Background: Immune checkpoint inhibitors (ICIs) show clinical benefit in subsets of non-small cell lung cancer (NSCLC) patients, yet resistance remains a major challenge. Circulating tumor cells (CTCs) contribute to tumor dissemination and immune regulation. This study investigated the metabolic features of CTC subpopulations under PD-1 resistance, with a focus on the role of CD36+CTCs in immune evasion and pre-metastatic niche (PMN) formation.
Methods: PD-1-resistant in vitro and murine NSCLC models were established to enrich and isolate CTCs. CD36+ CTCs were characterized using lipid metabolomics, RNA sequencing, and functional assays. Their roles in PMN formation and immune suppression were evaluated using lung metastasis models and a tri-cell co-culture system. Fatty acid oxidation (FAO) dependency was assessed by lipid imaging, mitochondrial activity analysis, and pharmacological inhibition with etomoxir.
Results: CD36+ CTCs were enriched under PD-1 resistance and exhibited enhanced lipid accumulation, increased mitochondrial activity, and FAO dependency. Multi-omics analyses revealed activation of lipid metabolic pathways associated with immune suppression and extracellular matrix remodeling. Functionally, CD36+ CTCs promoted PMN formation and inhibited T-cell activation, while FAO inhibition significantly reduced their migratory and metastatic potential.
Conclusion: CD36+ CTCs drive immune evasion and metastasis in PD-1-resistant NSCLC through FAO-dependent metabolic reprogramming. Targeting this metabolic vulnerability may enhance the efficacy of immunotherapy.
{"title":"CD36-Mediated Fatty Acid Oxidation in CTCs Drives Immune Evasion and Metastasis in NSCLC.","authors":"Huizhen Zhu, Shuiyan Dai, Fengping Wang, Shuai Qian","doi":"10.1080/08820139.2026.2619575","DOIUrl":"10.1080/08820139.2026.2619575","url":null,"abstract":"<p><strong>Background: </strong>Immune checkpoint inhibitors (ICIs) show clinical benefit in subsets of non-small cell lung cancer (NSCLC) patients, yet resistance remains a major challenge. Circulating tumor cells (CTCs) contribute to tumor dissemination and immune regulation. This study investigated the metabolic features of CTC subpopulations under PD-1 resistance, with a focus on the role of CD36<sup>+</sup>CTCs in immune evasion and pre-metastatic niche (PMN) formation.</p><p><strong>Methods: </strong>PD-1-resistant in vitro and murine NSCLC models were established to enrich and isolate CTCs. CD36<sup>+</sup> CTCs were characterized using lipid metabolomics, RNA sequencing, and functional assays. Their roles in PMN formation and immune suppression were evaluated using lung metastasis models and a tri-cell co-culture system. Fatty acid oxidation (FAO) dependency was assessed by lipid imaging, mitochondrial activity analysis, and pharmacological inhibition with etomoxir.</p><p><strong>Results: </strong>CD36<sup>+</sup> CTCs were enriched under PD-1 resistance and exhibited enhanced lipid accumulation, increased mitochondrial activity, and FAO dependency. Multi-omics analyses revealed activation of lipid metabolic pathways associated with immune suppression and extracellular matrix remodeling. Functionally, CD36<sup>+</sup> CTCs promoted PMN formation and inhibited T-cell activation, while FAO inhibition significantly reduced their migratory and metastatic potential.</p><p><strong>Conclusion: </strong>CD36<sup>+</sup> CTCs drive immune evasion and metastasis in PD-1-resistant NSCLC through FAO-dependent metabolic reprogramming. Targeting this metabolic vulnerability may enhance the efficacy of immunotherapy.</p>","PeriodicalId":13387,"journal":{"name":"Immunological Investigations","volume":" ","pages":"563-601"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146201455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-04-01Epub Date: 2026-02-12DOI: 10.1080/08820139.2026.2618636
Xiaobing Ma, Peihui Han, Kanghong He, Guangnan Wang, Yiling Lu
Background: Pyroptosis is a highly inflammatory form of regulated cell death executed by gasdermin proteins. It promotes the release of interleukin (IL)-1β and IL-18 to support host defense, yet its dysregulation contributes to sepsis, neurodegenerative disorders, and autoimmune diseases. Many current anti-inflammatory therapies are single-target and may not restore system-level immune balance.
Objective: To summarize core pyroptosis pathways and evaluate how Traditional Chinese Medicine (TCM) modulates pyroptosis through multi-component, multi-target regulation.
Methods: We synthesize mechanistic evidence on canonical and non-canonical inflammasome cascades, focusing on caspase activation and Gasdermin D (GSDMD) cleavage. We further summarize data on representative TCM-derived compounds (berberine, curcumin, ginsenoside Rd) and a classical formula (Buyang Huanwu Decoction), emphasizing their actions on key pyroptosis nodes and upstream stress signals.
