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Development of an in vitro method to assess the immunogenicity of biologics in the prevention of infectious diseases. 一种体外方法来评估预防传染病的生物制剂的免疫原性。
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-09-03 DOI: 10.1007/s12026-025-09681-y
Joanna Baran, Łukasz Kuryk, Mariangela Garofalo, Marta Prygiel, Aleksandra Zasada, Teresa Szczepińska, Anna Staniszewska, Deepak Kala, Piotr Majewski, Radosław Charkiewicz, Monika Staniszewska

We present a series of preclinical studies focused on developing in vitro 2D and 3D models for assessing immunogenic factors in preventing infectious diseases. Human peripheral blood mononuclear cells (PBMC) and Calu-3 cell lines (bronchial epithelial cells) were used to develop 2D and 3D models. Peptides: Spike-S1-His (S-His), nucleocapsid-His and adjuvants: human adenovirus five serotype-based viral vector (AdV-D24-ICOSL-CD40L), armed with inducible co-stimulator (ICOSL) and CD40 ligand (CD40L), and a vector lacking these transgenes (AdV5/3) were used due to their effective initial interaction with antigen-presenting cells (APC). Studying the potency of biologics in vitro revealed a significant increase in the percentage of CD4+ TCM, CD4+ TEMRA, and CD4+ TEM lymphocyte subpopulations involved in memory cell generation after 24 h of treatment. Prolonging the exposure for 7 days, a significant increase in CD4+ cells was observed when PBMCs were treated with AdV1 (56.00 ± 0.26% vs. 48.17 ± 1.10%). In contrast, a decrease in CD8+ cells was observed in those treated with AdV1 (37.93 ± 0.35%) compared to AdV1 + S-His + N-His (38.47 ± 0.38%) versus the untreated group (44.63 ± 1.07%). A decrease in EMRA was noted when PBMCs were treated with AdV1 + S-His + N-His (2.97 ± 0.23% vs. 4.50 ± 0.35%). Moreover, it was pointed out that PBMCs treated with AdV1 alone or in combination with S-His and N-His showed an elevated number of naïve CD4+/CD8+ and SCM CD4+/CD8+ cells. No changes in the number of EMRA CD4+ subpopulations were detected when PBMCs were treated with AdV2 compared with untreated ones (4.27 ± 0.06% vs. 4.50 ± 0.35%). Analysis of the humoral response induced by AdV1, AdV2, S-His, N-His, AdV1 + S-His + N-His, and AdV2 + S-His + N-His showed that AdV1 alone (4.17 ± 0.25% vs. 3.17 ± 0.06%) and in combination with S-His and N-His (3.87 ± 0.25 vs. 3.17 ± 0.06%) slightly increased the number of CD19+ cells. RNA-Seq analysis of PBMC cells in the 3D model revealed gene overexpression, including FGFR4, associated with the Rap1 pathway in samples exposed to AdV1 + S-His + N-His. Thus, the proposed platform's impact on lymphocyte differentiation was confirmed, and cytokine profile analysis in this sample revealed elevated levels of IL-10, IL-12p70, and IL-8. All samples exposed to AdV showed increased levels of IFN-γ. The safety and biodistribution studies of the vaccine platform demonstrated that a 30-day exposure did not impact mice's survival or organ morphology. Exploring the CD40 pathway notably reveals its significant impact on immune cell populations, suggesting potential therapeutic avenues.

