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Human B-lymphopoiesis: Clinical challenges in B cell reconstitution and advances in in vitro modeling 人B淋巴系统:B细胞重建的临床挑战和体外模型的进展。
IF 2.8 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-11-03 DOI: 10.1016/j.imlet.2025.107106
Franziska Maria Schmidt , Marta Rizzi
The B cell compartment is maintained by continuous replenishment from hematopoietic stem cells (HSCs) and multipotent progenitors, as well as from B cell precursors. B cell depletion is a common therapeutic approach, not only in the context of B cell malignancies, but also in autoimmunity. The targeted elimination of B cells can be achieved through the use of chimeric antigen receptor (CAR)-T cells or monoclonal antibodies or bispecific antibodies that target both B and NK cells or B and T cells. When B cells are depleted, repopulation from bone marrow precursors occurs within three months to one year, following ontogeny. Nevertheless, prolonged B cell aplasia is observed in some patients and is associated with a progressive reduction of serum immunoglobulins and an increased susceptibility to infections. The mechanisms underlying such defects in B cell replenishment remain to be fully elucidated and studies on human B lymphopoiesis are needed in this context. Mouse models can be helpful in studying mechanisms of B cell development and the role of multiple (B cell-specific) genes in this process; however, they do not always mirror the human developmental dynamics and signals. Hence further tools are needed to study human B lymphopoiesis defects. In this review, we summarize the reported studies and cases of prolonged B cell aplasia following B cell depletion and discuss potential underlying causes. We then provide a comprehensive overview of the various in vitro models that can be used to study the dynamic of B lymphopoiesis to dissect B cell developmental defects in humans.
B细胞室由造血干细胞(hsc)和多能祖细胞以及B细胞前体的持续补充维持。B细胞消耗是一种常见的治疗方法,不仅在B细胞恶性肿瘤的背景下,而且在自身免疫。靶向消除B细胞可以通过使用嵌合抗原受体(CAR)-T细胞或针对B和NK细胞或B和T细胞的单克隆抗体或双特异性抗体来实现。当B细胞被耗尽时,在个体发生后的三个月到一年内,骨髓前体会发生再生。然而,在一些患者中观察到延长的B细胞发育不全,并与血清免疫球蛋白的进行性降低和对感染的易感性增加有关。这种B细胞补充缺陷的机制仍有待充分阐明,在这种背景下需要对人类B淋巴生成进行研究。小鼠模型有助于研究B细胞发育机制和多个(B细胞特异性)基因在这一过程中的作用;然而,它们并不总是反映人类发展的动态和信号。因此,需要进一步的工具来研究人类B淋巴系统缺陷。在这篇综述中,我们总结了B细胞耗竭后延长B细胞发育不全的研究报告和病例,并讨论了可能的潜在原因。然后,我们提供了各种体外模型的全面概述,这些模型可用于研究B淋巴生成的动态,以解剖人类B细胞发育缺陷。
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引用次数: 0
Hydrogen therapy modulates nasal microbiota and metabolites in allergic rhinitis patients 氢疗法调节变应性鼻炎患者的鼻微生物群和代谢物
IF 2.8 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-10-25 DOI: 10.1016/j.imlet.2025.107105
Nan Wang , Xingyue Zheng , Qianzi Ma , Yanlu Che , Wanchao Yang , Zhen Liu , Jingting Wang
