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COVID-19 Therapeutics: An Update on Effective Treatments Against Infection With SARS-CoV-2 Variants. 新冠肺炎治疗:有效治疗SARS-CoV-2变异株感染的最新进展。
IF 6 4区 医学 Q1 Medicine Pub Date : 2023-03-23 eCollection Date: 2023-04-01 DOI: 10.4110/in.2023.23.e13
Bill Thaddeus Padasas, Erica Españo, Sang-Hyun Kim, Youngcheon Song, Chong-Kil Lee, Jeong-Ki Kim

The coronavirus disease 2019 (COVID-19) pandemic is one of the most consequential global health crises in over a century. Since its discovery in 2019, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) continues to mutate into different variants and sublineages, rendering previously potent treatments and vaccines ineffective. With significant strides in clinical and pharmaceutical research, different therapeutic strategies continue to be developed. The currently available treatments can be broadly classified based on their potential targets and molecular mechanisms. Antiviral agents function by disrupting different stages of SARS-CoV-2 infection, while immune-based treatments mainly act on the human inflammatory response responsible for disease severity. In this review, we discuss some of the current treatments for COVID-19, their mode of actions, and their efficacy against variants of concern. This review highlights the need to constantly evaluate COVID-19 treatment strategies to protect high risk populations and fill in the gaps left by vaccination.

2019冠状病毒病(新冠肺炎)大流行是一个多世纪以来最严重的全球卫生危机之一。自2019年发现严重急性呼吸综合征冠状病毒2型以来,它继续变异成不同的变种和亚系,使以前有效的治疗方法和疫苗无效。随着临床和药物研究的重大进展,不同的治疗策略不断被开发。目前可用的治疗方法可以根据其潜在靶点和分子机制进行广泛分类。抗病毒药物的作用是破坏严重急性呼吸系统综合征冠状病毒2型感染的不同阶段,而基于免疫的治疗主要作用于导致疾病严重程度的人类炎症反应。在这篇综述中,我们讨论了目前新冠肺炎的一些治疗方法、它们的作用模式以及它们对变异毒株的疗效。这项审查强调,需要不断评估新冠肺炎治疗策略,以保护高危人群并填补疫苗接种留下的空白。
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引用次数: 2
Exercise With a Novel Digital Device Increased Serum Anti-influenza Antibody Titers After Influenza Vaccination. 使用新型数字设备锻炼可提高接种流感疫苗后的血清抗流感抗体滴度。
IF 6 4区 医学 Q1 Medicine Pub Date : 2023-02-27 eCollection Date: 2023-04-01 DOI: 10.4110/in.2023.23.e18
Jun-Pyo Choi, Ghazal Ayoub, Jarang Ham, Youngmin Huh, Seung Eun Choi, Yu-Kyoung Hwang, Ji Yun Noh, Sae-Hoon Kim, Joon Young Song, Eu Suk Kim, Yoon-Seok Chang

It has been reported that some exercise could enhance the anti-viral antibody titers after vaccination including influenza and coronavirus disease 2019 vaccines. We developed SAT-008, a novel digital device, consists of physical activities and activities related to the autonomic nervous system. We assessed the feasibility of SAT-008 to boost host immunity after an influenza vaccination by a randomized, open-label, and controlled study on adults administered influenza vaccines in the previous year. Among 32 participants, the SAT-008 showed a significant increase in the anti-influenza antibody titers assessed by hemagglutination-inhibition test against antigen subtype B Yamagata lineage after 4 wk of vaccination and subtype B Victoria lineage after 12 wk (p<0.05). There was no difference in the antibody titers against subtype "A." The SAT-008 also showed significant increase in the plasma cytokine levels of IL-10, IL-1β, and IL-6 at weeks 4 and 12 after the vaccination (p<0.05). A new approach using the digital device may boost host immunity against virus via vaccine adjuvant-like effects.

Trial registration: ClinicalTrials.gov Identifier: NCT04916145.

