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Rosuvastatin Intervention in Patients with Chronic Hepatitis B (CHB) Expands CD14+ CD16− Classical Monocytes via Aryl Hydrocarbon Receptor (AHR) 罗伐他汀干预慢性乙型肝炎(CHB)患者可通过芳基烃受体(AHR)扩增 CD14+ CD16- 经典单核细胞
Pub Date : 2024-05-17 DOI: 10.3390/immuno4020011
Mina Rahmati, Mojtaba Zare Ebrahimabad, Alale Langari, Ali Najafi, Shohreh Taziki, Alireza Norouzi, M. Teimoorian, M. Khorasani, Saeed Mohammadi
Chronic hepatitis B (CHB) poses treatment challenges, with treatment response and disease outcome often determined by the immune response, particularly mononuclear phagocytes. Monocytes can differentiate into various subpopulations influenced by AHR. Statins, known for inflammation modulation, may impact monocyte function via AHR activation. This study explored rosuvastatin (RSV)’s effects on monocyte subtypes, inflammatory markers, and AHR in CHB patients. Fifteen CHB patients were randomly assigned to receive either 20 mg RSV or a placebo daily for three months. Flow cytometry assessed CD14+ CD16− (classical), CD14+ CD16+ (intermediate), and CD14dim CD16+ (patrolling) monocyte subtypes, along with AHR levels in each subset. ELISA quantified cytokines IL-6, IFN-γ, IL-12, IL-10, TNF-α, TGF-β, and IL-1β. RSV expanded CD14+ CD16− classical and reduced CD14+ CD16+ intermediate monocytes in CHB patients while increasing AHR+ cell percentages in all subsets. RSV treatment upregulated key AHR target genes (Cyp1a1, Cyp1b1, and ARNT), indicating robust AHR signaling activation. It also reduced pro-inflammatory cytokine levels (IL-6, IFNγ, IL-12, TNF-α) and elevated anti-inflammatory cytokines (IL-10, TGF-β). Thus, RSV may modulate the immune response by altering monocyte subtypes in CHB patients via AHR activation.
慢性乙型肝炎(CHB)给治疗带来了挑战,治疗反应和疾病预后往往取决于免疫反应,尤其是单核吞噬细胞。单核细胞可分化成受 AHR 影响的各种亚群。他汀类药物具有调节炎症的作用,可能会通过激活 AHR 影响单核细胞的功能。本研究探讨了洛伐他汀(RSV)对慢性阻塞性肺病患者单核细胞亚型、炎症指标和 AHR 的影响。15 名慢性阻塞性肺病患者被随机分配到每天服用 20 毫克 RSV 或安慰剂,为期三个月。流式细胞术评估了 CD14+ CD16-(典型)、CD14+ CD16+(中间)和 CD14dim CD16+(巡逻)单核细胞亚型,以及每个亚型的 AHR 水平。ELISA 对细胞因子 IL-6、IFN-γ、IL-12、IL-10、TNF-α、TGF-β 和 IL-1β 进行了量化。RSV 扩增了 CHB 患者的 CD14+ CD16- 经典单核细胞,减少了 CD14+ CD16+ 中间单核细胞,同时增加了所有亚群中 AHR+ 细胞的百分比。RSV 治疗上调了关键的 AHR 靶基因(Cyp1a1、Cyp1b1 和 ARNT),表明 AHR 信号被强有力地激活。它还降低了促炎细胞因子(IL-6、IFNγ、IL-12、TNF-α)的水平,提高了抗炎细胞因子(IL-10、TGF-β)的水平。因此,RSV 可通过激活 AHR 改变慢性阻塞性肺病患者的单核细胞亚型,从而调节免疫反应。
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引用次数: 0
Anti-Inflammatory Efficacy of Resveratrol-Enriched Rice Callus Extract on Lipopolysaccharide-Stimulated RAW264.7 Macrophages 富含白藜芦醇的水稻胼胝体提取物对脂多糖刺激的 RAW264.7 巨噬细胞的抗炎功效
Pub Date : 2024-04-03 DOI: 10.3390/immuno4020009
Chaiwat Monmai, Jin-Suk Kim, So-Hyeon Baek
Resveratrol and its derivative piceid exhibit a wide spectrum of health-promoting bioactivities. A resveratrol-enriched variety of Dongjin rice (DJ526) has been developed by transfection of a resveratrol biosynthesis gene, and increased resveratrol content has been confirmed in seeds following germination. In the current study, these resveratrol-enriched seeds were induced to produce callus, and callus extracts were evaluated for in vitro anti-inflammatory activity. Callus cultures contained greater