Results: Pyroptosis is driven by inflammasome-dependent signaling that activates caspases, cleaves GSDMD, and triggers pore formation with inflammatory mediator release. Evidence suggests TCM interventions can attenuate pyroptosis by converging on NLRP3 inflammasome activation, NF-κB/STAT3 signaling, and mitochondrial reactive oxygen species, while formulas may provide broader antioxidant and intercellular regulatory effects.
Conclusion: TCM offers a systems-oriented strategy for pyroptosis-centered anti-inflammatory and immunomodulatory therapy.
背景:焦亡是一种由气皮蛋白引起的高度炎症性细胞死亡。它促进白细胞介素(IL)-1β和IL-18的释放以支持宿主防御,但其失调导致败血症、神经退行性疾病和自身免疫性疾病。目前许多抗炎疗法都是单靶点的,可能无法恢复系统水平的免疫平衡。目的:总结核心焦亡途径,探讨中药如何通过多组分、多靶点调控焦亡。方法:我们综合了典型和非典型炎性体级联反应的机制证据,重点关注半胱天冬酶的激活和Gasdermin D (GSDMD)的裂解。我们进一步总结了具有代表性的中药衍生化合物(小檗碱、姜黄素、人参皂苷Rd)和经典配方(补阳还五汤)的数据,强调了它们对关键焦亡节点和上游应激信号的作用。结果:焦亡是由炎性小体依赖的信号驱动的,该信号激活半胱天冬酶,切割GSDMD,并通过炎症介质释放触发孔形成。有证据表明,中药干预可以通过聚集NLRP3炎性体激活、NF-κB/STAT3信号传导和线粒体活性氧来减轻焦亡,而方剂可能具有更广泛的抗氧化和细胞间调节作用。结论:中医为以热中毒为中心的抗炎和免疫调节治疗提供了一种系统导向的策略。
{"title":"\"Targeting the Body Itself\": Research Progress on the Anti-Inflammatory and Immunomodulatory Mechanisms of Traditional Chinese Medicine Based on Pyroptosis Theory.","authors":"Xiaobing Ma, Peihui Han, Kanghong He, Guangnan Wang, Yiling Lu","doi":"10.1080/08820139.2026.2618636","DOIUrl":"10.1080/08820139.2026.2618636","url":null,"abstract":"<p><strong>Background: </strong>Pyroptosis is a highly inflammatory form of regulated cell death executed by gasdermin proteins. It promotes the release of interleukin (IL)-1β and IL-18 to support host defense, yet its dysregulation contributes to sepsis, neurodegenerative disorders, and autoimmune diseases. Many current anti-inflammatory therapies are single-target and may not restore system-level immune balance.</p><p><strong>Objective: </strong>To summarize core pyroptosis pathways and evaluate how Traditional Chinese Medicine (TCM) modulates pyroptosis through multi-component, multi-target regulation.</p><p><strong>Methods: </strong>We synthesize mechanistic evidence on canonical and non-canonical inflammasome cascades, focusing on caspase activation and Gasdermin D (GSDMD) cleavage. We further summarize data on representative TCM-derived compounds (berberine, curcumin, ginsenoside Rd) and a classical formula (Buyang Huanwu Decoction), emphasizing their actions on key pyroptosis nodes and upstream stress signals.</p><p><strong>Results: </strong>Pyroptosis is driven by inflammasome-dependent signaling that activates caspases, cleaves GSDMD, and triggers pore formation with inflammatory mediator release. Evidence suggests TCM interventions can attenuate pyroptosis by converging on NLRP3 inflammasome activation, NF-κB/STAT3 signaling, and mitochondrial reactive oxygen species, while formulas may provide broader antioxidant and intercellular regulatory effects.</p><p><strong>Conclusion: </strong>TCM offers a systems-oriented strategy for pyroptosis-centered anti-inflammatory and immunomodulatory therapy.</p>","PeriodicalId":13387,"journal":{"name":"Immunological Investigations","volume":" ","pages":"666-695"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146179446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-04-01Epub Date: 2026-01-01DOI: 10.1080/08820139.2025.2607684
Hajar Yaghoobi, Maryam Hataminejad, Hakim Azizi
Background: Adjuvants potentiate adaptive immunity by enhancing antigen-specific immune responses, yet many exhibit high toxicity for clinical use. Naloxone (NLx) and naltrexone (NLt) opioid receptor antagonists have emerged as promising adjuvants in preclinical vaccination models against intracellular pathogens.
Objective: This narrative review synthesizes evidence from 2000 to 2025 evaluating NLx/NLt as adjuvants against bacterial, viral, and parasitic infections, while examining proposed immunoregulatory mechanisms.