我们提出了一系列临床前研究,重点是开发体外2D和3D模型,用于评估预防传染病的免疫原性因素。采用人外周血单个核细胞(PBMC)和Calu-3细胞系(支气管上皮细胞)分别建立二维和三维模型。多肽:spiks1 - his (S-His),核衣壳- his和佐剂:人类腺病毒五血清型病毒载体(adv - d24 - icls -CD40L),配备诱导共刺激剂(ICOSL)和CD40配体(CD40L),以及缺乏这些转基因的载体(AdV5/3),因为它们与抗原提呈细胞(APC)有效的初始相互作用。体外药效研究显示,治疗24 h后,参与记忆细胞生成的CD4+ TCM、CD4+ TEMRA和CD4+ TEM淋巴细胞亚群百分比显著增加。暴露时间延长7 d, AdV1处理PBMCs时CD4+细胞显著增加(56.00±0.26% vs. 48.17±1.10%)。相比之下,AdV1治疗组CD8+细胞减少(37.93±0.35%),AdV1 + S-His + N-His组(38.47±0.38%),而未治疗组(44.63±1.07%)。AdV1 + S-His + N-His组EMRA降低(2.97±0.23% vs. 4.50±0.35%)。此外,AdV1单独或与S-His和N-His联合治疗的PBMCs显示naïve CD4+/CD8+和SCM CD4+/CD8+细胞数量升高。与未治疗的pbmc相比,AdV2治疗组EMRA CD4+亚群数量无变化(4.27±0.06% vs. 4.50±0.35%)。AdV1、AdV2、S-His、N-His、AdV1 + S-His + N-His、AdV2 + S-His + N-His、AdV2 + S-His + N-His诱导的体液反应分析表明,AdV1单独(4.17±0.25% vs. 3.17±0.06%)和S-His、N-His联合(3.87±0.25 vs. 3.17±0.06%)轻微增加CD19+细胞的数量。3D模型中PBMC细胞的RNA-Seq分析显示,在暴露于AdV1 + S-His + N-His的样本中,基因过表达,包括FGFR4,与Rap1途径相关。因此,该平台对淋巴细胞分化的影响得到了证实,该样本的细胞因子谱分析显示IL-10、IL-12p70和IL-8水平升高。所有暴露于AdV的样本均显示IFN-γ水平升高。疫苗平台的安全性和生物分布研究表明,30天的暴露不会影响小鼠的生存或器官形态。探索CD40通路显着揭示了其对免疫细胞群的重要影响,提示了潜在的治疗途径。
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引用次数: 0
A nasal vaccine candidate based on S2 and N proteins from SARS-CoV-2 generates a broad antibody response systemically and in the lower respiratory tract. 基于SARS-CoV-2的S2和N蛋白的鼻用候选疫苗在全身和下呼吸道产生广泛的抗体反应。
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-08-27 DOI: 10.1007/s12026-025-09675-w
Yadira Lobaina, Rong Chen, Dania Vazquez-Blomquist, Edith Suzarte, Miaohong Zhang, Zhiqiang Zhou, Yaqin Lan, Gerardo Guillen, Wen Li, Yasser Perera, Lisset Hermida

Since the beginning of the COVID-19 pandemic, various groups around the world have intensively worked in the development of vaccine candidates against SARS-CoV-2. Several vaccines have been approved in the past years; the majority is based on the Spike or RBD proteins and employs parenteral administration routes. Considering the recent history of coronavirus zoonotic events, which are known to have caused serious human health problems, the development of vaccines with a broad scope of protection and the potential to cut/reduce the transmission remains in the spotlight. The current global pandemic preparedness initiatives have also promoted the preclinical evaluation of a new group of coronavirus vaccines. In line with current needs, the goal of the present work is the preclinical evaluation, in two different mice strains, of a novel nasal vaccine candidate based on two highly conserved sarbecovirus proteins, S2 and nucleocapsid (N). The vaccine preparation, containing a CpG ODN as adjuvant, was able to generate high antibody titers against both antigens, in sera and bronchoalveolar lavages. This humoral response results cross-reactive to SARS-CoV-1 and MERS-CoV. In addition, the preparation induces IFNγ secretion, and a marked IgG2a response, against both proteins at the systemic compartment, consistent with the development of a Th1 pattern. Although further evaluations should be done, the level of cross-reactivity and the mucosal response obtained constitute promising features of this vaccine candidate.

