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Quercetin improves macrophage immune regulatory functions to alleviate airway Th2 polarization 槲皮素改善巨噬细胞免疫调节功能,缓解气道Th2极化
IF 3.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-10-01 Epub Date: 2025-04-30 DOI: 10.1016/j.imlet.2025.107030
Yixuan Dong , Le Liu , Xiwen Zhang , Haoyue Zheng , Yu Liu , Aizhi Zhang , Lingzhi Xu , Yuanyi Zhang , Gui Yang , Pingchang Yang

Background

Th2 polarization is a central driver of allergic airway inflammation, yet the epigenetic mechanisms underlying its dysregulation remain poorly defined. Quercetin is a bioactive flavonoid with immunomodulatory properties. This study investigates whether quercetin alleviates Th2-driven pathology in allergic airway inflammation by targeting IL-10 promoter hypermethylation in airway M2 macrophages.

Methods

Using a murine model of house dust mite (Derf2)-induced allergic airway inflammation, we isolated airway M2 macrophages via flow cytometry and assessed their immunosuppressive capacity using CFSE-based T cell proliferation assays. Epigenetic regulation of Il10 was analyzed by bisulfite sequencing and chromatin immunoprecipitation. Quercetin (intranasal) was administered daily for 7 days.

Results

Allergic mice exhibited impaired M2 cell-mediated T cell suppression (proliferation index: 85% vs. 34% in controls, P < 0.01) and IL-10 deficiency in bronchoalveolar lavage fluid (8.5 pg/ml vs. 28.2 pg/ml, P <0.001). Il10 promoter hypermethylation (72% vs. 35% methylation at CpG sites -200 to +100) and reduced KDM5A recruitment were observed in M2 cells from allergic mice. Quercetin treatment reversed these epigenetic defects, restoring KDM5A binding (P < 0.05) and Il10 transcription (2.1-fold increase, P < 0.01), thereby reducing Th2 cytokines and airway hyperresponsiveness.

Conclusions

Our findings identify KDM5A-mediated Il10 promoter demethylation as a critical mechanism for M2 cell immunoregulation in allergic airway inflammation. Quercetin alleviates Th2-driven pathology by restoring Il10 expression via epigenetic reprogramming of M2 macrophages. This study advances the understanding of natural compounds in targeting epigenetic checkpoints and provides a rationale for quercetin-based therapies in allergic diseases.
th2极化是过敏性气道炎症的主要驱动因素,但其失调的表观遗传机制仍不明确。槲皮素是一种具有免疫调节作用的生物活性类黄酮。本研究探讨槲皮素是否通过靶向气道M2巨噬细胞中IL-10启动子高甲基化来缓解th2驱动的气道炎症病理。方法采用室内尘螨(Derf2)致过敏性气道炎症小鼠模型,通过流式细胞术分离气道M2巨噬细胞,并采用基于cfse的T细胞增殖试验评估其免疫抑制能力。通过亚硫酸盐测序和染色质免疫沉淀分析Il10的表观遗传调控。槲皮素(鼻内)每日给药,连续7天。结果过敏小鼠M2细胞介导的T细胞抑制功能受损(增殖指数:85%,对照组34%;支气管肺泡灌洗液中IL-10缺乏(8.5 pg/ml vs. 28.2 pg/ml, P <0.001)。在过敏小鼠的M2细胞中观察到Il10启动子超甲基化(在CpG位点-200至+100处甲基化72%对35%)和KDM5A募集减少。槲皮素处理逆转了这些表观遗传缺陷,恢复了KDM5A的结合(P <;0.05)和Il10转录(增加2.1倍,P <;0.01),从而降低Th2细胞因子和气道高反应性。结论kdm5a介导的Il10启动子去甲基化是变应性气道炎症中M2细胞免疫调节的关键机制。槲皮素通过M2巨噬细胞的表观遗传重编程恢复Il10的表达,从而减轻th2驱动的病理。这项研究促进了对天然化合物靶向表观遗传检查点的理解,并为基于槲皮素的过敏性疾病治疗提供了理论依据。
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引用次数: 0
The immune-reinforcements of Lenvatinib plus anti-PD-1 and their rationale to unite with TACE for unresectable hepatocellular carcinoma treatment Lenvatinib联合抗pd -1的免疫增强作用及其与TACE联合治疗不可切除肝细胞癌的原理
IF 3.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-10-01 Epub Date: 2025-04-04 DOI: 10.1016/j.imlet.2025.107003
Jiayun Jiang , Hui Zhang , Yanjiao Ou , Jiejuan Lai , Yulan Huang , Wenyun Cai , Chong Li , Leida Zhang , Yu Fu

Background

Despite encouraging clinical benefits have gained by anti-PD-1 and Lenvatinib combination, in-depth characterizations about the mechanisms of action remain poorly characterized. Furthermore, although the combination of systemic anti-PD-1 or Lenvatinib treatment and locoregional transcatheter arterial chemoembolization (TACE) is widely carried out to treat unresectable HCC in clinical, the efficacies of different combination regimens are uncertain due to limited researches.

