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T cell receptor clonotype in tumor microenvironment contributes to intratumoral signaling network in patients with colorectal cancer. 肿瘤微环境中的 T 细胞受体克隆型与结直肠癌患者的瘤内信号网络有关。
IF 3.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-10-01 Epub Date: 2024-08-08 DOI: 10.1007/s12026-024-09478-5
In Hye Song, Seung-Been Lee, Byung-Kwan Jeong, Jungwook Park, Honggeun Kim, GunHee Lee, Su Min Cha, Heejae Lee, Gyungyub Gong, Nak-Jung Kwon, Hee Jin Lee

Single-cell RNA sequencing (scRNA-seq) has contributed to understanding cellular heterogeneity and immune profiling in cancer. The aim of the study was to investigate gene expression and immune profiling in colorectal cancer (CRC) using scRNA-seq. We analyzed single-cell gene expression and T cell receptor (TCR) sequences in 30 pairs of CRC and matched normal tissue. Intratumoral lymphocytes were measured with digital image analysis. CRC had more T cells, epithelial cells, and myeloid cells than normal colorectal tissue. CRCs with microsatellite instability had more abundant T cells than those without microsatellite instability. Immune cell compositions of CRC and normal colorectal tissue were inversely correlated. CD4 + or CD8 + proliferating T cells, CD4 + effector memory T cells, CD8 + naïve T cells, and regulatory T cells of CRC showed higher TCR clonal expansion. Tumor epithelial cells interacted with immune cells more strongly than normal. T cells, myeloid cells, and fibroblasts from CRCs of expanded T cell clonotypes showed increased expression of genes related to TNF and NFKB signaling and T cell activation. CRCs of expanded T cell clonotypes also showed stronger cellular interactions among immune cells, fibroblasts, and endothelial cells. Pro-inflammatory CXCL and TNF signaling were activated in CRCs of expanded T cell clonotype. In conclusion, scRNA-seq analysis revealed different immune cell compositions, differential gene expression, and diverse TCR clonotype dynamics in CRC. TCR clonality expansion is associated with immune activation through T cell signaling and chemokine signaling. Patients with CRCs of expanded clonotype can be promising candidates for immunotherapy.

单细胞 RNA 测序(scRNA-seq)有助于了解癌症的细胞异质性和免疫特征。本研究的目的是利用 scRNA-seq 研究结直肠癌(CRC)的基因表达和免疫图谱。我们分析了 30 对 CRC 和匹配正常组织的单细胞基因表达和 T 细胞受体 (TCR) 序列。通过数字图像分析测量了瘤内淋巴细胞。与正常结直肠组织相比,CRC 中有更多的 T 细胞、上皮细胞和骨髓细胞。有微卫星不稳定性的 CRC 比没有微卫星不稳定性的 CRC 有更多的 T 细胞。CRC 和正常结直肠组织的免疫细胞组成成反比。CRC 的 CD4 + 或 CD8 + 增殖 T 细胞、CD4 + 效应记忆 T 细胞、CD8 + 天真 T 细胞和调节性 T 细胞显示出较高的 TCR 克隆扩增。肿瘤上皮细胞与免疫细胞的相互作用比正常细胞更强。T细胞克隆扩增的CRC的T细胞、髓样细胞和成纤维细胞与TNF和NFKB信号转导和T细胞活化有关的基因表达增加。免疫细胞、成纤维细胞和内皮细胞之间的细胞相互作用也更强。在T细胞克隆型扩大的CRC中,促炎症CXCL和TNF信号被激活。总之,scRNA-seq 分析揭示了 CRC 中不同的免疫细胞组成、不同的基因表达和不同的 TCR 克隆型动态。TCR克隆扩增与通过T细胞信号传导和趋化因子信号传导激活免疫有关。克隆型扩大的 CRC 患者有望成为免疫疗法的候选者。
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引用次数: 0
SPDYC serves as a prognostic biomarker related to lipid metabolism and the immune microenvironment in breast cancer. SPDYC 是一种与乳腺癌脂质代谢和免疫微环境有关的预后生物标志物。
IF 3.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-10-01 Epub Date: 2024-06-18 DOI: 10.1007/s12026-024-09505-5
Xinxin Chen, Haojie Peng, Zhentao Zhang, Changnian Yang, Yingqi Liu, Yanzhen Chen, Fei Yu, Shanshan Wu, Lixue Cao

