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cGAS-STING pathway in systemic lupus erythematosus: biological implications and therapeutic opportunities. 系统性红斑狼疮中的 cGAS-STING 通路:生物学意义和治疗机会。
IF 3.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-08-03 DOI: 10.1007/s12026-024-09525-1
Qun Feng, Xiaolin Xu, Shoulin Zhang

The cyclic GMP-AMP synthase (cGAS)-stimulator of interferon genes (STING) signaling pathway has been identified as a significant modulator of inflammation in various clinical contexts, including infection, cellular stress, and tissue injury. The extensive participation of the cGAS-STING pathway can be attributed to its ability to detect and control the cellular reaction to DNAs originating from both microorganisms and hosts. These DNAs are well recognized as molecules linked with potential risks. At physiological levels, the STING signaling system exhibits protective effects. However, prolonged stimulation of this pathway contributes to autoimmune disorder pathogenesis. The present paper provides an overview of the activation mechanism of the cGAS-STING signaling pathways and their associated significant functions, as well as therapeutic interventions in the context of systemic lupus erythematosus (SLE). The primary objective is to enhance our comprehension of SLE and facilitate more effective diagnosis and treatment strategies for this condition.

环GMP-AMP合成酶(cGAS)-干扰素基因刺激器(STING)信号通路已被确定为各种临床情况下炎症的重要调节器,包括感染、细胞应激和组织损伤。cGAS-STING 通路的广泛参与可归因于其检测和控制细胞对来自微生物和宿主的 DNA 的反应的能力。这些 DNA 被公认为与潜在风险有关的分子。在生理水平上,STING 信号系统具有保护作用。然而,长期刺激这一通路会导致自身免疫性疾病的发病。本文概述了 cGAS-STING 信号通路的激活机制及其相关的重要功能,以及系统性红斑狼疮(SLE)的治疗干预措施。本文的主要目的是加深我们对系统性红斑狼疮的理解,并促进对该病采取更有效的诊断和治疗策略。
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引用次数: 0
Chronic hyperglycemia impairs anti-microbial function of macrophages in response to Mycobacterium tuberculosis infection. 慢性高血糖会损害巨噬细胞对结核分枝杆菌感染的抗微生物功能。
IF 3.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-08-01 Epub Date: 2024-02-12 DOI: 10.1007/s12026-024-09462-z
Gaurav Kumar Chaubey, Radheshyam Modanwal, Rahul Dilawari, Sharmila Talukdar, Asmita Dhiman, Surbhi Chaudhary, Anil Patidar, Chaaya Iyengar Raje, Manoj Raje

Diabetes mellitus (DM) is a major risk factor for tuberculosis (TB), though the underlying mechanisms linking DM and TB remain ambiguous. Macrophages are a key player in the innate immune response and their phagocytic ability is enhanced in response to microbial infections. Upon infection or inflammation, they also repel invading pathogens by generating; reactive oxygen species (ROS), reactive nitrogen species (RNS), pro-inflammatory cytokines (IL-1β and IL-6), and anti-inflammatory cytokines (IL-10). However, the robustness of these innate defensive capabilities of macrophages when exposed to hyperglycemia remains unclear. In our current work, we explored the production of these host defense molecules in response to challenge with Mycobacterium tuberculosis (Mtb) infection and lipopolysaccharide (LPS) stimulation. Utilizing peritoneal macrophages from high-fat diet + streptozotocin induced diabetic mice and hyperglycemic THP-1-derived macrophages as model systems; we found that LPS stimulation and Mtb infection were ineffective in stimulating the production of ROS, RNS, and pro-inflammatory cytokines in cells exposed to hyperglycemia. On the contrary, an increase in production of anti-inflammatory cytokines was observed. To confirm the mechanism of decreased anti-bacterial activity of the diabetic macrophage, we explored activation status of these compromised macrophages and found decreased surface expression of activation (TLR-4) and differentiation markers (CD11b and CD11c). We postulate that this could be the cause for higher susceptibility for Mtb infection among diabetic individuals.

