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Analysis of the Results of Tuberculosis Drug Resistance Surveillance in Yuexiu District, Guangzhou City, 2013–2022 2013-2022年广州市越秀区结核病耐药性监测结果分析》。
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-11-27 DOI: 10.1002/iid3.70060
Xueqiu Li, Jianxiong Liu
<div> <section> <h3> Introduction</h3> <p>The objectives of the study are to understand the drug-resistant situation and trend of tuberculosis patients in Yuexiu District, Guangzhou City, from 2013 to 2022, and to provide a scientific basis for the development of rational drug-resistant tuberculosis prevention and control strategies in Guangzhou City.</p> </section> <section> <h3> Methods</h3> <p>All patients who were diagnosed with active tuberculosis in Guangzhou Chest Hospital from January 1, 2013 to December 31, 2022 were collected as study subjects, and a total of 5191 patients were enrolled in the study. Comprehensive data on the basic characteristics, diagnostic, and therapeutic information of the study subjects were collected. Sputum specimens were subjected to smear, isolation, and culture. Culture-positive strains of bacteria were identified by bacterial groups. A total of 1659 strains of <i>Mycobacterium tuberculosis</i> (MTB) isolates were obtained. The drug susceptibility test was carried out using the proportionality method on the MTB isolates for nine types of antituberculosis medicines: isoniazid (INH), rifampicin (RFP), ethambutol (EMB), streptomycin (Sm), kanamycin (Km), ofloxacin (Ofx), capreomycin (Cm), propylthioisonicotinamide (Pto), and <i>p</i>-aminosalicylic acid (PAS). A comparative analysis of the resistance patterns among the strains was conducted.</p> </section> <section> <h3> Results</h3> <p>A total of 1659 patients with MTB were cultured, revealing 438 drug-resistant cases. Among these, 255 were monoresistant, 121 were polyresistant, and 62 were multidrug resistant. The overall resistance rate was 26.40% (438/1659), with mono-resistance rate at 15.37% (255/1659), polyresistance rate at 7.29% (121/1659), and multidrug resistance rate at 3.74% (62/1659). In descending order, the resistance rates of MTB isolates to any of the nine antituberculosis drugs were Sm (12.24%, 203/1659), INH (9.22%, 153/1659), EMB (7.35%, 122/1659), RFP (6.99%, 116/1659), PAS (3.25%, 54/1659), Pto (3.13%, 52/1659), Ofx (2.71%, 45/1659), Cm (2.17%, 36/1659), and Km (2.17%, 36/1659). The differences in resistance rates were statistically significant (<i>p</i> < 0.01), with Sm exhibiting the highest resistance rate and Km the lowest.</p> <p>In the primary treatment group, 388 patients (25.55%) were drug resistant, while 50 patients (35.46%) in the retreatment group were drug resistant. Thirty-nine patients (2.57%) in the primary treatment group were multidrug resistant, compared to 23 patients (16.31%) in the retreatment group. The resistance rate and multidrug resistance rate of isolates from retreatment patients
引言本研究旨在了解广州市越秀区2013-2022年肺结核患者耐药情况及趋势,为广州市制定合理的耐药结核病防控策略提供科学依据:方法:收集 2013 年 1 月 1 日至 2022 年 12 月 31 日在广州市胸科医院确诊的活动性肺结核患者作为研究对象,共 5191 例。收集了研究对象的基本特征、诊断和治疗信息等全面数据。对痰标本进行涂片、分离和培养。培养阳性菌株按细菌组别进行鉴定。共获得 1659 株结核分枝杆菌(MTB)分离株。采用比例法对 MTB 分离菌株进行了九种抗结核药物的药敏试验:异烟肼(INH)、利福平(RFP)、乙胺丁醇(EMB)、链霉素(Sm)、卡那霉素(Km)、氧氟沙星(Ofx)、辣椒霉素(Cm)、丙硫异烟胺(Pto)和对氨基水杨酸(PAS)。对不同菌株的耐药性模式进行了比较分析:结果:共培养出 1659 例 MTB 患者,发现 438 例耐药病例。其中,255 例为单耐药,121 例为多耐药,62 例为耐多药。总耐药率为 26.40%(438/1659),单耐药率为 15.37%(255/1659),多耐药率为 7.29%(121/1659),耐多药率为 3.74%(62/1659)。MTB分离株对9种抗结核药物中任何一种的耐药率从高到低依次为Sm(12.24%,203/1659)、INH(9.22%,153/1659)、EMB(7.35%,122/1659)、RFP(6.99%,116/1659)、PAS(3.25%,54/1659)、Pto(3.13%,52/1659)、Ofx(2.71%,45/1659)、Cm(2.17%,36/1659)和 Km(2.17%,36/1659)。耐药率的差异具有显著的统计学意义(P 结论:耐药率的差异具有显著的统计学意义(P 结论:耐药率的差异具有显著的统计学意义(P)):广州市耐药结核病传播问题需引起重视,应进一步加大耐药筛查力度,有效控制传染源。
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引用次数: 0
Correction to “Efficacy and Mechanism of Action of Ginsenoside Rg3 on Radiation Proctitis in Rats” 更正 "人参皂苷 Rg3 对大鼠放射性直肠炎的疗效和作用机制"。
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-11-27 DOI: 10.1002/iid3.70086

X. Li, L. Lin, X. Duan, J. Dai, T. Hu, and H. Cai, “Efficacy and Mechanism of Action of Ginsenoside Rg3 on Radiation Proctitis in Rats,” Immunity, Inflammation and Disease 12 (2024): e70015, https://doi.org/10.1002/iid3.70015.

