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FOXP4-AS1 promotes CD8+ T cell exhaustion and esophageal cancer immune escape through USP10-stabilized PD-L1 FOXP4-AS1 通过 USP10 稳定 PD-L1 促进 CD8+ T 细胞衰竭和食管癌免疫逃逸
IF 4.4 4区 医学 Q3 Immunology and Microbiology Pub Date : 2024-04-30 DOI: 10.1007/s12026-024-09482-9
Guo-yi Shen, Yi Zhang, Rong-zhi Huang, Zhi-yong Huang, Le-yi Yang, Ding-zhu Chen, Shao-bin Yang

Abstract

Esophageal cancer (EC) is the 9th most frequently diagnosed malignancy globally with unfavorable prognosis. Immune escape is one of the principal factors leading to poor survival, however, the mechanism underlying immune escape remains largely uninvestigated. The xenograft mouse model and EC cell-CD8+ cytotoxic T lymphocytes (CTLs) co-culture system were established. Immunohistochemistry, qRT-PCR or western blot were employed to detect the levels of long non-coding RNA (lncRNA) FOXP4-AS1, PD-L1, USP10 and other molecules. The abundance of T cells, cytokine production and cell apoptosis were monitored by flow cytometry. The viability of CTLs was assessed by Trypan blue staining. The binding between FOXP4-AS1 and USP10 was validated by RNA pull-down assay, and the interaction between USP10 and PD-L1, as well as the ubiquitination of PD-L1, were detected by co-immunoprecipitation. The elevation of FOXP4-AS1 in EC was associated with decreased CTL abundance, and upregulated PD-L1 facilitated CTL apoptosis in EC. FOXP4-AS1 accelerated EC tumor growth by decreasing the abundance of tumor infiltrating CTLs in vivo. FOXP4-AS1 inhibited the viability of CTLs and facilitated the cytotoxicity and exhaustion of CTLs. In Kyse 450 cell-CTL co-culture system, FOXP4-AS1 suppressed the viability and abundance of CTLs, and inhibited EC cell apoptosis via PD-L1. Mechanistically, FOXP4-AS1 regulated the ubiquitination of PD-L1 through deubiquitinating enzyme USP10. FOXP4-AS1 promoted CTL exhaustion and EC immune escape through USP10-stabilized PD-L1.

Highlights

  • PD-L1 facilitated CD8+ T cell apoptosis in EC.

  • Upregulated FOXP4-AS1 promoted EC tumor growth by inhibiting the viability and facilitating the cytotoxicity and exhaustion of tumor infiltrating CD8+ T cells.

  • FOXP4-AS1 suppressed the viability and abundance of CD8+ T cells through USP10-mediated deubiquitination of PD-L1.

摘要 食管癌(EC)是全球第九大最常见的恶性肿瘤,预后不良。免疫逃逸是导致生存率低下的主要因素之一,然而,免疫逃逸的机制在很大程度上仍未得到研究。本研究建立了异种移植小鼠模型和EC细胞-CD8+细胞毒性T淋巴细胞(CTLs)共培养系统。采用免疫组化、qRT-PCR或Western blot等方法检测长非编码RNA(lncRNA)FOXP4-AS1、PD-L1、USP10等分子的水平。流式细胞术监测了 T 细胞的丰度、细胞因子的产生和细胞凋亡。CTL 的活力通过胰蓝染色进行评估。FOXP4-AS1 和 USP10 之间的结合通过 RNA 下拉实验进行了验证,USP10 和 PD-L1 之间的相互作用以及 PD-L1 的泛素化通过共沉淀进行了检测。EC中FOXP4-AS1的升高与CTL数量的减少有关,而PD-L1的上调促进了EC中CTL的凋亡。FOXP4-AS1通过降低体内肿瘤浸润CTL的数量加速了EC肿瘤的生长。FOXP4-AS1 抑制了 CTL 的活力,并促进了 CTL 的细胞毒性和衰竭。在Kyse 450细胞-CTL共培养系统中,FOXP4-AS1抑制了CTL的活力和数量,并通过PD-L1抑制了EC细胞的凋亡。机制上,FOXP4-AS1 通过去泛素化酶 USP10 调节 PD-L1 的泛素化。FOXP4-AS1通过USP10稳定的PD-L1促进了CTL的衰竭和EC的免疫逃逸。
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引用次数: 0
Desflurane alleviates LPS-induced acute lung injury by modulating let-7b-5p/HOXA9 axis 地氟醚通过调节 let-7b-5p/HOXA9 轴减轻 LPS 诱导的急性肺损伤
IF 4.4 4区 医学 Q3 Immunology and Microbiology Pub Date : 2024-04-27 DOI: 10.1007/s12026-024-09474-9
Xiaoyun Shi, Yundie Li, Shibiao Chen, Huaping Xu, Xiuhong Wang