amounts of resveratrol and piceid than DJ526 seeds, and treatment with DJ526 callus extract significantly reduced the lipopolysaccharide (LPS)-induced production of proinflammatory mediators nitric oxide and prostaglandin E2 by RAW264.7 macrophages. The inflammation-related nuclear factor kappa B and mitogen-activated protein kinase pathways were also inhibited in DJ526 callus extract-treated RAW264.7 cells, resulting in downregulation of proinflammatory factor genes COX-2, iNOS, IL-1β, IL-6, and TNF-α. Expression of the LPS-binding toll-like receptor-4 was also markedly reduced in DJ526 callus extract-treated cells compared to DJ callus extract-treated cells. These findings demonstrate increased resveratrol and piceid content by callus culture of DJ526 rice seeds and the potent anti-inflammatory activity of resveratrol-enriched callus extract.
白藜芦醇及其衍生物 piceid 具有广泛的促进健康的生物活性。通过转染白藜芦醇生物合成基因,培育出了富含白藜芦醇的东津水稻品种(DJ526),并证实种子发芽后白藜芦醇含量增加。在本研究中,这些富含白藜芦醇的种子被诱导产生胼胝体,并对胼胝体提取物的体外抗炎活性进行了评估。与DJ526种子相比,胼胝体培养物含有更多的白藜芦醇和piceid,用DJ526胼胝体提取物处理可显著减少脂多糖(LPS)诱导的RAW264.7巨噬细胞产生的促炎介质一氧化氮和前列腺素E2。在 DJ526 胼胝体提取物处理的 RAW264.7 细胞中,与炎症相关的核因子卡巴 B 和丝裂原活化蛋白激酶通路也受到抑制,导致促炎因子基因 COX-2、iNOS、IL-1β、IL-6 和 TNF-α 下调。与 DJ 胼胝体提取物处理过的细胞相比,DJ526 胼胝体提取物处理过的细胞中与 LPS 结合的收费样受体-4 的表达也明显降低。这些研究结果表明,DJ526 水稻种子的胼胝体培养物中白藜芦醇和 piceid 含量增加,富含白藜芦醇的胼胝体提取物具有强大的抗炎活性。
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引用次数: 0
A Serological Multiplexed Immunoassay (MIA) Detects Antibody Reactivity to SARS-CoV-2 and Other Viral Pathogens in Liberia and Is Configurable as a Multiplexed Inhibition Test (MINT) 血清学多重免疫测定 (MIA) 可检测利比里亚 SARS-CoV-2 和其他病毒病原体的抗体反应性,并可配置为多重抑制试验 (MINT)
Pub Date : 2024-03-03 DOI: 10.3390/immuno4010007
Brien K. Haun, Albert To, Caitlin A. Williams, Aquena H. Ball, Karalyn Fong, Teri Ann S. Wong, Bode Shobayo, Julius Teahton, Lauren L. Ching, Varney Kamara, Davidetta M. Tekah, Peter Humphrey, John Berestecky, Vivek R. Nerurkar, A. Lehrer
The SARS-CoV-2 pandemic ignited global efforts to rapidly develop testing, therapeutics, and vaccines. However, the rewards of these efforts were slow to reach many low- to middle-income countries (LMIC) across the African continent and globally. Therefore, two bead-based multiplexed serological assays were developed to determine SARS-CoV-2 exposure across four counties in Liberia. This study was conducted during the summer of 2021 on 189 samples collected throughout Grand Bassa, Bong, Margibi, and Montserrado counties. Our multiplexed immunoassay (MIA) detected elevated exposure to SARS-CoV-2 and multiple variant antigens. Additionally, we detected evidence of exposure to Dengue virus serotype 2, Chikungunya virus, and the seasonal coronavirus NL63. Our multiplexed inhibition test (MINT) was developed from the MIA to observe antibody-mediated inhibition of SARS-CoV-2 spike protein binding to its cognate cellular receptor ACE-2. We detected inhibitory antibodies in the tested Liberian samples, which were collectively consistent with a convalescent serological profile. These complementary assays serve to supplement existing serological testing needs and may enhance the technical capacity of scientifically underrepresented regions globally.