Methods: A comprehensive search of Web of Science, PubMed, Scopus, ScienceDirect, and ProQuest employed Boolean operators combining: (vaccine OR vaccination) AND (adjuvant) AND (naloxone OR naltrexone OR NLx OR NLt OR "opioid receptor antagonist") AND ("immune response" OR "cellular immunity" OR "Th1").
Results: Key findings demonstrate that NLx/NLt monotherapy or combinatorial use with Alum consistently, enhanced Th1 polarization and cellular immunity, Elevated pathogen clearance and protection rates, synergistically overcame Alum's Th2 bias. Mechanistically, μ-opioid receptor (MOR) antagonism disrupts tonic immunosuppression, reversing opioid-mediated inhibition of dendritic cell maturation, IL-12 production, and cytotoxic T-cell function.
Conclusions: This immunorestorative action positions NLx/NLt as strategic adjuvants for vaccines targeting intracellular pathogens requiring robust cell-mediated immunity. Future horizons include combinatorial platforms (e.g. DNA vaccines + low-dose naltrexone) and clinical translation.
背景:佐剂通过增强抗原特异性免疫反应来增强适应性免疫,但许多佐剂在临床使用时表现出高毒性。纳洛酮(NLx)和纳曲酮(NLt)阿片受体拮抗剂已成为临床前疫苗模型中抗细胞内病原体的有希望的佐剂。目的:这篇叙述性综述综合了2000年至2025年的证据,评估了NLx/NLt作为抗细菌、病毒和寄生虫感染的佐剂,同时研究了拟议的免疫调节机制。方法:综合检索Web of Science, PubMed, Scopus, ScienceDirect和ProQuest,采用布尔运算符组合:(疫苗或疫苗接种)和(佐剂)和(纳洛酮或纳曲酮或NLx或NLt或“阿片受体拮抗剂”)和(“免疫反应”或“细胞免疫”或“Th1”)。结果:主要研究结果表明,NLx/NLt单药或与Alum联合使用,可增强Th1极化和细胞免疫,提高病原体清除率和保护率,协同克服Alum的Th2偏倚。从机制上讲,μ-阿片受体(MOR)拮抗破坏补性免疫抑制,逆转阿片介导的树突状细胞成熟、IL-12产生和细胞毒性t细胞功能的抑制。结论:这种免疫恢复作用使NLx/NLt成为针对需要强大细胞介导免疫的细胞内病原体的疫苗的战略佐剂。未来的发展方向包括组合平台(例如DNA疫苗+低剂量纳曲酮)和临床翻译。
{"title":"Naloxone and Naltrexone as Potential Adjuvants for Vaccination Against Intracellular Pathogens: A Narrative Review.","authors":"Hajar Yaghoobi, Maryam Hataminejad, Hakim Azizi","doi":"10.1080/08820139.2025.2607684","DOIUrl":"10.1080/08820139.2025.2607684","url":null,"abstract":"<p><strong>Background: </strong>Adjuvants potentiate adaptive immunity by enhancing antigen-specific immune responses, yet many exhibit high toxicity for clinical use. Naloxone (NLx) and naltrexone (NLt) opioid receptor antagonists have emerged as promising adjuvants in preclinical vaccination models against intracellular pathogens.</p><p><strong>Objective: </strong>This narrative review synthesizes evidence from 2000 to 2025 evaluating NLx/NLt as adjuvants against bacterial, viral, and parasitic infections, while examining proposed immunoregulatory mechanisms.</p><p><strong>Methods: </strong>A comprehensive search of Web of Science, PubMed, Scopus, ScienceDirect, and ProQuest employed Boolean operators combining: (vaccine OR vaccination) AND (adjuvant) AND (naloxone OR naltrexone OR NLx OR NLt OR \"opioid receptor antagonist\") AND (\"immune response\" OR \"cellular immunity\" OR \"Th1\").</p><p><strong>Results: </strong>Key findings demonstrate that NLx/NLt monotherapy or combinatorial use with Alum consistently, enhanced Th1 polarization and cellular immunity, Elevated pathogen clearance and protection rates, synergistically overcame Alum's Th2 bias. Mechanistically, μ-opioid receptor (MOR) antagonism disrupts tonic immunosuppression, reversing opioid-mediated inhibition of dendritic cell maturation, IL-12 production, and cytotoxic T-cell function.</p><p><strong>Conclusions: </strong>This immunorestorative action positions NLx/NLt as strategic adjuvants for vaccines targeting intracellular pathogens requiring robust cell-mediated immunity. Future horizons include combinatorial platforms (e.g. DNA vaccines + low-dose naltrexone) and clinical translation.</p>","PeriodicalId":13387,"journal":{"name":"Immunological Investigations","volume":" ","pages":"638-665"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145888594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-04-01Epub Date: 2026-01-19DOI: 10.1080/08820139.2026.2615654
Lisi Luo, Wensha Nie, Ji Wang, Yongze Liu, Qinglang Dai, Yuan Liao, Feng Li
Background: Macrophage polarization is widely involved in the progression of acute lung injury (ALI). Bone marrow mesenchymal stem cell-derived exosomes (BMSC-Exos) have been reported to participate ininflammatory diseases by regulating macrophage polarization. This study aimed to investigate the role of BMSC-Exos in ALI through the regulation of macrophage polarization.