In the article, the following errors were identified.

Author Affiliation

Lili Lin's affiliation was originally stated as 2Department of Oncology, Suqian First People's Hospital, Suqian, China. This should be 2Department of Oncology, Suqian First Hospital, Suqian China.

Correspondence:

Lili Lin was inadvertently missed from the original correspondence and should be added. The correspondence should read:

Lili Lin, Department of Oncology, Suqian First People's Hospital, Suqian, China. Email: [email protected]

Hongyi Cai, Department of Radiotherapy, Gansu Provincial Hospital, 204 Donggang West Rd, Lanzhou, Gansu, China. Email: [email protected] and [email protected]

Footnote:

Xuxia Li and Lili Lin did not contribute equally to this paper and this footnote should be removed from the article.

The online version of the article has been corrected.

We apologize for these errors.

X.Li, L. Lin, X. Duan, J. Dai, T. Hu, and H. Cai, "Efficacy and Mechanism of Action of Ginsenoside Rg3 on Radiation Proctitis in Rats," Immunity, Inflammation and Disease 12 (2024): e70015, https://doi.org/10.1002/iid3.70015.In 文章中发现以下错误。作者单位Lili Lin的单位原为中国宿迁市宿迁市第一人民医院肿瘤二科。通讯作者:林莉莉因疏忽而遗漏在原始通讯中,应予以补充。通讯地址应为:宿迁市第一人民医院肿瘤科林莉莉。电子邮箱:[email protected]Hongyi Cai[email protected]蔡宏毅,甘肃省兰州市东岗西路204号,甘肃省医院放疗科。电子邮箱:[email protected] 和 [email protected]:[email protected]和[email protected]脚注:李旭霞和林莉莉对本文的贡献并不相同,该脚注应从文章中删除。
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引用次数: 0
Bioinformatics Analysis and Immunogenicity Assessment of the Novel Multi-Stage DNA Vaccine W541 Against Mycobacterium Tuberculosis 针对结核分枝杆菌的新型多阶段 DNA 疫苗 W541 的生物信息学分析和免疫原性评估。
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-11-26 DOI: 10.1002/iid3.70074
Yourong Yang, Yong Xue, Xiaoou Wang, Lan Wang, Jie Wang, Junxian Zhang, Yinping Liu, Yan Liang, Xueqiong Wu

Background

Vaccination is one of the effective measures to prevent latent tuberculosis infection (LTBI) from developing into active tuberculosis (TB). Applying bioinformatics methods to pre-evaluate the biological characteristics and immunogenicity of vaccines can improve the efficiency of vaccine development.

Objectives

To evaluate the immunogenicity of TB vaccine W541 and to explore the application of bioinformatics technology in TB vaccine research.

Methods

This study concatenated the immunodominant sequences of Ag85A, Ag85B, Rv3407, and Rv1733c to construct the W541 DNA vaccine. Then, bioinformatics methods were used to analyze the physicochemical properties, antigenicity, allergenicity, toxicity, and population coverage of the vaccine, to identify its epitopes, and to perform molecular docking with MHC alleles and Toll-like receptor 4 (TLR4) of the host. Finally, the immunogenicity of the vaccine was evaluated in animal experiments.

Results

The W541 vaccine protein is a soluble cytoplasmic protein with a half-life of 1.1 h in vivo and an instability index of 45.37. It has good antigenicity and wide population coverage without allergenicity and toxicity. It contains 138 HTL epitopes, 73 CTL epitopes, 8 linear and 14 discontinuous B cell epitopes, and has a strong affinity for TLR4. Immune simulations have shown that it can effectively stimulate innate and adaptive immune responses. Animal experiments confirmed that the W541 DNA vaccine could effectively activate Th1- and Th17-type immune responses, producing high levels of IFN-γ and IL-17A, but could not significantly increase antibody levels.

Conclusion

The W541 DNA vaccine can induce strong cellular immune responses. However, further optimization of the vaccine design is needed to make the expressed protein more stable in vivo. Bioinformatics analysis could reveal the physicochemical and immunological information of vaccines, which is critical for guiding vaccine design and development.