SARS-CoV-2 大流行激发了全球迅速开发检测、治疗和疫苗的努力。然而,这些努力的成果迟迟未能惠及非洲大陆和全球许多中低收入国家(LMIC)。因此,我们开发了两种基于微珠的多重血清学检测方法,以确定利比里亚四个县的 SARS-CoV-2 暴露情况。这项研究于 2021 年夏季在大巴萨州、邦州、马吉比州和蒙特塞拉多州收集的 189 份样本中进行。我们的多重免疫测定(MIA)检测到 SARS-CoV-2 和多种变异抗原的暴露量升高。此外,我们还检测到暴露于登革热病毒血清型 2、基孔肯雅病毒和季节性冠状病毒 NL63 的证据。我们的多重抑制试验(MINT)是在 MIA 的基础上开发的,用于观察抗体介导的 SARS-CoV-2 尖峰蛋白与其同源细胞受体 ACE-2 结合的抑制作用。我们在接受测试的利比里亚样本中检测到了抑制性抗体,这些抗体总体上与恢复期血清学特征一致。这些互补性检测方法有助于补充现有的血清学检测需求,并可提高全球科学代表性不足地区的技术能力。
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引用次数: 0
Exploring the Interplay between Fatty Acids, Inflammation, and Type 2 Diabetes 探索脂肪酸、炎症和 2 型糖尿病之间的相互作用
Pub Date : 2024-03-01 DOI: 10.3390/immuno4010006
Dequina A. Nicholas, Jacques C. Mbongue, Darysbel Garcia-Pérez, Dane Sorensen, Heather Ferguson Bennit, M. De León, William H. R. Langridge
Around 285 million people worldwide currently have type 2 diabetes and it is projected that this number will be surpassed by 2030. Therefore, it is of the utmost importance to enhance our comprehension of the disease’s development. The regulation of diet, obesity, and inflammation in type 2 diabetes is believed to play a crucial role in enhancing insulin sensitivity and reducing the risk of onset diabetes. Obesity leads to an increase in visceral adipose tissue, which is a prominent site of inflammation in type 2 diabetes. Dyslipidemia, on the other hand, plays a significant role in attracting activated immune cells such as macrophages, dendritic cells, T cells, NK cells, and B cells to visceral adipose tissue. These immune cells are a primary source of pro-inflammatory cytokines that are believed to promote insulin resistance. This review delves into the influence of elevated dietary free saturated fatty acids and examines the cellular and molecular factors associated with insulin resistance in the initiation of inflammation induced by obesity. Furthermore, it explores novel concepts related to diet-induced inflammation and its relationship with type 2 diabetes.