Acute lung injury (ALI) is characterized by acute respiratory failure with tachypnea and widespread alveolar infiltrates, badly affecting patients’ health. Desflurane (Des) is effective against lung injury. However, its mechanism in ALI remains unknown. BEAS-2B cells were incubated with lipopolysaccharide (LPS) to construct an ALI cell model. Cell apoptosis was evaluated using flow cytometry. Enzyme-linked immunosorbent assay (ELISA) was employed to examine the levels of inflammatory cytokines. Interactions among let-7b-5p, homeobox A9 (HOXA9), and suppressor of cytokine signaling 2 (SOCS2) were verified using Dual luciferase activity, chromatin immunoprecipitation (ChIP), and RNA pull-down analysis. All experimental data of this study were derived from three repeated experiments. Des treatment improved LPS-induced cell viability, reduced inflammatory cytokine (tumor necrosis factor-α (TNF-α), interleukin-1β (IL-1β), and interleukin-6 (IL-6)) levels, decreased cell apoptosis, down-regulated the pro-apoptotic proteins (Bcl-2-associated X protein (Bax) and cleaved caspase 3) expression, and up-regulated the anti-apoptotic protein B-cell-lymphoma-2 (Bcl-2) expression in LPS-induced BEAS-2B cells. Des treatment down-regulated let-7b-5p expression in LPS-induced BEAS-2B cells. Moreover, let-7b-5p inhibition improved LPS-induced cell injury. let-7b-5p overexpression weakened the protective effects of Des. Mechanically, let-7b-5p could negatively modulate HOXA9 expression. Furthermore, HOXA9 inhibited the NF-κB signaling by enhancing SOCS2 transcription. HOXA9 overexpression weakened the promotion of let-7b-5p mimics in LPS-induced cell injury. Des alleviated LPS-induced ALI via regulating let-7b-5p/ HOXA9/NF-κB axis.

Graphical Abstract

急性肺损伤(ALI)以急性呼吸衰竭为特征,伴有呼吸急促和广泛的肺泡浸润,严重影响患者的健康。地氟醚(Des)对肺损伤有效。然而,它在 ALI 中的作用机制仍不清楚。用脂多糖(LPS)培养 BEAS-2B 细胞,构建 ALI 细胞模型。使用流式细胞术评估细胞凋亡。酶联免疫吸附试验(ELISA)用于检测炎症细胞因子的水平。使用双荧光素酶活性、染色质免疫沉淀(ChIP)和 RNA 拉取分析验证了 let-7b-5p、同源染色体 A9(HOXA9)和细胞因子信号转导抑制因子 2(SOCS2)之间的相互作用。本研究的所有实验数据均来自三次重复实验。Des 处理可提高 LPS 诱导的细胞活力,降低炎性细胞因子(肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)和白细胞介素-6(IL-6))水平,减少细胞凋亡、在 LPS 诱导的 BEAS-2B 细胞中,下调促凋亡蛋白(Bcl-2 相关 X 蛋白(Bax)和裂解的 caspase 3)的表达,上调抗凋亡蛋白 B 细胞淋巴瘤-2(Bcl-2)的表达。Des 处理可下调 LPS 诱导的 BEAS-2B 细胞中 let-7b-5p 的表达。此外,抑制 let-7b-5p 可改善 LPS 诱导的细胞损伤。从机理上讲,let-7b-5p 可以负向调节 HOXA9 的表达。此外,HOXA9还能通过增强SOCS2转录抑制NF-κB信号转导。HOXA9的过表达削弱了let-7b-5p模拟物对LPS诱导的细胞损伤的促进作用。Des通过调节let-7b-5p/ HOXA9/NF-κB轴缓解了LPS诱导的ALI。图文摘要
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引用次数: 0
Primary immune regulatory disorders (PIRD): expanding the mutation spectrum in Turkey and identification of sixteen novel variants 原发性免疫调节紊乱(PIRD):土耳其突变谱的扩大和十六种新型变体的鉴定
IF 4.4 4区 医学 Q3 Immunology and Microbiology Pub Date : 2024-04-22 DOI: 10.1007/s12026-024-09477-6
Ayca Aykut, Asude Durmaz, Neslihan Karaca, Nesrin Gulez, Ferah Genel, Fatih Celmeli, M. Tuba Cogurlu, Mediha Akcan, Dilek Cicek, Funda Erol Cipe, Ayca Kiykim, Alisan Yıldıran, Kursad Unluhizarci, Sara Sebnem Kilic, Guzide Aksu, Omur Ardeniz, Necil Kutukculer

Human Inborn Errors of Immunity (IEIs) encompass a clinically and genetically heterogeneous group of disorders, ranging from mild cases to severe, life-threatening types. Among these, Primary Immune Regulatory Disorders (PIRDs) constitute a subset of IEIs characterized by diverse clinical phenotypes, prominently featuring severe atopy, autoimmunity, lymphoproliferation, hyperinflammation, autoinflammation, and susceptibility to malignancies. According to the latest report from the International Union of Immunological Societies (IUIS), PIRDs arise from mutations in various genes including LYST, RAB27A, AP3B1, AP3D1, PRF1, UNC13D, STX11, STXBP2, FAAP24, SLC7A7, RASGRP1, CD70, CTPS1, RLTPR, ITK, MAGT1, PRKCD, TNFRSF9, SH2DIA, XIAP, CD27 (TNFRSF7), FAS (TNFRSF6), FASLG (TNFSF6), CASP10, CASP8, FADD, LRBA, STAT3, AIRE, ITCH, ZAP70, TPP2, JAK1, PEPD, FOXP3, IL2RA, CTLA4, BACH2, IL2RB, DEF6, FERMT1, IL10, IL10RA, IL10RB, NFAT5, TGFB1, and RIPK1 genes. We designed a targeted next-generation sequencing (TNGS) workflow using the Ion AmpliSeq™ Primary Immune Deficiency Research Panel to sequence 264 genes associated with IEIs on the Ion S5™ Sequencer. In this study, we report the identification of 38 disease-causing variants, including 16 novel ones, detected in 40 patients across 15 distinct PIRD genes. The application of next-generation sequencing enabled rapid and precise diagnosis of patients with PIRDs.

