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Pathophysiology of cutaneous T-cell lymphomas: Perspective from a French referral centre 皮肤 T 细胞淋巴瘤的病理生理学:来自法国转诊中心的视角。
IF 4.4 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-05-25 DOI: 10.1016/j.imlet.2024.106871
Adèle De Masson , Ingrid Lazaridou , Hélène Moins-Teisserenc , Caroline Ram-Wolff , Jérôme Giustiniani , Martine Bagot , Maxime Battistella , Armand Bensussan

Cutaneous T-cell lymphomas (CTCL) are a diverse group of malignant blood disorders characterized by initial skin infiltration, and sometimes, tumor spreading to lymph nodes, blood, and viscera. Mycosis fungoides is the most common form. Sézary syndrome is a distinctive form of CTCL marked by a significant presence of circulating tumor cells in peripheral blood. These diseases are characterized by the plasticity and heterogeneity of the tumor cells in the different tissue compartments, and a difficulty in identifying these tumor cells for diagnostic purposes and therapeutic monitoring. Progress has been made in the understanding of the pathophysiology of these diseases in recent years, and we provide here a review of these advancements.

皮肤T细胞淋巴瘤(CTCL)是一组种类繁多的恶性血液疾病,其特点是最初的皮肤浸润,有时肿瘤会扩散到淋巴结、血液和内脏。放线菌病是最常见的一种。塞扎里综合征(Sézary syndrome)是一种独特的 CTCL,其特征是外周血中存在大量循环肿瘤细胞。这些疾病的特点是肿瘤细胞在不同组织区划中具有可塑性和异质性,而且难以识别这些肿瘤细胞以进行诊断和治疗监测。近年来,人们在了解这些疾病的病理生理学方面取得了进展,我们在此对这些进展进行综述。
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引用次数: 0
Corrigendum to “Metformin inhibits the pathogenic functions of AChR-specifc B and Th17 cells by targeting miR-146a” [Immunology Letters 250 (2022) 29–40 on Sep 13, 2022/ Manuscript ID: IMLET-D-22-00159R2, PMID: 36108773] 二甲双胍通过靶向 miR-146a 抑制 AChR-specifc B 细胞和 Th17 细胞的致病功能》的更正 [Immunology Letters 250 (2022) 29-40 on Sep 13, 2022/ Manuscript ID:IMET-D-22-00159R2, PMID: 36108773]
IF 3.3 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-05-24 DOI: 10.1016/j.imlet.2024.106866
Yue Hao , Wei Zhao , Lulu Chang , Xingfan Chen , Chonghui Liu , Yang Liu , Lixuan Hou , Yinchun Su , Hao Xu , Yu Guo , Qixu Sun , Lili Mu , Jinghua Wang , Hulun Li , Junwei Han , Qingfei Kong
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引用次数: 0
N-ethyl-N-nitrosourea (ENU)-induced C-terminal truncation of Runx3 results in autoimmune colitis associated with Th17/Treg imbalance N-乙基-N-亚硝基脲(ENU)诱导的Runx3 C端截短会导致与Th17/Treg失衡相关的自身免疫性结肠炎。
IF 4.4 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-05-22 DOI: 10.1016/j.imlet.2024.106869
Yi-Ting Chen , Yi-Mei Chang , Yu-Ling Chen , Yu-Hsuan Su , Chia-Chi Liao , Tien-Huang Chiang , Wen-Yu Chen , Yu-Chia Su