Methods: LPS-induced ALI mouse models and RAW264.7 cell injury models were established. Lung injury was assessed through HE staining and assessment of bronchoalveolar lavage fluid (BALF) protein contents, the lung wet/dry weight ratios, and lung myeloperoxidase (MPO) activities. The expression of protein was detected via Western blotting and immunofluorescence. Exosomes were characterized using transmission electron microscopy (TEM) and nanoparticle tracking analysis (NTA).
Results: BMSC-Exos significantly alleviated pathological lung injury in ALI mice; reduced the lung wet/dry weight ratio, BALF protein content, MPO activity. BMSC-Exos inhibited LPS-induced macrophage M1 polarization and reduced proinflammatory cytokine expression. The molecular mechanism revealed that the BMSC-Exos delivered miR-451a to the macrophages and that inhibition of miR-451a expression attenuated the suppressive effect of the BMSC-Exos on M1 polarization. Furthermore, miR-451a targeted MIF to inhibit the MIF/CD74 signaling pathway.
Conclusion: BMSC-Exos inhibit MIF/CD74 signaling by delivering miR-451a, thereby suppressing LPS-induced M1 macrophage polarization and alleviating ALI.
{"title":"Exosomal miR-451a Derived from Bone Marrow Mesenchymal Stem Cells Inhibits Macrophage M1 Polarization Through the MIF/CD74 Signaling Pathway to Alleviate Acute Lung Injury.","authors":"Lisi Luo, Wensha Nie, Ji Wang, Yongze Liu, Qinglang Dai, Yuan Liao, Feng Li","doi":"10.1080/08820139.2026.2615654","DOIUrl":"10.1080/08820139.2026.2615654","url":null,"abstract":"<p><strong>Background: </strong>Macrophage polarization is widely involved in the progression of acute lung injury (ALI). Bone marrow mesenchymal stem cell-derived exosomes (BMSC-Exos) have been reported to participate ininflammatory diseases by regulating macrophage polarization. This study aimed to investigate the role of BMSC-Exos in ALI through the regulation of macrophage polarization.</p><p><strong>Methods: </strong>LPS-induced ALI mouse models and RAW264.7 cell injury models were established. Lung injury was assessed through HE staining and assessment of bronchoalveolar lavage fluid (BALF) protein contents, the lung wet/dry weight ratios, and lung myeloperoxidase (MPO) activities. The expression of protein was detected via Western blotting and immunofluorescence. Exosomes were characterized using transmission electron microscopy (TEM) and nanoparticle tracking analysis (NTA).</p><p><strong>Results: </strong>BMSC-Exos significantly alleviated pathological lung injury in ALI mice; reduced the lung wet/dry weight ratio, BALF protein content, MPO activity. BMSC-Exos inhibited LPS-induced macrophage M1 polarization and reduced proinflammatory cytokine expression. The molecular mechanism revealed that the BMSC-Exos delivered miR-451a to the macrophages and that inhibition of miR-451a expression attenuated the suppressive effect of the BMSC-Exos on M1 polarization. Furthermore, miR-451a targeted MIF to inhibit the MIF/CD74 signaling pathway.</p><p><strong>Conclusion: </strong>BMSC-Exos inhibit MIF/CD74 signaling by delivering miR-451a, thereby suppressing LPS-induced M1 macrophage polarization and alleviating ALI.</p>","PeriodicalId":13387,"journal":{"name":"Immunological Investigations","volume":" ","pages":"519-540"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145998058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-04-01Epub Date: 2026-01-11DOI: 10.1080/08820139.2026.2613047
Rajeev Ranjan, Amit Kumar, Vikas Kumar, Bhawesh Kumar Mahato, Atreyee Sarkar, Ratnesh Kumar Yadav, Vikas Gond, Sreeharsha Nagaraja, Ravi Raj Pal
Introduction: Colorectal Cancer has been a significant health issue at a global level in terms of increasing incidence, high metastatic capacity, and inadequate treatment reactions in most patient groups. Though chemotherapy and targeted agents have given better survival chances, resistance to treatment, avoidance of the immune system as well as systemic toxicity still limit long-term efficacy. Immunotherapeutic strategies have developed as effective methods in the past few years to address these shortomings.