人类先天性免疫失常(IEIs)包括一组临床和遗传异质性疾病,从轻微病例到严重的危及生命的类型不等。其中,原发性免疫调节紊乱(PIRDs)是 IEIs 的一个子集,其临床表型多种多样,主要表现为严重的过敏、自身免疫、淋巴细胞增殖、高炎症、自身炎症和对恶性肿瘤的易感性。根据国际免疫学会联盟(IUIS)的最新报告,PIRD 由多种基因突变引起,包括 LYST、RAB27A、AP3B1、AP3D1、PRF1、UNC13D、STX11、STXBP2、FAAP24、SLC7A7、RASGRP1、CD70、CTPS1、RLTPR、ITK、MAGT1、PRKCD、TNFRSF9、SH2DIA、XIAP、CD27(TNFRSF7)、FAS(TNFRSF6)、FASLG(TNFSF6)、CASP10、CASP8、FADD、LRBA、STAT3、AIR、ICH、ZAP70、TPP2、JAK1、PEPD、FOXP3、IL2RA、CTLA4、BACH2、IL2RB、DEF6、FERMT1、IL10、IL10RA、IL10RB、NFAT5、TGFB1 和 RIPK1 基因。我们设计了一种靶向新一代测序(TNGS)工作流程,使用 Ion AmpliSeq™ 原发性免疫缺陷研究面板,在 Ion S5™ 测序仪上对 264 个与 IEI 相关的基因进行测序。在本研究中,我们报告了在 40 名患者中发现的 15 个不同的 PIRD 基因中的 38 个致病变异,包括 16 个新变异。新一代测序技术的应用实现了对 PIRD 患者的快速、精确诊断。
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引用次数: 0
β-Indole-3-acetic acid attenuated collagen-induced arthritis through reducing the ubiquitination of Foxp3 via the AhR-TAZ-Tip60 pathway β-吲哚-3-乙酸通过AhR-TAZ-Tip60途径减少Foxp3的泛素化,从而减轻胶原蛋白诱导的关节炎
IF 4.4 4区 医学 Q3 Immunology and Microbiology Pub Date : 2024-04-17 DOI: 10.1007/s12026-024-09480-x
Xiaoran Su, Xinliu Wang, Xin Zhang, Yajie Sun, Yugai Jia

Massive evidence shows that intestinal tryptophan metabolites affected by intestinal flora can modulate the progression of rheumatoid arthritis (RA). However, the effects and mechanisms of intestinal tryptophan metabolites on RA are not yet detailed. Herein, we investigated the protective effects of intestinal tryptophan metabolites on RA and its detailed mechanisms. In this study, the collagen-induced arthritis (CIA) rat model was established. Based on metabolomics analysis, the contents of β-indole-3-acetic acid (IAA), indolylpropionic acid, and indole-3-β-acrylic acid in the sera of CIA rats were significantly less compared with those of the normal rats. Under the condition of Treg or Th17 cell differentiation, IAA significantly promoted the differentiation and activation of Treg cells instead of Th17 cells. Intestinal tryptophan metabolites are well-known endogenic ligands of aryl hydrocarbon receptor (AhR). Not surprisingly, IAA increased the level of Foxp3 through activating the AhR pathway. Interestingly, IAA had little impact on the level of Foxp3 mRNA, but reducing the ubiquitination and degradation of Foxp3. Mechanically, IAA reduced the expression of the transcriptional coactivator TAZ, which was almost completely reversed by either AhR antagonist CH223191 or siRNA. In vitro, IAA decreased the combination of TAZ and the histone acetyltransferase Tip60, while it increased the combination of Tip60 and Foxp3. In CIA rats, oral administration of IAA increased the number of Treg cells and relieved the inflammation. A combined use with CH223191 almost abolished the effect of IAA. Taken together, IAA attenuated CIA by promoting the differentiation of Treg cells through reducing the ubiquitination of Foxp3 via the AhR-TAZ-Tip60 pathway.