糖尿病(DM)是结核病(TB)的一个主要风险因素,但糖尿病与结核病之间的内在联系机制仍不明确。巨噬细胞是先天性免疫反应中的关键角色,其吞噬能力在微生物感染时会增强。在感染或发炎时,巨噬细胞还会产生活性氧(ROS)、活性氮(RNS)、促炎细胞因子(IL-1β 和 IL-6)和抗炎细胞因子(IL-10),从而击退入侵的病原体。然而,巨噬细胞在暴露于高血糖时的这些先天防御能力是否强大仍不清楚。在目前的研究中,我们探讨了这些宿主防御分子在结核分枝杆菌(Mtb)感染和脂多糖(LPS)刺激下产生的反应。利用高脂饮食+链脲佐菌素诱导的糖尿病小鼠腹腔巨噬细胞和高血糖 THP-1 衍生巨噬细胞作为模型系统,我们发现 LPS 刺激和 Mtb 感染不能有效刺激暴露于高血糖的细胞产生 ROS、RNS 和促炎细胞因子。相反,却观察到抗炎细胞因子的产生增加。为了证实糖尿病巨噬细胞抗菌活性降低的机制,我们研究了这些受损巨噬细胞的活化状态,发现活化(TLR-4)和分化标志物(CD11b 和 CD11c)的表面表达降低。我们推测,这可能是糖尿病患者更易感染 Mtb 的原因。
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引用次数: 0
Correction to: The immune regulatory function of B7-H3 in malignancy: spotlight on the IFN-STAT1 axis and regulation of tumor-associated macrophages. Correction to:B7-H3 在恶性肿瘤中的免疫调节功能:聚焦 IFN-STAT1 轴和肿瘤相关巨噬细胞的调控。
IF 3.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-08-01 DOI: 10.1007/s12026-024-09467-8
Robin Park, James Yu, Moazzam Shahzad, Sunggon Lee, Jong Dae Ji
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引用次数: 0
Inhibition of LSD1 via SP2509 attenuated the progression of rheumatoid arthritis. 通过 SP2509 抑制 LSD1 可减轻类风湿性关节炎的恶化。
IF 3.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-08-01 Epub Date: 2024-05-09 DOI: 10.1007/s12026-024-09486-5
Ziliang Yu, Peipei Li, Dagong Gao, Yalong Hu, Fei Xia, Lei Liu, Jian Liu, Wei Liu, Haiping Zhang

Rheumatoid arthritis (RA) is a chronic autoimmune disease characterized by synovial hyperplasia, pannus formation, and cartilage and bone destruction. Lysine-specific demethylase 1 (LSD1), an enzyme involved in transcriptional regulation, has an unclear role in synovial inflammation, fibroblast-like synoviocytes migration, and invasion during RA pathogenesis. In this study, we observed increased LSD1 expression in RA synovial tissues and in TNF-α-stimulated MH7A cells. SP2509, an LSD1 antagonist, directly reduced LSD1 expression and reversed the elevated levels of proteins associated with inflammation, apoptosis, proliferation, and autophagy induced by TNF-α. Furthermore, SP2509 inhibited the migratory capacity of MH7A cells, which was enhanced by TNF-α. In CIA models, SP2509 treatment ameliorated RA development, reducing the expression of pro-inflammatory cytokines and alleviating joint pathological symptoms. These findings underscore the significance of LSD1 in RA and propose the therapeutic potential of SP2509.

类风湿性关节炎(RA)是一种慢性自身免疫性疾病,其特点是滑膜增生、脓肿形成以及软骨和骨破坏。赖氨酸特异性去甲基化酶 1(LSD1)是一种参与转录调控的酶,在类风湿性关节炎发病过程中,它在滑膜炎症、成纤维细胞样滑膜细胞迁移和侵袭中的作用尚不明确。在本研究中,我们观察到 LSD1 在 RA 滑膜组织和 TNF-α 刺激的 MH7A 细胞中表达增加。LSD1拮抗剂SP2509直接降低了LSD1的表达,并逆转了TNF-α诱导的炎症、凋亡、增殖和自噬相关蛋白水平的升高。此外,SP2509 还能抑制 MH7A 细胞的迁移能力,而 TNF-α 会增强迁移能力。在CIA模型中,SP2509治疗可改善RA的发展,减少促炎细胞因子的表达,减轻关节病理症状。这些发现强调了LSD1在RA中的重要性,并提出了SP2509的治疗潜力。
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引用次数: 0
mTOR-mediated differentiation and maintenance of suppressive T cells at the center stage of IPEX treatment. 在 IPEX 治疗的中心阶段,mTOR 介导抑制性 T 细胞的分化和维持。
IF 3.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-08-01 Epub Date: 2024-03-11 DOI: 10.1007/s12026-024-09472-x
Rafael Cardoso Maciel Costa Silva
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引用次数: 0
Involvement of gut microbiota in multiple sclerosis-review of a new pathophysiological hypothesis and potential treatment target. 肠道微生物群在多发性硬化症中的参与--一个新的病理生理学假说和潜在治疗目标的回顾。
IF 3.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-08-01 Epub Date: 2024-03-06 DOI: 10.1007/s12026-024-09471-y
Piotr Olejnik, Kasper Buczma, Agnieszka Cudnoch-Jędrzejewska, Kaja Kasarełło