Inflammatory bowel disease (IBD) is a chronic and progressive inflammatory intestinal disease that affects people around the world. The primary cause of IBD is an imbalance in the host immune response to intestinal flora. Several human genes, including IL10, STAT3, IRGM, ATG16L1, NOD2 and RUNX3, are associated with inappropriate immune responses in IBD. It has been reported that homozygous Runx3-knockout (ko) mice spontaneously develop colitis. However, the high mortality rate in these mice within the first two weeks makes it challenging to study the role of Runx3 in colitis. To address this issue, a spontaneous colitis (SC) mouse model carrying a C-terminal truncated form of Runx3 with Tyr319stop point mutation has been generated. After weaning, SC mice developed spontaneous diarrhea and exhibited prominent enlargement of the colon, accompanied by severe inflammatory cell infiltration. Results of immunofluorescence staining showed massive CD4+ T cell infiltration in the inflammatory colon of SC mice. Colonic IL-17A mRNA expression and serum IL-17A level were increased in SC mice. CD4+ T cells from SC mice produced stronger IL-17A than those from wildtype mice in Th17-skewing conditions in vitro. In addition, the percentages of Foxp3+ Treg cells as well as the RORγt+Foxp3+ Treg subset, known for its role in suppressing Th17 response in the gut, were notably lower in colon lamina propria of SC mice than those in WT mice. Furthermore, transfer of total CD4+ T cells from SC mice, but not from wildtype mice, into Rag1-ko host mice resulted in severe autoimmune colitis. In conclusion, the C-terminal truncated Runx3 caused autoimmune colitis associated with Th17/Treg imbalance. The SC mouse model is a feasible approach to investigate the effect of immune response on spontaneous colitis.

炎症性肠病(IBD)是一种慢性进行性肠道炎症性疾病,影响着世界各地的人们。IBD 的主要病因是宿主对肠道菌群的免疫反应失衡。一些人类基因,包括 IL10、STAT3、IRGM、ATG16L1、NOD2 和 RUNX3,与 IBD 中不适当的免疫反应有关。有报道称,同基因的 Runx3 基因敲除(ko)小鼠会自发患上结肠炎。然而,这些小鼠在头两周内的死亡率很高,因此研究 Runx3 在结肠炎中的作用具有挑战性。为了解决这个问题,研究人员建立了一种自发性结肠炎(SC)小鼠模型,该模型携带有C端截短形式的Runx3,并带有Tyr319stop点突变。断奶后,SC 小鼠出现自发性腹泻,结肠明显肿大,并伴有严重的炎症细胞浸润。免疫荧光染色结果显示,SC 小鼠炎症结肠中存在大量 CD4+ T 细胞浸润。SC 小鼠结肠 IL-17A mRNA 表达和血清 IL-17A 水平均升高。在体外 Th17 筛选条件下,SC 小鼠的 CD4+ T 细胞比野生型小鼠的 CD4+ T 细胞产生更强的 IL-17A。此外,SC 小鼠结肠固有膜中 Foxp3+ Treg 细胞以及 RORγt+Foxp3+ Treg 亚群(因其在抑制肠道 Th17 反应中的作用而闻名)的百分比明显低于 WT 小鼠。此外,将 SC 小鼠而非野生型小鼠的总 CD4+ T 细胞转移到 Rag1-ko 宿主小鼠体内会导致严重的自身免疫性结肠炎。总之,C端截短的Runx3会引起与Th17/Treg失衡相关的自身免疫性结肠炎。SC小鼠模型是研究免疫反应对自发性结肠炎影响的一种可行方法。
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引用次数: 0
The Th1/Th2 paradigm: A misrepresentation of helper T cell plasticity Th1/Th2范式:辅助性 T 细胞可塑性的错误表述
IF 4.4 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-05-22 DOI: 10.1016/j.imlet.2024.106870
Noah P. Rogozynski, Brian Dixon

For decades, the Th1/2 paradigm has been used to classify immune responses as either Th1 or Th2-biased. However, in recent years, a staggering amount of evidence has emerged to support rejection of the classical Th1/Th2 paradigm, such as the discoveries of new helper T cell subsets, helper T cell plasticity and protective mixed-Th1/Th2 responses. This opinion piece investigates the shortcomings of classical Th1/Th2 paradigm in the context of recent works, with the goal of facilitating the development of newer models to represent the diversity of Th cells.