Methods: A comprehensive literature search was conducted across different electronics databases including Web of Science, PubMed, Scopus, and ScienceDirect utilizing keywords colorectal cancer immunotherapy, PD-1 / PD-L1, CAR-T cells, viral vector vaccines, carcinoembryonic antigen alone and in combinations.
Results: PD-1/PD-L1, CTLA-4, immune checkpoint inhibitors have shown long-term responses, especially in mismatch repair-deficient and microsatellite instability-high tumours, and cell-based therapies such as CAR -T cells and dendritic cell vaccines provide other opportunities of personalised immune modulation.
Discussion: This critical review summarizes the current developments in terms of immunotherapy and interventions of CRC with a focus on the mechanistic understanding of the issue, clinical outcomes, and combinatorial strategies aimed to improve antitumor immunity and surmount therapy resistance. Specific attention is paid to the optimization of the checkpoint blockade, innovations with vaccines and CAR-T engineering to accumulate and release tumor-specific cells and control the microenvironment. Finally, key translational challenges current clinical trials, and future perspectives are identified to promote the development of the next-generation multimodal therapies in the efficient and customized management of CRC.
导论:在全球范围内,结直肠癌的发病率不断上升,转移能力高,在大多数患者群体中治疗反应不足,是一个重大的健康问题。尽管化疗和靶向药物提供了更好的生存机会,但对治疗的耐药性、免疫系统的回避以及全身毒性仍然限制了长期疗效。在过去几年中,免疫治疗策略已发展成为解决这些缺陷的有效方法。方法:在Web of Science、PubMed、Scopus和ScienceDirect等不同的电子数据库中进行综合文献检索,检索关键词为结直肠癌免疫治疗、PD-1 / PD-L1、CAR-T细胞、病毒载体疫苗、癌胚抗原单独和联合。结果:PD-1/PD-L1、CTLA-4、免疫检查点抑制剂显示出长期应答,特别是在错配修复缺陷和微卫星不稳定性高的肿瘤中,基于细胞的疗法,如CAR -T细胞和树突状细胞疫苗,提供了个性化免疫调节的其他机会。讨论:这篇重要的综述总结了CRC免疫治疗和干预措施的最新进展,重点是对该问题的机制理解、临床结果和旨在提高抗肿瘤免疫和克服治疗耐药性的联合策略。特别关注检查点阻断的优化,疫苗和CAR-T工程的创新,以积累和释放肿瘤特异性细胞并控制微环境。最后,确定了关键的转化挑战,当前的临床试验和未来的观点,以促进下一代多模式治疗在有效和定制化的CRC管理中的发展。
{"title":"Emerging Immunotherapeutic Approaches in Colorectal Cancer: From Checkpoint Inhibitors to CAR-T Cell and Viral Vector Vaccines.","authors":"Rajeev Ranjan, Amit Kumar, Vikas Kumar, Bhawesh Kumar Mahato, Atreyee Sarkar, Ratnesh Kumar Yadav, Vikas Gond, Sreeharsha Nagaraja, Ravi Raj Pal","doi":"10.1080/08820139.2026.2613047","DOIUrl":"10.1080/08820139.2026.2613047","url":null,"abstract":"<p><strong>Introduction: </strong>Colorectal Cancer has been a significant health issue at a global level in terms of increasing incidence, high metastatic capacity, and inadequate treatment reactions in most patient groups. Though chemotherapy and targeted agents have given better survival chances, resistance to treatment, avoidance of the immune system as well as systemic toxicity still limit long-term efficacy. Immunotherapeutic strategies have developed as effective methods in the past few years to address these shortomings.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted across different electronics databases including Web of Science, PubMed, Scopus, and ScienceDirect utilizing keywords colorectal cancer immunotherapy, PD-1 / PD-L1, CAR-T cells, viral vector vaccines, carcinoembryonic antigen alone and in combinations.</p><p><strong>Results: </strong>PD-1/PD-L1, CTLA-4, immune checkpoint inhibitors have shown long-term responses, especially in mismatch repair-deficient and microsatellite instability-high tumours, and cell-based therapies such as CAR -T cells and dendritic cell vaccines provide other opportunities of personalised immune modulation.</p><p><strong>Discussion: </strong>This critical review summarizes the current developments in terms of immunotherapy and interventions of CRC with a focus on the mechanistic understanding of the issue, clinical outcomes, and combinatorial strategies aimed to improve antitumor immunity and surmount therapy resistance. Specific attention is paid to the optimization of the checkpoint blockade, innovations with vaccines and CAR-T engineering to accumulate and release tumor-specific cells and control the microenvironment. Finally, key translational challenges current clinical trials, and future perspectives are identified to promote the development of the next-generation multimodal therapies in the efficient and customized management of CRC.</p>","PeriodicalId":13387,"journal":{"name":"Immunological Investigations","volume":" ","pages":"602-637"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145951844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-04-01Epub Date: 2026-01-12DOI: 10.1080/08820139.2025.2611872
Mingming Zhao, Liangfeng Yang, Shanshan Xu, Gang Chen, Yanping Hang, Minmin Yang, Haixia Zheng, Miaomiao Kong, Tao Li, Nan Wang
Objective: To elucidate the role of the polypyrimidine tract-binding protein 1 (PTBP1)-tumor necrosis factor receptor-associated factor 6 (TRAF6) pathway in chronic obstructive pulmonary disease (COPD), with a particular focus on its regulatory effects on macrophage polarization and clearance of neutrophil extracellular traps (NETs).