Methods

We firstly generated murine HCC models to validate the enhanced anti-tumor effects of anti-PD-1 and Lenvatinib combination therapy. Then single cell mass cytometry (CyTOF) was employed to phenotypically reveal their mechanisms of action. After that, we further compared the effectiveness of TACE plus Lenvatinib (i.e., TACE-Len) dual therapy with TACE, Lenvatinib plus anti-PD-1 (i.e., TACE-Len-PD-1) triple therapy as conversion therapy for unresectable HCC.

Results

Lenvatinib and anti-PD-1 combination could generate activated immune profiles not only by increasing systemic CD4+, CD8+ T cells and B cells proportions, but also by weakening the immune-tolerance functions derived from both immunosuppressive cells (i.e., MDSCs) and co-inhibitory mediators (i.e., PD-L1 and LAG-3). Meanwhile, our study also suggested that TACE-Len-PD-1 triple therapy could achieve better clinical responses with powerful immune profiles for unresectable HCC compared to TACE-Len dual therapy.

Conclusions

Our study provided a delicate immune landscape of anti-PD-1and Lenvatinib combination, and we also offered scientific evidences that TACE-Len-PD-1 triple therapy could fulfill better clinical benefits than TACE-Len dual therapy, which is anticipated to provide objective and effective evidences for clinical use.
背景:尽管抗-PD-1和仑伐替尼联合治疗取得了令人鼓舞的临床疗效,但对其作用机制的深入研究仍然很少。此外,尽管临床上广泛采用全身抗PD-1或伦伐替尼治疗与局部经导管动脉化疗栓塞(TACE)联合治疗不可切除的HCC,但由于研究有限,不同联合方案的疗效并不确定:我们首先制作了小鼠HCC模型,以验证抗PD-1和仑伐替尼联合治疗的抗肿瘤效果。方法:我们首先制作了小鼠 HCC 模型,验证了抗 PD-1 和仑伐替尼联合疗法的增强抗肿瘤效果,然后利用单细胞质量细胞计数法(CyTOF)从表型上揭示了它们的作用机制。之后,我们进一步比较了TACE加仑伐替尼(即TACE-Len)双联疗法与TACE、仑伐替尼加抗PD-1(即TACE-Len-PD-1)三联疗法作为不可切除HCC转换疗法的有效性:结果:伦伐替尼和抗PD-1联合疗法不仅能提高全身CD4+、CD8+ T细胞和B细胞的比例,还能削弱由免疫抑制细胞(即MDSCs)和协同抑制介质(即PD-L1和LAG-3)产生的免疫耐受功能,从而产生活化的免疫图谱。同时,我们的研究还表明,与TACE-Len双疗法相比,TACE-Len-PD-1三联疗法能以强大的免疫特征对不可切除的HCC产生更好的临床反应:结论:我们的研究提供了抗PD-1和仑伐替尼联合治疗的微妙免疫图谱,并提供了TACE-仑-PD-1三联疗法比TACE-仑双联疗法能获得更好临床疗效的科学证据,有望为临床应用提供客观有效的证据。
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引用次数: 0
BENTA disease or CARD11 gain-of-function? A novel variant with atypical features and a literature review BENTA病还是CARD11功能丧失?一种具有非典型特征的新变异及文献综述。
IF 3.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-10-01 Epub Date: 2025-03-27 DOI: 10.1016/j.imlet.2025.107005
Letizia Baldini , Bärbel Keller , Lisa Dewitte , Chiara Passarelli , Monia Ginevrino , Diana Carli , Davide Montin , Xavier Bossuyt , Klaus Warnatz , Francesco Licciardi

Introduction

The CARD11 (Caspase Recruitment Domain Family Member 11) gene encodes a scaffold protein critical for NF-κB signaling, regulating B-cell differentiation and T-cell effector functions. Gain-of-function (GOF) mutations in CARD11 cause BENTA disease (B cell Expansion with NF-κB and T cell Anergy), an autosomal dominant disorder typically presenting with early-onset polyclonal B-cell lymphocytosis, splenomegaly, lymphadenopathy, and recurrent infections.