<div><h3>Background</h3><div>Hydrogen is known to improve allergic rhinitis. Nasal microbiota that are different from those of healthy normal subjects have been detected in the nasal cavity of patients with allergic rhinitis (AR), and the microbiota can influence the metabolic levels of both themselves and their hosts. In addition, hydrogen has been shown to affect microbiota distribution and diversity. These findings suggest that hydrogen may target the nasal microbiota and metabolites to treat AR. Therefore, further in-depth exploration of the specific mechanism of action of hydrogen in the treatment of allergic rhinitis is necessary to provide a more scientific and effective program for the treatment of this disease. In this study, 35 patients with allergic rhinitis were selected as the experimental group, namely the HI group, and 35 healthy individuals were selected as the control group, namely the HC group.</div></div><div><h3>Methods</h3><div>The serum eosinophil count (EOS), immunoglobulin E (IgE) concentration, visual analogue scale (VAS) score, total nasal symptom score (TNSS), and rhinoconjunctivitis quality of life questionnaire (RQLQ) were used before and after hydrogen inhalation in AR patients. The skin prick test (SPT) was used to determine allergen sensitization. The community composition and relative abundance of the nasal microbiota were examined before and after hydrogen inhalation and in healthy subjects via 16S rRNA gene sequencing. Liquid chromatography‒mass spectrometry (LC‒MS) was used to explore the metabolic profile.</div></div><div><h3>Results</h3><div>There were no adverse reactions during or after hydrogen inhalation in AR patients, and the safety was good, with significant improvements in the VAS, TNSS, EOS, and IgE scores (<em>P</em> < 0.05). The results of 16S rRNA gene sequencing of nasal microbiota revealed that the distribution and diversity of nasal microbiota in AR patients were significantly altered after hydrogen inhalation compared with those before hydrogen inhalation and were closer to those of normal individuals. We also found that the metabolites 19(<em>R</em>)‑hydroxy-prostaglandin E2, arachidonic acid (AA), LEP 20:2, LEP O-18:2, LEP O-22:3, LPS 18:1, and LPS 20:3 were significantly more abundant than normal in nasal secretions in AR and then significantly decreased and approached normal levels after being modulated by hydrogen. 19(<em>R</em>)-Hydroxy-prostaglandin E2 levels were positively correlated with the abundance of Devosia, Paenibacillus, and colonies in the nasal cavity. AA was significantly positively correlated with Muribaculum bacteria and negatively correlated with [Eubacterium]_ruminantium_group. LPE was positively correlated with the bacteria Paenibacillus and Muribaculum and negatively correlated with [Eubacterium]_ruminantium_group. LPS was negatively correlated with [Eubacterium]_ruminantium_group and UCG-002 and positively correlated with Devosia and Muribaculum.</div></div><div><