Methods: A COPD-like mouse model was established via cigarette smoke (CS) exposure. Lung injury, macrophage polarization, and levels of NETs were assessed. The role of TRAF6 in macrophage polarization and NETs clearance was assessed through lentiviral modulation of TRAF6 expression. RNA immunoprecipitation-quantitative polymerase chain reaction (RIP-qPCR), RNA stability assays, and Western blotting were performed to investigate the regulatory mechanism of PTBP1 on TRAF6 expression.
Results: The COPD-like mouse model exhibited increased M1 and decreased M2 macrophage populations, along with elevated NETs formation. Both PTBP1 and TRAF6 were upregulated in lung tissues of the COPD-like mouse model and cigarette smoke extract (CSE)-treated macrophages. Mechanistically, PTBP1 bound to and stabilized TRAF6 mRNA, enhancing TRAF6 expression. Inhibition of the PTBP1-TRAF6 pathway alleviated lung injury, restored macrophage polarization balance, and promoted NETs clearance.
Conclusion: PTBP1 enhances TRAF6 expression by stabilizing its mRNA, promoting M1 macrophage polarization and impairing NETs clearance, ultimately aggravating COPD.
{"title":"PTBP1-TRAF6 Axis Aggravates Chronic Obstructive Pulmonary Disease by Promoting M1 Macrophage Polarization and Impairing Clearance of Neutrophil Extracellular Traps.","authors":"Mingming Zhao, Liangfeng Yang, Shanshan Xu, Gang Chen, Yanping Hang, Minmin Yang, Haixia Zheng, Miaomiao Kong, Tao Li, Nan Wang","doi":"10.1080/08820139.2025.2611872","DOIUrl":"10.1080/08820139.2025.2611872","url":null,"abstract":"<p><strong>Objective: </strong>To elucidate the role of the polypyrimidine tract-binding protein 1 (PTBP1)-tumor necrosis factor receptor-associated factor 6 (TRAF6) pathway in chronic obstructive pulmonary disease (COPD), with a particular focus on its regulatory effects on macrophage polarization and clearance of neutrophil extracellular traps (NETs).</p><p><strong>Methods: </strong>A COPD-like mouse model was established via cigarette smoke (CS) exposure. Lung injury, macrophage polarization, and levels of NETs were assessed. The role of TRAF6 in macrophage polarization and NETs clearance was assessed through lentiviral modulation of TRAF6 expression. RNA immunoprecipitation-quantitative polymerase chain reaction (RIP-qPCR), RNA stability assays, and Western blotting were performed to investigate the regulatory mechanism of PTBP1 on TRAF6 expression.</p><p><strong>Results: </strong>The COPD-like mouse model exhibited increased M1 and decreased M2 macrophage populations, along with elevated NETs formation. Both PTBP1 and TRAF6 were upregulated in lung tissues of the COPD-like mouse model and cigarette smoke extract (CSE)-treated macrophages. Mechanistically, PTBP1 bound to and stabilized TRAF6 mRNA, enhancing TRAF6 expression. Inhibition of the PTBP1-TRAF6 pathway alleviated lung injury, restored macrophage polarization balance, and promoted NETs clearance.</p><p><strong>Conclusion: </strong>PTBP1 enhances TRAF6 expression by stabilizing its mRNA, promoting M1 macrophage polarization and impairing NETs clearance, ultimately aggravating COPD.</p>","PeriodicalId":13387,"journal":{"name":"Immunological Investigations","volume":" ","pages":"493-518"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145951816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-04-01Epub Date: 2026-01-28DOI: 10.1080/08820139.2026.2618136
Yuzhu Zhang, Jiangling Xia, Xiaona An, Luning Chen, Zhenzhen Chen
Background: The objective was to assess the effects of propofol on ovalbumin (OVA)-induced asthma in a mouse model and the efficacy of propofol in stabilizing mast cells and inhibiting the production of inflammatory mediators.
Methods: Animal model of asthma induced by OVA was employed to evaluate the effect of propofol. Tissues from the lungs were retrieved for HE staining. The levels of IgE, IFN-γ, MPO, and so on was deteced. Bone marrow mast cells (BMMCs) were isolated to examine the suppressive action of propofol on the degranulation.