大量证据表明,受肠道菌群影响的肠道色氨酸代谢物可调节类风湿性关节炎(RA)的病情发展。然而,肠道色氨酸代谢物对类风湿关节炎的影响和机制尚不详细。在此,我们研究了肠道色氨酸代谢物对 RA 的保护作用及其详细机制。本研究建立了胶原诱导的关节炎(CIA)大鼠模型。根据代谢组学分析,CIA大鼠血清中β-吲哚-3-乙酸(IAA)、吲哚丙酸和吲哚-3-β-丙烯酸的含量明显低于正常大鼠。在Treg或Th17细胞分化的条件下,IAA能明显促进Treg细胞而非Th17细胞的分化和活化。肠道色氨酸代谢物是众所周知的芳基烃受体(AhR)内源性配体。毫不奇怪,IAA 通过激活 AhR 途径提高了 Foxp3 的水平。有趣的是,IAA对Foxp3 mRNA的水平几乎没有影响,但却减少了Foxp3的泛素化和降解。从机制上讲,IAA降低了转录辅激活因子TAZ的表达,而AhR拮抗剂CH223191或siRNA几乎可以完全逆转这种情况。在体外,IAA减少了TAZ与组蛋白乙酰转移酶Tip60的结合,而增加了Tip60与Foxp3的结合。在 CIA 大鼠中,口服 IAA 可增加 Treg 细胞的数量并缓解炎症。与CH223191联合使用几乎取消了IAA的作用。综上所述,IAA通过AhR-TAZ-Tip60途径减少Foxp3的泛素化,促进Treg细胞的分化,从而减轻了CIA。
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引用次数: 0
Cluster analysis of long COVID symptoms for deciphering a syndrome and its long-term consequence 对 COVID 长症状进行聚类分析,以解读综合征及其长期后果
IF 4.4 4区 医学 Q3 Immunology and Microbiology Pub Date : 2024-04-16 DOI: 10.1007/s12026-024-09465-w
J. Niewolik, M. Mikuteit, S. Klawitter, D. Schröder, A. Stölting, K. Vahldiek, S. Heinemann, F. Müller, GMN. Behrens, F. Klawonn, A. Dopfer-Jablonka, S. Steffens

The long-term symptoms of COVID-19 are the subject of public and scientific discussions. Understanding how those long COVID symptoms co-occur in clusters of syndromes may indicate the pathogenic mechanisms of long COVID. Our study objective was to cluster the different long COVID symptoms. We included persons who had a COVID-19 and assessed long-term symptoms (at least 4 weeks after first symptoms). Hierarchical clustering was applied to the symptoms as well as to the participants based on the Euclidean distance h of the log-values of the answers on symptom severity. The distribution of clusters within our cohort is shown in a heat map.

From September 2021 to November 2023, 2371 persons with persisting long COVID symptoms participated in the study. Self-assessed long COVID symptoms were assigned to three symptom clusters. Cluster A unites rheumatological and neurological symptoms, cluster B includes neuro-psychological symptoms together with cardiorespiratory symptoms, and a third cluster C shows an association of general infection signs, dermatological and otology symptoms. A high proportion of the participants (n = 1424) showed symptoms of all three clusters. Clustering of long COVID symptoms reveals similarities to the symptomatology of already described syndromes such as the Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) or rheumatological autoinflammatory diseases. Further research may identify serological parameters or clinical risk factors associated with the shown clusters and might improve our understanding of long COVID as a systemic disease. Furthermore, multimodal treatments can be developed and scaled for symptom clusters and associated impairments.

COVID-19 的长期症状是公众和科学界讨论的主题。了解这些长期 COVID 症状是如何共同出现在综合征群中的,可能会揭示长期 COVID 的致病机制。我们的研究目标是对不同的长COVID症状进行分组。我们纳入了 COVID-19 患者,并对其长期症状(首次出现症状后至少 4 周)进行了评估。我们根据症状严重程度答案对数值的欧氏距离 h 对症状和参与者进行了分层聚类。从 2021 年 9 月到 2023 年 11 月,共有 2371 名有长期 COVID 症状的人参与了研究。自我评估的长期 COVID 症状被归入三个症状群组。群组A包括风湿病和神经系统症状,群组B包括神经-心理症状和心肺症状,第三个群组C显示了一般感染症状、皮肤病和耳科症状。大部分参与者(n = 1424)都出现了所有三个群组的症状。对长 COVID 症状的分组显示,这些症状与已描述过的综合征的症状相似,如肌痛性脑脊髓炎/慢性疲劳综合征(ME/CFS)或风湿性自身炎症疾病。进一步的研究可能会确定与所示群集相关的血清学参数或临床风险因素,并可能会提高我们对作为一种系统性疾病的长 COVID 的认识。此外,还可以针对症状群和相关损伤开发和推广多模式疗法。
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引用次数: 0
Low C4A copy numbers and higher HERV gene insertion contributes to increased risk of SLE, with absence of association with disease phenotype and disease activity 低 C4A 拷贝数和较高的 HERV 基因插入可增加患系统性红斑狼疮的风险,但与疾病表型和疾病活动无关
IF 4.4 4区 医学 Q3 Immunology and Microbiology Pub Date : 2024-04-10 DOI: 10.1007/s12026-024-09475-8
Christina Mary Mariaselvam, Gaurav Seth, Chengappa Kavadichanda, Wahid Boukouaci, Ching-Lien Wu, Bruno Costes, Molly Mary Thabah, Rajagopal Krishnamoorthy, Marion Leboyer, Vir Singh Negi, Ryad Tamouza