背景:接种疫苗是预防潜伏肺结核感染(LTBI)发展为活动性肺结核(TB)的有效措施之一。应用生物信息学方法预先评估疫苗的生物学特性和免疫原性可以提高疫苗开发的效率:评估结核病疫苗 W541 的免疫原性,探索生物信息学技术在结核病疫苗研究中的应用:方法:本研究将Ag85A、Ag85B、Rv3407和Rv1733c的免疫优势序列连接起来,构建了W541 DNA疫苗。然后,利用生物信息学方法分析了疫苗的理化性质、抗原性、致敏性、毒性和人群覆盖率,确定了疫苗的表位,并与宿主的MHC等位基因和Toll样受体4(TLR4)进行了分子对接。最后,在动物实验中评估了疫苗的免疫原性:W541疫苗蛋白是一种可溶性细胞质蛋白,体内半衰期为1.1小时,不稳定指数为45.37。它具有良好的抗原性和广泛的人群覆盖性,无过敏性和毒性。它包含 138 个 HTL 表位、73 个 CTL 表位、8 个线性和 14 个不连续 B 细胞表位,对 TLR4 有很强的亲和力。免疫模拟显示,它能有效刺激先天性和适应性免疫反应。动物实验证实,W541 DNA 疫苗能有效激活 Th1 型和 Th17 型免疫反应,产生高水平的 IFN-γ 和 IL-17A,但不能显著提高抗体水平:结论:W541 DNA疫苗能诱导强烈的细胞免疫应答。结论:W541 DNA 疫苗能诱导强烈的细胞免疫反应,但需要进一步优化疫苗设计,使表达的蛋白质在体内更加稳定。生物信息学分析可以揭示疫苗的理化和免疫学信息,这对指导疫苗的设计和开发至关重要。
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引用次数: 0
Ultrasound Stimulation Modulates Microglia M1/M2 Polarization and Affects Hippocampal Proteomic Changes in a Mouse Model of Alzheimer's Disease 超声波刺激调节小胶质细胞 M1/M2 极化并影响阿尔茨海默病小鼠模型的海马蛋白质组变化
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-11-26 DOI: 10.1002/iid3.70061
Xinliang Lu, Wenxian Sun, Li Leng, Yuting Yang, Shuting Gong, Qi Zou, Haijun Niu, Cuibai Wei

Background

The effectiveness of ultrasound stimulation in treating Alzheimer's disease (AD) has been reported in previous studies, but the underlying mechanisms remain unclear. This study investigated the effects of ultrasound stimulation on the proportion and function of microglia of different phenotypes, as well as on the levels of inflammatory factors. Additionally, it revealed the alterations in proteomic molecules in the mouse hippocampus following ultrasound stimulation treatment, aiming to uncover potential new molecular mechanisms.

Methods

Ultrasound stimulation was used to stimulate the hippocampus for 30 min per day for 5 days in the ultrasound stimulation-treated group. Amyloid plaque deposition was measured using immunofluorescence staining. M1 and M2 type microglia were labeled using immunofluorescent double staining, and the ratio was calculated. The levels of Aβ42, IL-10, and TNF-α were determined using ELISA kits. The quantitative proteomics method was employed to explore molecular changes in hippocampal proteins.

Results

Ultrasound stimulation treatment reduced the average fluorescence intensity of amyloid plaques and the concentration of Aβ42. Compared to the AD group, ultrasound stimulation resulted in a 14% reduction in the proportion of M1 microglia and a 12% increase in the proportion of M2 microglia. The concentration of the anti-inflammatory factor IL-10 was significantly increased in the ultrasound stimulation-treated group. Proteomics analysis revealed 753 differentially expressed proteins between the ultrasound stimulation-treated and AD groups, with most being enriched in the oxidative phosphorylation pathway of mitochondria. Additionally, the activity of cytochrome c oxidase, involved in oxidative phosphorylation, was increased after ultrasound stimulation treatment.

Conclusions

Ultrasound stimulation affects microglial polarization, reduces amyloid plaque load, and enhances levels of anti-inflammatory factors in APP/PS1 mice. Proteomics analysis reveals molecular changes in hippocampal proteins after ultrasound stimulation treatment. The mechanism behind ultrasound stimulation-induced modulation of microglial polarization may be related to changes in mitochondrial oxidative phosphorylation.

