of MDR occurred in puncture fluid samples (167 cases). Univariate and multivariate regression analyses revealed that prolonged hospitalization, use of antibiotics preadmission, duration of antibiotics, invasive procedures or recent surgery, and coexisting lung disease were independent risk factors for contracting MDR. Subsequent analysis comparing the aforementioned influences with peripheral blood cells revealed associations between the number of antibiotic treatment days and increased neutrophil-to-lymphocyte ratio (NLR), platelet count-to-lymphocyte ratio (PLR), neutrophils, decreased lymphocytes, and increased eosinophils; preadmission antibiotic use correlated with increased PLR, NLR, neutrophils, and decreased lymphocytes; and invasive manipulation or surgery correlated with increased PLR and NLR.

Conclusions

Elevated NLR, PLR, neutrophils, lowered lymphocytes, and eosinophils may serve as early indicators of MDR infections in elderly hospitalized patients.

目的探讨可作为该人群耐多药细菌(MDR)感染早期指标的外周血指标,旨在为临床预防老年住院患者MDR感染提供参考建议:根据药敏实验结果将患者的临床资料分为MDR感染组(n=488)和MDR未感染组(n=233),采用单变量和多变量Logistic回归分析MDR感染的危险因素以及与MDR感染相关的外周血指标,并结合Chi-squared自动交互检测器(CHAID)决策树模型的构建,考虑统计学意义(以p为结果):在 721 名患者中,发现了 488 株多重耐药菌株。其中,以葡萄球菌属的 148 株最为普遍。在穿刺液样本中最常发现耐多药菌株(167 例)。单变量和多变量回归分析显示,住院时间过长、入院前使用抗生素、抗生素使用时间、侵入性操作或近期手术以及并存肺部疾病是感染 MDR 的独立风险因素。随后对上述影响因素与外周血细胞进行的比较分析表明,抗生素治疗天数与中性粒细胞与淋巴细胞比值(NLR)、血小板计数与淋巴细胞比值(PLR)、中性粒细胞、淋巴细胞减少和嗜酸性粒细胞增加有关;入院前使用抗生素与PLR、NLR、中性粒细胞和淋巴细胞减少增加有关;侵入性操作或手术与PLR和NLR增加有关:结论:NLR、PLR、中性粒细胞、淋巴细胞和嗜酸性粒细胞升高可作为老年住院患者MDR感染的早期指标。
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引用次数: 0
Silencing of FTO inhibits oxidative stress to relieve neuropathic pain by m6A modification of GPR177 沉默 FTO 可抑制氧化应激,通过 GPR177 的 m6A 修饰缓解神经性疼痛。
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-07-18 DOI: 10.1002/iid3.1345
Li Liu, Mei Liu, Zhiping Song, Huaigen Zhang

Background

Neuropathic pain (NP) is a challenging health condition owing to its complex nature and associated multiple etiologies. The occurrence of NP involves the abnormal activity of neurons mediated by oxidative stress (OS). Previous research has demonstrated that m6A methylation plays a role in the regulatory pathway of NP. This study aimed to investigate the specific molecular pathways through which m6A methylation modifiers alleviate NP.

Methods

For this purpose, an NO rat model was developed via spared nerve injury (SNI), followed by quantifying the animal's pain assessment via paw withdrawal threshold (PWT) and paw withdrawal latency (PWL). The OS in SNI rats was evaluated by measuring reactive oxygen species, superoxide dismutase, and catalase (CAT) in spinal cord tissues. Moreover, quantitative-real-time polymerase chain reaction and western blot analysis were employed for detecting fat mass and obesity-associated (FTO) and GPR177 levels, while m6A levels of GPR117 were analyzed via MeRIP.

Results

The results indicated an enhanced OS with highly expressed FTO in spinal cord tissue samples, where knocking down Fto effectively relieved NP and OS in SNI rats. Mechanistic investigations revealed that Fto-mediated reduction of Grp177 m6A modification was involved in the WNT5a/TRPV1 axis-mediated OS remission of NP. Moreover, in vitro experiment results indicated that YTHDF2 was an important m6A methylated reading protein for this process.