众所周知,氢可以改善过敏性鼻炎。在变应性鼻炎(AR)患者的鼻腔中检测到与健康正常人不同的鼻腔微生物群,其微生物群可以影响自身和宿主的代谢水平。此外,氢气已被证明会影响微生物群的分布和多样性。这些发现提示,氢气可能针对鼻腔微生物群和代谢物治疗AR。因此,进一步深入探索氢气在变应性鼻炎治疗中的具体作用机制,为变应性鼻炎的治疗提供更科学有效的方案是必要的。本研究选取35例变应性鼻炎患者作为实验组,即HI组,选取35例健康个体作为对照组,即HC组。方法采用AR患者吸氢前后血清嗜酸性粒细胞计数(EOS)、免疫球蛋白E (IgE)浓度、视觉模拟评分(VAS)评分、鼻症状总评分(TNSS)和鼻结膜炎生活质量问卷(RQLQ)进行比较。采用皮肤点刺试验(SPT)测定过敏原致敏性。采用16S rRNA基因测序法检测吸氢前后及健康人鼻腔微生物群落组成及相对丰度。采用液相色谱-质谱(LC-MS)分析代谢谱。结果AR患者吸氢期间及吸氢后均无不良反应,安全性较好,VAS、TNSS、EOS、IgE评分均有显著改善(P < 0.05)。鼻腔微生物群16S rRNA基因测序结果显示,吸入氢气后,AR患者鼻腔微生物群的分布和多样性与吸入氢气前相比有明显改变,更接近正常人。我们还发现,AR鼻分泌物代谢产物19(R)‑羟基前列腺素E2、花生四烯酸(AA)、LEP 20:2、LEP O-18:2、LEP O-22:3、LPS 18:1和LPS 20:3的含量显著高于正常水平,经氢调节后显著降低并接近正常水平。19(R)-羟前列腺素E2水平与鼻内Devosia、Paenibacillus、菌落丰度呈正相关。AA与Muribaculum菌群呈显著正相关,与[Eubacterium]_ruminantium_group呈显著负相关。LPE与Paenibacillus和Muribaculum呈正相关,与[Eubacterium]_ruminantium_group负相关。LPS与[Eubacterium]_ruminantium_group和UCG-002呈负相关,与Devosia和Muribaculum呈正相关。结论氢干预可能通过调节AR患者鼻腔微生物群的种类组成和丰度分布,显著改变鼻腔微环境中关键代谢物的水平,重塑局部免疫微生态的失衡。这一机制的发现不仅揭示了氢对AR病理过程的潜在调控途径,同时也提示,作为一种无创、安全的干预手段,有望为临床实践提供一种新型的辅助治疗策略,有助于缓解患者鼻塞、流鼻涕、鼻痒等典型症状,提高患者的生活质量,为AR的个体化、精准化治疗开辟新思路。
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引用次数: 0
High complement expression on extracellular vesicles in Covid-19 patients without pulmonary embolism leading to death. Case report 无肺栓塞死亡的Covid-19患者细胞外囊泡补体高表达病例报告。
IF 2.8 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-10-12 DOI: 10.1016/j.imlet.2025.107104
Apostolos Taxiarchis , Jovan Antovic , Olav Rooyackers , Gabriel Dumitrescu
This case report analyzes two severe COVID-19 patients without pulmonary embolism, revealing persistently elevated levels of extracellular vesicles (EVs) carrying tissue factor (TF+), complement proteins (C3a+, TCC+), and endothelial markers (CD144+, CD54+). Temporal trends in these EV subpopulations correlated with clinical deterioration, suggesting their role in endothelial injury, complement hyperactivation, and thromboinflammation. Notably, TF+EV dynamics aligned with anticoagulant treatment responses, while MPO+EVs reflected neutrophil activity without thrombotic complications. Despite differences in patient characteristics, these findings propose that patient-specific EV profiles may serve as potential indicators of disease progression, warranting targeted studies to validate their biomarker potential in severe COVID-19.
本病例报告分析了两例无肺栓塞的严重COVID-19患者,发现携带组织因子(TF+)、补体蛋白(C3a+、TCC+)和内皮标志物(CD144+、CD54+)的细胞外囊泡(ev)水平持续升高。这些EV亚群的时间趋势与临床恶化相关,表明它们在内皮损伤、补体过度激活和血栓炎症中的作用。值得注意的是,TF+EV动态与抗凝治疗反应一致,而MPO+EV反映中性粒细胞活性,无血栓并发症。尽管患者特征存在差异,但这些研究结果表明,患者特异性EV谱可能作为疾病进展的潜在指标,需要有针对性的研究来验证其在重症COVID-19中的生物标志物潜力。
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引用次数: 0
Herpesvirus entry mediator on effector memory CD8+ T cells mediates the effects of sterol ester (27:1/18:1) levels on critical sepsis 效应记忆CD8+ T细胞的疱疹病毒进入介质介导甾醇酯(27:1/18:1)水平对严重败血症的影响
IF 2.8 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-10-12 DOI: 10.1016/j.imlet.2025.107103
Junpu Cai , Haitao Li , Wenqiang Cui , Mingyu Hou , Huaiqian Bo , Ning Zhang , Yifan Wang , Jingwen Zhu , Caijun Tian