背景:已有研究报道了超声刺激治疗阿尔茨海默病(AD)的有效性,但其潜在机制仍不清楚。本研究探讨了超声刺激对不同表型小胶质细胞的比例和功能以及炎症因子水平的影响。此外,研究还揭示了超声刺激治疗后小鼠海马蛋白质组分子的变化,旨在发现潜在的新分子机制:方法:采用超声波刺激海马,超声波刺激组每天刺激海马30分钟,连续5天。采用免疫荧光染色法测量淀粉样斑块沉积。用免疫荧光双重染色法标记 M1 和 M2 型小胶质细胞,并计算其比例。使用 ELISA 试剂盒测定 Aβ42、IL-10 和 TNF-α 的水平。采用定量蛋白质组学方法探讨海马蛋白质的分子变化:结果:超声刺激治疗降低了淀粉样蛋白斑块的平均荧光强度和Aβ42的浓度。与AD组相比,超声刺激使M1小胶质细胞的比例减少了14%,M2小胶质细胞的比例增加了12%。超声刺激组中抗炎因子IL-10的浓度显著增加。蛋白质组学分析显示,超声刺激处理组和 AD 组之间有 753 个不同表达的蛋白质,其中大部分富集在线粒体的氧化磷酸化途径中。此外,参与氧化磷酸化的细胞色素c氧化酶的活性在超声刺激处理后也有所增加:结论:超声波刺激可影响 APP/PS1 小鼠的小胶质细胞极化,减少淀粉样斑块负荷,提高抗炎因子水平。蛋白质组学分析揭示了超声刺激治疗后海马蛋白质的分子变化。超声刺激诱导的小胶质细胞极化调节机制可能与线粒体氧化磷酸化的变化有关。
{"title":"Ultrasound Stimulation Modulates Microglia M1/M2 Polarization and Affects Hippocampal Proteomic Changes in a Mouse Model of Alzheimer's Disease","authors":"Xinliang Lu,&nbsp;Wenxian Sun,&nbsp;Li Leng,&nbsp;Yuting Yang,&nbsp;Shuting Gong,&nbsp;Qi Zou,&nbsp;Haijun Niu,&nbsp;Cuibai Wei","doi":"10.1002/iid3.70061","DOIUrl":"10.1002/iid3.70061","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The effectiveness of ultrasound stimulation in treating Alzheimer's disease (AD) has been reported in previous studies, but the underlying mechanisms remain unclear. This study investigated the effects of ultrasound stimulation on the proportion and function of microglia of different phenotypes, as well as on the levels of inflammatory factors. Additionally, it revealed the alterations in proteomic molecules in the mouse hippocampus following ultrasound stimulation treatment, aiming to uncover potential new molecular mechanisms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Ultrasound stimulation was used to stimulate the hippocampus for 30 min per day for 5 days in the ultrasound stimulation-treated group. Amyloid plaque deposition was measured using immunofluorescence staining. M1 and M2 type microglia were labeled using immunofluorescent double staining, and the ratio was calculated. The levels of Aβ42, IL-10, and TNF-α were determined using ELISA kits. The quantitative proteomics method was employed to explore molecular changes in hippocampal proteins.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Ultrasound stimulation treatment reduced the average fluorescence intensity of amyloid plaques and the concentration of Aβ42. Compared to the AD group, ultrasound stimulation resulted in a 14% reduction in the proportion of M1 microglia and a 12% increase in the proportion of M2 microglia. The concentration of the anti-inflammatory factor IL-10 was significantly increased in the ultrasound stimulation-treated group. Proteomics analysis revealed 753 differentially expressed proteins between the ultrasound stimulation-treated and AD groups, with most being enriched in the oxidative phosphorylation pathway of mitochondria. Additionally, the activity of cytochrome c oxidase, involved in oxidative phosphorylation, was increased after ultrasound stimulation treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Ultrasound stimulation affects microglial polarization, reduces amyloid plaque load, and enhances levels of anti-inflammatory factors in APP/PS1 mice. Proteomics analysis reveals molecular changes in hippocampal proteins after ultrasound stimulation treatment. The mechanism behind ultrasound stimulation-induced modulation of microglial polarization may be related to changes in mitochondrial oxidative phosphorylation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":13289,"journal":{"name":"Immunity, Inflammation and Disease","volume":"12 11","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/iid3.70061","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716266","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
Natural Killer Cells in Cancers of Respiratory System and Their Applications in Therapeutic Approaches 呼吸系统癌症中的自然杀伤细胞及其在治疗方法中的应用。
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-11-26 DOI: 10.1002/iid3.70079
Maryam Dokhanchi, Atefe Panahipoor Javaherdehi, Mohammad Raad, Shayan Khalilollah, Pooya Mahdavi, Mohammad Hossein Razizadeh, Alireza Zafarani

Background

Cancer is still regarded as a major worldwide health issue due to its high health and socioeconomic burden. Currently, lung cancer is the most common cause of cancer-related fatalities globally. Additionally, mesotheliomas and other cancers of the respiratory system, including those of the trachea, larynx, and bronchi, are also posing a significant health threat. Natural killer (NK) cells are lymphocytes of the innate immune system involved in response against cancer.

Objective

This review discussed recent findings in the context of NK cell activity in the immune surveillance of respiratory system cancers and NK cell-based treatments to combat those malignancies.

Results

The presence of natural killer cells in the tumor microenvironment is shown to be associated with a higher survival rate in patients with various malignancies. However, cancerous cells benefit from several mechanisms to evade natural killer cell-mediated cytotoxicity, including reduced major histocompatibility complex I expression, shedding of ligands, upregulation of inhibitory receptors, and release of soluble factors. Using NK cells to design therapeutic approaches may enhance antitumor immunity and improve clinical outcomes. Clinical trials investigating the use of natural killer cells in combination with cytokine stimulation or immune checkpoint inhibitors have exhibited promising results in various respiratory system malignancies.

Conclusion

Respiratory system cancers present significant health challenges worldwide, and while NK cells play a crucial role in tumor surveillance, tumors often evade NK cell responses through various mechanisms. Advances in NK cell-based therapies, including CAR-NK cells, immune checkpoint inhibitors, and cytokine stimulation, have shown promising outcomes in tackling these tactics. However, challenges such as the immunosuppressive tumor microenvironment persist. Ongoing research is crucial to improve NK cell therapies by targeting autophagy, modulating miRNAs, and developing combinatorial approaches to enhance treatment efficacy for respiratory cancers.