Methods

We describe three related patients harboring a novel CARD11-GOF mutation (D357E), presenting with a BENTA phenotype with atypical features, including high IgM levels and a normal B-cell count, with life-threatening HLH in one case. Additionally, we conducted a systematic literature review using PubMed and EMBASE to identify previously reported cases of CARD11 GOF mutations.

Results

In vitro functional analysis demonstrated that the D357E variant activates the NF-κB signaling pathway in primary lymphocytes and in HEK293T cells transfected with mutant CARD11. Our literature review identified 13 studies describing 29 patients. Notably, HLH emerged as a common complication of CARD11 GOF mutations (18.8 %), while B-lymphocytosis –though frequent– was not universally present.

Conclusion

We identified a novel pathogenic CARD11 variant and described its atypical phenotype, further expanding the clinical spectrum of CARD11 GOF disorders. These findings underscore the need for increased awareness of HLH risk in patients with CARD11 GOF mutations.
简介:CARD11 (Caspase募集结构域家族成员11)基因编码NF-κB信号传导的关键支架蛋白,调控b细胞分化和t细胞效应功能。CARD11的功能获得性(GOF)突变导致BENTA病(B细胞扩增伴NF-κB和T细胞能量),这是一种常染色体显性遗传病,典型表现为早发性多克隆B细胞增多症、脾肿大、淋巴结病和复发性感染。方法:我们描述了三名携带新型CARD11-GOF突变(D357E)的相关患者,其表现为具有非典型特征的BENTA表型,包括高IgM水平和正常b细胞计数,其中一例伴有危及生命的HLH。此外,我们使用PubMed和EMBASE进行了系统的文献综述,以确定先前报道的CARD11 GOF突变病例。结果:体外功能分析表明,D357E变体激活原代淋巴细胞和转染突变体CARD11的HEK293T细胞的NF-κB信号通路。我们的文献综述确定了13项研究,描述了29例患者。值得注意的是,HLH是CARD11 GOF突变的常见并发症(18.8%),而b淋巴细胞增多症虽然很常见,但并非普遍存在。结论:我们发现了一种新的致病CARD11变异,并描述了其非典型表型,进一步扩大了CARD11 GOF疾病的临床谱。这些发现强调需要提高对CARD11 GOF突变患者HLH风险的认识。
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引用次数: 0
CD4+ T-cell help delivery to monocyte-derived dendritic cells promotes effector differentiation of helper and cytotoxic T cells CD4+ T 细胞对单核细胞衍生树突状细胞的帮助传递可促进辅助性和细胞毒性 T 细胞的效应分化
IF 3.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-10-01 Epub Date: 2025-04-14 DOI: 10.1016/j.imlet.2025.107022
Douwe M. T. Bosma , Julia Busselaar , Mo D. Staal , Elselien Frijlink , Matthias Mack , Fiamma Salerno , Jannie Borst
Delivery of CD4+ T-cell help optimizes CD8+ T-cell effector and memory responses via CD40-mediated licensing of conventional dendritic cells (DCs). Using comparative vaccination settings that prime CD8+ T cells in presence or absence of CD4+ T-cell help, we observed that CD4+ T-cell activation promoted influx of monocytes into the vaccine-draining lymph nodes (dLNs), where they differentiated into monocyte-derived (Mo)DCs, as defined by the most recent standards. Abrogation of these responses by CCR2-targeted depletion indicated that monocyte-derived cells in the dLN promoted T-helper 1 (Th1) type effector differentiation of CD4+ T cells, as well as effector differentiation of CD8+ T cells. Monocyte-derived cells in dLNs upregulated CD40, CD80 and PD-L1 as a result of CD4+ T-cell help. The response of monocyte-derived cells to CD4+ T-cell help was independent of natural killer (NK) cells and proceeded via CD40 ligand (L)-CD40 interactions and IFNγ signaling. Our data argue for a scenario wherein activated CD4+ T cells in dLNs crosstalk via CD40L and IFNγ signals to monocytes, promoting their local differentiation into MoDCs. This event enhances formation of CD4+ Th1 and CD8+ cytotoxic effector T cell pool, most likely by virtue of their improved costimulatory status and cytokine production.
CD4+ t细胞的递送有助于通过cd40介导的传统树突状细胞(dc)的许可来优化CD8+ t细胞效应和记忆反应。通过比较接种设置,在有或没有CD4+ T细胞帮助的情况下启动CD8+ T细胞,我们观察到CD4+ T细胞激活促进单核细胞流入疫苗引流淋巴结(dln),在那里它们分化为单核细胞衍生(Mo) dc,根据最新标准定义。通过ccr2靶向消耗来消除这些反应表明,dLN中的单核细胞来源细胞促进了CD4+ T细胞的T辅助1 (Th1)型效应分化,以及CD8+ T细胞的效应分化。dLNs中的单核细胞来源细胞在CD4+ t细胞的帮助下上调CD40、CD80和PD-L1。单核细胞来源细胞对CD4+ t细胞帮助的反应独立于自然杀伤细胞(NK),并通过CD40配体(L)-CD40相互作用和IFNγ信号传导进行。我们的数据表明,dln中活化的CD4+ T细胞通过CD40L和IFNγ信号串扰单核细胞,促进其局部分化为modc。这一事件增强了CD4+ Th1和CD8+细胞毒性效应T细胞池的形成,很可能是由于它们改善了共刺激状态和细胞因子的产生。
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引用次数: 0