几十年来,Th1/2 范式一直被用于将免疫反应分为 Th1 或 Th2 偏向。然而,近年来出现了大量的证据来支持对经典 Th1/Th2 范式的否定,例如发现了新的辅助性 T 细胞亚群、辅助性 T 细胞可塑性和保护性混合 Th1/Th2 反应。这篇观点文章结合最近的研究成果,探讨了经典 Th1/Th2 范式的缺点,目的是促进更新模型的开发,以代表 Th 细胞的多样性。
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引用次数: 0
Corrigendum to “Role of G-protein-coupled estrogen receptor in the pathogenesis of chronic asthma” [Immunology Letters. Volume 265, February 2024, Pages 16-22] G 蛋白偶联雌激素受体在慢性哮喘发病机制中的作用"[《免疫学通讯》第 265 卷,2024 年 2 月,第 16-22 页]更正。
IF 4.4 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-05-22 DOI: 10.1016/j.imlet.2024.106868
Masamichi Itoga
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引用次数: 0
The immune suppressive functions of macrophages are impaired in patients with ulcerative colitis 溃疡性结肠炎患者的巨噬细胞免疫抑制功能受损
IF 4.4 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-05-14 DOI: 10.1016/j.imlet.2024.106867
Baisui Feng , Jin Liu , Jia Li , Shiyu Feng , Lingzhi Xu , Xiangyu Wang , Shuo Song , Yan Li , Aifa Tang , Yu Liu , Qing Shu , Pingchang Yang

Chronic inflammation is the pathological feature of inflammatory bowel diseases (IBD), but its etiology is unknown. Macrophages are one of the major immune cell fractions in the colon. The objectives of this study are to characterize the immune regulatory functions of macrophages in the colon of patients with ulcerative colitis (UC). UC patients (n = 30) were recruited into this study. Colon lavage fluid (CLF) was collected. Macrophages are isolated from the cellular components of CLF. The immune suppressive functions of macrophages were assessed using immunological approaches. We observed that macrophages occupied about half of the proportions of the cellular components in CLF. Lower amounts of IL10 mRNA and proteins were detected in macrophages of the UC group than the normal control (NC) group. The expression of IL10 in CLF macrophages was positively correlated with the UC-associated cytokines, including tumor necrosis factor-α, interleukin (IL)-1β, IFN-γ, eosinophil-derived mediators, in CLF. The immune suppressive functions of CLF macrophages in UC patients were impaired. The inducibility of IL10 expression of UC M0 cells was defective as compared with NC M0 cells. Exposure to CpG restored the inducibility of IL10 expression in UC M0 cells, and gain the potential to acquire the immune suppressive functions. To sum up, the immune suppressive functions of UC macrophages are impaired. The inducibility of IL10 expression of M0 cells is impaired, which can be restored by the treatment with CpG.

慢性炎症是炎症性肠病(IBD)的病理特征,但其病因尚不清楚。巨噬细胞是结肠中主要的免疫细胞组分之一。本研究的目的是描述溃疡性结肠炎(UC)患者结肠中巨噬细胞的免疫调节功能。本研究招募了溃疡性结肠炎患者(n = 30)。收集结肠灌洗液(CLF)。从结肠灌洗液的细胞成分中分离出巨噬细胞。使用免疫学方法评估了巨噬细胞的免疫抑制功能。我们观察到,巨噬细胞约占 CLF 中细胞成分比例的一半。在 UC 组的巨噬细胞中检测到的 IL10 mRNA 和蛋白量低于正常对照组(NC)。IL10在CLF巨噬细胞中的表达与UC相关细胞因子(包括肿瘤坏死因子-α、白细胞介素(IL)-1β、IFN-γ、嗜酸性粒细胞衍生介质)在CLF中的表达呈正相关。UC 患者 CLF 巨噬细胞的免疫抑制功能受损。与NC M0细胞相比,UC M0细胞表达IL10的诱导性存在缺陷。暴露于CpG可恢复UC M0细胞IL10表达的诱导性,并获得获得免疫抑制功能的潜力。综上所述,UC 巨噬细胞的免疫抑制功能受损。M0细胞IL10表达的诱导性受损,而CpG可恢复其表达。
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引用次数: 0
The role of mannose-binding lectin (MBL) in diabetic retinopathy: A scoping review 甘露糖结合凝集素(MBL)在糖尿病视网膜病变中的作用:范围综述。
IF 4.4 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-05-04 DOI: 10.1016/j.imlet.2024.106863
Paula Basso Dias , Iara Messias-Reason , Kenzo Hokazono , Renato Nisihara