自COVID-19大流行开始以来,世界各地的各个小组都在集中精力开发针对SARS-CoV-2的候选疫苗。在过去几年中,已经批准了几种疫苗;大多数是基于Spike或RBD蛋白,并采用肠外给药途径。考虑到最近发生的冠状病毒人畜共患病事件,这些事件已知会造成严重的人类健康问题,开发具有广泛保护范围和有可能减少/减少传播的疫苗仍然是人们关注的焦点。当前的全球大流行防范举措也促进了一组新型冠状病毒疫苗的临床前评估。根据目前的需要,本工作的目标是在两种不同的小鼠品系中对一种基于高度保守的sarbecvirus蛋白S2和核衣壳(N)的新型鼻用候选疫苗进行临床前评估。含有CpG ODN作为佐剂的疫苗制剂能够在血清和支气管肺泡灌洗液中产生针对这两种抗原的高抗体滴度。这种体液反应导致了SARS-CoV-1和MERS-CoV的交叉反应。此外,该制剂可诱导IFNγ分泌,并在系统隔室中对这两种蛋白产生显著的IgG2a反应,这与Th1模式的发展相一致。虽然还需要进一步的评估,但交叉反应性和获得的粘膜反应水平构成了该候选疫苗的有希望的特征。
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引用次数: 0
Sex-related differences in cell-free DNA and neutrophil extracellular traps in patients with hematologic malignancies. 血液恶性肿瘤患者游离DNA和中性粒细胞胞外陷阱的性别相关差异
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-08-26 DOI: 10.1007/s12026-025-09677-8
Gaia Gnecco, Alessandro Davini, Arianna Valeriano, Patrizia Mancuso, Enrico Derenzini, Giuseppe Lamorte, Daniele Prati, Giovanna Talarico, Francesco Bertolini

Cell-free DNA (cfDNA) is emerging as a promising biomarker in liquid biopsy applications for cancer, with growing interest in its potential utility also for the diagnosis, monitoring of treatment response, and detection of relapse in hematologic malignancies. However, the precise origin and clinical relevance of cfDNA in these disorders remain to be fully clarified. In this study, we analyzed plasma samples from 98 patients with hematologic malignancies and 80 healthy donors using quantitative PCR (qPCR) to quantify cfDNA concentrations. We further examined associations between cfDNA levels and clinical parameters, including sex and measurable residual disease (MRD). Our results demonstrated significantly elevated cfDNA levels in patients compared to healthy individuals, with a strong correlation between cfDNA concentration and presence/MRD of the disease. We also identified sex-specific differences in cfDNA levels. Notably, our findings suggest that neutrophils, through the release and degradation of neutrophil extracellular traps (NETs), may constitute a relevant source of circulating cfDNA. In addition, cfDNA concentrations were significantly associated with MRD status, supporting the potential role of cfDNA as a non-invasive biomarker for disease monitoring. Overall, our data highlight the clinical relevance of cfDNA in hematologic malignancies, both as a surrogate for disease burden and as a possible player in disease pathophysiology, thus offering a promising avenue for improved diagnostic and therapeutic strategies.

游离DNA (Cell-free DNA, cfDNA)作为一种很有前景的生物标志物,在癌症液体活检应用中越来越受到关注,它在血液系统恶性肿瘤的诊断、治疗反应监测和复发检测方面的潜在应用也越来越受到关注。然而,cfDNA在这些疾病中的确切起源和临床相关性仍有待完全阐明。在这项研究中,我们分析了98例血液恶性肿瘤患者和80例健康供体的血浆样本,使用定量PCR (qPCR)来定量cfDNA浓度。我们进一步研究了cfDNA水平与临床参数之间的关系,包括性别和可测量的残留疾病(MRD)。我们的研究结果表明,与健康个体相比,患者的cfDNA水平显著升高,cfDNA浓度与疾病的存在/MRD之间存在很强的相关性。我们还发现了cfDNA水平的性别特异性差异。值得注意的是,我们的研究结果表明,中性粒细胞通过释放和降解中性粒细胞胞外陷阱(NETs),可能构成循环cfDNA的相关来源。此外,cfDNA浓度与MRD状态显著相关,支持cfDNA作为疾病监测的非侵入性生物标志物的潜在作用。总的来说,我们的数据强调了cfDNA在血液恶性肿瘤中的临床相关性,既可以作为疾病负担的替代品,也可以作为疾病病理生理学的可能参与者,从而为改进诊断和治疗策略提供了有希望的途径。
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引用次数: 0
Mitochondrial sirtuins 3, 4 and 5 in patients with psoriasis. 银屑病患者线粒体sirtuins 3、4和5的研究。
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-08-25 DOI: 10.1007/s12026-025-09679-6
Maria Matuszyńska, Agata Poniewierska-Baran, Ewa Duchnik, Mariola Marchlewicz, Andrzej Pawlik, Sylwia Słuczanowska-Głąbowska