Unveiling the hidden syndrome: The enigma of anti-transcobalamin receptor autoantibodies 揭开隐藏的综合症:抗转钴胺素受体自身抗体之谜
IF 3.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-10-01 Epub Date: 2025-04-23 DOI: 10.1016/j.imlet.2025.107028
Kazuki M. Matsuda, Hirohito Kotani, Shinichi Sato, Ayumi Yoshizaki
The transcobalamin receptor (CD320) functions as a critical mediator for vitamin B12 uptake in cells, with emerging evidence linking autoantibodies against CD320 to various autoimmune conditions. Pluvinage et al.'s recent study identified anti-CD320 autoantibodies as a cause of autoimmune vitamin B12 central deficiency, specifically affecting the central nervous system while sparing peripheral nerves. Their findings align with our previous work showing anti-CD320′s role in cutaneous arteritis. Both studies identified overlapping CD320 epitopes targeted by autoantibodies and demonstrated the therapeutic efficacy of high-dose vitamin B12 supplementation in mitigating symptoms. Expanding on these findings, we observed anti-CD320 autoantibodies in other inflammatory disorders such as systemic sclerosis, suggesting a broader clinical relevance. The work by Pluvinage et al. and our group supports the concept of an "anti-CD320-associated syndrome," with high-dose B12 supplementation as a promising treatment strategy. Further research is needed to fully elucidate the tissue-specific mechanisms and pathophysiology underlying these autoimmune conditions.
转钴胺素受体(CD320)在细胞中作为维生素B12摄取的关键介质起作用,新的证据表明针对CD320的自身抗体与各种自身免疫性疾病有关。Pluvinage等人最近的研究发现,抗cd320自身抗体是自身免疫性维生素B12中枢缺乏症的一个原因,特别是影响中枢神经系统而不影响周围神经。他们的发现与我们之前的研究一致,表明抗cd320在皮肤动脉炎中的作用。两项研究都发现了重叠的CD320表位,这些表位被自身抗体靶向,并证明了高剂量维生素B12补充在缓解症状方面的治疗效果。在这些发现的基础上,我们在其他炎症性疾病(如系统性硬化症)中观察到抗cd320自身抗体,这表明其具有更广泛的临床相关性。Pluvinage等人和我们小组的工作支持“抗cd320相关综合征”的概念,将大剂量补充B12作为一种有希望的治疗策略。需要进一步的研究来充分阐明这些自身免疫性疾病的组织特异性机制和病理生理学。
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引用次数: 0
Platelet-derived microvesicles modulate cytokine and lipid mediator profiles in THP-1 monocytes and macrophages 血小板来源的微泡调节THP-1单核细胞和巨噬细胞的细胞因子和脂质介质谱
IF 3.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-10-01 Epub Date: 2025-04-28 DOI: 10.1016/j.imlet.2025.107029
Robert D. Foulem , Maroua Mbarik , Jérémie A. Doiron , Marie-France N. Soucy , Dayana Toro-Ramirez , Florient Pecourt , David A. Barnett , Luc H. Boudreau , Marc E. Surette
Monocytes are circulating immune cells that migrate to inflamed tissues and differentiate into macrophages, where they play a dual role in regulating pro-inflammatory and pro-resolving responses through cytokine and lipid mediator secretion. Platelet-derived microvesicles (PMVs), released during platelet activation, infiltrate inflamed areas and interact with monocytes and macrophages, facilitating the transfer of bioactive contents. While these interactions have been observed, their functional consequences on monocyte/macrophage inflammatory profiles remain poorly understood. In this study, PMVs are shown to be internalized by human THP-1 monocytes. The interaction with THP-1 cells occurs rapidly, with 60 % of cells interacting with PMVs within one hour. When cells are differentiated to M0 and M1 macrophages, interactions with PMVs only peak after 24 h. Interaction of cells with PMVs resulted in an increased capacity to synthesize cyclooxygenase- and lipoxygenase-derived lipid mediators of inflammation, especially in M1 cells. Cytokine production was also influenced in a cell-state-dependent manner. PMVs had no impact on undifferentiated THP-1 cells but enhanced the production of several cytokines in M0 cells as well as IL-23 and IL-6 in M1 macrophages. When stimulated with lipopolysaccharides, PMV-treated M0 macrophages demonstrated elevated production of the anti-inflammatory cytokine IL-10, while M1 macrophages exhibited increased secretion of IL-1β, MCP-1, and IL-6, highlighting an effect on pro-inflammatory cytokine production. These findings reveal that PMVs selectively modulate the inflammatory cytokine and lipid mediator profiles of monocytes and macrophages depending on their differentiation state. This study underscores the role of PMVs as key players in intercellular communication and immune regulation, particularly in the context of inflammation.