背景:癌症因其对健康和社会经济造成的沉重负担,仍被视为世界性的重大健康问题。目前,肺癌是全球最常见的癌症致死原因。此外,间皮瘤和其他呼吸系统癌症,包括气管、喉和支气管癌症,也对健康构成了重大威胁。自然杀伤(NK)细胞是先天性免疫系统中参与抗癌的淋巴细胞:本综述讨论了在呼吸系统癌症的免疫监视中 NK 细胞活性的最新发现,以及基于 NK 细胞的抗癌疗法:肿瘤微环境中自然杀伤细胞的存在与各种恶性肿瘤患者较高的存活率有关。然而,癌细胞可利用多种机制逃避自然杀伤细胞介导的细胞毒性,包括主要组织相容性复合体 I 表达减少、配体脱落、抑制性受体上调和可溶性因子释放。利用 NK 细胞设计治疗方法可增强抗肿瘤免疫力,改善临床疗效。研究自然杀伤细胞与细胞因子刺激或免疫检查点抑制剂结合使用的临床试验已在各种呼吸系统恶性肿瘤中显示出良好的效果:尽管 NK 细胞在肿瘤监测中发挥着至关重要的作用,但肿瘤往往会通过各种机制逃避 NK 细胞的反应。以 NK 细胞为基础的疗法,包括 CAR-NK 细胞、免疫检查点抑制剂和细胞因子刺激,在应对这些策略方面取得了可喜的成果。然而,免疫抑制性肿瘤微环境等挑战依然存在。正在进行的研究对于通过靶向自噬、调节 miRNA 和开发组合方法来改善 NK 细胞疗法以提高呼吸系统癌症的疗效至关重要。
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引用次数: 0
Comparison of serum zinc levels between patients with sinonasal neutrophilic and eosinophilic inflammatory polyposis and healthy individuals 鼻窦嗜中性粒细胞性和嗜酸性粒细胞性炎症性息肉病患者与健康人血清锌水平的比较。
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-11-26 DOI: 10.1002/iid3.70016
Matin Ghazizadeh, Elahe Roshanaie, Behrouz Barati

Objectives

Some changes in nasal mucus and paranasal sinuses may occur due to zinc deficiency, which can cause chronic rhinosinusitis with nasal polyps (CRSwNP). The current study was designed to compare the serum zinc concentration between patients with chronic rhinosinusitis complicated with eosinophilic or neutrophilic nasal polyps and a control group.

Methods

A total of 105 patients participated in the study. Patients in three different groups were evaluated for CRSwNP (35 in the eosinophilia group and 35 in the neutrophil group), and 35 patients underwent surgery for reasons other than polyposis (control group). The serum zinc level was determined.

Results

The mean age of the patients was 39.4 ± 12.61 years. Forty-one patients (39%) were female. Based on the enzyme linked immunosorbent assay results, the average serum zinc level in the control group was 137.01 ± 19.42 (μgm/100 mL), and in all patients with CRSwNP, it was 127.27 ± 21.7 (μgm/100 mL). The serum zinc concentration in patients with CRSwNP was significantly lower than that in the control group (p = .027). Among the CRSwNP patients with eosinophilic polyps and neutrophilic polyps, 130.42 ± 21.92 (μgm/100 mL) and 127.27 ± 21.7 (μgm/100 mL), respectively, were detected. Based on the statistical analysis, the neutrophilic and eosinophilic groups were homogenous according to the average serum zinc concentration (p = .631), and the same conditions prevailed for the eosinophilic and control groups (p = .574). There was a noticeable distinction between the neutrophilic group and the control group (p = .034).

Conclusion

Serum zinc concentrations were significantly lower in patients with neutrophilic polyps than in the general population. This difference may be due to the essential role of zinc in the inflammatory process in patients with neutrophilic polyposis.

目的:缺锌可能导致鼻粘膜和副鼻窦发生一些变化,从而引起慢性鼻炎并发鼻息肉(CRSwNP)。本研究旨在比较慢性鼻炎并发嗜酸性或中性鼻息肉患者与对照组的血清锌浓度:方法: 共有105名患者参与了研究。方法:共有 105 名患者参加了这项研究,对三组不同的患者进行了 CRSwNP 评估(嗜酸性粒细胞组和嗜中性粒细胞组各 35 人),另有 35 名患者因息肉病以外的原因接受了手术(对照组)。对血清锌水平进行了测定:患者的平均年龄为(39.4 ± 12.61)岁。41名患者(39%)为女性。根据酶联免疫吸附试验结果,对照组患者的平均血清锌水平为 137.01 ± 19.42(微克/100 毫升),而所有 CRSwNP 患者的平均血清锌水平为 127.27 ± 21.7(微克/100 毫升)。CRSwNP 患者的血清锌浓度明显低于对照组(p = .027)。在患有嗜酸性息肉和嗜中性息肉的 CRSwNP 患者中,分别检测到 130.42 ± 21.92 (μgm/100 mL) 和 127.27 ± 21.7 (μgm/100 mL)。根据统计分析,嗜中性粒细胞组和嗜酸性粒细胞组血清锌平均浓度相同(p = .631),嗜酸性粒细胞组和对照组血清锌平均浓度相同(p = .574)。嗜中性粒细胞组与对照组之间存在明显差异(p = .034):结论:嗜中性粒细胞息肉患者的血清锌浓度明显低于普通人群。这种差异可能是由于锌在嗜中性粒细胞性息肉病患者的炎症过程中起着至关重要的作用。
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引用次数: 0
Pirfenidone alleviates smoke inhalation lung injury of rats via the NF-κB signaling pathway 吡非尼酮通过NF-κB信号通路减轻大鼠吸入烟雾造成的肺损伤
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-11-26 DOI: 10.1002/iid3.70014
Tingting Lv, Kaiyuan Yang, Jinxiang Wang

Objective

Smoke inhalation lung injury (SILI) is a common complication in fires and wars, characterized by acute onset and severe condition. Pirfenidone (PFD), a new small-molecule drug, has been shown to improve lung function and inhibit pulmonary fibrosis and inflammation. This study aimed to elucidate the effect and underlying mechanism of PFD on SILI in rats.