目前,全球约有 2.85 亿人患有 2 型糖尿病,预计到 2030 年,这一数字将被超过。因此,加强我们对该疾病发展的了解至关重要。在 2 型糖尿病中,饮食、肥胖和炎症的调节被认为在提高胰岛素敏感性和降低糖尿病发病风险方面起着至关重要的作用。肥胖会导致内脏脂肪组织增加,而内脏脂肪组织是 2 型糖尿病的主要炎症部位。另一方面,血脂异常在吸引巨噬细胞、树突状细胞、T 细胞、NK 细胞和 B 细胞等活化免疫细胞进入内脏脂肪组织方面起着重要作用。这些免疫细胞是促炎细胞因子的主要来源,而促炎细胞因子被认为会促进胰岛素抵抗。本综述深入探讨了膳食中游离饱和脂肪酸升高的影响,并研究了在肥胖诱发炎症的过程中与胰岛素抵抗相关的细胞和分子因素。此外,它还探讨了有关饮食诱发炎症及其与 2 型糖尿病关系的新概念。
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引用次数: 0
Immune Dysregulation and Current Targeted Biologics in Hidradenitis Suppurativa 免疫失调与当前治疗湿疹的靶向生物制剂
Pub Date : 2024-02-02 DOI: 10.3390/immuno4010004
Rene Chen, Robyn Guo, Amy J. Petty, T. Jaleel
Hidradenitis Suppurativa (HS) is a debilitating cutaneous disease characterized by a vicious cycle of chronic inflammation and tissue destruction that stems from disruption of the skin microbiome and abnormal activation of both the innate and adaptive immune system. A hallmark of HS pathophysiology is dysregulation of both the innate and adaptive immune system. The role of immune system dysregulation in HS development has motivated researchers to explore the utility of biologic immunomodulators. In 2015, adalimumab, a tumor necrosis factor-α inhibitor, was approved by the Food and Drug Administration (FDA) for treatment of moderate-to-severe HS in the US. In 2023, secukinumab, an interleukin-17A (IL-17A) inhibitor, was approved by the European Medicines Agency for treatment of moderate-to-severe HS in Europe. Ongoing clinical trials have shown promising clinical responses to targeted therapies against other pro-inflammatory cytokines including IL-17, IL-12, IL-1, IL-36, IL-6, IL-10, interferon γ, C5a, and Janus kinase (JAK). We provide an update on the efficacy and clinical usage of targeted biologics in HS treatment.
化脓性扁桃体炎(HS)是一种使人衰弱的皮肤疾病,其特点是慢性炎症和组织破坏的恶性循环,源于皮肤微生物群的破坏以及先天性和适应性免疫系统的异常激活。HS 病理生理学的一个特征是先天性和适应性免疫系统失调。免疫系统失调在HS发病中的作用促使研究人员探索生物免疫调节剂的效用。2015年,美国食品药品管理局(FDA)批准肿瘤坏死因子-α抑制剂阿达木单抗用于治疗中重度HS。2023年,欧洲药品管理局批准secukinumab(一种白细胞介素-17A(IL-17A)抑制剂)在欧洲用于治疗中度至重度HS。正在进行的临床试验显示,针对其他促炎细胞因子(包括 IL-17、IL-12、IL-1、IL-36、IL-6、IL-10、干扰素 γ、C5a 和 Janus 激酶 (JAK))的靶向疗法临床反应良好。我们将介绍靶向生物制剂在房颤治疗中的最新疗效和临床应用。
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引用次数: 0
Immune Dysregulation and Current Targeted Biologics in Hidradenitis Suppurativa 免疫失调与当前治疗湿疹的靶向生物制剂
Pub Date : 2024-02-02 DOI: 10.3390/immuno4010004
Rene Chen, Robyn Guo, Amy J. Petty, T. Jaleel
Hidradenitis Suppurativa (HS) is a debilitating cutaneous disease characterized by a vicious cycle of chronic inflammation and tissue destruction that stems from disruption of the skin microbiome and abnormal activation of both the innate and adaptive immune system. A hallmark of HS pathophysiology is dysregulation of both the innate and adaptive immune system. The role of immune system dysregulation in HS development has motivated researchers to explore the utility of biologic immunomodulators. In 2015, adalimumab, a tumor necrosis factor-α inhibitor, was approved by the Food and Drug Administration (FDA) for treatment of moderate-to-severe HS in the US. In 2023, secukinumab, an interleukin-17A (IL-17A) inhibitor, was approved by the European Medicines Agency for treatment of moderate-to-severe HS in Europe. Ongoing clinical trials have shown promising clinical responses to targeted therapies against other pro-inflammatory cytokines including IL-17, IL-12, IL-1, IL-36, IL-6, IL-10, interferon γ, C5a, and Janus kinase (JAK). We provide an update on the efficacy and clinical usage of targeted biologics in HS treatment.