单核细胞是一种循环免疫细胞,它迁移到炎症组织并分化为巨噬细胞,在巨噬细胞中,它们通过细胞因子和脂质介质的分泌,在调节促炎和促溶反应中发挥双重作用。血小板源性微泡(platelet derived microvesicles, PMVs)在血小板活化过程中释放,浸润炎症区域并与单核细胞和巨噬细胞相互作用,促进生物活性物质的转移。虽然已经观察到这些相互作用,但它们对单核细胞/巨噬细胞炎症谱的功能影响仍然知之甚少。在这项研究中,pmv被人类THP-1单核细胞内化。与THP-1细胞的相互作用发生迅速,60%的细胞在1小时内与pmv相互作用。当细胞分化为M0和M1巨噬细胞时,与PMVs的相互作用仅在24小时后达到峰值。细胞与PMVs的相互作用导致合成环加氧酶和脂加氧酶衍生的炎症脂质介质的能力增加,尤其是在M1细胞中。细胞因子的产生也以细胞状态依赖的方式受到影响。PMVs对未分化的THP-1细胞没有影响,但增强了M0细胞中几种细胞因子的产生以及M1巨噬细胞中IL-23和IL-6的产生。当受到脂多糖刺激时,pmv处理的M0巨噬细胞显示出抗炎细胞因子IL-10的产生增加,而M1巨噬细胞显示出IL-1β, MCP-1和IL-6的分泌增加,突出了促炎细胞因子的产生。这些发现表明,pmv选择性地调节单核细胞和巨噬细胞的炎症细胞因子和脂质介质谱,这取决于它们的分化状态。这项研究强调了pmv在细胞间通讯和免疫调节中的关键作用,特别是在炎症的背景下。
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引用次数: 0
A novel MF59 and CpG1018 adjuvant combination enhances the humoral and cellular immune responses against a truncated varicella-zoster viral glycoprotein E 一种新的MF59和CpG1018佐剂组合增强了对截断水痘-带状疱疹病毒糖蛋白E的体液和细胞免疫反应
IF 3.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-10-01 Epub Date: 2025-04-14 DOI: 10.1016/j.imlet.2025.107025
Jing Yang , Xue Hu , Xiguang Chen , Wanzhen Li , Quanyi Yin , Yelin Xiong , Youcai An , Haiyan Li , Zhilei Liu
Vaccination is the only effective strategy for preventing herpes zoster (HZ), a disease caused by reactivation of the varicella-zoster virus (VZV). Cell-mediated immunity (CMI) plays a pivotal role in controlling VZV reactivation and is a critical factor in the efficacy of the HZ vaccine. This research introduced the preliminary utilization of truncated glycoprotein E (tgE) as the antigen in the formulation of an innovative recombinant HZ vaccine and explored the combination of tgE with several adjuvants to assess their effectiveness in eliciting robust humoral and CMI responses in C57BL/6 mice, followed by the immunogenicity validation of the optimal vaccine formulation in Sprague-Dawley (SD) rats and cynomolgus monkeys. The results demonstrated that the combination of tgE with MF59 and CpG1018, designated as tgE/MF59+CpG1018, elicited significantly stronger gE-specific humoral and cellular immune responses in C57BL/6 mice compared to any single adjuvant or other adjuvant combinations. The optimal dosages for MF59 and CpG1018 were determined to be 0.025 ml and 10 μg, respectively, for each 0.05 ml of the vaccine formulation. Notably, the increasing in the dosage of the adjuvant does not inherently correlate with a more pronounced immune response. Furthermore, the tgE/MF59+CpG1018 also elicited robust humoral and CMI responses in both SD rats and cynomolgus monkeys. These findings established the novel tgE/MF59+CpG1018 vaccine as a highly promising prophylactic candidate against HZ.
接种疫苗是预防带状疱疹(HZ)的唯一有效策略,带状疱疹是一种由水痘-带状疱疹病毒(VZV)再活化引起的疾病。细胞介导免疫(CMI)在控制 VZV 再活化中起着关键作用,也是影响 HZ 疫苗疗效的关键因素。这项研究介绍了截短糖蛋白E(tgE)作为创新重组HZ疫苗配方抗原的初步应用,并探索了tgE与几种佐剂的组合,以评估它们在C57BL/6小鼠中激发强大的体液和细胞介导免疫应答的有效性,随后在Sprague-Dawley(SD)大鼠和金丝猴中对最佳疫苗配方进行了免疫原性验证。结果表明,与任何单一佐剂或其他佐剂组合相比,tgE 与 MF59 和 CpG1018 的组合(称为 tgE/MF59+CpG1018)在 C57BL/6 小鼠中引起的 gE 特异性体液和细胞免疫反应明显更强。MF59和CpG1018的最佳剂量分别为每0.05毫升疫苗制剂0.025毫升和10微克。值得注意的是,佐剂剂量的增加与更明显的免疫反应并无必然联系。此外,tgE/MF59+CpG1018 还能在 SD 大鼠和金丝猴中引起强烈的体液和 CMI 反应。这些研究结果证明,新型 tgE/MF59+CpG1018 疫苗是一种非常有前途的 HZ 预防候选疫苗。
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引用次数: 0
Characteristics and specific differential gene analysis of the TCR immune repertoire in secondary adult HLH lymphocytes 成人继发性HLH淋巴细胞TCR免疫库特征及特异性差异基因分析
IF 3.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-10-01 Epub Date: 2025-04-12 DOI: 10.1016/j.imlet.2025.107023
Yongsheng Chen , Wenrui Xiao , Shiyi Yuan , Cong Wang , Meizhen Shi , Dan Yu , Ying Zhang , Shifeng Lou