Breast cancer remains the most common malignant carcinoma among women globally and is resistant to several therapeutic agents. There is a need for novel targets to improve the prognosis of patients with breast cancer. Bioinformatics analyses were conducted to explore potentially relevant prognostic genes in breast cancer using The Cancer Genome Atlas (TCGA) and The Gene Expression Omnibus (GEO) databases. Gene subtypes were categorized by machine learning algorithms. The machine learning-related breast cancer (MLBC) score was evaluated through principal component analysis (PCA) of clinical patients' pathological statuses and subtypes. Immune cell infiltration was analyzed using the xCell and CIBERSORT algorithms. Kyoto Encyclopedia of Genes and Genomes enrichment analysis elucidated regulatory pathways related to speedy/RINGO cell cycle regulator family member C (SPDYC) in breast cancer. The biological functions and lipid metabolic status of breast cancer cell lines were validated via quantitative real-time polymerase chain reaction (RT‒qPCR) assays, western blotting, CCK-8 assays, PI‒Annexin V fluorescence staining, transwell assays, wound healing assays, and Oil Red O staining. Key differentially expressed genes (DEGs) in breast cancer from the TCGA and GEO databases were screened and utilized to establish the MLBC score. Moreover, the MLBC score we established was negatively correlated with poor prognosis in breast cancer patients. Furthermore, the impacts of SPDYC on the tumor immune microenvironment and lipid metabolism in breast cancer were revealed and validated. SPDYC is closely related to activated dendritic cells and macrophages and is simultaneously correlated with the immune checkpoints CD47, cytotoxic T lymphocyte antigen-4 (CTLA-4), and poliovirus receptor (PVR). SPDYC strongly correlated with C-C motif chemokine ligand 7 (CCL7), a chemokine that influences breast cancer patient prognosis. A significant relationship was discovered between key genes involved in lipid metabolism and SPDYC, such as ELOVL fatty acid elongase 2 (ELOVL2), malic enzyme 1 (ME1), and squalene epoxidase (SQLE). Potent inhibitors targeting SPDYC in breast cancer were also discovered, including JNK inhibitor VIII, AICAR, and JW-7-52-1. Downregulation of SPDYC expression in vitro decreased proliferation, increased the apoptotic rate, decreased migration, and reduced lipid droplets. SPDYC possibly influences the tumor immune microenvironment and regulates lipid metabolism in breast cancer. Hence, this study identified SPDYC as a pivotal biomarker for developing therapeutic strategies for breast cancer.

乳腺癌仍然是全球妇女中最常见的恶性肿瘤,而且对多种治疗药物具有抗药性。需要寻找新的靶点来改善乳腺癌患者的预后。我们利用癌症基因组图谱(TCGA)和基因表达总库(GEO)数据库进行了生物信息学分析,以探索乳腺癌中潜在的相关预后基因。基因亚型由机器学习算法进行分类。通过对临床患者的病理状态和亚型进行主成分分析(PCA),评估机器学习相关乳腺癌(MLBC)评分。使用 xCell 和 CIBERSORT 算法分析了免疫细胞浸润情况。京都基因和基因组百科全书富集分析阐明了乳腺癌中与speedy/RINGO细胞周期调节因子家族成员C(SPDYC)相关的调控通路。通过实时定量聚合酶链反应(RT-qPCR)检测、Western印迹、CCK-8检测、PI-Annexin V荧光染色、透孔检测、伤口愈合检测和油红O染色,验证了乳腺癌细胞株的生物学功能和脂质代谢状况。我们从 TCGA 和 GEO 数据库中筛选出乳腺癌中的关键差异表达基因(DEGs),并利用这些基因建立了 MLBC 评分。此外,我们建立的 MLBC 评分与乳腺癌患者的不良预后呈负相关。此外,研究还揭示并验证了 SPDYC 对乳腺癌肿瘤免疫微环境和脂质代谢的影响。SPDYC与活化的树突状细胞和巨噬细胞密切相关,同时与免疫检查点CD47、细胞毒性T淋巴细胞抗原-4(CTLA-4)和脊髓灰质炎病毒受体(PVR)相关。SPDYC 与影响乳腺癌患者预后的趋化因子 C-C motif chemokine ligand 7(CCL7)密切相关。研究发现,参与脂质代谢的关键基因与 SPDYC 之间存在重要关系,如 ELOVL 脂肪酸伸长酶 2 (ELOVL2)、苹果酸酶 1 (ME1) 和角鲨烯环氧化酶 (SQLE)。此外,还发现了针对乳腺癌 SPDYC 的强效抑制剂,包括 JNK 抑制剂 VIII、AICAR 和 JW-7-52-1。体外下调 SPDYC 的表达可减少增殖、增加凋亡率、减少迁移和减少脂滴。SPDYC 可能会影响肿瘤免疫微环境并调节乳腺癌的脂质代谢。因此,本研究发现 SPDYC 是开发乳腺癌治疗策略的关键生物标志物。
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引用次数: 0
Exploring CCR5 + T regulatory cell subset dysfunction in type 1 diabetes patients: implications for immune regulation. 探索 1 型糖尿病患者 CCR5 + T 调节细胞亚群的功能障碍:对免疫调节的影响。
IF 4.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-10-01 Epub Date: 2024-06-27 DOI: 10.1007/s12026-024-09508-2
Ławrynowicz Urszula, Juhas Ulana, Słomiński Bartosz, Okońska Maja, Myśliwiec Małgorzata, Ryba-Stanisławowska Monika