Diabetes mellitus (DM) is a chronic systemic disease characterized by a multifactorial nature, which may lead to several macro and microvascular complications. Diabetic retinopathy (DR) is one of the most severe microvascular complications of DM, which can result in permanent blindness. The mechanisms involved in the pathogenesis of DR are multiple and still poorly understood. Factors such as dysregulation of vascular regeneration, oxidative and hyperosmolar stress in addition to inflammatory processes have been associated with the pathogenesis of DR. Furthermore, compelling evidence shows that components of the immune system, including the complement system, play a relevant role in the development of the disease. Studies suggest that high concentrations of mannose-binding lectin (MBL), an essential component of the complement lectin pathway, may contribute to the development of DR in patients with DM. This review provides an update on the possible role of the complement system, specifically the lectin pathway, in the pathogenesis of DR and discusses the potential of MBL as a non-invasive biomarker for both, the presence and severity of DR, in addition to its potential as a therapeutic target for intervention strategies.

糖尿病(DM)是一种慢性全身性疾病,具有多因素的特点,可导致多种宏观和微观血管并发症。糖尿病视网膜病变(DR)是糖尿病最严重的微血管并发症之一,可导致永久性失明。糖尿病视网膜病变的发病机制是多方面的,目前还不十分清楚。血管再生失调、氧化和高渗透压以及炎症过程等因素都与 DR 的发病机制有关。此外,令人信服的证据表明,免疫系统的组成部分,包括补体系统,在疾病的发展中发挥着相关作用。研究表明,高浓度的甘露糖结合凝集素(MBL)是补体凝集素通路的重要组成部分,它可能是导致糖尿病患者发生 DR 的原因之一。本综述介绍了补体系统,特别是凝集素通路在 DR 发病机制中可能扮演的角色的最新情况,并讨论了 MBL 作为一种非侵入性生物标志物的潜力,既可用于判断 DR 的存在和严重程度,也可作为干预策略的治疗目标。
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引用次数: 0
Dysregulated serum lipid profile is associated with inflammation and disease activity in primary Sjögren's syndrome: a retrospective study in China 血脂异常与原发性斯约格伦综合征的炎症和疾病活动有关:一项在中国进行的回顾性研究。
IF 4.4 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-05-03 DOI: 10.1016/j.imlet.2024.106865
Lufei Yang , Yuanyuan Liang , Jincheng Pu , Li Cai , Ronglin Gao , Fang Han , Keni Chang , Shengnan Pan , Zhenzhen Wu , Youwei Zhang , Yanqing Wang , Jiamin Song , Huihong Wu , Jianping Tang , Xuan Wang

Purpose

To investigate the relationship between the lipid profiles of patients with primary Sjögren's syndrome (pSS) and other clinical characteristics, laboratory examination, disease activity, and inflammatory factors. In addition, the risk factors for hyperlipidemia-related complications of pSS and the effect of hydroxychloroquine (HCQ) usage on the lipid profile were incorporated into this study.

Methods

This is a single-center, retrospective study that included 367 patients who were diagnosed with pSS at Tongji Hospital, School of Medicine, Tongji University, China from January 2010 to March 2022. Initially, demographic information, clinical characteristics, medication records, and complications of the patients were gathered. A case-control analysis compared the 12 systems involvement (ESSDAI domain), clinical symptoms, and laboratory tests between pSS patients with and without dyslipidemia. A simple linear regression model was employed to investigate the relationship between serum lipid profile and inflammatory factors. Logistics regression analysis was performed to assess variables for hyperlipidemia-related complications of pSS. The paired t-test was then used to evaluate the improvement in lipid profile among pSS patients.

Results

48.7 % of all pSS patients had dyslipidemia, and alterations in lipid levels were related to gender, age, and smoking status but not body mass index (BMI). Dyslipidemia is more prevalent in pSS patients who exhibit heightened autoimmunity and elevated levels of inflammation. Higher concentrations of multiple highly inflammatory factors correlate with a more severe form of dyslipidemia. Non-traditional cardiovascular risk factors may contribute to hyperlipidemia-related complications of pSS, such as increased, low complement 3 (C3) and low C4. According to our study, HCQ usage may protect against lipid-related disease in pSS.

Conclusion

Attention should be paid to the dyslipidemia of pSS. This research aims to clarify the population portrait of pSS patients with abnormal lipid profiles and provides insights into the correlation between metabolism and inflammation in individuals with pSS and the potential role they play in the advancement of the disease. These findings provide novel avenues for further understanding the underlying mechanisms of pSS pathogenesis.