Conclusions

Fto silencing leads to increased m6A methylation of Grp177 through a YTHDF2-dependent mechanism, resulting in decreased Grp177 stability and ultimately reducing NP in rats by OS suppression.

背景:神经病理性疼痛(NP)是一种具有挑战性的健康问题,因为其性质复杂,且与多种病因相关。NP 的发生涉及氧化应激(OS)介导的神经元异常活动。以往的研究表明,m6A 甲基化在 NP 的调控途径中发挥作用。本研究旨在探讨 m6A 甲基化修饰剂缓解 NP 的具体分子途径:为此,我们通过幸免神经损伤(SNI)建立了一个NO大鼠模型,然后通过爪退缩阈值(PWT)和爪退缩潜伏期(PWL)对动物的疼痛评估进行量化。通过测量脊髓组织中的活性氧、超氧化物歧化酶和过氧化氢酶(CAT)来评估 SNI 大鼠的 OS。此外,还采用了定量实时聚合酶链反应和 Western 印迹分析法检测脂肪量和肥胖相关(FTO)及 GPR177 的水平,并通过 MeRIP 分析 GPR117 的 m6A 水平:结果:研究结果表明,脊髓组织样本中高表达的 FTO 会增强 OS,而敲除 Fto 能有效缓解 SNI 大鼠的 NP 和 OS。机理研究发现,Fto 介导的 Grp177 m6A 修饰减少参与了 WNT5a/TRPV1 轴介导的 NP OS 缓解。此外,体外实验结果表明,YTHDF2是这一过程中重要的m6A甲基化阅读蛋白:结论:Fto沉默通过YTHDF2依赖机制导致Grp177的m6A甲基化增加,导致Grp177稳定性降低,最终通过OS抑制减轻大鼠NP。
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引用次数: 0
From pancreas to lungs: The role of immune cells in severe acute pancreatitis and acute lung injury 从胰腺到肺部:免疫细胞在重症急性胰腺炎和急性肺损伤中的作用。
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-07-18 DOI: 10.1002/iid3.1351
Qi Liu, Xiaomei Zhu, Shubin Guo

Background

Severe acute pancreatitis (SAP) is a potentially lethal inflammatory pancreatitis condition that is usually linked to multiple organ failure. When it comes to SAP, the lung is the main organ that is frequently involved. Many SAP patients experience respiratory failure following an acute lung injury (ALI). Clinicians provide insufficient care for compounded ALI since the underlying pathophysiology is unknown. The mortality rate of SAP patients is severely impacted by it.

Objective

The study aims to provide insight into immune cells, specifically their roles and modifications during SAP and ALI, through a comprehensive literature review. The emphasis is on immune cells as a therapeutic approach for treating SAP and ALI.

Findings

Immune cells play an important role in the complicated pathophysiology ofSAP and ALI by maintaining the right balance of pro- and anti-inflammatory responses. Immunomodulatory drugs now in the market have low thepeutic efficacy because they selectively target one immune cell while ignoring immune cell interactions. Accurate management of dysregulated immune responses is necessary. A critical initial step is precisely characterizing the activity of the immune cells during SAP and ALI.

Conclusion

Given the increasing incidence of SAP, immunotherapy is emerging as a potential treatment option for these patients. Interactions among immune cells improve our understanding of the intricacy of concurrent ALI in SAP patients. Acquiring expertise in these domains will stimulate the development of innovative immunomodulation therapies that will improve the outlook for patients with SAP and ALI.