T regulatory lymphocytes (Treg) expressing CCR5 exhibit strong suppression activity in various autoimmune disorders. However, there remains a lack of comprehensive understanding regarding their involvement in the development of type 1 diabetes (T1D). In this study, we examined the role of the CCR5/CCL5 axis in regulating inflammatory response and its impact on regulatory T cells in type 1 diabetes (T1D). We hypothesize that dysregulation of the CCR5/CCL5 axis contributes to the development and progression of T1D through modulation of Treg-dependent immune responses. We analyzed the expression levels of CCR5 on Tregs isolated from individuals with T1D, as well as the plasma concentration of its main ligands. We found that Tregs from T1D patients exhibited decreased expression of CCR5 compared to healthy controls. Additionally, we observed a correlation between the expression levels of CCR5 on Tregs and their immunosuppressive function in T1D patients. Our results indicate the impaired migratory capacity of CCR5 + Tregs, suggesting a possible link between the dysregulation of the CCR5/CCL5 axis and impaired immune regulation in T1D. In line with previous studies, our findings support the notion that dysregulation of the CCR5/CCL5 axis contributes to the development and progression of type 1 diabetes (T1D) by modulating Treg-dependent immune responses. The decreased expression of CCR5 on Tregs in T1D patients suggests a potential impairment in the migratory capacity of these cells, which could compromise their ability to suppress autoreactive T cells and maintain immune homeostasis. Furthermore, our study highlights the importance of CCR5 as a biomarker for identifying dysfunctional Tregs in T1D.

表达 CCR5 的 T 调节淋巴细胞(Treg)在各种自身免疫性疾病中表现出强大的抑制活性。在这项研究中,我们探讨了 CCR5/CCL5 轴在调节炎症反应中的作用及其对 1 型糖尿病(T1D)中调节性 T 细胞的影响。我们假设,CCR5/CCL5 轴的失调会通过调节 Treg 依赖性免疫反应导致 T1D 的发生和发展。我们分析了从 T1D 患者体内分离出的 Tregs 上 CCR5 的表达水平及其主要配体的血浆浓度。我们发现,与健康对照组相比,T1D 患者的 Tregs 表现出较低的 CCR5 表达水平。此外,我们还观察到 T1D 患者 Tregs 上 CCR5 的表达水平与其免疫抑制功能之间存在相关性。我们的研究结果表明,CCR5 + Tregs 的迁移能力受损,这表明 CCR5/CCL5 轴的失调与 T1D 免疫调节功能受损之间可能存在联系。与之前的研究一致,我们的研究结果支持这样一种观点,即 CCR5/CCL5 轴的失调通过调节 Treg 依赖性免疫反应,导致了 1 型糖尿病(T1D)的发生和发展。T1D患者Tregs上CCR5表达的减少表明,这些细胞的迁移能力可能受损,这可能会影响它们抑制自反应性T细胞和维持免疫稳态的能力。此外,我们的研究还强调了 CCR5 作为生物标记物在识别 T1D 中功能失调的 Tregs 方面的重要性。
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引用次数: 0
Regulation of Tert methylation alleviates food allergy via regulating the Tert-IL10 signal pathway. 通过调节 Tert-IL10 信号通路来调节 Tert 甲基化,从而缓解食物过敏。
IF 3.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-10-01 Epub Date: 2024-07-22 DOI: 10.1007/s12026-024-09504-6
Haotao Zeng, Lingzhi Xu, Jiangqi Liu, Lihua Mo, Minyao Li, Shuo Song, Xuejie Xu, Shihan Miao, Miao Zhao, Pingchang Yang

Background: The cause of food allergy (FA) is still a mystery. Telomerases are involved in the regulation of immune responses. This study aims to gain an understanding of the contribution of telomerase reverse transcriptase (TERT) to the pathogenesis of FA.

Methods: A murine FA model was established with ovalbumin as the specific antigen. The role of TERT in regulating dendritic cell (DC) immune tolerogenic functions was evaluated in this murine model.

Results: We observed that the Tert promoter was at demethylation status and the Tert expression was elevated in DCs of FA mice. The Tert expression in DCs had a positive correlation with the FA response. TERT prevented the induction of Il10 expression in DCs. The immune tolerogenic functions of DCs were diminished by TERT. The immune tolerogenic functions of DC were restored by CpG by boosting the Tert promoter methylation. Administration of CpG promoted the therapeutic effects of allergen specific immunotherapy in FA mice.