Psoriasis is one of the most common chronic inflammatory skin diseases and is characterised by the uncontrolled proliferation of keratinocytes and their abnormal differentiation. Sirtuins are a group of enzymes that play an important role in post-translational modifications of proteins, such as deacetylation, poly-ADP-ribosylation, demalonylation and lipoamidation. They are found in various cell types and are involved in ribosomal DNA recombination, gene silencing and DNA repair. This study aimed to examine the plasma levels of sirtuin 3, 4 and 5 in patients with psoriasis and correlate these levels with clinical parameters. The study included 43 patients with plaque-type psoriasis and 28 healthy controls. The plasma concentrations of sirtuin 3 were statistically significantly increased in patients with psoriasis compared to the control subjects. The plasma concentrations of sirtuin 4 and 5 were statistically significantly lower in patients with psoriasis than in the control group. No statistically significant correlations were found between the plasma levels of sirtuin 3 and 4 and the psoriasis activity tools of PASI, DLQI and the BSA index or the selected clinical parameters in patients with psoriasis. Plasma concentrations of sirtuin 5 correlated statistically significantly with the BSA index, haemoglobin and leukocytes. The results of this study suggest the involvement of sirtuin 3, 4 and 5 in the pathogenesis of psoriasis. However, an explanation of the role of sirtuins in psoriasis requires further research.

银屑病是最常见的慢性炎症性皮肤病之一,其特征是角质形成细胞增殖失控及其异常分化。Sirtuins是一组在蛋白质翻译后修饰中起重要作用的酶,如去乙酰化、聚adp核糖基化、去丙烯酰化和脂酰胺化。它们存在于各种类型的细胞中,参与核糖体DNA重组、基因沉默和DNA修复。本研究旨在检测牛皮癣患者血浆中sirtuin 3,4和5的水平,并将这些水平与临床参数联系起来。该研究包括43名斑块型银屑病患者和28名健康对照者。与对照组相比,银屑病患者血浆sirtuin 3浓度有统计学意义显著升高。银屑病患者血浆sirtuin 4、5浓度低于对照组,差异有统计学意义。银屑病患者血浆sirtuin 3、4水平与银屑病活动度指标PASI、DLQI、BSA指数及所选临床参数均无统计学意义的相关性。血浆中sirtuin 5的浓度与BSA指数、血红蛋白和白细胞有显著的统计学相关性。本研究结果提示sirtuin 3,4和5参与牛皮癣的发病机制。然而,sirtuins在牛皮癣中的作用需要进一步的研究来解释。
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引用次数: 0
Dissecting the heterogeneity and tumor-associated dynamics of human liver group I ILC via scRNA sequencing data. 通过scRNA测序数据剖析人肝脏I组ILC的异质性和肿瘤相关动力学。
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-08-23 DOI: 10.1007/s12026-025-09665-y
Yumo Zhang, Jitian He, Xue Li, Zhibo Han, Huaiyong Chen, Zhouxin Yang, Youwei Wang

Single-cell transcriptome analysis has made outstanding contributions to the identification of new cell lineages and the study of cancer immune microenvironment. Yet, the characterization of human liver type 1 innate lymphoid cells (ILC1s) and their dynamic changes in the tumor microenvironment have not been thoroughly studied at this detailed level. Here, we performed an integrated analysis of mouse and human liver immune cells to identify human liver ILC1s based on identified mouse liver ILC1s and to verify its functional similarity. Additionally, our findings highlighted the different expression patterns of the transcription factor EOMES in human versus mouse liver ILC1s, suggesting its reduced regulatory significance in human liver nature killer (NK) cells and ILC1s compared to murine models. A unique subset of intermediate innate lymphoid cells (intILCs) was identified, exhibiting traits of both human liver NK cells and ILC1s. Single-cell RNA sequencing (scRNA-seq) data analysis and TCGA dataset were utilized to characterize the distinct alterations in the genes and functions of NK cells, ILC1s, and intILCs in human hepatocellular carcinoma (HCC). It was found that the dynamic changes of liver ILC1s and intILCs, along with some of their subpopulations, may be key factors in tumor progression. This study provided new insights into the identification of ILC1s in human liver and the immunologic changes and mechanism of innate lymphoid cells (ILCs) in the tumor microenvironment, and these findings may be applicable to improving the diagnosis and treatment of hepatocellular carcinoma.