Background

Hemophagocytic lymphohistiocytosis (HLH) is a severe, life-threatening, and hyperinflammatory disorder characterized by excessive immune activation and systemic immune dysregulation. Despite advancements in diagnosis, the underlying alterations in the immune repertoire in HLH remain poorly understood. This study aimed to characterize remodeling in the T cell receptor (TCR) immune repertoire in patients with HLH, focusing on V(D)J gene usage, complementarity-determining region 3 (CDR3) diversity, and clonotypic distribution, to better understand the immunological basis of the disease.

Methods

Thirty individuals were enrolled, including 16 untreated patients with HLH(U group), 4 patients with HLH undergoing post-induction therapy (T group), and 10 healthy controls (Hc group). Peripheral blood TCRβ sequencing was performed to analyze V(D)J gene usage, CDR3 length distribution, and repertoire diversity. The relative diversity index (RDI) and hierarchical clustering of V-J pairing frequencies were applied to evaluate immune repertoire alterations. Statistical analyses included one-way ANOVA and Wilcoxon rank-sum tests to assess group differences, with a significance threshold of P < 0.05.

Results

Compared to healthy individuals, patients with HLH exhibited significant alterations in TCR diversity, including increased CDR3 length variability and shifts in V(D)J gene usage (P < 0.05). In particular, TRBV5–1 and TRBJ2–7 expression was observed in patients with HLH. The V-J pairing analysis demonstrated that HLH samples clustered distinctly from healthy controls, suggesting immune dysregulation. RDI analysis revealed a significantly higher diversity in the M-HLH group than in the non-M-HLH group (P < 0.05), indicating higher clonal expansion in the malignant subgroup. Following induction therapy, TCR diversity showed partial recovery (P < 0.05);however, the immune repertoire remained distinct from that of healthy individuals (P < 0.05).