Conclusions: Low levels of Il10 expression and high levels of Tert expression were observed in intestinal DCs of FA mice. CpG exposure restored the expression of Il10 and increased the therapeutic benefits of allergen-specific immunotherapy.

背景:食物过敏症(FA)的病因至今仍是一个谜。端粒酶参与调节免疫反应。本研究旨在了解端粒酶逆转录酶(TERT)对食物过敏症发病机制的贡献:方法:以卵清蛋白为特异性抗原建立了小鼠FA模型。方法:以卵清蛋白为特异性抗原建立了小鼠FA模型,评估了TERT在调节树突状细胞(DC)免疫耐受功能中的作用:结果:我们观察到,在 FA 小鼠的 DC 中,Tert 启动子处于去甲基化状态,Tert 表达升高。Tert在DCs中的表达与FA反应呈正相关。TERT阻止了Il10在DCs中的诱导表达。TERT削弱了DCs的免疫耐受功能。CpG通过促进Tert启动子甲基化恢复了DC的免疫耐受功能。CpG能促进过敏原特异性免疫疗法对FA小鼠的治疗效果:结论:在 FA 小鼠的肠道 DC 中观察到低水平的 Il10 表达和高水平的 Tert 表达。结论:在 FA 小鼠的肠道直流细胞中观察到了低水平的 Il10 表达和高水平的 Tert 表达,CpG 暴露可恢复 Il10 的表达并提高过敏原特异性免疫疗法的治疗效果。
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引用次数: 0
Endogenous innate sensor NLRP3 is a key component in peritoneal macrophage dynamics required for cestode establishment. 内源性先天性传感器 NLRP3 是腹腔巨噬细胞动态的关键组成部分,是绦虫建立所必需的。
IF 4.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-10-01 Epub Date: 2024-06-06 DOI: 10.1007/s12026-024-09496-3
Irán Flores-Sotelo, Natalia Juárez, Marisol I González, Auraamellaly Chávez, Danielle T Vannan, Bertus Eksteen, Luis I Terrazas, José L Reyes

The NLRP3 receptor can assemble inflammasome platforms to trigger inflammatory responses; however, accumulating evidence suggests that it can also display anti-inflammatory properties. Here, we explored the role of nucleotide-binding oligomerization domain pyrin-containing protein 3 (NLRP3) in Taenia crassiceps experimental infection, which requires immune polarization into a Th2-type profile and peritoneal influx of suppressive macrophages for successful colonization. NLRP3 deficient mice (NLRP3-/-) were highly resistant against T. crassiceps, relative to wild-type (WT) mice. Resistance in NLRP3-/- mice was associated with a diminished IL-4 output, high levels of IL-15, growth factor for both innate and adaptive lymphocytes, and a dramatic decrease in peritoneum-infiltrating suppressive macrophages. Also, a transcriptional analysis on bone marrow-derived macrophages exposed to Taenia-secreted antigens and IL-4 revealed that NLRP3-/- macrophages express reduced transcripts of relm-α and PD-1 ligands, markers of alternative activation and suppressive ability, respectively. Finally, we found that the resistance displayed by NLRP3-/- mice is transferred through intestinal microbiota exchange, since WT mice co-housed with NLRP3-/- mice were significantly more resistant than WT animals preserving their native microbiota. Altogether, these data demonstrate that NLRP3 is a component of innate immunity required for T. crassiceps to establish, most likely contributing to macrophage recruitment, and controlling lymphocyte-stimulating cytokines such as IL-15.