单细胞转录组分析对新细胞系的鉴定和肿瘤免疫微环境的研究做出了突出贡献。然而,人类肝脏1型先天淋巴样细胞(ILC1s)的特征及其在肿瘤微环境中的动态变化尚未在此详细水平上得到深入研究。在此,我们对小鼠和人类肝脏免疫细胞进行了综合分析,以已鉴定的小鼠肝脏ILC1s为基础鉴定人类肝脏ILC1s,并验证其功能相似性。此外,我们的研究结果强调了转录因子EOMES在人和小鼠肝脏ILC1s中的不同表达模式,这表明与小鼠模型相比,它在人类肝脏自然杀伤细胞(NK)和ILC1s中的调节作用较低。鉴定了一种独特的中间先天淋巴样细胞(intILCs)亚群,表现出人类肝脏NK细胞和ILC1s的特征。利用单细胞RNA测序(scRNA-seq)数据分析和TCGA数据集来表征人肝细胞癌(HCC)中NK细胞、ILC1s和intILCs基因和功能的不同变化。研究发现,肝脏ilc1和intILCs及其部分亚群的动态变化可能是肿瘤进展的关键因素。本研究为人类肝脏中ILC1s的鉴定以及肿瘤微环境中先天淋巴样细胞(innate lymphoid cells, ILCs)的免疫变化及其机制提供了新的认识,这些发现可能适用于提高肝癌的诊断和治疗。
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引用次数: 0
Targeting epigenetic modifications as an emerging immunotherapeutic strategy for cancers. 靶向表观遗传修饰作为一种新的癌症免疫治疗策略。
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-08-19 DOI: 10.1007/s12026-025-09678-7
R Ilaya Kumar, Kavya Jain, Karan Raj Rai, Harshnna Gururajan, Koustav Sarkar

The field of epigenetics has significantly advanced our understanding of gene regulation in cancer, revealing dynamic modifications that do not alter the DNA sequence yet profoundly influence gene expression. These include DNA methylation, histone modifications, non-coding RNAs, chromatin remodeling, and RNA modifications. In malignancies such as colorectal, breast, lung, glioblastoma, and hematologic cancers, these epigenetic alterations contribute to tumor initiation, progression, and immune evasion. Emerging evidence reveals that such modifications shape the tumor-immune interface by influencing antigen presentation, immune cell infiltration, and cytokine signaling. This review explores the interplay between key epigenetic modifications and cancer immunity, emphasizing how these mechanisms contribute to immune escape and therapeutic resistance. We also examine the emergence of epigenetic therapies-particularly DNMT inhibitors, HDAC inhibitors, and BET inhibitors-as promising tools to reprogram immune responses and restore anti-tumor immunity. Furthermore, we discuss combinatorial approaches integrating epigenetic modulators with immune checkpoint inhibitors, underscoring their potential to enhance treatment efficacy. By outlining current challenges and emerging strategies, this review underscores the need for personalized epigenetic interventions and biomarker-driven approaches to improve outcomes in cancer immunotherapy. These insights establish epigenetic regulation as a critical frontier in next-generation cancer immunotherapy.