Low copy numbers (CNs) of C4 genes are associated with systemic autoimmune disorders and affects autoantibody diversity and disease subgroups. The primary objective of this study was to characterize diversity of complement (C4) and C4-Human Endogenous Retrovirus (HERV) gene copy numbers in SLE. We also sought to assess the association of C4 and C4-HERV CNs with serum complement levels, autoantibodies, disease phenotypes and activity. Finally, we checked the association of C4 and HERV CNs with specific HLA alleles. Genomic DNA from 70 SLE and 90 healthy controls of south Indian Tamil origin were included. Demographic, clinical and serological data was collected in a predetermined proforma. CNs of C4A and C4B genes and the frequency of insertion of 6.4kb HERV within C4 gene (C4AL, C4BL) was determined using droplet digital polymerase chain reaction (ddPCR). A four digit high resolution HLA genotyping was done using next generation sequencing. In our cohort, the total C4 gene copies ranged from 2 to 6. Compared to controls, presence of two or less copies of C4A gene was associated with SLE risk (p = 0.005; OR = 2.79; 95% CI = 1.29–6.22). Higher frequency of HERV insertion in C4A than in C4B increases such risk (p = 0.000; OR = 12.67; 95% CI = 2.80-115.3). AL-AL-AL-BS genotype was significantly higher in controls than SLE (9%vs1%, p = 0.04; OR = 0.15, 95% CI = 0.00-0.16). Distribution of HLA alleles was not different in SLE compared to controls as well as in SLE subjects with ≤ 2 copies and > 2 copies of C4A, but HLA allele distribution was diverse in subjects with C4B ≤ 2 copies and > 2 copies. Finally, there was no correlation between the C4 and the C4-HERV diversity and complement levels, autoantibodies, disease phenotypes and activity. In conclusion, our data show that, low C4A copy number and higher insertion of HERV-K in C4A increases the risk for SLE. C4 and C4-HERV CNs did not correlate with serum complements, autoantibodies, disease phenotypes and activity in SLE. Further validation in a larger homogenous SLE cohort is needed.

C4基因的低拷贝数(CN)与系统性自身免疫性疾病有关,并影响自身抗体的多样性和疾病亚群。本研究的主要目的是描述系统性红斑狼疮患者补体(C4)和C4-人类内源性逆转录病毒(HERV)基因拷贝数的多样性。我们还试图评估 C4 和 C4-HERV CNs 与血清补体水平、自身抗体、疾病表型和活动的关联。最后,我们还检查了 C4 和 HERV CNs 与特定 HLA 等位基因的关系。研究对象包括来自南印度泰米尔族的 70 名系统性红斑狼疮患者和 90 名健康对照者的基因组 DNA。我们按照预先确定的表格收集了人口统计学、临床和血清学数据。使用液滴数字聚合酶链反应(ddPCR)测定了 C4A 和 C4B 基因的 CNs 以及 C4 基因内 6.4kb HERV 的插入频率(C4AL、C4BL)。使用新一代测序技术进行了四位高分辨率 HLA 基因分型。在我们的队列中,C4 基因的总拷贝数在 2 到 6 之间。与对照组相比,两个或更少的C4A基因拷贝与系统性红斑狼疮风险相关(p = 0.005; OR = 2.79; 95% CI = 1.29-6.22)。与 C4B 基因相比,C4A 基因中 HERV 插入的频率更高,会增加患系统性红斑狼疮的风险(p = 0.000;OR = 12.67;95% CI = 2.80-115.3)。对照组的AL-AL-AL-BS基因型明显高于系统性红斑狼疮(9%vs1%,p = 0.04;OR = 0.15,95% CI = 0.00-0.16)。在系统性红斑狼疮患者中,HLA等位基因的分布与对照组以及C4A≤2个拷贝和> 2个拷贝的系统性红斑狼疮患者相比没有差异,但在C4B≤2个拷贝和> 2个拷贝的患者中,HLA等位基因的分布却多种多样。最后,C4 和 C4-HERV 多样性与补体水平、自身抗体、疾病表型和活动性之间没有相关性。总之,我们的数据表明,低 C4A 拷贝数和 C4A 中较高的 HERV-K 插入会增加患系统性红斑狼疮的风险。C4 和 C4-HERV CNs 与系统性红斑狼疮患者的血清补体、自身抗体、疾病表型和活动性无关。需要在更大的同源系统性红斑狼疮队列中进一步验证。
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引用次数: 0
Hormone and reproductive factors and risk of systemic lupus erythematosus: a Mendelian randomized study 激素和生殖因素与系统性红斑狼疮的风险:孟德尔随机研究
IF 4.4 4区 医学 Q3 Immunology and Microbiology Pub Date : 2024-04-06 DOI: 10.1007/s12026-024-09470-z