Conclusions

HLH is associated with profound immune repertoire remodeling, particularly in V-J gene pairing and CDR3 diversity. The RDI values and significant differences in gene pairing suggest antigen-driven clonal expansion in patients with HLH. Immune repertoire profiling may act as an effective biomarker for HLH classification and disease monitoring. Further studies with larger cohorts and longitudinal data are required to validate these findings and explore their clinical application in HLH.
噬血细胞性淋巴组织细胞增多症(HLH)是一种严重的、危及生命的、以过度免疫激活和全身免疫失调为特征的高炎症性疾病。尽管在诊断方面取得了进展,但对HLH免疫库的潜在改变仍然知之甚少。本研究旨在表征HLH患者T细胞受体(TCR)免疫库的重塑,重点关注V(D)J基因使用、互补决定区3 (CDR3)多样性和克隆型分布,以更好地了解该疾病的免疫学基础。方法30例患者,其中未经治疗的HLH患者16例(U组),诱导后治疗的HLH患者4例(T组),健康对照10例(Hc组)。外周血TCRβ测序分析V(D)J基因使用、CDR3长度分布和库多样性。应用相对多样性指数(RDI)和V-J配对频率的分层聚类来评估免疫库的变化。统计分析采用单因素方差分析和Wilcoxon秩和检验来评估组间差异,显著性阈值为P <;0.05.结果与健康个体相比,HLH患者的TCR多样性发生了显著变化,包括CDR3长度变异性增加和V(D)J基因使用的变化(P <;0.05)。特别是在HLH患者中观察到TRBV5-1和TRBJ2-7的表达。V-J配对分析表明,HLH样本与健康对照明显聚集,提示免疫失调。RDI分析显示,M-HLH组的多样性显著高于非M-HLH组(P <;0.05),表明恶性亚群的克隆扩增程度较高。诱导治疗后,TCR多样性部分恢复(P <;然而,免疫库与健康个体仍然不同(P <;0.05)。结论shlh与免疫库重构密切相关,特别是在V-J基因配对和CDR3多样性方面。RDI值和基因配对的显著差异提示抗原驱动的HLH患者克隆扩增。免疫库谱分析可以作为HLH分类和疾病监测的有效生物标志物。进一步的研究需要更大的队列和纵向数据来验证这些发现,并探索其在HLH中的临床应用。
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引用次数: 0
Remdesivir alleviates joint damage in collagen-induced arthritis and inhibits inflammatory cell death of RA synovial fibroblasts 瑞德西韦减轻胶原诱导关节炎的关节损伤,抑制RA滑膜成纤维细胞的炎症细胞死亡。
IF 3.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-10-01 Epub Date: 2025-04-05 DOI: 10.1016/j.imlet.2025.107009
A Ram Lee , Hong Ki Min , Seon-Yeong Lee , Su Been Jeon , Chae Rim Lee , Tae Ho Kim , Jin Hyung Park , Mi- La Cho

Background

The antiviral agent, remdesivir, is adenosine analogue which is currently also used as anti-coronavirus disease 2019. Remdesivir also had anti-inflammatory effect which reduced pro-inflammatory cytokine production, and inhibition of the cyclic GMP-AMP synthase–STING pathway.

Methods

We evaluated the antiarthritic effects of remdesivir in a mouse model of High-fat diet (HFD) collagen-induced arthritis (CIA) and in fibroblast-like synoviocytes from patients with RA. Type II collagen was administered to DBA/1J mice to induce CIA. Vehicle or remdesivir was injected subcutaneously three times a week. During 7 weeks of treatment, the arthritis score and incidence were evaluated twice a week. Flow cytometry and confocal imaging were used to evaluate CD4 + T cells in the spleen. FLSs from patients with RA were stimulated in vitro with remdesivir and tumor necrosis factor (TNF)-α, and western blotting was used to measure the expression of STING and necroptosis-related markers.

Results

Remdesivir administration suppressed the incidence and progression of arthritis in mice with CIA. Histological analysis revealed lower inflammation and cartilage damage scores in remdesivir-treated than in vehicle groups. Interleukin (IL)-17 + CD4 + T-cell differentiation was inhibited in the remdesivir-treated group. Furthermore, IL-17/-6/-1β, monocyte chemoattractant protein -1, and TNF-α expression was reduced in the remdesivir group. In vitro, remdesivir suppressed the expression of STING, nuclear factor-κB, RIPK3, and phosphorylated MLKL in RA–FLSs under TNF-α stimulation.