Multiple sclerosis (MS) is a chronic inflammatory disease that leads to demyelination and damage to the central nervous system. It is well known, the significance of the involvement and influence of the immune system in the development and course of MS. Nowadays, more and more studies are demonstrating that an important factor that affects the action of the immune system is the gut microbiota. Changes in the composition and interrelationships in the gut microbiota have a significant impact on the course of MS. Dysbiosis affects the disease course mainly by influencing the immune system directly but also by modifying the secreted metabolites and increasing mucosal permeability. The essential metabolites affecting the course of MS are short-chain fatty acids, which alter pro- and anti-inflammatory responses in the immune system but also increase the permeability of the intestinal wall and the blood-brain barrier. Dietary modification alone can have a significant impact on MS. Based on these interactions, new treatments for MS are being developed, including probiotics administration, supplementation of bacterial metabolites, fecal microbiota transplantation, and dietary changes. Further studies may serve to develop new drugs and therapeutic approaches for MS.

多发性硬化症(MS)是一种慢性炎症性疾病,会导致中枢神经系统脱髓鞘和损伤。众所周知,免疫系统的参与和影响对多发性硬化症的发生和发展具有重要意义。如今,越来越多的研究表明,影响免疫系统作用的一个重要因素是肠道微生物群。肠道微生物群的组成和相互关系的变化对多发性硬化症的病程有重大影响。菌群失调主要通过直接影响免疫系统来影响病程,但也通过改变分泌的代谢物和增加粘膜通透性来影响病程。影响多发性硬化症病程的重要代谢物是短链脂肪酸,它不仅会改变免疫系统的促炎和抗炎反应,还会增加肠壁和血脑屏障的通透性。仅饮食调整就能对多发性硬化症产生重大影响。基于这些相互作用,目前正在开发治疗多发性硬化症的新方法,包括服用益生菌、补充细菌代谢产物、粪便微生物群移植和改变饮食。进一步的研究可能有助于开发治疗多发性硬化症的新药物和治疗方法。
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引用次数: 0
Prognostic model incorporating immune checkpoint genes to predict the immunotherapy efficacy for lung adenocarcinoma: a cohort study integrating machine learning algorithms. 结合免疫检查点基因预测肺腺癌免疫疗法疗效的预后模型:一项整合机器学习算法的队列研究。
IF 3.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-08-01 Epub Date: 2024-05-16 DOI: 10.1007/s12026-024-09492-7
Xi-Lin Yang, Zheng Zeng, Chen Wang, Guang-Yu Wang, Fu-Quan Zhang

This study aimed to develop and validate a nomogram based on immune checkpoint genes (ICGs) for predicting prognosis and immune checkpoint blockade (ICB) efficacy in lung adenocarcinoma (LUAD) patients. A total of 385 LUAD patients from the TCGA database and 269 LUAD patients in the combined dataset (GSE41272 + GSE50081) were divided into training and validation cohorts, respectively. Three different machine learning algorithms including random forest (RF), least absolute shrinkage and selection operator (LASSO) logistic regression analysis, and support vector machine (SVM) were employed to select the predictive markers from 82 ICGs to construct the prognostic nomogram. The X-tile software was used to stratify patients into high- and low-risk subgroups based on the nomogram-derived risk scores. Differences in functional enrichment and immune infiltration between the two subgroups were assessed using gene set variation analysis (GSVA) and various algorithms. Additionally, three lung cancer cohorts receiving ICB therapy were utilized to evaluate the ability of the model to predict ICB efficacy in the real world. Five ICGs were identified as predictive markers across all three machine learning algorithms, leading to the construction of a nomogram with strong potential for prognosis prediction in both the training and validation cohorts (all AUC values close to 0.800). The patients were divided into high- (risk score ≥ 185.0) and low-risk subgroups (risk score < 185.0). Compared to the high-risk subgroup, the low-risk subgroup exhibited enrichment in immune activation pathways and increased infiltration of activated immune cells, such as CD8 + T cells and M1 macrophages (P < 0.05). Furthermore, the low-risk subgroup had a greater likelihood of benefiting from ICB therapy and longer progression-free survival (PFS) than did the high-risk subgroup (P < 0.05) in the two cohorts receiving ICB therapy. A nomogram based on ICGs was constructed and validated to aid in predicting prognosis and ICB treatment efficacy in LUAD patients.