NLRP3 受体可以组装炎症小体平台,引发炎症反应;然而,越来越多的证据表明,它也可以表现出抗炎特性。在这里,我们探讨了核苷酸结合寡聚化结构域含吡喃蛋白 3(NLRP3)在克氏疟原虫实验性感染中的作用,这种感染需要免疫极化为 Th2 型特征和腹腔抑制性巨噬细胞的涌入才能成功定殖。与野生型(WT)小鼠相比,缺乏 NLRP3 的小鼠(NLRP3-/-)对 T. crassiceps 有很强的抵抗力。NLRP3-/-小鼠的抵抗力与IL-4输出量减少、先天性和适应性淋巴细胞生长因子IL-15水平升高以及腹膜浸润抑制性巨噬细胞急剧减少有关。此外,对暴露于洮螨分泌的抗原和 IL-4 的骨髓巨噬细胞进行的转录分析表明,NLRP3-/-巨噬细胞表达的 relm-α 和 PD-1 配体的转录本减少,而这两种配体分别是替代活化和抑制能力的标志。最后,我们发现 NLRP3-/- 小鼠表现出的抵抗力是通过肠道微生物群交换传递的,因为与 NLRP3-/- 小鼠共处一室的 WT 小鼠的抵抗力明显高于保留其本地微生物群的 WT 动物。总之,这些数据证明了 NLRP3 是 T. crassiceps 建立所需的先天性免疫的一个组成部分,很可能有助于巨噬细胞的招募,并控制淋巴细胞刺激细胞因子(如 IL-15)。
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引用次数: 0
Predictive biomarkers of response to tocilizumab in giant cell arteritis (GCA): correlations with imaging activity. 巨细胞动脉炎(GCA)患者对西利珠单抗反应的预测性生物标志物:与成像活动的相关性。
IF 3.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-10-01 Epub Date: 2024-08-30 DOI: 10.1007/s12026-024-09518-0
Maurizio Benucci, Ilaria Di Girolamo, Antonino Di Girolamo, Francesca Li Gobbi, Arianna Damiani, Serena Guiducci, Barbara Lari, Valentina Grossi, Maria Infantino, Mariangela Manfredi

In the recent EULAR recommendations, ultrasound examination is now recommended as a first-line imaging test in all patients with suspected giant cell arteritis (GCA) and the axillary arteries should be included in the standard exam. As an alternative to ultrasound evaluation, cranial and extracranial arteries can be examined using FDG-PET or MRI. The aim of our study was to observe in a retrospective case series whether there is a correlation between biomarkers and imaging activity in a population of patients followed in real life with GCA treated with prednisone (PDN) and tocilizumab (TCZ). We retrospectively enrolled 68 patients with newly diagnosed GCA between January 2020 and September 2021, followed in real life, who were examined at the Rheumatology Unit of the San Giovanni di Dio Hospital, Florence, Italy. Patients were evaluated at T0-T3-T6-T12-T18-T24 for the following blood tests: ESR, CRP, fibrinogen, platelet count, serum amyloid A (SAA), IL-6, and circulating calprotectin (MRP). Ultrasound examination of the temporal arteries and axillary arteries was assessed at T0 within 7 days of starting treatment with high-dose glucocorticoids and subsequently at T3-T6-T12-T18-T24. A scale from 0 to 3 with semi-quantitative tools (SUV max) was assessed at T0-T12-T24. The evaluation of the correlation coefficient between laboratory and imaging variables has shown that SAA and MRP have the most powerful correlation with the PET score (0.523 and 0.64), and MRP also has an excellent correlation coefficient with the Halo score (0.658). The evaluation of the ROC curves shows for a PET score 3 and SAA values higher than 26 mg/L, sensitivity of 81.5% and specificity of 84.1%, and for a PET score 3 and MRP values higher than 2.3 mcg/mL, sensitivity of 100% and specificity of 76.8%. In this study, we demonstrated that SAA and MRP can be useful as promising tools to detect GCA activity. The study demonstrates a good correlation between the two biomarkers and the imaging activity evaluated by the Halo and PET scores.

根据EULAR最近的建议,超声检查现在被推荐为所有疑似巨细胞动脉炎(GCA)患者的一线影像学检查,腋动脉也应纳入标准检查范围。作为超声评估的替代方法,颅内和颅外动脉可通过 FDG-PET 或核磁共振成像进行检查。我们的研究旨在通过回顾性病例系列观察在接受泼尼松(PDN)和妥西珠单抗(TCZ)治疗的 GCA 患者中,生物标志物与成像活动之间是否存在相关性。我们回顾性地纳入了在 2020 年 1 月至 2021 年 9 月期间新确诊的 68 名 GCA 患者,这些患者在意大利佛罗伦萨圣乔瓦尼迪奥医院风湿科接受了实际随访。患者在T0-T3-T6-T12-T18-T24期间接受了以下血液化验评估:血沉、CRP、纤维蛋白原、血小板计数、血清淀粉样蛋白 A(SAA)、IL-6 和循环钙蛋白(MRP)。在开始使用大剂量糖皮质激素治疗 7 天内的 T0 期,以及随后的 T3-T6-T12-T18-T24 期,对颞动脉和腋动脉进行超声检查。在 T0-T12-T24 期 间,使用半定量工具(最大 SUV 值)对 0 至 3 级进行评估。对实验室和成像变量之间相关系数的评估显示,SAA 和 MRP 与 PET 评分的相关性最强(分别为 0.523 和 0.64),MRP 与 Halo 评分的相关系数也很高(0.658)。ROC 曲线的评估结果显示,PET 评分 3 和 SAA 值高于 26 mg/L 时,灵敏度为 81.5%,特异度为 84.1%;PET 评分 3 和 MRP 值高于 2.3 mcg/mL 时,灵敏度为 100%,特异度为 76.8%。本研究表明,SAA 和 MRP 是检测 GCA 活动的有效工具。研究表明,这两种生物标志物与通过 Halo 和 PET 评分评估的成像活动之间存在良好的相关性。
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引用次数: 0
Assessment of NLRP3 inflammasome activation in patients with chronic obstructive pulmonary disease before and after lung transplantation. 评估肺移植前后慢性阻塞性肺病患者体内 NLRP3 炎症小体的激活情况。
IF 4.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-10-01 Epub Date: 2024-05-29 DOI: 10.1007/s12026-024-09497-2
Lada Rumora, Ivona Markelić, Iva Hlapčić, Andrea Hulina Tomašković, Marija Fabijanec, Feđa Džubur, Miroslav Samaržija, Andrea Vukić Dugac