表观遗传学领域显著提高了我们对癌症基因调控的理解,揭示了不改变DNA序列但深刻影响基因表达的动态修饰。这些包括DNA甲基化、组蛋白修饰、非编码RNA、染色质重塑和RNA修饰。在结直肠癌、乳腺癌、肺癌、胶质母细胞瘤和血液癌等恶性肿瘤中,这些表观遗传改变有助于肿瘤的发生、进展和免疫逃避。新出现的证据表明,这种修饰通过影响抗原呈递、免疫细胞浸润和细胞因子信号传导来塑造肿瘤-免疫界面。这篇综述探讨了关键表观遗传修饰与癌症免疫之间的相互作用,强调了这些机制如何促进免疫逃逸和治疗抵抗。我们还研究了表观遗传疗法的出现-特别是DNMT抑制剂,HDAC抑制剂和BET抑制剂-作为重编程免疫反应和恢复抗肿瘤免疫的有希望的工具。此外,我们讨论了结合表观遗传调节剂和免疫检查点抑制剂的组合方法,强调了它们提高治疗效果的潜力。通过概述当前的挑战和新兴的策略,本综述强调了个性化表观遗传干预和生物标志物驱动方法的必要性,以改善癌症免疫治疗的结果。这些见解确立了表观遗传调控作为下一代癌症免疫治疗的关键前沿。
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引用次数: 0
Therapeutic potential of extracellular vesicles in systemic lupus erythematosus: a systematic review. 细胞外囊泡在系统性红斑狼疮中的治疗潜力:系统综述。
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-08-15 DOI: 10.1007/s12026-025-09680-z
Renata Vaz Voltareli, Nayara Rozalem Moretti, Giovanni Garrido Puci, Graziela Garrido Mori

Current therapies for Systemic lupus erythematosus (SLE), such as immunosuppressants and glucocorticoids, are associated with significant side effects, necessitating alternative treatment approaches. Extracellular vesicles (EVs) have emerged as a potential therapeutic option due to their immunomodulatory properties and ability to regulate innate and adaptive immune responses. Thus, the objective of the present study was to systematically analyze the therapeutic potential of EVs for treating SLE. A systematic review was conducted according to PRISMA guidelines. An electronic search was performed in the PubMed/ MEDLINE, Scopus, Cochrane Library and Open Gray databases covering the period up to September 2024 to respond to the PICO answer "Would EVs have therapeutic potential in SLE?" Control of Systemic lupus erythematosus progression and the cellular and molecular mechanisms present were considered the primary and secondary outcome, respectively. The bias risk of studies was evaluated by SYRCLE's RoB. A total of 7 studies met the inclusion criteria, and the data exhibited that EVs reduced disease severity, improved survival rates and ameliorated organ-specific damage in SLE models. It was seen that EVs reduction of autoantibody, Th17 and Tfh cells, type-1 macrophage, neutrophils and pro-inflammatory cytokines, alongside an increase in Tregs, immunosuppressive cytokines and type-2 macrophage. The studies showed high scientific evidence. EV therapy exhibits potential in mitigating SLE progression by modulating immune responses and reducing inflammation. Further research is required to confirm these datas in humans, facilitating advancement for future clinical applications.

目前系统性红斑狼疮(SLE)的治疗方法,如免疫抑制剂和糖皮质激素,与显著的副作用相关,需要替代治疗方法。细胞外囊泡(EVs)由于其免疫调节特性和调节先天和适应性免疫反应的能力而成为一种潜在的治疗选择。因此,本研究的目的是系统地分析ev治疗SLE的治疗潜力。根据PRISMA指南进行了系统审查。在PubMed/ MEDLINE、Scopus、Cochrane Library和Open Gray数据库中进行电子检索,涵盖截止到2024年9月的时间,以回应PICO的答案“ev是否具有治疗SLE的潜力?”控制系统性红斑狼疮的进展和细胞和分子机制分别被认为是主要和次要的结果。各研究的偏倚风险采用cycle的RoB进行评估。共有7项研究符合纳入标准,数据显示ev降低了SLE模型的疾病严重程度,提高了生存率并改善了器官特异性损伤。结果显示,EVs降低了自身抗体、Th17和Tfh细胞、1型巨噬细胞、中性粒细胞和促炎细胞因子,同时增加了Tregs、免疫抑制细胞因子和2型巨噬细胞。这些研究显示了高度的科学依据。EV疗法通过调节免疫反应和减少炎症表现出减缓SLE进展的潜力。需要进一步的研究来证实这些数据,促进未来临床应用的进展。
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引用次数: 0
GFAP as a marker of astrocytic damage correlated with medication overuse in migraine. GFAP作为星形细胞损伤的标志与偏头痛药物过度使用相关。
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-08-09 DOI: 10.1007/s12026-025-09674-x
Sara Carta, Vanessa Chiodega, Riccardo Tiberi, Alessia Pasquali, Sergio Ferrari, Silvia Bozzetti, Federico Ranieri, Fabio Marchioretto, Sara Mariotto