化脓性扁平湿疹(HS)是一种使人衰弱的皮肤疾病,其特点是慢性炎症和组织破坏的恶性循环,源于皮肤微生物群的破坏以及先天性和适应性免疫系统的异常激活。HS 病理生理学的一个特征是先天性和适应性免疫系统失调。免疫系统失调在HS发病中的作用促使研究人员探索生物免疫调节剂的效用。2015年,美国食品药品管理局(FDA)批准肿瘤坏死因子-α抑制剂阿达木单抗用于治疗中重度HS。2023年,欧洲药品管理局批准secukinumab(一种白细胞介素-17A(IL-17A)抑制剂)在欧洲用于治疗中度至重度HS。正在进行的临床试验显示,针对其他促炎细胞因子(包括 IL-17、IL-12、IL-1、IL-36、IL-6、IL-10、干扰素 γ、C5a 和 Janus 激酶 (JAK))的靶向疗法临床反应良好。我们将介绍靶向生物制剂在房颤治疗中的最新疗效和临床应用。
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引用次数: 0
Markers for Immunological Resilience: Effects of Moderate- and High-Intensity Endurance Exercise on the Kinetic Response of Leukocyte Subsets 免疫复原力的标志物:中等强度和高强度耐力运动对白细胞亚群动力学反应的影响
Pub Date : 2024-01-30 DOI: 10.3390/immuno4010003
Shirley W. Kartaram, M. Teunis, K. van Norren, Mieke Smits, L. M'rabet, M. Verschuren, Karin Mohrmann, Johan Garssen, Renger Witkamp, Raymond Pieters
The kinetic responses of leukocyte subsets to exercise and their recovery may serve as indicators of immunological resilience. These time-dependent responses were investigated in healthy young men using a bicycle ergometer test. Fifteen recreationally active male cyclists (20–35 years, VO2max 56.9 ± 3.9 mL kg−1 min−1) performed four exercise protocols with a 1 h duration in a cross-over design: at 70% of the maximal workload (Wmax) in a hydrated and a mildly dehydrated state, at 50% of the Wmax, and intermittently at 85/55% of the Wmax in blocks of 2 min. The numbers of lymphocytes, monocytes, neutrophils, eosinophils, basophils, thrombocytes, and NK cells (CD16 and CD56) were measured at different time points up to 24 h post-exercise. The total leukocyte counts and those of most subsets increased from the start of the exercise, peaking after 30–60 min of exercising. The neutrophil numbers, however, peaked 3 h post-exercise. The CD16brightCD56dim NK cells showed a 1.5-fold increase compared to the CD16brightCD56bright NK cells. Other than for MCP-1, no significant differences were found in the serum cytokine levels. Our results show that exercise intensity is reflected in different time-dependent changes in leukocyte subsets, which supports the concept that the exchange of immune cells between peripheral blood and tissues contributes to enhanced immune surveillance during strenuous exercise.
白细胞亚群对运动的动力学反应及其恢复可作为免疫复原力的指标。我们使用自行车测力计测试对健康年轻男性的这些随时间变化的反应进行了研究。15 名从事娱乐活动的男性自行车运动员(20-35 岁,最大氧活量为 56.9 ± 3.9 mL kg-1 min-1)以交叉设计的方式进行了四种持续时间为 1 小时的运动方案:在水合和轻度脱水状态下以最大工作量(Wmax)的 70%、Wmax 的 50%,以及以 Wmax 的 85%/55% 间歇进行,每组 2 分钟。淋巴细胞、单核细胞、中性粒细胞、嗜酸性粒细胞、嗜碱性粒细胞、血小板和 NK 细胞(CD16 和 CD56)的数量在运动后 24 小时内的不同时间点进行测量。运动开始后,白细胞总数和大多数亚群的白细胞数都有所增加,在运动 30-60 分钟后达到峰值。然而,中性粒细胞的数量在运动后 3 小时达到峰值。与 CD16brightCD56bright NK 细胞相比,CD16brightCD56dim NK 细胞增加了 1.5 倍。除 MCP-1 外,血清细胞因子水平没有发现明显差异。我们的研究结果表明,运动强度反映在白细胞亚群不同时间的变化上,这支持了外周血和组织间免疫细胞的交换有助于增强剧烈运动时免疫监视的概念。
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引用次数: 0
The Role of Structural Bioinformatics in Understanding Tumor Necrosis Factor α-Interacting Protein Mechanisms in Chronic Inflammatory Diseases: A Review 结构生物信息学在理解慢性炎症性疾病中肿瘤坏死因子 α 相互作用蛋白机制中的作用:综述
Pub Date : 2024-01-15 DOI: 10.3390/immuno4010002
L. Bastos, Diego C. B. Mariano, Rafael Pereira Lemos, T. Bialves, Carlo Jose Freire Oliveira, R. C. de Melo-Minardi