Results: Propofol significantly reduced airway hyperresponsiveness and IgE, Th2 cytokines, and inflammatory cytokines in OVA-induced asthma model. Inhibited BMMCs degranulation and the production of inflammatory cytokines. Additionally, propofol inhibited the expression of HIF-1α and NLRP3 in asthma models. Overexpression HIF-1α in BMMCs reverses the effect of propofol. NLRP3 inhibition attenuates allergic asthma in DNP-HSA-treated DMMCs with or without overexpression HIF-1α. In terms of the mechanism, propofol interacts with HIF-1α directly, thereby disrupting HIF-1α-NLRP3 interaction and attenuating allergic asthma.
Conclusion: Propofol markedly improved OVA-induced asthma and inhibited mast cell degranulation by binding competitively to HIF-1α, thereby disrupting the HIF-1α-NLRP3 interaction and attenuating allergic asthma.
{"title":"Propofol Inhibits HIF-1α/NLRP3 Signaling Pathway and Mast Cell Activation to Ameliorate Airway Inflammation in Allergic Asthma.","authors":"Yuzhu Zhang, Jiangling Xia, Xiaona An, Luning Chen, Zhenzhen Chen","doi":"10.1080/08820139.2026.2618136","DOIUrl":"https://doi.org/10.1080/08820139.2026.2618136","url":null,"abstract":"<p><strong>Background: </strong>The objective was to assess the effects of propofol on ovalbumin (OVA)-induced asthma in a mouse model and the efficacy of propofol in stabilizing mast cells and inhibiting the production of inflammatory mediators.</p><p><strong>Methods: </strong>Animal model of asthma induced by OVA was employed to evaluate the effect of propofol. Tissues from the lungs were retrieved for HE staining. The levels of IgE, IFN-γ, MPO, and so on was deteced. Bone marrow mast cells (BMMCs) were isolated to examine the suppressive action of propofol on the degranulation.</p><p><strong>Results: </strong>Propofol significantly reduced airway hyperresponsiveness and IgE, Th2 cytokines, and inflammatory cytokines in OVA-induced asthma model. Inhibited BMMCs degranulation and the production of inflammatory cytokines. Additionally, propofol inhibited the expression of HIF-1α and NLRP3 in asthma models. Overexpression HIF-1α in BMMCs reverses the effect of propofol. NLRP3 inhibition attenuates allergic asthma in DNP-HSA-treated DMMCs with or without overexpression HIF-1α. In terms of the mechanism, propofol interacts with HIF-1α directly, thereby disrupting HIF-1α-NLRP3 interaction and attenuating allergic asthma.</p><p><strong>Conclusion: </strong>Propofol markedly improved OVA-induced asthma and inhibited mast cell degranulation by binding competitively to HIF-1α, thereby disrupting the HIF-1α-NLRP3 interaction and attenuating allergic asthma.</p>","PeriodicalId":13387,"journal":{"name":"Immunological Investigations","volume":"55 3","pages":"541-562"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147467929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-23DOI: 10.1080/08820139.2026.2647055
Teng Qi, Lingjun Yao, Zheyu Wen, Xiaorui Zhou, Hanqing Zhao, Jiazhen He, Jing Hu
Background: Previous studies indicate associations between inflammatory cytokines and glioma, meningioma, and astrocytoma.
Methods: We conducted two-sample Mendelian randomization with genetic data for tumors from FinnGen R10 and cytokine data from GWAS. Primary analysis used inverse variance weighting, supplemented by sensitivity analyses including weighted median, simple mode, weighted mode, and MR-Egger.
Results: For glioma, TNF-related apoptosis-inducing ligand (TRAIL) was a risk factor, while Fibroblast growth factor 21 (FGF21) was protective. For meningioma, Axin-1 and Matrix metalloproteinase-1 were risk factors, whereas Fms-related tyrosine kinase 3 ligand was protective. For astrocytoma, risk factors included Eotaxin, Macrophage colony-stimulating factor 1, and Interleukin-8; protective factors were T-cell surface glycoprotein CD5 and Tumor necrosis factor ligand superfamily member 12.
Conclusions: This Mendelian randomization study identified specific inflammatory cytokines associated with these tumors, providing direction for future mechanistic research.