背景:重症急性胰腺炎(SAP)是一种可能致命的炎症性胰腺炎,通常与多器官功能衰竭有关。就 SAP 而言,肺是经常受累的主要器官。许多 SAP 患者在急性肺损伤 (ALI) 后出现呼吸衰竭。由于潜在的病理生理学尚不清楚,临床医生对复合性 ALI 的护理不足。SAP患者的死亡率因此受到严重影响:本研究旨在通过全面的文献综述,深入了解免疫细胞,特别是它们在 SAP 和 ALI 期间的作用和变化。研究重点是将免疫细胞作为治疗 SAP 和 ALI 的一种治疗方法:研究结果:免疫细胞在 SAP 和 ALI 复杂的病理生理学中发挥着重要作用,它能维持促炎和抗炎反应的适当平衡。目前市场上的免疫调节药物疗效较低,因为它们选择性地针对一种免疫细胞,而忽视了免疫细胞之间的相互作用。必须对失调的免疫反应进行精确管理。关键的第一步是准确描述 SAP 和 ALI 期间免疫细胞的活动特征:鉴于 SAP 的发病率越来越高,免疫疗法正成为这些患者的一种潜在治疗选择。免疫细胞之间的相互作用加深了我们对 SAP 患者并发 ALI 复杂性的理解。掌握这些领域的专业知识将促进创新免疫调节疗法的开发,从而改善 SAP 和 ALI 患者的前景。
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引用次数: 0
Reduced seasonal coronavirus incidence in high-risk population groups during the COVID-19 pandemic COVID-19 大流行期间高危人群季节性冠状病毒发病率降低。
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-07-18 DOI: 10.1002/iid3.1342
Aliisa Heiskanen, Yannick Galipeau, Julian Little, Marc-André Langlois, Curtis L. Cooper

Background

Epidemiological data on seasonal coronaviruses (sCoVs) may provide insight on transmission patterns and demographic factors that favor coronaviruses (CoVs) with greater disease severity. This study describes the incidence of CoVs in several high-risk groups in Ottawa, Canada, from October 2020 to March 2022.

Methods

Serological assays quantified IgG and IgM antibodies to SARS-CoV-2, HCoV-OC43, HCoV-NL63, HCoV-HKU1, and HCoV-229E. Incident infections were compared between four population groups: individuals exposed to children, transit users, immunocompromised, and controls. Associations between antibody prevalence indicative of natural infection and demographic variables were assessed using regression analyses.

Results

Transit users and those exposed to children were at no greater risk of infection compared to the control group. Fewer infections were detected in the immunocompromised group (p = .03). SARS-CoV-2 seroprevalence was greater in individuals with low income and within ethnic minorities.

Conclusions

Our findings suggest that nonpharmaceutical interventions intended to reduce SAR-CoV-2 transmission protected populations at high risk of exposure. The re-emergence of sCoVs and other common respiratory viruses alongside SARS-CoV-2 may alter infection patterns and increase the risk in vulnerable populations.

背景:有关季节性冠状病毒(sCoVs)的流行病学数据可帮助人们了解疾病严重程度更高的冠状病毒(CoVs)的传播模式和人口因素。本研究描述了 2020 年 10 月至 2022 年 3 月期间加拿大渥太华几个高危人群的 CoVs 发病率:血清学检测对 SARS-CoV-2、HCoV-OC43、HCoV-NL63、HCoV-HKU1 和 HCoV-229E 的 IgG 和 IgM 抗体进行量化。对四类人群的感染情况进行了比较:儿童接触者、过境者、免疫力低下者和对照组。通过回归分析评估了表明自然感染的抗体流行率与人口统计学变量之间的关联:结果:与对照组相比,乘坐公交车者和接触儿童者的感染风险并不比对照组高。免疫力低下组的感染率较低(p = .03)。低收入人群和少数民族的 SARS-CoV-2 血清阳性率更高:我们的研究结果表明,旨在减少 SARS-CoV-2 传播的非药物干预措施保护了高危人群。与 SARS-CoV-2 同时出现的 sCoVs 和其他常见呼吸道病毒可能会改变易感人群的感染模式并增加其风险。
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引用次数: 0
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Immunity, Inflammation and Disease
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