据报道,一些运动可以提高接种疫苗后的抗病毒抗体滴度,包括2019年流感和冠状病毒病疫苗。我们开发了SAT-008,这是一种新型的数字设备,由身体活动和与自主神经系统相关的活动组成。我们通过对前一年接种流感疫苗的成年人进行的一项随机、开放标签和对照研究,评估了SAT-008在流感疫苗接种后增强宿主免疫力的可行性。在32名参与者中,SAT-008显示,通过针对抗原亚型B Yamagata谱系的血凝抑制试验评估的抗流感抗体滴度在疫苗接种4周后显著增加,针对亚型B Victoria谱系的血凝集抑制试验在疫苗接种12周后显著增加(p试验注册:ClinicalTrials.gov标识符:NCT04916145)。
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引用次数: 0
Back to the T Cell: Basic and Clinical Application. 回到 T 细胞:基础与临床应用》(Back to the T Cell: Basic and Clinical Application)。
IF 4.3 4区 医学 Q2 IMMUNOLOGY Pub Date : 2023-02-24 eCollection Date: 2023-02-01 DOI: 10.4110/in.2023.23.e1
Yong Woo Jung, Su-Hyung Park, Chang-Duk Jun
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引用次数: 0
Gut Microbial Metabolites on Host Immune Responses in Health and Disease. 肠道微生物代谢物对健康和疾病中宿主免疫反应的影响
IF 6 4区 医学 Q1 Medicine Pub Date : 2023-02-24 eCollection Date: 2023-02-01 DOI: 10.4110/in.2023.23.e6
Jong-Hwi Yoon, Jun-Soo Do, Priyanka Velankanni, Choong-Gu Lee, Ho-Keun Kwon

Intestinal microorganisms interact with various immune cells and are involved in gut homeostasis and immune regulation. Although many studies have discussed the roles of the microorganisms themselves, interest in the effector function of their metabolites is increasing. The metabolic processes of these molecules provide important clues to the existence and function of gut microbes. The interrelationship between metabolites and T lymphocytes in particular plays a significant role in adaptive immune functions. Our current review focuses on 3 groups of metabolites: short-chain fatty acids, bile acids metabolites, and polyamines. We collated the findings of several studies on the transformation and production of these metabolites by gut microbes and explained their immunological roles. Specifically, we summarized the reports on changes in mucosal immune homeostasis represented by the Tregs and Th17 cells balance. The relationship between specific metabolites and diseases was also analyzed through latest studies. Thus, this review highlights microbial metabolites as the hidden treasure having potential diagnostic markers and therapeutic targets through a comprehensive understanding of the gut-immune interaction.

肠道微生物与各种免疫细胞相互作用,参与肠道平衡和免疫调节。尽管许多研究都在讨论微生物本身的作用,但人们对其代谢物的效应功能的兴趣也在不断增加。这些分子的代谢过程为了解肠道微生物的存在和功能提供了重要线索。代谢物与 T 淋巴细胞之间的相互关系尤其在适应性免疫功能中发挥着重要作用。我们目前的综述重点关注三类代谢物:短链脂肪酸、胆汁酸代谢物和多胺。我们整理了几项关于肠道微生物转化和产生这些代谢物的研究结果,并解释了它们的免疫学作用。具体来说,我们总结了以 Tregs 和 Th17 细胞平衡为代表的粘膜免疫平衡变化的报告。我们还通过最新研究分析了特定代谢物与疾病之间的关系。因此,本综述通过对肠道-免疫相互作用的全面了解,强调微生物代谢物是具有潜在诊断标记和治疗靶点的隐藏宝藏。
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引用次数: 0
The Function of Memory CD8+ T Cells in Immunotherapy for Human Diseases. 记忆 CD8+ T 细胞在人类疾病免疫疗法中的功能。
IF 4.3 4区 医学 Q2 IMMUNOLOGY Pub Date : 2023-02-23 eCollection Date: 2023-02-01 DOI: 10.4110/in.2023.23.e10
Hanbyeul Choi, Yeaji Kim, Yong Woo Jung

Memory T (Tm) cells protect against Ags that they have previously contacted with a fast and robust response. Therefore, developing long-lived Tm cells is a prime goal for many vaccines and therapies to treat human diseases. The remarkable characteristics of Tm cells have led scientists and clinicians to devise methods to make Tm cells more useful. Recently, Tm cells have been highlighted for their role in coronavirus disease 2019 vaccines during the ongoing global pandemic. The importance of Tm cells in cancer has been emerging. However, the precise characteristics and functions of Tm cells in these diseases are not completely understood. In this review, we summarize the known characteristics of Tm cells and their implications in the development of vaccines and immunotherapies for human diseases. In addition, we propose to exploit the beneficial characteristics of Tm cells to develop strategies for effective vaccines and overcome the obstacles of immunotherapy.