The interplay between purinergic receptors as well as pattern recognition receptors like Toll-like receptors (TLRs) and NOD-, LRR-, and pyrin domain-containing protein 3 (NLRP3) might have a role in the pathogenesis of chronic obstructive pulmonary disease (COPD). The aim of this study was to determine and compare the concentrations of the damage-associated molecular patterns (DAMPs) heat shock protein 70 (Hsp70) and adenosine triphosphate (ATP), and gene expression of their respective receptors as well as NLRP3 inflammasome-related molecules in the peripheral blood of patients with end-stage COPD before and 1 year after lung transplantation (LT). Lung function was assessed by spirometry and diffusion capacity for carbon monoxide (DLCO). Quantitative polymerase chain reaction (qPCR) was applied for detection of TLR2, TLR4, P2X7R, P2Y2R, IL1B, CASP1, and NLRP3 expression. High-sensitivity ELISA kits were used for extracellular (e) Hsp70 and IL-1β, and luminescence assay for eATP measurements. Concentrations of eHsp70 and eATP as well as IL-1β were significantly increased in the plasma of end-stage COPD patients and significantly decreased after LT. In addition, TLR4, P2Y2R, IL1B, CASP1, and NLRP3 expression was up-regulated in COPD patients before LT, while it was significantly suppressed after LT. In conclusion, it could be assumed that NLRP3 inflammasome is activated in the peripheral blood of end-stage COPD patients and that eHsp70 and eATP could be responsible for its activation through triggering their receptors. On the other hand, previously enhanced pro-inflammatory reactions seem to be suppressed to the healthy population levels in lung recipients without allograft rejection.

嘌呤能受体以及模式识别受体(如 Toll 样受体 (TLRs))和含 NOD、LRR 和 pyrin 结构域蛋白 3 (NLRP3))之间的相互作用可能在慢性阻塞性肺病 (COPD) 的发病机制中发挥作用。本研究的目的是测定并比较肺移植(LT)前和肺移植一年后终末期慢性阻塞性肺病患者外周血中损伤相关分子模式(DAMPs)热休克蛋白70(Hsp70)和三磷酸腺苷(ATP)的浓度、其各自受体的基因表达以及NLRP3炎性体相关分子的基因表达。肺功能通过肺活量和一氧化碳弥散能力(DLCO)进行评估。定量聚合酶链反应(qPCR)用于检测 TLR2、TLR4、P2X7R、P2Y2R、IL1B、CASP1 和 NLRP3 的表达。细胞外 (e) Hsp70 和 IL-1β 采用高灵敏度酶联免疫吸附试剂盒检测,eATP 的检测采用发光法。结果显示,慢性阻塞性肺病晚期患者血浆中的 eHsp70 和 eATP 以及 IL-1β 的浓度明显升高,LT 后则明显降低。此外,LT 前 COPD 患者 TLR4、P2Y2R、IL1B、CASP1 和 NLRP3 的表达上调,而 LT 后则明显下降。总之,可以推测慢性阻塞性肺病晚期患者外周血中的NLRP3炎性体被激活,而eHsp70和eATP可能是通过触发其受体而激活NLRP3炎性体的。另一方面,在没有发生异体移植排斥反应的肺部受者中,先前增强的促炎反应似乎被抑制到了健康人群的水平。
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引用次数: 0
Investigation of the relationship of tissue-resident γδ T cells and IL-17 gene expression with the pathogenesis of autoimmune hepatitis. 组织驻留γδT细胞和IL-17基因表达与自身免疫性肝炎发病机制关系的研究
IF 3.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-10-01 Epub Date: 2024-07-18 DOI: 10.1007/s12026-024-09515-3
Nurullah Yucel, Gulam Hekimoglu, Sevinc Keser, Selma Erhan, Gamze Yesilay, Gulizar Hocaoglu, Muzaffer Seker