Conclusions

The antiviral agent remdesivir suppressed arthritis by regulating Th cell differentiation, pro-inflammatory cytokine expression, the STING pathway, and necroptosis.
背景:瑞德西韦是一种腺苷类似物,目前也用于抗冠状病毒2019。瑞德西韦还具有抗炎作用,可减少促炎细胞因子的产生,抑制环GMP-AMP合成酶- sting途径。方法:我们在高脂饮食(HFD)胶原诱导关节炎(CIA)小鼠模型和RA患者成纤维细胞样滑膜细胞中评估瑞德西韦的抗关节炎作用。给DBA/1J小鼠注射II型胶原诱导CIA。每周皮下注射三次载药或瑞德西韦。在7周的治疗期间,每周2次评估关节炎评分和发病率。流式细胞术和共聚焦成像检测脾脏CD4 + T细胞。用瑞德西韦和肿瘤坏死因子(TNF)-α体外刺激RA患者的FLSs,并采用western blotting检测STING和坏死相关标志物的表达。结果:瑞德西韦可抑制CIA小鼠关节炎的发生和进展。组织学分析显示,瑞德西韦治疗组的炎症和软骨损伤评分低于对照组。白介素(IL)-17 + CD4 + t细胞分化在瑞德西韦治疗组受到抑制。此外,瑞德西韦组IL-17/-6/-1β、单核细胞趋化蛋白-1和TNF-α的表达降低。在体外,瑞德西韦抑制TNF-α刺激下ra - fls中STING、核因子-κB、RIPK3和磷酸化MLKL的表达。结论:抗病毒药物瑞德西韦通过调节Th细胞分化、促炎细胞因子表达、STING通路和坏死下垂抑制关节炎。
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引用次数: 0
Double positive IL-17A+IFN-γ+CCR6+ ILCs contribute towards the immunopathology of lepromatous leprosy 双阳性IL-17A+IFN-γ+CCR6+ ilc参与麻风性麻风的免疫病理。
IF 3.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-10-01 Epub Date: 2025-04-04 DOI: 10.1016/j.imlet.2025.107012
Chaman Saini , Leena Sapra , V. Ramesh , Poonam Puri , Rupesh K. Srivastava
Leprosy is a skin disease caused by Mycobacterium leprae, characterized by both localized and generalized immune responses. Th1/17 lymphocytes play a crucial role in the immune response against M. leprae. However, adaptive immunity alone is not sufficient to completely eradicate the pathogen, suggesting the involvement of other innate immune cells in pathogen removal. Therefore, we investigated innate lymphoid cells (ILCs), which are the innate counterparts of helper T cells in adaptive immunity and are known to produce IFN-γ and IL-17. In the present study, we evaluated the expression of ILC1 and ILC3 in borderline tuberculoid (BT) and lepromatous leprosy (LL) lesional skin by flow cytometry and real time PCR. Further, the expression of various in-situ genes, including cytokines, chemokines, cytokine receptors chemokine receptors, and transcription factors by qPCR in skin lesions of leprosy patients were analyzed. The phenotypes of ILC1 and ILC3 cells were determined as CD3negCCR6+CD19negIFN-γ+ and CD3negCCR6+CD19negIL-17A+, respectively, by flow-cytometry analysis. BT skin lesions represents high CCR6+expression on total ILCs as compared to LL patients. Our results clearly indicate that ILC1 and ILC3 were highly expressed in skin lesions of BT as compared to LL leprosy patients. Moreover, we observed that double positive (DP) CD3negCCR6+CD19negIFN-γ+IL-17A+ ILCs were up-regulated in LL and showed a pathogenic role. The gene expression of IL-17A and IFN-γ were found to be significantly positively correlated with the percentage of CCR6+ ILCs. On the other hand, CCR6neg ILCs were negatively correlated with ILC1 and ILC3 associated markers. Summarily our results clearly suggest that both ILC1 and ILC3 are important and immune-protective, on the contrary DP (IFN-γ+IL-17A+) ILCs may promote progression and immunopathology of leprosy.
麻风病是由麻风分枝杆菌引起的一种皮肤病,其特点是局部和全身免疫反应。Th1/17淋巴细胞在麻风分枝杆菌的免疫应答中起关键作用。然而,适应性免疫本身不足以完全根除病原体,这表明其他先天免疫细胞也参与了病原体的清除。因此,我们研究了先天淋巴样细胞(ILCs),它是适应性免疫中辅助性T细胞的先天对应物,已知可以产生IFN-γ和IL-17。在本研究中,我们采用流式细胞术和实时PCR检测了ILC1和ILC3在交界性结核菌(BT)和麻风性麻风(LL)病变皮肤中的表达。通过qPCR分析麻风患者皮损中细胞因子、趋化因子、细胞因子受体、趋化因子受体、转录因子等多种原位基因的表达情况。流式细胞术检测ILC1和ILC3细胞的表型分别为CD3negCCR6+CD19negIFN-γ+和CD3negCCR6+CD19negIL-17A+。与LL患者相比,BT皮肤病变的总ILCs中CCR6+表达较高。我们的研究结果清楚地表明,ILC1和ILC3在BT患者的皮肤病变中比LL麻风患者高表达。此外,我们观察到双阳性(DP) CD3negCCR6+CD19negIFN-γ+IL-17A+ ILCs在LL中上调,并显示出致病作用。IL-17A和IFN-γ的基因表达与CCR6+ ILCs的比例呈显著正相关。另一方面,CCR6neg ILCs与ILC1和ILC3相关标记物呈负相关。总之,我们的研究结果清楚地表明,ILC1和ILC3都是重要的和免疫保护的,相反,DP (IFN-γ+IL-17A+) ILCs可能促进麻风病的进展和免疫病理。
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引用次数: 0
期刊
Immunology letters
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