记忆 T(Tm)细胞能对它们以前接触过的抗原产生快速而强大的保护反应。因此,开发长效 Tm 细胞是许多治疗人类疾病的疫苗和疗法的首要目标。Tm 细胞的显著特点促使科学家和临床医生想方设法让 Tm 细胞发挥更大作用。最近,在全球大流行期间,Tm 细胞因其在 2019 年冠状病毒疾病疫苗中的作用而备受瞩目。Tm 细胞在癌症中的重要性也在逐渐显现。然而,Tm 细胞在这些疾病中的确切特征和功能还不完全清楚。在这篇综述中,我们总结了 Tm 细胞的已知特征及其对人类疾病疫苗和免疫疗法开发的影响。此外,我们还建议利用 Tm 细胞的有益特性来开发有效疫苗的策略,并克服免疫疗法的障碍。
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引用次数: 0
Transcriptional and Epigenetic Regulation of Context-Dependent Plasticity in T-Helper Lineages. 转录和表观遗传调控 T 细胞系的情境依赖性可塑性
IF 4.3 4区 医学 Q2 IMMUNOLOGY Pub Date : 2023-02-23 eCollection Date: 2023-02-01 DOI: 10.4110/in.2023.23.e5
Meyer J Friedman, Haram Lee, June-Yong Lee, Soohwan Oh

Th cell lineage determination and functional specialization are tightly linked to the activation of lineage-determining transcription factors (TFs) that bind cis-regulatory elements. These lineage-determining TFs act in concert with multiple layers of transcriptional regulators to alter the epigenetic landscape, including DNA methylation, histone modification and three-dimensional chromosome architecture, in order to facilitate the specific Th gene expression programs that allow for phenotypic diversification. Accumulating evidence indicates that Th cell differentiation is not as rigid as classically held; rather, extensive phenotypic plasticity is an inherent feature of T cell lineages. Recent studies have begun to uncover the epigenetic programs that mechanistically govern T cell subset specification and immunological memory. Advances in next generation sequencing technologies have allowed global transcriptomic and epigenomic interrogation of CD4+ Th cells that extends previous findings focusing on individual loci. In this review, we provide an overview of recent genome-wide insights into the transcriptional and epigenetic regulation of CD4+ T cell-mediated adaptive immunity and discuss the implications for disease as well as immunotherapies.

Th细胞系的确定和功能特化与结合顺式调控元件的系决定转录因子(TF)的激活密切相关。这些决定Th细胞系的转录因子与多层转录调节因子协同作用,改变表观遗传景观,包括DNA甲基化、组蛋白修饰和三维染色体结构,以促进特定Th基因表达程序,从而实现表型多样化。越来越多的证据表明,Th 细胞分化并不像传统观点认为的那样僵化;相反,广泛的表型可塑性是 T 细胞系的固有特征。最近的研究已开始揭示从机制上控制 T 细胞亚群分化和免疫记忆的表观遗传学程序。下一代测序技术的进步使得对 CD4+ Th 细胞进行全局转录组学和表观基因组学研究成为可能,从而扩展了以前侧重于单个基因位点的研究结果。在这篇综述中,我们概述了最近对 CD4+ T 细胞介导的适应性免疫的转录和表观遗传调控的全基因组认识,并讨论了其对疾病和免疫疗法的影响。
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引用次数: 0
Microbial Components and Effector Molecules in T Helper Cell Differentiation and Function. T 辅助细胞分化和功能中的微生物成分和效应分子
IF 4.3 4区 医学 Q2 IMMUNOLOGY Pub Date : 2023-02-22 eCollection Date: 2023-02-01 DOI: 10.4110/in.2023.23.e7
Changhon Lee, Haena Lee, John Chulhoon Park, Sin-Hyeog Im