Tumor necrosis factor α (TNF-α) is a multifunctional cytokine protein acknowledged as a vital mediator in cell differentiation, proliferation, and survival. Additionally, TNF-α is a crucial component of the host’s defense by mediating inflammatory and immune responses against various aggressive agents, including viruses, bacteria parasites, and tumors. However, excessive production can be detrimental to the body and is also implicated in developing several inflammatory and immune-mediated disorders. Therefore, there is great interest in studying its role and its modulation, in various diseases, both in in vitro, in vivo, and in silico experiments. In this review, we evaluated the structures of proteins related to TNF-α available in public databases. In addition, we described the main antibodies blocking this cytokine and its applications and commented on the potential of naturally produced binding molecules, such as TNF-α-binding proteins produced by ticks. We also discuss the role of structural bioinformatics techniques in understanding the mechanisms of chronic inflammatory diseases related to TNF-α. We hope that the data presented in this review will be useful for studies that aim to better understand the mechanisms of the interactions of TNF-α with other proteins and will lead to new drugs or treatments.
肿瘤坏死因子α(TNF-α)是一种多功能细胞因子蛋白,是细胞分化、增殖和存活的重要介质。此外,TNF-α 还是宿主防御的一个重要组成部分,它通过介导炎症和免疫反应来抵御病毒、细菌、寄生虫和肿瘤等各种侵袭性病原体。然而,TNF-α的过量产生会对机体造成危害,并与多种炎症和免疫介导疾病的发生有关。因此,人们对研究它在各种疾病中的作用及其调节产生了浓厚的兴趣,无论是在体外、体内还是在硅学实验中。在这篇综述中,我们评估了公共数据库中与 TNF-α 相关的蛋白质结构。此外,我们还介绍了阻断这种细胞因子的主要抗体及其应用,并对天然产生的结合分子(如蜱产生的 TNF-α 结合蛋白)的潜力进行了评论。我们还讨论了结构生物信息学技术在理解与TNF-α相关的慢性炎症性疾病机制中的作用。我们希望这篇综述中提供的数据对旨在更好地理解TNF-α与其他蛋白质相互作用机制的研究有所帮助,并能带来新的药物或治疗方法。
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引用次数: 0
Catastrophic Antiphospholipid Syndrome: A Review 灾难性抗磷脂综合征:综述
Pub Date : 2023-12-25 DOI: 10.3390/immuno4010001
C. Siniscalchi, M. Basaglia, Michele Riva, Michele Meschi, Tiziana Meschi, G. Castaldo, P. Di Micco
Antiphospholipid syndrome (APS) is a systemic autoimmune disease characterized by thrombotic or obstetric events occurring in individuals who have persistent antiphospholipid antibodies. Catastrophic antiphospholipid syndrome (CAPS) is a rare and potentially fatal form of APS characterized by severe thrombotic complications occurring in multiple organs over a short period of time or simultaneously. CAPS is associated with a high (50%) death rate. Infections, multi-organ failure, and cerebral and heart thrombosis represent the main complications of this syndrome. Generally, anticoagulants, glucocorticoids, therapeutic plasmapheresis (TPE), and intravenous immunoglobulin (IVIG) are used in combination for treatment. Multidisciplinary care involving different specialists from hematology, rheumatology, nephrology, infectious disease, critical care, and obstetrics is often required due to the complexity of the disease. Recent data emphasize the effectiveness of biologics such as anti-TNF-a monoclonal antibodies (adalimumab, certolizumab), anti-CD38 monoclonal antibody (daratumumab), BAFF/Blys inhibitor (belimumab), and BTK inhibitor (zanubrutinib) against CAPS. In order to understand the underlying causes of CAPS, one future possibility involves investigating and characterizing the hereditary and acquired risk factors associated with CAPS.