Background

Lipid metabolism is closely associated with the development of sepsis; however, the relationship between specific lipid molecules and sepsis remains unclear, as does the extent to which immune cell traits mediate the effects of lipid levels on critical sepsis.

Objective

The effects of lipids on critical sepsis were examined in this work, along with the potential mediating function of immune cell characteristics in this process, using Mendelian randomization.

Materials and Methods

A comprehensive two-sample Mendelian randomization analysis was conducted using genetic data from a genome-wide association study of 179 lipids, a large-scale genome-wide association study of 731 immune cell traits, and the latest genome-wide association study of critical sepsis. The ratios of immune cell trait indirect and mediating effects were computed using the coefficient product approach.

Results

We identified 4 lipids and 18 immune cell traits that had a negative causal relationship with critical sepsis, and 1 lipid and 13 immune cell traits that had a positive causal relationship with critical sepsis. Herpesvirus entry mediator (HVEM) on effector memory CD8+ T cells mediates the effects of sterol ester (27:1/18:1) levels on critical sepsis, accounting for 6.1% of this effect.

Conclusion

Our study confirmed the genetic causal relationship between lipids, immune cell traits, and critical sepsis, highlighting the potential mediating role of HVEM on effector memory CD8+ T cells and providing insights that may aid in the development of strategies for the prevention and treatment of critical sepsis in the clinic.
背景:脂质代谢与脓毒症的发生密切相关;然而,特异性脂质分子与脓毒症之间的关系尚不清楚,免疫细胞特性在多大程度上介导脂质水平对重症脓毒症的影响也不清楚。目的:本研究采用孟德尔随机化方法,探讨脂质对重症脓毒症的影响,以及免疫细胞特性在这一过程中的潜在介导作用。材料和方法:利用179种脂质全基因组关联研究、731种免疫细胞性状的大规模全基因组关联研究和最新的危重性脓毒症全基因组关联研究的遗传数据,进行全面的双样本孟德尔随机化分析。采用系数积法计算免疫细胞性状间接效应和中介效应的比值。结果:我们确定了4种脂质和18种免疫细胞特征与临界败血症具有负相关的因果关系,1种脂质和13种免疫细胞特征与临界败血症具有正相关的因果关系。效应记忆CD8+ T细胞上的疱疹病毒进入介质(HVEM)介导甾醇酯(27:1/18:1)水平对严重败血症的影响,占该效应的6.1%。结论:我们的研究证实了脂质、免疫细胞特性和重症脓毒症之间的遗传因果关系,突出了HVEM对效应记忆CD8+ T细胞的潜在介导作用,并为临床预防和治疗重症脓毒症的策略的制定提供了新的见解。
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引用次数: 0
Environmental determinants of immune tolerance in asthma and allergy 哮喘和过敏中免疫耐受的环境决定因素。
IF 2.8 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-10-10 DOI: 10.1016/j.imlet.2025.107102
Piia Karisola , Harri Alenius
Prevalence of allergic diseases has increased globally, reflecting environmental and behavioral changes. The exposome concept encompasses cumulative chemical, microbial, nutritional, psychosocial, and physical exposures across the life course, offering a unifying framework to understand how immune tolerance is shaped or disrupted. Emerging evidence highlights that early-life exposures are particularly critical. Pollutants, endocrine disruptors, microbial deprivation, dietary shifts, and psychosocial stress contribute to barrier dysfunction, dysbiosis, and immune dysregulation, favoring Th2 dominance and allergy development. In contrast, exposures that enhance