Abstract

Systemic lupus erythematosus (SLE) is an autoimmune and inflammatory disease with a risk associated with hormonal and reproductive factors. However, the potential causal effects between these factors and SLE remain unclear. A two-sample Mendelian randomization study was conducted using the published summary data from the genome-wide association study database. Five independent genetic variants associated with hormonal and reproductive factors were selected as instrumental variables: age at menarche, age at natural menopause, estradiol, testosterone, and follistatin. To estimate the causal relationship between these exposure factors and disease outcome, we employed the inverse-variance weighted, weighted median, and MR-Egger methods. In addition, we carried out multiple sensitivity analyses to validate model assumptions. Inverse variance weighted showed that there was a causal association between circulating follistatin and SLE risk (OR = 1.38, 95% CI 1.03 to 1.86, P = 0.033). However, no evidence was found that correlation between AAM (OR = 1.04, 95% CI 0.77 to 1.40, P = 0.798), ANM (OR = 0.99, 95% CI 0.92 to 1.06, P = 0.721), E2 (OR = 1.40, 95% CI 0.14 to 13.56, P = 0.772), T (OR = 1.25, 95% CI 0.70 to 2.28, P = 0.459), and SLE risk. Our study revealed that elevated circulating follistatin associates with an increased risk of SLE. This finding suggests that the regulatory signals mediated by circulating follistatin may provide a potential mechanism relevant to the treatment of SLE.

摘要 系统性红斑狼疮(SLE)是一种自身免疫性炎症性疾病,其发病风险与荷尔蒙和生殖因素有关。然而,这些因素与系统性红斑狼疮之间的潜在因果关系仍不清楚。我们利用全基因组关联研究数据库中已公布的汇总数据,进行了一项双样本孟德尔随机研究。研究选取了五个与荷尔蒙和生殖因素相关的独立遗传变异作为工具变量:初潮年龄、自然绝经年龄、雌二醇、睾酮和绒毛膜促性腺激素。为了估计这些暴露因素与疾病结果之间的因果关系,我们采用了逆方差加权法、加权中位法和 MR-Egger 法。此外,我们还进行了多项敏感性分析,以验证模型假设。逆方差加权法显示,循环中的绒毛膜促性腺激素与系统性红斑狼疮风险之间存在因果关系(OR = 1.38,95% CI 1.03 至 1.86,P = 0.033)。然而,没有证据表明AAM(OR = 1.04,95% CI 0.77至1.40,P = 0.798)、ANM(OR = 0.99,95% CI 0.92至1.06,P = 0.721)、E2(OR = 1.40,95% CI 0.14至13.56,P = 0.772)、T(OR = 1.25,95% CI 0.70至2.28,P = 0.459)与系统性红斑狼疮风险之间存在相关性。我们的研究显示,循环中的绒毛膜促性腺激素升高与系统性红斑狼疮风险增加有关。这一发现表明,循环中的绒毛膜促性腺激素所介导的调节信号可能为系统性红斑狼疮的治疗提供了一种潜在的机制。
{"title":"Hormone and reproductive factors and risk of systemic lupus erythematosus: a Mendelian randomized study","authors":"","doi":"10.1007/s12026-024-09470-z","DOIUrl":"https://doi.org/10.1007/s12026-024-09470-z","url":null,"abstract":"<h3>Abstract</h3> <p>Systemic lupus erythematosus (SLE) is an autoimmune and inflammatory disease with a risk associated with hormonal and reproductive factors. However, the potential causal effects between these factors and SLE remain unclear. A two-sample Mendelian randomization study was conducted using the published summary data from the genome-wide association study database. Five independent genetic variants associated with hormonal and reproductive factors were selected as instrumental variables: age at menarche, age at natural menopause, estradiol, testosterone, and follistatin. To estimate the causal relationship between these exposure factors and disease outcome, we employed the inverse-variance weighted, weighted median, and MR-Egger methods. In addition, we carried out multiple sensitivity analyses to validate model assumptions. Inverse variance weighted showed that there was a causal association between circulating follistatin and SLE risk (OR = 1.38, 95% CI 1.03 to 1.86, <em>P</em> = 0.033). However, no evidence was found that correlation between AAM (OR = 1.04, 95% CI 0.77 to 1.40, <em>P</em> = 0.798), ANM (OR = 0.99, 95% CI 0.92 to 1.06, <em>P</em> = 0.721), E2 (OR = 1.40, 95% CI 0.14 to 13.56, <em>P</em> = 0.772), T (OR = 1.25, 95% CI 0.70 to 2.28, <em>P</em> = 0.459), and SLE risk. Our study revealed that elevated <em>circulating</em> follistatin associates with an increased risk of SLE. This finding suggests that the regulatory signals mediated by circulating follistatin may provide a potential mechanism relevant to the treatment of SLE.</p>","PeriodicalId":13389,"journal":{"name":"Immunologic Research","volume":null,"pages":null},"PeriodicalIF":4.4,"publicationDate":"2024-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140597559","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}
引用次数: 0
Role of LINC00240 on T-helper 9 differentiation in allergic rhinitis through influencing DNMT1-dependent methylation of PU.1. LINC00240通过影响dnmt1依赖的PU.1甲基化对变应性鼻炎t -辅助性9分化的作用
IF 4.4 4区 医学 Q3 Immunology and Microbiology Pub Date : 2024-04-01 Epub Date: 2023-11-15 DOI: 10.1007/s12026-023-09435-8
JianGuo Liu, XunShuo Jiang, Ke Liu, JianJian Deng, Yi Qiu, Wan Wei, ChunPing Yang

Background: Allergic rhinitis (AR) is a common allergic disease with increasing prevalence globally. However, the molecular mechanism underlying AR pathogenesis remains largely undefined.