Autoimmune hepatitis (AIH) is a chronic inflammatory liver disease. Elevated serum immunoglobulin G (IgG) levels, autoantibodies, and histopathological interface hepatitis are the hallmarks of AIH. Autoantibodies and pathological findings, clinical and biochemical features, typical immunoglobulin levels, and exclusion of other diseases are used to diagnose the condition. Gamma-delta (γδ) T cells are a unique population of unconventional T cells with γ and δ glycoprotein chains. γδ T cells have been shown to play a crucial role in autoimmune diseases by producing interleukin (IL)-17. However, its role in AIH remains to be further elucidated. In this study, we aimed to examine the role of γδ T cells and IL-17 in the pathogenesis of AIH, by working on biopsy samples. Paraffin blocks of 18 patients with type 1 AIH and 18 control liver tissues were analyzed. qRT-PCR assessed IL-17 gene expression. Immunofluorescence double staining of CD3+TCRγδ+ was performed to reveal tissue-resident γδ T cells' role in AIH. When comparing AIH to the control, there was a substantial increase in the ratio of CD3+TCRγδ+ cells in total inflammatory cells (p = 0.01). IL-17 gene expression was lowered in AIH when compared to the control (p = 0.01). This study provides evidence for the involvement of γδ T cells and IL-17 in the pathogenesis of AIH. The ratio of γδ T cells and IL-17 gene expression showed a significant difference in AIH suggesting a potential role for γδ T cells in driving liver inflammation in A fIH.

自身免疫性肝炎(AIH)是一种慢性炎症性肝病。血清免疫球蛋白 G (IgG) 水平升高、自身抗体和组织病理学界面肝炎是自身免疫性肝炎的特征。自身抗体和病理结果、临床和生化特征、典型的免疫球蛋白水平以及排除其他疾病可用于诊断该病。γ-δ(γδ)T 细胞是一种独特的非常规 T 细胞群,具有γ和δ糖蛋白链。γδT细胞可产生白细胞介素(IL)-17,在自身免疫性疾病中发挥关键作用。然而,它在 AIH 中的作用仍有待进一步阐明。在这项研究中,我们旨在通过活检样本研究γδ T 细胞和 IL-17 在 AIH 发病机制中的作用。我们分析了 18 例 1 型 AIH 患者和 18 例对照组肝组织的石蜡块。对 CD3+TCRγδ+ 进行免疫荧光双重染色,以揭示组织驻留的 γδ T 细胞在 AIH 中的作用。将 AIH 与对照组相比,CD3+TCRγδ+ 细胞在炎症细胞总数中的比例大幅增加(p = 0.01)。与对照组相比,AIH 中 IL-17 基因表达降低(p = 0.01)。这项研究为γδT细胞和IL-17参与AIH发病机制提供了证据。γδT细胞和IL-17基因表达的比例在AIH中显示出显著差异,这表明γδT细胞在A fIH的肝脏炎症中起着潜在的驱动作用。
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引用次数: 0
Elevated total serum IgM predicts the presence of antiphospholipid antibodies in dysautonomia patients. 血清总 IgM 升高可预测自律神经失调症患者体内是否存在抗磷脂抗体。
IF 3.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-10-01 Epub Date: 2024-08-12 DOI: 10.1007/s12026-024-09510-8
Jill R Schofield, Jill Brook, Denise Calaprice-Whitty

Dysautonomia is an abnormal clinical state with multiple etiologies, including autoimmunity. Antiphospholipid antibodies (aPL) are among the autoantibodies that have been associated with autonomic dysfunction. We have observed that an elevated total serum IgM appears to be associated with the presence of aPL in dysautonomia patients. This is a retrospective study analyzing the clinical characteristics of 45 consecutive patients with cardiac autonomic dysfunction and a persistently elevated total serum IgM. 93% of patients were female with a mean age of 32.7 years. Most patients had severely disabling disease, with a mean Karnofsky-like functional ability score of 42% (normal 100%). 93% of patients tested persistently positive for one or more aPL and all patients tested persistently positive for aPL and/or Sjogren's antibodies. No patient had lupus specific antibodies. One third of patients experienced one or more thrombotic events and 58% of patients attempting pregnancy experienced pregnancy morbidity. Lastly, 78% of aPL-positive patients treated with antithrombotic therapy experienced 50 to 100% improvement in one or more symptoms (e.g., migraine, cognitive dysfunction) recognized to be responsive to antithrombotic therapy in a subset of aPL-positive patients and 73% of patients treated with and tolerating immune modulatory therapy experienced a positive response. We propose total serum IgM as a reliable and inexpensive test that can be used to identify dysautonomia patients at risk for persistent aPL-positivity. These patients are important to identify as they have a significant risk for thrombosis and pregnancy morbidity and often experience significant symptomatic improvement with antithrombotic therapy and/or immune modulatory therapy.