biodiversity, microbial diversity, pollution-free air, and balanced nutrition support active tolerance development, especially via regulatory T cells. Mechanistic insights point to the barrier–microbiota–immune axis as central pathways linking the environment to allergic outcomes. Translational studies, including biodiversity enrichment interventions, maternal and infant dietary strategies, and microbiome-based therapies, illustrate the potential of exposome-informed approaches to allergy prevention. However, major challenges remain in measuring complex exposure mixtures, identifying causal pathways, and integrating exposome data with systems immunology. This review synthesizes current knowledge on how the exposome modulates immune tolerance and outlines future research directions toward precision prevention. A deeper understanding of these interactions is essential to address the rising global allergy burden.
过敏性疾病的患病率在全球范围内增加,反映了环境和行为的变化。暴露概念包括整个生命过程中累积的化学、微生物、营养、社会心理和物理暴露,提供了一个统一的框架来理解免疫耐受性是如何形成或破坏的。新出现的证据表明,生命早期的暴露尤为关键。污染物、内分泌干扰物、微生物剥夺、饮食变化和社会心理压力导致屏障功能障碍、生态失调和免疫失调,有利于Th2优势和过敏的发展。相比之下,增强生物多样性、微生物多样性、无污染空气和均衡营养的暴露支持主动耐受性的发展,特别是通过调节性T细胞。机制的见解指出屏障-微生物-免疫轴是连接环境和过敏结果的中心途径。转化研究,包括生物多样性富集干预、母婴饮食策略和基于微生物组的治疗,说明了暴露者知情方法预防过敏的潜力。然而,主要的挑战仍然是测量复杂的暴露混合物,确定因果途径,并将暴露数据与系统免疫学相结合。本文综述了目前有关暴露体如何调节免疫耐受的知识,并概述了未来精确预防的研究方向。更深入地了解这些相互作用对于解决日益增加的全球过敏负担至关重要。
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引用次数: 0
The essential integration of sex and gender in immunological research 性别与社会性别在免疫学研究中的重要整合。
IF 2.8 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-10-09 DOI: 10.1016/j.imlet.2025.107097
Marcus Altfeld , Camila Consiglio , Darragh Duffy , Molly Ingersoll , Cliona O'Farrelly , Tal Pecht , Tal Shay , Helena Soares
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引用次数: 0
The cancer-immunity cycle in motion: The effects of exercise on antitumor immunity 运动中的癌症-免疫周期:运动对抗肿瘤免疫的影响。
IF 2.8 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-10-07 DOI: 10.1016/j.imlet.2025.107101
Katharina Leuchte , Maike Trommer , Gitte Holmen Olofsson , Per thor Straten
Physical activity has recently emerged as a promising modulator of antitumor immunity, but the underlying mechanisms are incompletely understood. Here, we review human studies assessing the effects of exercise on the single steps of the cancer-immunity cycle. Interventions were mostly based on acute or continuous high- and moderate-intensity endurance exercise, followed by analyses of immune cell function and serum markers. There is evidence that exercise enhances tumor cell susceptibility to apoptosis and promotes dendritic cell maturation via damage-associated molecular patterns. Catecholamine-mediated NK and CD8+ T cell mobilization facilitates trafficking to tumors, further supported by vascular and metabolic changes to the tumor microenvironment. Overall, there is evidence from human studies that exercise improves immune cell effector function at different steps of the cancer-immunity cycle, thereby potentiating antitumor responses. These findings support the integration of structured exercise therapy into cancer care, possibly in combination with immunotherapeutic strategies. Further mechanistic and clinical research is warranted to optimize exercise-based interventions.