目的:研究原发性斯约格伦综合征(pSS)患者的血脂谱与其他临床特征、实验室检查、疾病活动性和炎症因素之间的关系。此外,本研究还纳入了 pSS 高脂血症相关并发症的危险因素以及羟氯喹(HCQ)的使用对血脂谱的影响:这是一项单中心回顾性研究,纳入了2010年1月至2022年3月期间在中国同济大学医学院附属同济医院确诊的367例pSS患者。研究首先收集了患者的人口统计学信息、临床特征、用药记录和并发症。病例对照分析比较了有血脂异常和无血脂异常的pSS患者的12个系统参与(ESSDAI域)、临床症状和实验室检查。采用简单线性回归模型研究血清脂质状况与炎症因素之间的关系。物流回归分析用于评估 pSS 高脂血症相关并发症的变量。然后采用配对 t 检验来评估 pSS 患者血脂状况的改善情况:48.7%的 pSS 患者患有血脂异常,血脂水平的变化与性别、年龄和吸烟状况有关,但与体重指数(BMI)无关。血脂异常在自身免疫力增强和炎症水平升高的 pSS 患者中更为普遍。多种高度炎症因子的浓度越高,血脂异常越严重。非传统的心血管风险因素可能会导致 pSS 的高脂血症相关并发症,如补体 3(C3)和 C4 增高、降低。根据我们的研究,使用 HCQ 可预防 pSS 中与血脂相关的疾病:结论:应关注 pSS 的血脂异常。这项研究旨在明确血脂异常的 pSS 患者的人群特征,并深入了解 pSS 患者体内代谢与炎症之间的相关性,以及它们在疾病进展中所扮演的潜在角色。这些发现为进一步了解 pSS 发病机制提供了新的途径。
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引用次数: 0
Strategies to reprogram anti-inflammatory macrophages towards pro-inflammatory macrophages to support cancer immunotherapies 将抗炎巨噬细胞重编程为促炎巨噬细胞以支持癌症免疫疗法的策略。
IF 4.4 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-05-03 DOI: 10.1016/j.imlet.2024.106864
Ana Vizcaino Castro, Toos Daemen, Cesar Oyarce

Tumor-associated myeloid cells, including macrophages and myeloid-derived suppressor cells, can be highly prevalent in solid tumors and play a significant role in the development of the tumor. Therefore, myeloid cells are being considered potential targets for cancer immunotherapies. In this review, we focused on strategies aimed at targeting tumor-associated macrophages (TAMs). Most strategies were studied preclinically but we also included a limited number of clinical studies based on these strategies. We describe possible underlying mechanisms and discuss future challenges and prospects.

包括巨噬细胞和髓源性抑制细胞在内的肿瘤相关髓系细胞在实体瘤中非常普遍,并在肿瘤的发展过程中扮演着重要角色。因此,髓系细胞被认为是癌症免疫疗法的潜在靶点。在这篇综述中,我们重点讨论了针对肿瘤相关巨噬细胞(TAMs)的策略。大多数策略都是临床前研究,但我们也纳入了基于这些策略的少量临床研究。我们描述了可能的内在机制,并讨论了未来的挑战和前景。
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引用次数: 0
Berberine alleviates diabetic retinopathy by regulating the Th17/Treg ratio 小檗碱通过调节 Th17/Treg 的比例减轻糖尿病视网膜病变。
IF 4.4 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-05-01 DOI: 10.1016/j.imlet.2024.106862
Yi Yang , Zexin Wen , Yanli Zhang , Pengfei Li , Junyao Zhao , Yujie Sun , Peng Wang , Wei Lin

Background

Diabetic retinopathy (DR) stands as a prominent complication of diabetes. Berberine (BBR) has reported to be effective to ameliorate the retinal damage of DR. Studying the potential immunological mechanisms of BBR on the streptozotocin (STZ) induced DR mouse model will explain the therapeutic mechanisms of BBR and provide theoretical basis for the clinical application of this drug.