Different mechanisms are involved in migraine pathogenesis, including neurogenic inflammation, neurodegenerative processes, and a potential role of microglia. The aim of this study was to assess axonal and glial damage measuring serum levels of neurofilament light chain (NfL) and glial fibrillary acidic protein (GFAP) in migraine patients. Serum samples of 25 patients with episodic migraine (EM), 25 with chronic migraine (CM) diagnosed in accordance with the International Classification of Headache Disorders, 3rd edition (ICHD-3), and 50 age-matched healthy controls were prospectively collected. NfL and GFAP levels were assessed using ultrasensitive paramagnetic bead-based ELISA (SIMOA). Non-parametric tests were used for group comparison and 2-tailed Spearman analysis to assess correlations. GFAP levels were significantly increased in migraine patients (median 103.15 pg/mL [IQR 70.98-146.34] vs. 69.43 pg/mL [IQR 53.04-91.85], p < 0.001), particularly in those with medication overuse (106.08 [IQR 87.94-159.07] vs. 71.38 [IQR 54.16-135.06], p = 0.007), without difference between EM and CM (p = 0.985). Although NfL levels were not increased (p = 0.387), they were higher in patients with a long migraine course (rho 0.519, p < 0.001). Attack at sampling/days from last attack, migraine frequency/attack severity did not influence NfL or GFAP levels. Our findings demonstrate the occurrence of glial damage, particularly correlated with medication overuse, and the presence of axonal damage in the later disease stage, providing potential novel cues for the migraine pathogenesis.

偏头痛的发病机制不同,包括神经源性炎症、神经退行性过程和小胶质细胞的潜在作用。本研究的目的是通过测量偏头痛患者血清中神经丝轻链(NfL)和胶质纤维酸性蛋白(GFAP)的水平来评估轴突和胶质损伤。前瞻性收集25例发作性偏头痛(EM)患者、25例根据国际头痛疾病分类第三版(ICHD-3)诊断的慢性偏头痛(CM)患者和50例年龄匹配的健康对照者的血清样本。采用超灵敏顺磁珠酶联免疫吸附试验(SIMOA)评估NfL和GFAP水平。采用非参数检验进行组间比较,采用双尾Spearman分析评估相关性。偏头痛患者GFAP水平显著升高(中位数为103.15 pg/mL [IQR 70.98-146.34] vs. 69.43 pg/mL [IQR 53.04-91.85], p
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引用次数: 0
The role of CD40L-expressing CXCR5+CD8+ follicular cytotoxic T cells in chronic lymphocytic leukemia. 表达cd40l的CXCR5+CD8+滤泡细胞毒性T细胞在慢性淋巴细胞白血病中的作用
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-08-06 DOI: 10.1007/s12026-025-09672-z
Fatih Akboga, Fehmi Hindilerden, Ipek Yonal Hindilerden, Emine Gulturk, Gunnur Deniz, Metin Yusuf Gelmez

A newly identified cell subset within CD8T cells expressing CXCR5 of follicular cytotoxic T cells (TFC) lyse the infected or tumor cells. Recent studies have suggested that some TFC cell subsets may be involved in the regulation of antibody responses. We aimed to determine the subset of TFC which differentiates in patients diagnosed with chronic lymphocytic leukemia (CLL) and their role in CLL immunopathogenesis. The peripheral blood mononuclear cells were isolated from 29 CLL patients and 19 healthy subjects. Intracellular IL-4, IL-17, IL-21, IFN-γ, perforin, and granzyme-B levels were investigated in TFC subsets. Increased levels of IL-4, IL-17, IL-21, IFN-γ and perforin, and decreased granzyme B expression levels were observed in CD40LTFC cells compared to the levels in CD40LTFC cells in the analysis of healthy individuals. TFC and its subsets were analyzed in CLL patients and healthy individuals, TFC and CD40LTFC cells were increased in CLL patients and there was a positive correlation between TFC and CD5+CD19+ cells. Moreover, increased number of TFC cells were detected in CLL patients with more progressive disease. Higher expression level of IL-4, IL-17, IL-21, and IFN-γ was observed in CD40LTFC cells of patients compared to the levels in healthy controls. Our findings might indicate that CD40LTFC cells may have a B cell activating role rather than exhibiting a cytotoxic role. Considering the effects of CD40LTFC cells on B cells, determining subsets of TFC cells which differentiate and understanding the functions of these subsets is crucial to elucidate their roles in the pathogenesis of B cell malignancies.