Materials and Methods

SILI rats were constructed using a homemade smoking device, which was then treated with PFD. The blood was collected from the abdominal aorta, and the arterial blood gas was detected. The productions of oxidative stress markers and inflammatory cytokines in plasma were measured by enzyme linked immunosorbent assay assay. Moreover, the alveolar surface area, wet:dry weight ratio of the lung tissues, and bronchoalveolar lavage fluid (BALF) were determined as well. The pulmonary histopathology, cell apoptosis, and the related proteins of nuclear factor kappa B (NF-κB) pathway were determined by hematoxylin-eosin staining, TdT-mediated dUTP-biotin nick end labeling, and western blot assays, respectively.

Results

PFD had a significant protective effect on SILI via inhibiting oxidative stress, inflammation, and apoptosis. Mechanistically, PFD inhibited the activation of NF-κB pathway in vivo. Moreover, activation of NF-κB pathway attenuated the PFD-mediated protective effect against SILI.

Conclusions

These data demonstrate that PFD alleviates SILI of rats via the NF-κB signaling pathway, which provides an attractive therapeutic option for SILI treatment.

目的:烟雾吸入性肺损伤(SILI)是火灾和战争中常见的并发症:烟雾吸入性肺损伤(SILI)是火灾和战争中常见的并发症,具有发病急、病情重的特点。小分子新药吡非尼酮(PFD)具有改善肺功能、抑制肺纤维化和炎症的作用。本研究旨在阐明 PFD 对大鼠 SILI 的影响及其机制:使用自制的吸烟装置构建 SILI 大鼠,然后用 PFD 对其进行处理。从腹主动脉采血,检测动脉血气。血浆中氧化应激标记物和炎症细胞因子的生成量通过酶联免疫吸附试验检测。此外,还测定了肺泡表面积、肺组织干湿重量比和支气管肺泡灌洗液(BALF)。通过苏木精-伊红染色法、TdT 介导的 dUTP 生物素缺口标记法和 Western 印迹法,分别测定了肺组织病理学、细胞凋亡和核因子卡巴 B(NF-κB)通路相关蛋白:结果:PFD通过抑制氧化应激、炎症和细胞凋亡对SILI有明显的保护作用。从机理上讲,PFD 可抑制体内 NF-κB 通路的激活。此外,NF-κB 通路的激活削弱了 PFD 介导的对 SILI 的保护作用:这些数据表明,PFD 可通过 NF-κB 信号通路缓解大鼠的 SILI,这为治疗 SILI 提供了一种有吸引力的治疗方案。
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引用次数: 0
Tacrolimus versus hydrocortisone in management of atopic dermatitis in children, a randomized controlled double-blind study: New insights on TARC, CTACK, TSLP, and E-selectin 他克莫司与氢化可的松治疗儿童特应性皮炎的随机对照双盲研究:关于 TARC、CTACK、TSLP 和 E-选择素的新见解。
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-11-26 DOI: 10.1002/iid3.70028
Ammena Y. Binsaleh, Fedaa A. Kotkata, Mostafa M. Bahaa, Amir O. Hamouda, Mohamad A. El-Gammal, Aya Ibrahim Elberri, Hend Mostafa Selim, Marwa Ahmed El-samongy, Manal A. Hamouda, Fatma A. Mokhtar, Sherif Ashraf Fahmy, Thanaa A. Elmasri, Eman I. Elberri

Introduction

Atopic dermatitis (AD) is a type of chronic inflammatory disorder that affects all age groups including children. AD is characterized by elevated inflammatory marker levels.

Aim

To assess the safety and effectiveness of topical tacrolimus ointment versus topical hydrocortisone cream in the treatment of pediatric AD by comparing the two treatments' ability to reduce serum cytokines.

Patients and Methods

One hundred AD patients who fulfilled the eligibility criteria completed this clinical study. Two groups of 50 AD patients each were selected from Tanta University's Dermatology Department., Group 1 (the hydrocortisone group) was administered topical hydrocortisone cream for a duration of 4 months. For 4 months, Group 2 was administered tacrolimus topically. Serum levels of thymus and activation regulated chemokine (TARC), cutaneous T cell attractant chemokine (CTAC), interleukin-10 (IL-10), interleukin-6 (IL-6), E selectin (E-selectin), and thymic stromal lymphopoietin (TSLP) were measured during an evaluation of the patients by a dermatologist at the beginning and 4 months after the treatment had been started. Children's Dermatology Life Quality Index was used to assess quality of life in these patients.

Results

With the exception of E-selectin, IL-6, and IL-10 (p > .05), the tacrolimus group had a significant reduction in TARC, CTACK, TSLP (p < .05) when compared to its baseline and when compared to the hydrocortisone group. Both groups showed a significant improvement in quality of life but no significant changes between groups were observed.

Conclusion

In children with AD, tacrolimus reduces inflammatory biomarkers better than hydrocortisone.