本研究旨在开发和验证一种基于免疫检查点基因(ICGs)的提名图,用于预测肺腺癌(LUAD)患者的预后和免疫检查点阻断疗法(ICB)的疗效。TCGA数据库中的385名LUAD患者和合并数据集(GSE41272 + GSE50081)中的269名LUAD患者分别被分为训练组和验证组。采用三种不同的机器学习算法,包括随机森林(RF)、最小绝对收缩和选择算子(LASSO)逻辑回归分析和支持向量机(SVM),从82个ICGs中选择预测标志物,构建预后提名图。根据提名图得出的风险评分,使用X-tile软件将患者分为高风险亚组和低风险亚组。利用基因组变异分析(GSVA)和各种算法评估了两个亚组在功能富集和免疫浸润方面的差异。此外,还利用接受 ICB 治疗的三个肺癌队列来评估该模型在现实世界中预测 ICB 疗效的能力。在所有三种机器学习算法中,有五个 ICG 被确定为预测标志物,从而构建了一个提名图,该提名图在训练队列和验证队列中都具有很强的预后预测潜力(所有 AUC 值均接近 0.800)。患者被分为高风险亚组(风险评分≥ 185.0)和低风险亚组(风险评分≥ 185.0)。
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引用次数: 0
Rapid generation of an RBL cellular model to study proteins that cause allergenic reactions in vitro. 快速生成 RBL 细胞模型,用于研究体外引起过敏反应的蛋白质。
IF 3.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-08-01 Epub Date: 2024-02-09 DOI: 10.1007/s12026-024-09461-0
Israel Hernández-Aguilar, Juan Carlos Vizuet-de-Rueda, Miguel Ángel Galván-Morales, Josaphat Miguel Montero-Vargas, Luis M Teran

Allergic diseases affect nearly 30% of people worldwide. There is a wide range of allergen sources, such as animal dander, food, venom, dust mites, and pollen. The skin prick test is the predominant technique used to identify allergenic sensitivity in vivo; the main problem is that it can be imprecise as many of the allergen extracts are made of mixtures of allergic and nonallergic components, making it difficult to identify the disease-eliciting allergen. An alternative to solve this problem is employing cellular models in vitro that may allow allergen identification, allergy diagnosis, and testing of novel potential compounds that can be used in immunotherapeutics. For example, rat basophilic leukemia (RBL) cells are a well-suited model for studying allergies. Unfortunately, cells generated from RBL cells are not commercially available. Therefore, we developed an RBL model with a degranulation gene reporter capable of recognizing human IgE involved in allergenic sensitivity using commercial plasmids. Employing this model, we successfully evaluated the capacity of union between IgE from allergic patients to allergenic proteins from Oleaceae tree pollen. This RBL cell model can be used as a diagnostic method for sensitivity to any allergens from different sources in vitro.