Methods: Peripheral blood and nasal mucosa samples obtained from patients with AR (n = 22), and ovalbumin-induced AR mouse model (n = 8 per group) were prepared for subsequent detection. qRT-PCR and western blot were used to detect the expression of LINC00240, miR-155-5p, PU.1 and other key molecules. ELISA assay and flow cytometry were employed to evaluate the secretion of IL-9 and T-helper 9 (Th9) cell ratio, respectively. Bioinformatics analysis, RNA immunoprecipitation (RIP), chromatin immunoprecipitation (ChIP) and luciferase reporter assays were employed to further elucidate the regulatory network of LINC00240/miR-155-5p/DNMT1. The methylation of PU.1 promoter was assessed by methylation-specific PCR (MSP). This signaling axis was further validated in the mouse model of AR.

Results: LINC00240 was downregulated, while miR-155-5p and PU.1 were upregulated in the peripheral blood and nasal mucosa of AR patients, as well as in AR mice. This was accompanied with the increased ratio of Th9 cells and elevated IL-9 secretion. Mechanistically, LINC00240 served as a miR-155-5p sponge, and DNMT1 was a target of miR-155-5p. In addition, DNMT1 mediated the methylation of PU.1 promoter. In vivo studies verified that LINC00240 mitigated AR progression, possibly via miR-155-5p/DNMT1/PU.1-dependent Th9 differentiation.

Conclusion: The involvement of LINC00240 in AR pathogenesis is closely associated with Th9 differentiation through modulating DNMT1-dependent methylation of PU.1 by sponging miR-155-5p.

背景:变应性鼻炎(Allergic rhinitis, AR)是一种常见的变应性疾病,在全球范围内的患病率呈上升趋势。然而,AR发病机制的分子机制在很大程度上仍未明确。方法:取AR患者外周血和鼻黏膜标本(n = 22)及卵清蛋白诱导AR小鼠模型(每组8只)进行后续检测。采用qRT-PCR和western blot检测LINC00240、miR-155-5p、PU.1等关键分子的表达。采用ELISA法和流式细胞术分别测定各组白细胞介素9 (IL-9)和辅助性t -9 (Th9)的分泌比例。采用生物信息学分析、RNA免疫沉淀法(RIP)、染色质免疫沉淀法(ChIP)和荧光素酶报告基因法进一步阐明LINC00240/miR-155-5p/DNMT1的调控网络。采用甲基化特异性PCR (methyl- specific PCR, MSP)检测PU.1启动子的甲基化程度。在AR小鼠模型中进一步验证了这一信号轴。结果:在AR患者和AR小鼠的外周血和鼻黏膜中,LINC00240下调,miR-155-5p和PU.1上调。这伴随着Th9细胞比例的增加和IL-9分泌的增加。在机制上,LINC00240作为miR-155-5p海绵,DNMT1是miR-155-5p的靶标。此外,DNMT1介导了PU.1启动子的甲基化。体内研究证实,LINC00240可能通过miR-155-5p/DNMT1/PU减缓AR进展。依赖于Th9的分化。结论:LINC00240通过海绵化miR-155-5p调节dnmt1依赖性的PU.1甲基化,参与AR发病与Th9分化密切相关。
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引用次数: 0
Insights into the immunological description of cryoglobulins with regard to detection and characterization in Slovenian rheumatological patients. 关于斯洛文尼亚风湿病患者的检测和表征的冷球蛋白免疫学描述的见解。
IF 4.4 4区 医学 Q3 Immunology and Microbiology Pub Date : 2024-04-01 Epub Date: 2023-11-23 DOI: 10.1007/s12026-023-09434-9
Manca Ogrič, Tinka Švec, Katjuša Mrak Poljšak, Katja Lakota, Eva Podovšovnik, Marie Nathalie Kolopp-Sarda, Alojzija Hočevar, Saša Čučnik

The detection of cryoglobulins (CG) used to diagnose cryoglobulinemic vasculitis requires strict adherence to protocol, with emphasis on the preanalytical part. Our main objectives were to introduce a more sensitive and specific protocol for the detection of CG and to characterize CG in Slovenian patients diagnosed with cryoglobulinemic vasculitis, other vasculitides, connective tissue diseases or non-rheumatic diseases examined at the Department of Rheumatology (University Medical Centre Ljubljana). Samples were routinely analyzed for the presence of CG with the protocol using the Folin-Ciocalteu reagent. In the newly introduced protocol, the type of CG was determined by immunofixation on visually observed positive samples and the concentration of CG in the cryoprecipitate and rheumatoid factor (RF) activity were measured by nephelometry. RF, C3c and C4 were measured in patients` serum and a decision tree analysis was performed using all results. The agreement between negative and positive results between the two protocols was 86%. Of the 258 patient samples tested, we found 56 patients (21.7%) with positive CG (37.5% - type II, 62.5% - type III). The RF activity was observed in 21.4% of CG positive subjects. The median concentration of type II CG was significantly higher than that of type III CG (67.4 mg/L vs. 45.0 mg/L, p = 0.037). Patients with type II had lower C4 concentrations and higher RF compared to patients with type III CG. In the decision tree, C4 was the strongest predictor of cryoglobulinemia in patients. With the newly implemented protocol, we were able to improve the detection and quantification of CG in the samples of our rheumatology patients and report the results to adequately support clinicians.