简介特应性皮炎(AD)是一种慢性炎症性疾病,影响包括儿童在内的所有年龄组人群。目的:通过比较两种疗法降低血清细胞因子的能力,评估他克莫司软膏与氢化可的松乳膏外用治疗小儿特应性皮炎的安全性和有效性:100 名符合资格标准的 AD 患者完成了这项临床研究。第一组(氢化可的松组)外用氢化可的松软膏 4 个月。第 2 组局部使用他克莫司,为期 4 个月。治疗开始后 4 个月,皮肤科医生在对患者进行评估时测量了血清中胸腺和活化调节趋化因子 (TARC)、皮肤 T 细胞吸引趋化因子 (CTAC)、白细胞介素-10 (IL-10)、白细胞介素-6 (IL-6)、E 选择素 (E-selectin) 和胸腺基质淋巴生成素 (TSLP) 的水平。儿童皮肤病生活质量指数用于评估这些患者的生活质量:结果:除E-选择素、IL-6和IL-10(p > .05)外,他克莫司组的TARC、CTACK和TSLP均显著下降(p 结论:他克莫司组的TARC、CTACK和TSLP均显著下降(p > .05):对于 AD 患儿,他克莫司比氢化可的松更能降低炎症生物标志物。
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引用次数: 0
Opposite effects of systemic and local conditional CD11c+ myeloid cell depletion during bleomycin-induced inflammation and fibrosis in mice 在博莱霉素诱导的小鼠炎症和纤维化过程中,全身和局部条件性 CD11c+髓系细胞耗竭会产生相反的效果
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-11-24 DOI: 10.1002/iid3.70042
Gabriel Augusto Oliveira Lopes, Braulio Henrique Freire Lima, Camila Simões Freitas, Andiara Cardoso Peixoto, Frederico Marianetti Soriani, Geovanni Dantas Cassali, Bernhard Ryffel, Mauro Martins Teixeira, Fabiana Simão Machado, Remo Castro Russo
<div> <section> <h3> Rationale</h3> <p>Elevated levels of CD11c+ myeloid cells are observed in various pulmonary disorders, including Idiopathic Pulmonary Fibrosis (IPF). Dendritic cells (DCs) and macrophages (MΦ) are critical antigen-presenting cells (APCs) that direct adaptive immunity. However, the role of CD11c+ myeloid cells in lung extracellular matrix (ECM) accumulation and pulmonary fibrosis is poorly understood.</p> </section> <section> <h3> Objective</h3> <p>We aimed to investigate the impact of depleting CD11c+ myeloid cells, including DCs and macrophages, during bleomycin-induced pulmonary fibrosis in mice.</p> </section> <section> <h3> Methods</h3> <p>We used a diphtheria toxin (DTx) receptor (DTR) transgenic mouse model (CD11c-DTR-Tg) to deplete CD11c+ myeloid cells through two methods: Systemic Depletion (SD) via intraperitoneal injection (i.p.) and local depletion (LD) via intranasal instillation (i.n.). We then assessed the effects of CD11c+ cell depletion during bleomycin-induced lung inflammation and fibrosis.</p> </section> <section> <h3> Results</h3> <p>Fourteen days after bleomycin instillation, there was a progressive accumulation of myeloid cells, specifically F4/80-MHCII+CD11c+ DCs and F4/80 + MHCII+CD11c+ MΦ, preceding mortality and pulmonary fibrosis. Systemic depletion of CD11c+ DCs and MΦ via i.p. DTx administration in CD11c-DTR-Tg mice protected against bleomycin-induced mortality and pulmonary fibrosis compared to wild-type (WT) mice. Systemic depletion reduced myeloid cells, airway inflammation (total leukocytes, neutrophils, and CD4+ lymphocytes in bronchoalveolar lavage (BAL), inflammatory and fibrogenic mediators, and fibrosis-related mRNAs (Collagen-1α1 and α-SMA). Increased anti-inflammatory cytokine IL-10 and CXCL9 levels were observed, resulting in lower lung hydroxyproline content and Ashcroft fibrosis score. Conversely, local depletion of CD11c+ cells increased mortality by acute leukocyte influx (predominantly neutrophils, DCs, and MΦ in BAL) correlated to IL-1β, with lung hyper-inflammation and early fibrosis development.</p> </section> <section> <h3> Conclusion</h3> <p>Systemic depletion of CD11c+ cells confers protection against inflammation and fibrosis induced by Bleomycin, underscoring the significance of myeloid cells expressing F4/80-MHCII+CD11c+ DCs and F4/80 + MHCII+CD11c+ MΦ orchestrating the inflammatory milieu within the lungs, potentially as a source of cytokines sustaining pulmonary chronic i
理由 在包括特发性肺纤维化(IPF)在内的各种肺部疾病中均可观察到 CD11c+ 髓系细胞水平升高。树突状细胞(DC)和巨噬细胞(MΦ)是指导适应性免疫的关键抗原递呈细胞(APC)。然而,CD11c+髓系细胞在肺细胞外基质(ECM)积累和肺纤维化中的作用却鲜为人知。 目的 我们旨在研究在博莱霉素诱导的小鼠肺纤维化过程中消耗 CD11c+ 髓系细胞(包括 DC 和巨噬细胞)的影响。 方法 我们使用白喉毒素(DTx)受体(DTR)转基因小鼠模型(CD11c-DTR-Tg),通过两种方法消耗 CD11c+ 髓系细胞:通过腹腔注射(i.p.)进行全身消耗(SD),通过鼻内灌注(i.n.)进行局部消耗(LD)。然后,我们评估了在博莱霉素诱导的肺部炎症和纤维化过程中CD11c+细胞耗竭的影响。 结果 输注博莱霉素14天后,髓系细胞,特别是F4/80-MHCII+CD11c+ DCs和F4/80 + MHCII+CD11c+ MΦ逐渐聚集,随后出现死亡和肺纤维化。与野生型(WT)小鼠相比,通过在CD11c-DTR-Tg小鼠体内注射DTx系统性地消耗CD11c+ DCs和MΦ可防止博莱霉素诱导的死亡和肺纤维化。全身耗竭可减少髓系细胞、气道炎症(支气管肺泡灌洗液(BAL)中的白细胞总数、中性粒细胞和 CD4+ 淋巴细胞)、炎症和纤维化介质以及纤维化相关 mRNA(胶原-1α1 和 α-SMA)。观察到抗炎细胞因子 IL-10 和 CXCL9 水平升高,从而降低了肺羟脯氨酸含量和 Ashcroft 纤维化评分。相反,局部消耗 CD11c+ 细胞会增加急性白细胞涌入(主要是中性粒细胞、DCs 和 BAL 中的 MΦ)导致的死亡率,这与 IL-1β 相关,并伴有肺部过度炎症和早期纤维化的发展。 结论 全身性消耗 CD11c+ 细胞可防止博莱霉素诱导的炎症和纤维化,强调了表达 F4/80-MHCII+CD11c+ DCs 和 F4/80 + MHCII+CD11c+ MΦ 的髓系细胞在协调肺内炎症环境中的重要性,它们可能是维持肺慢性炎症的细胞因子来源,导致进行性纤维化和死亡。
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引用次数: 0
Correlation Between mRNA Expression of Activated Eosinophils and Air Pollutant Exposure in Patients With Asthma 哮喘患者活化嗜酸性粒细胞 mRNA 表达与空气污染物暴露之间的相关性
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-11-22 DOI: 10.1002/iid3.70065
Ting-Yu Lin, Po-Jui Chang, Chun-Yu Lo, Hsiao-Chi Chuang, Chung-Shu Lee, Chih-Hao Chang, Chih-Teng Yu, Meng-Heng Hsieh, Chien-Ying Liu, Chih-Hsi Scott Kuo, Shu-Min Lin