The mammalian intestines harbor trillions of commensal microorganisms composed of thousands of species that are collectively called gut microbiota. Among the microbiota, bacteria are the predominant microorganism, with viruses, protozoa, and fungi (mycobiota) making up a relatively smaller population. The microbial communities play fundamental roles in the maturation and orchestration of the immune landscape in health and disease. Primarily, the gut microbiota modulates the immune system to maintain homeostasis and plays a crucial role in regulating the pathogenesis and pathophysiology of inflammatory, neuronal, and metabolic disorders. The microbiota modulates the host immune system through direct interactions with immune cells or indirect mechanisms such as producing short-chain acids and diverse metabolites. Numerous researchers have put extensive efforts into investigating the role of microbes in immune regulation, discovering novel immunomodulatory microbial species, identifying key effector molecules, and demonstrating how microbes and their key effector molecules mechanistically impact the host immune system. Consequently, recent studies suggest that several microbial species and their immunomodulatory molecules have therapeutic applicability in preclinical settings of multiple disorders. Nonetheless, it is still unclear why and how a handful of microorganisms and their key molecules affect the host immunity in diverse diseases. This review mainly discusses the role of microbes and their metabolites in T helper cell differentiation, immunomodulatory function, and their modes of action.

哺乳动物的肠道中蕴藏着数以万计的共生微生物,这些微生物由数千个物种组成,统称为肠道微生物群。在微生物群中,细菌是最主要的微生物,病毒、原生动物和真菌(真菌生物群)的数量相对较少。微生物群落在健康和疾病免疫系统的成熟和协调方面发挥着重要作用。肠道微生物群主要调节免疫系统以维持体内平衡,并在调节炎症、神经元和代谢紊乱的发病机制和病理生理学方面发挥着至关重要的作用。微生物群通过与免疫细胞的直接相互作用或间接机制(如产生短链酸和多种代谢产物)调节宿主免疫系统。众多研究人员已投入大量精力研究微生物在免疫调节中的作用,发现了新型免疫调节微生物物种,确定了关键效应分子,并证明了微生物及其关键效应分子如何从机理上影响宿主免疫系统。因此,最近的研究表明,一些微生物物种及其免疫调节分子可用于多种疾病的临床前治疗。尽管如此,目前仍不清楚少数微生物及其关键分子为何以及如何在多种疾病中影响宿主免疫。本综述主要讨论微生物及其代谢物在 T 辅助细胞分化、免疫调节功能及其作用模式中的作用。
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引用次数: 0
T Cell Microvilli: Finger-Shaped External Structures Linked to the Fate of T Cells. T 细胞微绒毛:与 T 细胞命运相关的指状外部结构
IF 4.3 4区 医学 Q2 IMMUNOLOGY Pub Date : 2023-02-21 eCollection Date: 2023-02-01 DOI: 10.4110/in.2023.23.e3
Hye-Ran Kim, Jeong-Su Park, Won-Chang Soh, Na-Young Kim, Hyun-Yoong Moon, Ji-Su Lee, Chang-Duk Jun

Microvilli are outer membrane organelles that contain cross-linked filamentous actin. Unlike well-characterized epithelial microvilli, T-cell microvilli are dynamic similar to those of filopodia, which grow and shrink intermittently via the alternate actin-assembly and -disassembly. T-cell microvilli are specialized for sensing Ags on the surface of Ag-presenting cells (APCs). Thus, these finger-shaped microprotrusions contain many signaling-related proteins and can serve as a signaling platforms that induce intracellular signals. However, they are not limited to sensing external information but can provide sites for parts of the cell-body to tear away from the cell. Cells are known to produce many types of extracellular vesicles (EVs), such as exosomes, microvesicles, and membrane particles. T cells also produce EVs, but little is known about under what conditions T cells generate EVs and which types of EVs are released. We discovered that T cells produce few exosomes but release large amounsts of microvilli-derived particles during physical interaction with APCs. Although much is unanswered as to why T cells use the same organelles to sense Ags or to produce EVs, these events can significantly affect T cell fate, including clonal expansion and death. Since TCRs are localized at microvilli tips, this membrane event also raises a new question regarding long-standing paradigm in T cell biology; i.e., surface TCR downmodulation following T cell activation. Since T-cell microvilli particles carry T-cell message to their cognate partner, these particles are termed T-cell immunological synaptosomes (TISs). We discuss the potential physiological role of TISs and their application to immunotherapies.