用于诊断冷球蛋白血症性血管炎的冷球蛋白(CG)检测需要严格遵守协议,重点是分析前部分。我们的主要目标是引入一种更敏感和更具体的方案,用于检测CG,并确定在风湿病学系(卢布尔雅那大学医学中心)检查的被诊断患有冷球蛋白性血管炎、其他血管炎、结缔组织疾病或非风湿性疾病的斯洛文尼亚患者的CG特征。使用Folin-Ciocalteu试剂常规分析样品是否存在CG。在新引入的方案中,通过免疫固定目测阳性样品来确定CG的类型,并通过浊度法测量冷沉淀中CG的浓度和类风湿因子(RF)的活性。测定患者血清中的RF、C3c和C4,并对所有结果进行决策树分析。两种方案阴性和阳性结果的一致性为86%。在258例患者样本中,我们发现56例(21.7%)患者有CG阳性(37.5%为II型,62.5%为III型),21.4%的CG阳性患者有RF活性。II型CG的中位浓度显著高于III型CG (67.4 mg/L vs. 45.0 mg/L, p = 0.037)。与III型CG患者相比,II型患者C4浓度较低,RF较高。在决策树中,C4是患者冷球蛋白血症的最强预测因子。通过新实施的方案,我们能够改善风湿病患者样本中CG的检测和量化,并将结果报告给充分支持临床医生。
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引用次数: 0
Prevalence and sociodemographic correlates of antinuclear antibody testing by indirect immunofluorescence or solid-phase assays in a Spanish population: the Camargo Cohort. 西班牙人群中通过间接免疫荧光或固相分析进行抗核抗体检测的患病率和社会人口学相关性:Camargo队列。
IF 4.4 4区 医学 Q3 Immunology and Microbiology Pub Date : 2024-04-01 Epub Date: 2023-11-04 DOI: 10.1007/s12026-023-09430-z
Juan Irure-Ventura, Daniel Martínez-Revuelta, Marcos López-Hoyos, Marta Martín-Millán, Daniel Nan, Emilio Pariente, Javier Pardo-Lledías, Alejandra Comins-Boo, José Manuel Olmos, Víctor Manuel Martínez-Taboada, José Luis Hernández

Autoantibodies are the hallmark of autoimmunity, and specifically, antinuclear antibodies (ANA) are one of the most relevant antibodies present in systemic autoimmune diseases (AID). In the present study, we evaluate the relationship between ANA and sociodemographic and biobehavioral factors in a population with a low pre-test probability for systemic AID. ANA were determined in serum samples at baseline visit from 2997 participants from the Camargo Cohort using indirect immunofluorescence assay, and two solid phase assays (SPA), addressable laser bead immunoassay, and fluorescence enzyme immunoassay. Sociodemographic and biobehavioral features of the subjects were obtained at baseline visit using a structured questionnaire. The prevalence of ANA positive results was significantly higher when indirect immunofluorescence assay was used as screening method in comparison with SPAs, being higher in females, older subjects, and those with higher C-reactive protein levels. Considering biobehavioral features, the prevalence was higher in those individuals with a sedentary lifestyle, and in ex- and non-alcohol users. Moreover, considering the relevance of the antibody load using ANA Screen, the prevalence of the antibody load also increased with age, especially in females. In conclusion, the prevalence of ANA varies depending on sociodemographic and biobehavioral features of the subjects, which could be relevant specifically in a population with a low pre-test probability for systemic AIDs.

自身抗体是自身免疫的标志,特别是抗核抗体(ANA)是系统性自身免疫性疾病(AID)中最相关的抗体之一。在本研究中,我们评估了ANA与系统性AID测试前概率较低的人群中的社会人口学和生物行为因素之间的关系。在基线访视时,使用间接免疫荧光测定法和两种固相测定法(SPA)、可寻址激光珠免疫测定法和荧光酶免疫测定法在来自Camargo队列的2997名参与者的血清样本中测定ANA。在基线访问时,使用结构化问卷获得受试者的社会形态和生物行为特征。与SPAs相比,当使用间接免疫荧光测定作为筛查方法时,ANA阳性结果的发生率显著更高,在女性、老年受试者和C反应蛋白水平较高的受试者中更高。考虑到生物行为特征,久坐不动的生活方式的人以及非酒精使用者的患病率更高。此外,考虑到使用ANA筛查的抗体负荷的相关性,抗体负荷的患病率也随着年龄的增长而增加,尤其是在女性中。总之,ANA的患病率取决于受试者的社会人口学和生物行为特征,这可能与系统性艾滋病测试前概率较低的人群有关。
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引用次数: 0
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Immunologic Research
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