Background

Eosinophil activation is associated with asthma. Whether air pollution affects the activation of blood eosinophils in patients with asthma remains unknown. In this study, we investigated the correlation between transcriptional activity in eosinophils and air pollutant exposure in patients receiving different levels of Global Initiative for Asthma (GINA) treatment.

Methods

We evaluated the expression levels of activation- and function-related genes in eosinophils from patients with GINA 4 or 5 (n = 20), those with GINA 3 (n = 12), and normal individuals (n = 7); the eosinophils were activated with interleukin (IL)−5 or IL-17. A land use regression model was used to estimate air pollutant exposure. The correlations between mRNA expression, lung function, and air pollutant exposure were investigated.

Results

The expression levels of TGFB1, IL7R, and TLR3 were significantly higher for patients with GINA 4 or 5 than for those with GINA 3 or normal individuals. The expression of certain genes, particularly in IL-17-activated eosinophils, was correlated with lung function decline in patients with GINA 4 or 5. For patients with GINA 4 or 5, NO2 exposure was correlated with upregulated TGFB1 expression in IL-5-activated eosinophils. For patients with GINA 3, O3 exposure was correlated with upregulated CCR5, IL5RA, IL7R, and TGFB1 expression in IL-17-activated eosinophils and upregulated IL7R expression in IL-5-activated eosinophils.

Conclusion

Patients with GINA 4 or 5 may exhibit elevated transcriptional activity in eosinophils; this elevation is correlated with lung function decline. Air pollution may affect eosinophil mRNA expression in patients with asthma.

背景:嗜酸性粒细胞活化与哮喘有关:嗜酸性粒细胞活化与哮喘有关。空气污染是否会影响哮喘患者血液中嗜酸性粒细胞的活化仍是未知数。在这项研究中,我们调查了接受全球哮喘倡议(GINA)不同程度治疗的患者体内嗜酸性粒细胞转录活性与空气污染物暴露之间的相关性:我们评估了GINA 4或5级患者(20人)、GINA 3级患者(12人)和正常人(7人)嗜酸性粒细胞中活化和功能相关基因的表达水平;嗜酸性粒细胞被白细胞介素(IL)-5或IL-17活化。采用土地利用回归模型估算空气污染物暴露量。研究了 mRNA 表达、肺功能和空气污染物暴露之间的相关性:结果:GINA 4 或 5 患者的 TGFB1、IL7R 和 TLR3 表达水平明显高于 GINA 3 或正常人。某些基因的表达,尤其是 IL-17 激活的嗜酸性粒细胞的表达,与 GINA 4 或 5 患者的肺功能下降相关。对于 GINA 4 或 5 患者,接触 NO2 与 IL-5 激活的嗜酸性粒细胞中 TGFB1 表达上调有关。对于 GINA 3 患者,暴露于 O3 与 IL-17 活化的嗜酸性粒细胞中 CCR5、IL5RA、IL7R 和 TGFB1 表达上调以及 IL-5 活化的嗜酸性粒细胞中 IL7R 表达上调相关:结论:GINA 4 或 5 患者的嗜酸性粒细胞转录活性可能升高;这种升高与肺功能下降相关。空气污染可能会影响哮喘患者嗜酸性粒细胞 mRNA 的表达。
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引用次数: 0
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Immunity, Inflammation and Disease
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