Methods

C57BL/6 J mice were induced into a diabetic state using a 50 mg/(kg·d) dose of STZ over a 5-day period. Subsequently, they were subjected to a high-fat diet (HFD) for one month. Following a 5-week treatment with 100 mg/(kg·d) BBR, the concentrations of inflammatory factors in the mice's peripheral blood were determined using an enzyme-linked immunosorbent assay (ELISA). Hematoxylin-eosin staining was employed to scrutinize pathological changes in the mice's retinas, while flow cytometry assessed the proportions of T-lymphocyte subsets and the activation status of dendritic cells (DCs) in the spleen and lymph nodes. CD4+T cells and DC2.4 cell lines were utilized to investigate the direct and indirect effects of BBR on T cells under high glucose conditions in vitro.

Results

Following 5 weeks of BBR treatment in the streptozotocin (STZ) mouse model of DR, we observed alleviation of retinal lesions and a down-regulation in the secretion of inflammatory cytokines, namely TNF-α, IL-1β, and IL-6, in the serum of these mice. And in the spleen and lymph nodes of these mice, BBR inhibited the proportion of Th17 cells and promoted the proportion of Treg cells, thereby down-regulating the Th17/Treg ratio. Additionally, in vitro experiments, BBR directly inhibited the expression of the transcription factor RORγt and promoted the expression of the transcription factor Foxp3 in T cells, resulting in a down-regulation of the Th17/Treg ratio. Furthermore, BBR indirectly modulated the Th17/Treg ratio by suppressing the secretion of TNF-α, IL-1β, and IL-6 by DCs and enhancing the secretion of indoleamine 2,3-dioxygenase (IDO) and transforming growth factor-beta (TGF-β) by DCs. This dual action inhibited Th17 cell differentiation while promoting Treg cells.

Conclusion

Our findings indicate that BBR regulate T cell subpopulation differentiation, reducing the Th17/Treg ratio by directly or indirectly pathway. This represents a potential therapeutic avenue of BBR for improving diabetic retinopathy.

背景:糖尿病视网膜病变(DR糖尿病视网膜病变(DR)是糖尿病的主要并发症之一。据报道,小檗碱(BBR)可有效改善 DR 的视网膜损伤。研究小檗碱在链脲佐菌素(STZ)诱导的 DR 小鼠模型中的潜在免疫学机制将解释小檗碱的治疗机制,并为该药物的临床应用提供理论依据:方法:用 50 mg/(kg-d)剂量的 STZ 诱导 C57BL/6J 小鼠进入糖尿病状态,为期 5 天。随后,对小鼠进行为期一个月的高脂饮食(HFD)。用 100 mg/(kg-d)BBR 治疗 5 周后,用酶联免疫吸附试验(ELISA)测定小鼠外周血中的炎症因子浓度。血红素-伊红染色法可仔细检查小鼠视网膜的病理变化,流式细胞术则可评估脾脏和淋巴结中 T 淋巴细胞亚群的比例以及树突状细胞(DC)的活化状态。利用CD4+T细胞和DC2.4细胞系研究了BBR在体外高糖条件下对T细胞的直接和间接影响:结果:在链脲佐菌素(STZ)DR 小鼠模型中使用 BBR 治疗 5 周后,我们观察到小鼠视网膜病变减轻,血清中的炎性细胞因子(即 TNF-α、IL-1β 和 IL-6)分泌下调。在这些小鼠的脾脏和淋巴结中,BBR抑制了Th17细胞的比例,促进了Treg细胞的比例,从而下调了Th17/Treg的比例。此外,在体外实验中,BBR 直接抑制了 T 细胞中转录因子 RORγt 的表达,促进了转录因子 Foxp3 的表达,从而下调了 Th17/Treg 的比例。此外,BBR 还能抑制直流细胞分泌 TNF-α、IL-1β 和 IL-6,并增强直流细胞分泌吲哚胺 2,3-二氧化酶(IDO)和转化生长因子-β(TGF-β),从而间接调节 Th17/Treg 的比例。这种双重作用抑制了 Th17 细胞的分化,同时促进了 Treg 细胞的分化:我们的研究结果表明,BBR 可调节 T 细胞亚群的分化,通过直接或间接途径降低 Th17/Treg 细胞的比例。这代表了 BBR 改善糖尿病视网膜病变的潜在治疗途径。
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引用次数: 0
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Immunology letters
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