CD8+ T细胞中一个新发现的表达滤泡细胞毒性T细胞(TFC) CXCR5的细胞亚群可以溶解感染的细胞或肿瘤细胞。最近的研究表明,一些TFC细胞亚群可能参与抗体反应的调节。我们的目的是确定TFC在慢性淋巴细胞白血病(CLL)患者中的鉴别亚型及其在CLL免疫发病机制中的作用。从29例慢性淋巴细胞白血病患者和19例健康人的外周血中分离出单个核细胞。研究TFC亚群细胞内IL-4、IL-17、IL-21、IFN-γ、穿孔素和颗粒酶b水平。与健康个体分析的CD40L- TFC细胞相比,CD40L+ TFC细胞中IL-4、IL-17、IL-21、IFN-γ和穿孔素水平升高,颗粒酶B表达水平降低。分析CLL患者和健康人的TFC及其亚群,CLL患者TFC和CD40L+ TFC细胞增加,TFC与CD5+CD19+细胞呈正相关。此外,在病情进展更严重的CLL患者中检测到TFC细胞数量增加。与健康对照组相比,患者CD40L+ TFC细胞中IL-4、IL-17、IL-21和IFN-γ的表达水平较高。我们的发现可能表明CD40L+ TFC细胞可能具有B细胞激活作用,而不是表现出细胞毒性作用。考虑到CD40L+ TFC细胞对B细胞的作用,确定分化的TFC细胞亚群并了解这些亚群的功能对于阐明它们在B细胞恶性肿瘤发病机制中的作用至关重要。
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引用次数: 0
Immunoglobulin G4-related sclerosing mastitis: MRI findings and the literature review. 免疫球蛋白g4相关的硬化性乳腺炎:MRI表现和文献复习。
IF 3.1 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-08-05 DOI: 10.1007/s12026-025-09668-9
Lishan Wang, Fan Yang, Xiaoyan Hu, Na Li, Jie Gou, Wei Lin, Shengjian Zhang

Immunoglobulin G4-related disease (IgG4-RD) is a rare immune-mediated fibro-inflammatory condition that can affect nearly any organ, with breast involvement (IgG4-related sclerosing mastitis, IgG4-RM) being exceptionally uncommon. This disease primarily affects middle-aged to elderly women and is frequently misdiagnosed as malignancy due to non-specific clinical and imaging features. We report a case of a 44-year-old woman with a painless right breast mass showing hypoechoic ultrasound findings and magnetic resonance imaging (MRI) characteristics, including a high ADC value and homogeneous enhancement with a persistent time-intensity curve (TIC). Histopathology confirmed IgG4-RM, with no recurrence after 12 months. A review of 24 published lectures highlights the diagnostic challenges and imaging variability of IgG4-RM.

免疫球蛋白g4相关疾病(IgG4-RD)是一种罕见的免疫介导的纤维炎症性疾病,几乎可以影响任何器官,其中乳房受累(igg4相关硬化性乳腺炎,IgG4-RM)尤为罕见。这种疾病主要影响中老年妇女,由于非特异性临床和影像学特征,经常被误诊为恶性肿瘤。我们报告一例44岁女性右侧乳房无痛肿块,超声低回声表现和磁共振成像(MRI)特征,包括高ADC值和均匀增强,持续时间-强度曲线(TIC)。组织病理学证实为IgG4-RM, 12个月后无复发。回顾了24篇已发表的讲座,强调了IgG4-RM的诊断挑战和成像变异性。
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引用次数: 0
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Immunologic Research
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