微绒毛是含有交联丝状肌动蛋白的外膜细胞器。与特征明确的上皮微绒毛不同,T细胞微绒毛具有与丝状体相似的动态特性,丝状体通过交替的肌动蛋白组装和解组装间歇性地生长和收缩。T 细胞微绒毛专门感应呈递抗原细胞(APC)表面的抗原。因此,这些指状微突起含有许多与信号相关的蛋白质,可作为诱导细胞内信号的信号平台。然而,它们并不局限于感知外部信息,还能为细胞体部分撕离细胞提供场所。众所周知,细胞会产生多种类型的细胞外囊泡 (EV),如外泌体、微囊泡和膜颗粒。T细胞也会产生EVs,但人们对T细胞在什么条件下产生EVs以及释放哪些类型的EVs知之甚少。我们发现,T 细胞产生的外泌体很少,但在与 APC 的物理相互作用过程中会释放大量微绒毛衍生颗粒。尽管T细胞为什么使用相同的细胞器来感知Ags或产生EVs还有很多问题没有解答,但这些事件会极大地影响T细胞的命运,包括克隆扩增和死亡。由于 TCR 定位于微绒毛顶端,这一膜事件也为 T 细胞生物学中长期存在的范例提出了一个新问题,即 T 细胞活化后表面 TCR 下调。由于 T 细胞微绒毛颗粒将 T 细胞信息传递给它们的同源伙伴,因此这些颗粒被称为 T 细胞免疫突触体(TISs)。我们将讨论 TISs 的潜在生理作用及其在免疫疗法中的应用。
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引用次数: 0
Roles of Virtual Memory T Cells in Diseases. 虚拟记忆 T 细胞在疾病中的作用
IF 4.3 4区 医学 Q2 IMMUNOLOGY Pub Date : 2023-02-20 eCollection Date: 2023-02-01 DOI: 10.4110/in.2023.23.e11
Joon Seok, Sung-Dong Cho, Seong Jun Seo, Su-Hyung Park

Memory T cells that mediate fast and effective protection against reinfections are usually generated upon recognition on foreign Ags. However, a "memory-like" T-cell population, termed virtual memory T (TVM) cells that acquire a memory phenotype in the absence of foreign Ag, has been reported. Although, like innate cells, TVM cells reportedly play a role in first-line defense to bacterial or viral infections, their protective or pathological roles in immune-related diseases are largely unknown. In this review, we discuss the current understanding of TVM cells, focusing on their distinct characteristics, immunological properties, and roles in various immune-related diseases, such as infections and cancers.

记忆 T 细胞通常是在识别外来抗原后产生的,它能快速有效地抵御再感染。不过,也有报道称,有一种 "类似记忆 "的 T 细胞群,即虚拟记忆 T 细胞(TVM),可在没有外来抗原的情况下获得记忆表型。据报道,TVM 细胞与先天性细胞一样,在细菌或病毒感染的第一线防御中发挥作用,但它们在免疫相关疾病中的保护或病理作用在很大程度上还不为人所知。在这篇综述中,我们将讨论目前对 TVM 细胞的认识,重点是它们的独特特征、免疫学特性以及在各种免疫相关疾病(如感染和癌症)中的作用。
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引用次数: 0
Molecular Mechanisms of T Helper Cell Differentiation and Functional Specialization. T 辅助细胞分化和功能特化的分子机制
IF 4.3 4区 医学 Q2 IMMUNOLOGY Pub Date : 2023-02-17 eCollection Date: 2023-02-01 DOI: 10.4110/in.2023.23.e4
Gap Ryol Lee

Th cells, which orchestrate immune responses to various pathogens, differentiate from naïve CD4 T cells into several subsets that stimulate and regulate immune responses against various types of pathogens, as well as a variety of immune-related diseases. Decades of research have revealed that the fate decision processes are controlled by cytokines, cytokine receptor signaling, and master transcription factors that drive the differentiation programs. Since the Th1 and Th2 paradigm was proposed, many subsets have been added to the list. In this review, I will summarize these events, including the fate decision processes, subset functions, transcriptional regulation, metabolic regulation, and plasticity and heterogeneity. I will also introduce current topics of interest.

Th细胞能协调对各种病原体的免疫反应,它从幼稚的CD4 T细胞分化成多个亚群,刺激和调节对各种病原体以及各种免疫相关疾病的免疫反应。数十年的研究表明,命运决定过程受细胞因子、细胞因子受体信号转导和主转录因子的控制,它们驱动着分化程序。自 Th1 和 Th2 范式提出以来,又有许多亚群加入到这一列表中。在这篇综述中,我将总结这些事件,包括命运决定过程、亚群功能、转录调控、代谢调控以及可塑性和异质性。我还将介绍当前感兴趣的话题。
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引用次数: 0
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Immune Network
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