过敏性疾病影响着全球近 30% 的人。过敏源种类繁多,如动物皮屑、食物、毒液、尘螨和花粉等。皮肤点刺试验是用于鉴定体内过敏原敏感性的主要技术;主要问题是它可能不精确,因为许多过敏原提取物是由过敏和非过敏成分混合而成的,因此难以确定致病过敏原。解决这一问题的另一个办法是采用体外细胞模型,这样可以识别过敏原、诊断过敏症并测试可用于免疫疗法的新型潜在化合物。例如,大鼠嗜碱性粒细胞白血病(RBL)细胞是研究过敏症的理想模型。遗憾的是,从 RBL 细胞生成的细胞无法在市场上买到。因此,我们利用商业质粒开发了一种带有脱颗粒基因报告器的 RBL 模型,该报告器能够识别涉及过敏原敏感性的人类 IgE。利用该模型,我们成功评估了过敏患者的 IgE 与油茶树花粉过敏原蛋白的结合能力。这种 RBL 细胞模型可用作体外诊断对不同来源的任何过敏原的敏感性的方法。
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引用次数: 0
Correction: Major histocompatibility complex class I molecule expression by pancreatic cancer cells is regulated by activation and inhibition of the epidermal growth factor receptor. 更正:胰腺癌细胞主要组织相容性复合体 I 类分子的表达受表皮生长因子受体激活和抑制的调控。
IF 3.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-08-01 DOI: 10.1007/s12026-023-09442-9
Shelby M Knoche, Alaina C Larson, Gabrielle L Brumfield, Steven Cate, William H Hildebrand, Joyce C Solheim
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引用次数: 0
Assessing the steroid-sparing effect of biological agents in randomized controlled trials for lupus: a scoping review. 在治疗狼疮的随机对照试验中评估生物制剂的类固醇节约效应:范围界定综述。
IF 3.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-08-01 Epub Date: 2024-03-09 DOI: 10.1007/s12026-024-09463-y
Savino Sciascia, Silvia Grazietta Foddai, Marta Arbrile, Massimo Radin, Irene Cecchi, Alice Barinotti, Roberta Fenoglio, Dario Roccatello

Prompt disease control of flares in patients with systemic lupus erythematosus (SLE) is a priority in treatment strategy planning. However, the long-term dosage-related collateral effects of glucocorticoids (GCs) have pushed researchers towards the identification and utilization of novel biological agents that could both induce and maintain low disease activity and remission, especially in the context of lupus nephritis (LN). This scoping review aims at assessing the current evidence of the potential steroid-sparing effect of biologic therapies by reviewing phase II and phase III randomized, placebo-controlled trials involving SLE/LN patients. A scoping review of the literature was carried out in accordance with PRISMA-ScR recommendations. Risk of bias was assessed through the utilization of the Cochrane Collaboration's tool for randomized controlled trials (RCTs). Eight RCTs met the inclusion criteria and were included in this analysis (treatment drug, 7 belimumab; 1 anifrolumab). Four studies showed a definite steroid-sparing effect (treatment drug, 3 belimumab; 1 anifrolumab), while in the remaining four RCTs, the steroid-sparing effect was not observed. When focusing on phase III trials, the overall quality of the studies resulted fair or good considering the risk of bias. However, a degree of heterogeneity of steroid regimen protocol (considering initial dosage, tapering and rescue treatment allowance) was observed. While a growing body of evidence is supporting the safety and efficacy of biological treatment in SLE, the evidence on their steroid-sparing effect remains scattered. Future research needs to pursue the identification of precise SLE clusters of patients who would benefit most from a specific treatment protocol with a definite steroid-sparing effect.

及时控制系统性红斑狼疮(SLE)患者的病情发作是治疗策略规划中的首要任务。然而,糖皮质激素(GCs)与剂量相关的长期副作用促使研究人员开始寻找和使用既能诱导又能维持低疾病活动度和缓解的新型生物制剂,尤其是在狼疮肾炎(LN)的情况下。本范围综述旨在通过回顾涉及系统性红斑狼疮/狼疮肾炎患者的II期和III期随机安慰剂对照试验,评估生物疗法潜在的类固醇节省效应的现有证据。本研究根据 PRISMA-ScR 建议对文献进行了范围界定。利用 Cochrane 协作组织的随机对照试验(RCTs)工具对偏倚风险进行了评估。八项随机对照研究符合纳入标准并被纳入本次分析(治疗药物:7 项贝利木单抗;1 项安非罗单抗)。四项研究显示了明确的类固醇节省效应(治疗药物:3项贝利木单抗;1项安非罗单抗),而在其余四项随机对照试验中,类固醇节省效应未被观察到。在关注III期试验时,考虑到偏倚风险,研究的总体质量为一般或良好。不过,类固醇治疗方案(考虑初始剂量、减量和抢救治疗允许量)存在一定程度的异质性。尽管越来越多的证据支持生物治疗在系统性红斑狼疮中的安全性和有效性,但有关其类固醇节省效果的证据仍然很分散。未来的研究需要确定哪些系统性红斑狼疮患者会从具有明确类固醇节省效果的特定治疗方案中获益最多。
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引用次数: 0
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