{"title":"The Causal Role of Circulating Inflammatory Cytokines in Brain Tumors: Insights from Genetic Epidemiology.","authors":"Teng Qi, Lingjun Yao, Zheyu Wen, Xiaorui Zhou, Hanqing Zhao, Jiazhen He, Jing Hu","doi":"10.1080/08820139.2026.2647055","DOIUrl":"https://doi.org/10.1080/08820139.2026.2647055","url":null,"abstract":"<p><strong>Background: </strong>Previous studies indicate associations between inflammatory cytokines and glioma, meningioma, and astrocytoma.</p><p><strong>Methods: </strong>We conducted two-sample Mendelian randomization with genetic data for tumors from FinnGen R10 and cytokine data from GWAS. Primary analysis used inverse variance weighting, supplemented by sensitivity analyses including weighted median, simple mode, weighted mode, and MR-Egger.</p><p><strong>Results: </strong>For glioma, TNF-related apoptosis-inducing ligand (TRAIL) was a risk factor, while Fibroblast growth factor 21 (FGF21) was protective. For meningioma, Axin-1 and Matrix metalloproteinase-1 were risk factors, whereas Fms-related tyrosine kinase 3 ligand was protective. For astrocytoma, risk factors included Eotaxin, Macrophage colony-stimulating factor 1, and Interleukin-8; protective factors were T-cell surface glycoprotein CD5 and Tumor necrosis factor ligand superfamily member 12.</p><p><strong>Conclusions: </strong>This Mendelian randomization study identified specific inflammatory cytokines associated with these tumors, providing direction for future mechanistic research.</p>","PeriodicalId":13387,"journal":{"name":"Immunological Investigations","volume":" ","pages":"1-16"},"PeriodicalIF":2.4,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147498577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-21DOI: 10.1080/08820139.2026.2647057
Xiaoling Wang, Liang Zhao, Chao Han, Guimin Yang, Lixiao Cai
Background: Immune reconstitution (IR), acute graft-versus-host disease (aGVHD), and cytomegalovirus (CMV) infection are all crucial factors influencing the prognosis following hematopoietic stem cell transplantation (HSCT).
Methods: A cohort of 116 pediatric patients undergoing HSCT was divided into two groups: those with aGVHD+CMV+ (DP group) and those without this combination (NDP group). Kaplan-Meier (KM) curves were generated to compare survival differences between the groups. Logistic regression analysis was performed to identify associations between IR and aGVHD+CMV+. Cox proportional hazards regression analysis was conducted to determine the independent risk factors affecting prognosis.
Results: The prognosis of DP group was significantly worse than that of the NDP group. Notable disparities in lymphocyte subset levels were observed between the DP and NDP groups. The level of CD4-CD8-T cells showed a significant correlation with the co-occurrence of aGVHD and CMV infection. Impaired reconstitution of CD4-CD8-T cells and aGVHD+CMV+ were found to be independent risk factors for post-HSCT survival. Patients in DP group with CD4-CD8-T cell counts > 49 cells/µl (at day 90 post-HSCT) demonstrated a significantly improved prognosis.
Conclusions: Elevated CD4-CD8-T cell counts may mitigate the adverse effects of aGVHD and CMV infection on HSCT outcomes, suggesting their potential as a prognostic biomarker.
{"title":"CD4-CD8-T Cell Reconstitution Combined with Acute GVHD and CMV Infection: A Robust Predictor of Overall Survival and Non-Relapse Mortality After HSCT.","authors":"Xiaoling Wang, Liang Zhao, Chao Han, Guimin Yang, Lixiao Cai","doi":"10.1080/08820139.2026.2647057","DOIUrl":"https://doi.org/10.1080/08820139.2026.2647057","url":null,"abstract":"<p><strong>Background: </strong>Immune reconstitution (IR), acute graft-versus-host disease (aGVHD), and cytomegalovirus (CMV) infection are all crucial factors influencing the prognosis following hematopoietic stem cell transplantation (HSCT).</p><p><strong>Methods: </strong>A cohort of 116 pediatric patients undergoing HSCT was divided into two groups: those with aGVHD+CMV+ (DP group) and those without this combination (NDP group). Kaplan-Meier (KM) curves were generated to compare survival differences between the groups. Logistic regression analysis was performed to identify associations between IR and aGVHD+CMV+. Cox proportional hazards regression analysis was conducted to determine the independent risk factors affecting prognosis.</p><p><strong>Results: </strong>The prognosis of DP group was significantly worse than that of the NDP group. Notable disparities in lymphocyte subset levels were observed between the DP and NDP groups. The level of CD4-CD8-T cells showed a significant correlation with the co-occurrence of aGVHD and CMV infection. Impaired reconstitution of CD4-CD8-T cells and aGVHD+CMV+ were found to be independent risk factors for post-HSCT survival. Patients in DP group with CD4-CD8-T cell counts > 49 cells/µl (at day 90 post-HSCT) demonstrated a significantly improved prognosis.</p><p><strong>Conclusions: </strong>Elevated CD4-CD8-T cell counts may mitigate the adverse effects of aGVHD and CMV infection on HSCT outcomes, suggesting their potential as a prognostic biomarker.</p>","PeriodicalId":13387,"journal":{"name":"Immunological Investigations","volume":" ","pages":"1-19"},"PeriodicalIF":2.4,"publicationDate":"2026-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147490971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}