体育活动最近被认为是抗肿瘤免疫的一种有希望的调节剂,但其潜在的机制尚不完全清楚。在这里,我们回顾了评估运动对癌症免疫周期单个步骤影响的人类研究。干预措施主要基于急性或持续的高强度和中等强度耐力运动,然后分析免疫细胞功能和血清标志物。有证据表明,运动增强肿瘤细胞对凋亡的易感性,并通过损伤相关的分子模式促进树突状细胞成熟。儿茶酚胺介导的NK和CD8+ T细胞的动员促进了向肿瘤的运输,进一步得到肿瘤微环境的血管和代谢变化的支持。总的来说,有来自人体研究的证据表明,运动可以改善癌症-免疫周期不同阶段的免疫细胞效应功能,从而增强抗肿瘤反应。这些发现支持将有组织的运动疗法整合到癌症治疗中,可能与免疫治疗策略相结合。需要进一步的机制和临床研究来优化基于运动的干预措施。
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引用次数: 0
Profiling of circulating T follicular helper and T peripheral helper cell subsets in patients with primary biliary cholangitis 原发性胆道胆管炎患者循环T滤泡辅助细胞和T外周辅助细胞亚群的分析。
IF 2.8 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-10-03 DOI: 10.1016/j.imlet.2025.107100
Haixia Ma , Ying Liu , Yuehong Zhu , Guoxin Xu , Xiaoli Xiang , Senlin Xue , Zhicheng Zhang , Cuie Cheng , Fenying Lu , Bin Wang , Yanyun Zhang , Tingwang Jiang
Primary biliary cholangitis (PBC) is a common chronic cholestatic autoimmune liver disease that may progress to liver fibrosis or cirrhosis if not accurately diagnosed and promptly treated. T follicular helper (Tfh) cells and T peripheral helper (Tph) cells, as subsets of T cells that assist B cells in producing antibodies, are closely related to the pathogenesis of autoimmune diseases. This research aims to explore the potential of Tfh and Tph cells as biomarkers for PBC disease progression. We recruited 30 PBC patients, 25 post-hepatitis B cirrhosis (PHBC) patients, and 30 healthy subjects. Both Tfh and Tph cells were significantly enriched in the peripheral blood of PBC patients, and their frequencies were correlated with autoantibody production. Area under the ROC curve (AUC) analysis demonstrated that Tfh and Tph cell frequencies exhibited convergent diagnostic performance with anti-mitochondrial antibody (AMA) in discriminating PBC patients from healthy controls. Furthermore, the frequencies of these cells were positively correlated with liver enzyme levels (ALT, AST, and GGT), suggesting that they may indicate liver and bile duct damage in PBC patients. The frequency of Tfh cells was negatively correlated with total protein (TP) and albumin (ALB) levels, indicating that the increase of Tfh cells was related to the impairment of hepatocyte function. Additionally, the frequencies of Tfh and Tph cells were positively correlated with IgM levels, showing that these cells seem to be involved in the production of immunoglobulins. Together, Tfh and Tph cells can serve as biomarkers for both diagnosing PBC and correlating with disease severity.
原发性胆道胆管炎(PBC)是一种常见的慢性胆汁淤积性自身免疫性肝病,如果不能准确诊断和及时治疗,可能发展为肝纤维化或肝硬化。T滤泡辅助细胞(Tfh)和T外周辅助细胞(Tph)作为辅助B细胞产生抗体的T细胞亚群,与自身免疫性疾病的发病密切相关。本研究旨在探索Tfh和Tph细胞作为PBC疾病进展的生物标志物的潜力。我们招募了30名PBC患者,25名乙肝后肝硬化(PHBC)患者和30名健康受试者。PBC患者外周血中Tfh和Tph细胞均显著富集,其频率与自身抗体产生相关。ROC曲线下面积(AUC)分析表明,Tfh和Tph细胞频率与抗线粒体抗体(AMA)在区分PBC患者和健康对照组方面表现出收敛的诊断性能。此外,这些细胞的频率与肝酶水平(ALT、AST和GGT)呈正相关,表明它们可能指示PBC患者的肝脏和胆管损伤。Tfh细胞的出现频率与总蛋白(TP)和白蛋白(ALB)水平呈负相关,提示Tfh细胞的增加与肝细胞功能受损有关。此外,Tfh和Tph细胞的频率与IgM水平呈正相关,表明这些细胞似乎参与了免疫球蛋白的产生。Tfh和Tph细胞可以作为诊断PBC和与疾病严重程度相关的生物标志物。