抗磷脂综合征(APS)是一种全身性自身免疫性疾病,其特征是持续存在抗磷脂抗体的人发生血栓或产科事件。重症抗磷脂综合征(CAPS)是一种罕见的、可能致命的 APS,其特点是在短时间内或同时在多个器官发生严重的血栓并发症。CAPS 的死亡率很高(50%)。感染、多器官衰竭、脑和心脏血栓形成是该综合征的主要并发症。一般情况下,抗凝剂、糖皮质激素、治疗性浆细胞吸出术(TPE)和静脉注射免疫球蛋白(IVIG)被联合用于治疗。由于该病的复杂性,通常需要血液科、风湿病学、肾脏病学、传染病学、重症监护和产科等不同专业的专家参与多学科治疗。最近的数据强调了抗肿瘤坏死因子-a 单克隆抗体(阿达木单抗、certolizumab)、抗 CD38 单克隆抗体(daratumumab)、BAFF/Blys 抑制剂(贝利木单抗)和 BTK 抑制剂(扎鲁替尼)等生物制剂对 CAPS 的疗效。为了了解 CAPS 的根本原因,未来的一个可能性是调查与 CAPS 相关的遗传和获得性风险因素并确定其特征。
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引用次数: 0
Inflammatory Network of Liver Fibrosis and How It Can Be Targeted Therapeutically 肝纤维化的炎症网络及其治疗靶点
Pub Date : 2023-11-28 DOI: 10.3390/immuno3040023
Kirstin O. Lowe, Constantin E. Tanase, Susan Maghami, Leanne E. Fisher, Amir Ghaemmaghami
Liver fibrosis is a complex, dynamic process associated with a broad spectrum of chronic liver diseases and acute liver failure, characterised by the dysregulated intrahepatic production of extracellular matrix proteins replacing functional liver cells with scar tissue. Fibrosis progresses due to an interrelated cycle of hepatocellular injury, triggering a persistent wound-healing response. The accumulation of scar tissue and chronic inflammation can eventually lead to cirrhosis and hepatocellular carcinoma. Currently, no therapies exist to directly treat or reverse liver fibrosis; hence, it remains a substantial global disease burden. A better understanding of the intricate inflammatory network that drives the initiation and maintenance of liver fibrosis to enable the rationale design of new intervention strategies is required. This review clarifies the most current understanding of the hepatic fibrosis cellular network with a focus on the role of regulatory T cells, and a possible trajectory for T cell immunotherapy in fibrosis treatment. Despite good progress in elucidating the role of the immune system in liver fibrosis, future work to better define the function of different immune cells and their mediators at different fibrotic stages is needed, which will enhance the development of new therapies.
肝纤维化是一个复杂的动态过程,与多种慢性肝病和急性肝功能衰竭有关,其特点是肝内细胞外基质蛋白生成失调,瘢痕组织取代了功能性肝细胞。纤维化的发展是由于肝细胞损伤的相互关联的循环,引发了持续的伤口愈合反应。瘢痕组织的积累和慢性炎症最终会导致肝硬化和肝细胞癌。目前,还没有直接治疗或逆转肝纤维化的疗法;因此,肝纤维化仍然是全球疾病的沉重负担。我们需要更好地了解促使肝纤维化发生和维持的复杂炎症网络,以便合理地设计新的干预策略。本综述阐明了目前对肝纤维化细胞网络的最新认识,重点是调节性T细胞的作用,以及T细胞免疫疗法在肝纤维化治疗中的可能发展轨迹。尽管在阐明免疫系统在肝纤维化中的作用方面取得了良好进展,但未来的工作还需要更好地界定不同免疫细胞及其介质在不同纤维化阶段的功能,这将促进新疗法的开发。
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引用次数: 0
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