自主神经功能障碍是一种异常的临床状态,有多种病因,包括自身免疫。抗磷脂抗体(aPL)是与自主神经功能障碍相关的自身抗体之一。我们观察到,自律神经失调患者血清总 IgM 升高似乎与 aPL 的存在有关。这是一项回顾性研究,分析了 45 名连续出现心脏自主神经功能障碍和血清总 IgM 持续升高的患者的临床特征。93%的患者为女性,平均年龄为 32.7 岁。大多数患者患有严重的致残性疾病,卡诺夫斯基类功能能力评分平均为 42%(正常值为 100%)。93%的患者检测出一种或多种aPL持续阳性,所有患者的aPL和/或Sjogren抗体均持续阳性。没有患者出现狼疮特异性抗体。三分之一的患者发生过一次或多次血栓事件,58%试图怀孕的患者发生过妊娠并发症。最后,在接受抗血栓治疗的 aPL 阳性患者中,78% 的患者的一种或多种症状(如偏头痛、认知功能障碍)得到了 50% 至 100% 的改善,这些症状在 aPL 阳性患者的子集中被认为对抗血栓治疗有反应,73% 接受免疫调节治疗并能耐受的患者出现了阳性反应。我们建议将血清总 IgM 作为一种可靠而廉价的检测方法,用于识别有持续 aPL 阳性风险的自律神经失调患者。这些患者具有血栓形成和妊娠发病的重大风险,而且往往在接受抗血栓治疗和/或免疫调节治疗后症状会得到明显改善,因此必须加以识别。
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引用次数: 0
The prognostic value of IgA anti-citrullinated protein antibodies and rheumatoid factor in an early arthritis population with a treat-to-target approach. 在早期关节炎人群中,IgA 抗瓜氨酸蛋白抗体和类风湿因子的预后价值。
IF 3.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-10-01 Epub Date: 2024-07-03 DOI: 10.1007/s12026-024-09500-w
Judith W Heutz, Agnes E M Looijen, Jac H S A M Kuijpers, Marco W J Schreurs, Annette H M van der Helm-van Mil, Pascal H P de Jong

The mucosal origin hypothesis of rheumatoid arthritis has renewed the interest in IgA autoantibodies, but their added value over IgG anti-citrullinated protein antibody (ACPA) and IgM rheumatoid factor (RF) for modern treatment outcomes remains unknown. We aimed to investigate the prognostic value of IgA-ACPA and IgA-RF for treatment outcomes in an early arthritis population. IgA-ACPA/RF isotypes were measured in baseline sera from 480 inflammatory arthritis (IA) patients, who were included in the treatment in the Rotterdam Early Arthritis Cohort trial (tREACH). The tREACH trial was a multicentre, stratified, single-blinded trial with a treat-to-target approach. The prognostic value of IgA-ACPA/RF was determined by evaluating differences in (1) quick-attained (< 6 months after diagnosis) and persistent remission rates, (2) DMARD-free remission and (3) biological use between IA patients with and without IgA-ACPA/RF over 3 years of follow-up. IgA-ACPA was present in 23% of patients and overlapped with IgG-ACPA positivity in 94%. Similarly, IgA-RF overlapped with IgM-RF in 90% of patients. IgA-ACPA positivity was associated with lower DFR rates and more biological use, but this effect was largely mediated by the presence of IgG-ACPA, since this effect disappeared after stratification for IgG-ACPA (HR 0.6, 95%CI 0.2-1.6 for DFR). No differences were observed in 'quick-attained and persistent remission' rates and for IgA-RF. Their seems to be no additional value of IgA-ACPA and IgA-RF for modern, long-term clinical outcomes. The effects of IgA-ACPA seen in our study are largely mediated by the presence of IgG-ACPA. Based on these results, there is no rationale for measuring these isotypes in daily practice.

类风湿性关节炎的粘膜起源假说再次引起了人们对IgA自身抗体的兴趣,但与IgG抗瓜氨酸蛋白抗体(ACPA)和IgM类风湿因子(RF)相比,IgA自身抗体对现代治疗效果的附加值仍不清楚。我们旨在研究 IgA-ACPA 和 IgA-RF 对早期关节炎患者治疗效果的预后价值。我们对 480 名炎症性关节炎(IA)患者的基线血清中的 IgA-ACPA/RF 异型进行了测定,这些患者被纳入了鹿特丹早期关节炎队列试验(tREACH)的治疗范围。tREACH试验是一项多中心、分层、单盲试验,采用靶向治疗方法。IgA-ACPA/RF的预后价值是通过评估以下方面的差异来确定的:(1) 快速获得的(
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引用次数: 0
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Immunologic Research
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