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引用次数: 0
Immunological features driving distinct repigmentation patterns in patients with stable vitiligo submitted to the autologous keratinocyte/melanocyte transplantation 在接受自体角质细胞/黑素细胞移植的稳定型白癜风患者中,免疫特征驱动不同的再色素沉着模式。
IF 2.8 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-10-02 DOI: 10.1016/j.imlet.2025.107098
Bruna Estefânia Diniz Frias , Roberta Oliveira Prado , Mariana Gontijo Ramos , Nathália Werneck Cézar de Oliveira , Fernanda Fortes de Araújo , Liliane Martins dos Santos , Camila Gontijo Ramos , Camila Bechara Kallás , Maria Sílvia Laborne Alves de Sousa , Ismael Artur Costa-Rocha , Joaquim Pedro Brito-de-Sousa , Rachel Basques Caligiorne , Marcelo Antônio Pascoal-Xavier , Vanessa Peruhype-Magalhães , Daniel Gontijo Ramos , Andréa Teixeira-Carvalho , Olindo Assis Martins-Filho
This study aimed to characterize biomarkers of therapeutic response in patients with stable vitiligo undergoing the autologous non-cultured keratinocyte/melanocyte transplantation. The approaches performed were systemic analysis evaluated during pre-transplantation/(D0), seven/(D7), and 28 or more/(D28–45) days after the procedure and compartmentalized analysis in epidermal cell suspension (explant). Increased number of pro-inflammatory monocytes and NK-cells was found during the transplantation follow-up in vitiligo patients compared to the control. There were higher numbers of CD8+ T-cells and CD4+HLA-DR+ T-cells circulating at D28–45 compared to D0, and increased number of CD8+HLA-DR+ T-cells at D28–45 compared to D7. Decreased levels of the most pro-inflammatory chemokines/cytokines during post-transplantation kinetics timeline were observed. Integrative analysis demonstrated that patients with unsatisfactory repigmentation presented higher numbers of connections between the blood/skin components at D0. The data suggest differentiated profiles in the dynamics of the hematological/immunological biomarkers, according to the kinetics timeline and the clinical outcome of repigmentation in vitiligo patients.
本研究旨在描述稳定性白癜风患者接受自体非培养角质细胞/黑素细胞移植治疗反应的生物标志物。所采用的方法是在移植前/(D0)、7 /(D7)和28/(D28-45)天进行系统分析,并在表皮细胞悬液(外植体)中进行区隔分析。与对照组相比,白癜风患者在移植随访期间发现促炎单核细胞和nk细胞数量增加。与D0相比,D28-45时循环的CD8+ t细胞和CD4+HLA-DR+ t细胞数量增加,D28-45时循环的CD8+HLA-DR+ t细胞数量比D7增加。在移植后的动力学时间线中,观察到大多数促炎趋化因子/细胞因子水平下降。综合分析表明,重新着色不满意的患者在D0时血液/皮肤成分之间的连接数量更多。这些数据表明,根据白癜风患者的动力学时间线和临床结果,血液学/免疫学生物标志物的动力学存在差异。
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引用次数: 0
CD4 and CD8 T-cell lymphocytes from penile squamous cell carcinoma tumors are more differentiated with higher PD-1 expression compared to lymphocytes in peripheral circulation 与外周循环淋巴细胞相比,阴茎鳞状细胞癌的CD4和CD8 t细胞淋巴细胞分化程度更高,PD-1表达水平更高。
IF 2.8 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-10-02 DOI: 10.1016/j.imlet.2025.107099
Chibamba Mumba , Nicholas K. Mwale , Victor Mapulanga , Owen Ngalamika

Background

Penile squamous cell carcinoma (PSCC) is the commonest malignancy of the penis, with a higher incidence and poor treatment outcomes in developing countries. T-cell phenotypes have been shown to identify patients who may respond favorably to immune therapy, and also associate with treatment outcomes. This study aimed to determine and compare the tumor and peripheral blood T-cell phenotypes of individuals with PSCC, and whether factors such as smoking and presence of HPV associate with these T-cell phenotypes.

Methods

We conducted a prospective cross-sectional study at the University Teaching Hospital, Lusaka, Zambia. Participants with a histologically-confirmed PSCC were recruited into the study. Socio-demographic information was obtained, and whole blood was collected and subjected to peripheral blood mononuclear cells (PBMCs) isolation. Fresh penile tumors were mechanically and enzymatically digested. CD4 and CD8 cells were sorted from PBMCs and tumor, stained using antibodies against CD3, CD45RO, CCR7, PD-1, CD103 and CD69, and subjected to flow cytometry. Parts of the tumor were subjected to HPV detection, and histological grading and staging.

Results

Twenty-four participants were recruited into the study. The median age was 55.5 years, 45.8 % were smokers, 87.5 % were HIV positive, 62.5 % had high-risk HPV detected in the tumors, and 25 % had advanced-stage disease. There was a significantly higher proportion of naïve cells among CD4 T-cells from PBMCs than tumor (40.2 % vs 3.8 %; p = 0.01). CD4 T cells from the tumor demonstrated a significantly higher proportion of cells expressing CD69 (3.2 % vs 95.9 %; p = 0.0001), CD103 (0.7 % vs 7.3 %; p = 0.0001), and PD-1 (35.5 % vs 92 %; p = 0.0001) than the ones from PBMCs. Tumoral CD8 T-cells had a significantly lower proportion of terminally-differentiated effector cells but higher proportion of central memory cells compared to PBMCs, (7.9 % vs 15.1 %, p = 0.04) and (55 % vs 14.4 %; p = 0.01) respectively. Tumoral CD8 T-cells also had a significantly higher proportion of cells expressing CD69 (96.7 % vs 8.5 %; p = 0.0001), CD103 (22.2 % vs 1.2 %; p = 0.0001), and PD-1 (79.3 % vs 18.8 %; p = 0.0001) when compared to the PBMCs. Early-stage disease was associated with a significantly higher proportion of central memory CD4 T-cells among the PBMCs when compared with advanced stage disease (46.7 % vs 30 %; p = 0.01), while smoking was associated with a significantly higher proportion of tumoral CD8 T-cells expressing the homing marker CD103 (28.2 % vs 17.8 %; p = 0.01).

Conclusion

PSCC tumors demonstrate a higher proportion of primed T-cells with a memory phenotype compared to T-cells in the circulation. T-cells from PSCC tumors also have a higher proportion of cells expressing the immune checkpoint PD-1 and homing markers than those from the circulation.
背景:阴茎鳞状细胞癌(PSCC)是最常见的阴茎恶性肿瘤,在发展中国家发病率较高,治疗效果较差。t细胞表型已被证明可以识别对免疫治疗反应良好的患者,也与治疗结果相关。本研究旨在确定和比较PSCC患者的肿瘤和外周血t细胞表型,以及吸烟和HPV存在等因素是否与这些t细胞表型相关。方法:我们在赞比亚卢萨卡大学教学医院进行了一项前瞻性横断面研究。组织学证实的PSCC参与者被招募到研究中。获得社会人口统计学信息,采集全血并进行外周血单个核细胞(PBMCs)分离。新鲜阴茎肿瘤用机械和酶消化。从pbmc和肿瘤中分离CD4和CD8细胞,用CD3、CD45RO、CCR7、PD-1、CD103和CD69抗体进行染色,并进行流式细胞术检测。部分肿瘤进行HPV检测,并进行组织学分级和分期。结果:24名参与者被纳入研究。中位年龄为55.5岁,45.8%为吸烟者,87.5%为HIV阳性,62.5%为肿瘤中检测到高危HPV, 25%为晚期疾病。外周血淋巴细胞CD4 t细胞中naïve细胞的比例明显高于肿瘤(40.2% vs 3.8%, p=0.01)。来自肿瘤的CD4 T细胞表达CD69 (3.2% vs 95.9%, p=0.0001)、CD103 (0.7% vs 7.3%, p=0.0001)和PD-1 (35.5% vs 92%, p=0.0001)的比例明显高于来自pbmc的细胞。肿瘤CD8 t细胞的终末分化效应细胞比例明显低于PBMCs,而中枢记忆细胞比例明显高于PBMCs,分别为(7.9% vs 15.1%, p=0.04)和(55% vs 14.4%, p=0.01)。与PBMCs相比,肿瘤CD8 t细胞中表达CD69 (96.7% vs 8.5%, p=0.0001)、CD103 (22.2% vs 1.2%, p=0.0001)和PD-1 (79.3% vs 18.8%, p=0.0001)的细胞比例也显著更高。与晚期疾病相比,早期疾病与PBMCs中央性记忆CD4 t细胞比例显著升高相关(46.7% vs 30%, p=0.01),而吸烟与表达归巢标记CD103的肿瘤CD8 t细胞比例显著升高相关(28.2% vs 17.8%, p=0.01)。结论:与循环中的t细胞相比,PSCC肿瘤中具有记忆表型的启动t细胞的比例更高。来自PSCC肿瘤的t细胞也比来自循环的t细胞表达免疫检查点PD-1和归巢标记的细胞比例更高。
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引用次数: 0
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Immunology letters
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