Pub Date : 2026-02-01Epub Date: 2026-01-04DOI: 10.1080/08923973.2025.2609304
Luis C Ruelas-Ruiz, Carlos E Medina-De la Garza, Azalia M Martinez-Castilla, Mario C Salinas-Carmona, Adrian G Rosas-Taraco
Context: Influenza is a viral infection with pandemic potential that affects individuals of all ages. The immune response is key to resolving the disease; however, immune deregulation, such as cytokine storm, can cause tissue damage and death. Diethylcarbamazine (DEC), a drug with immunomodulatory effects, has demonstrated anti-inflammatory and antifibrotic properties. However, DEC's activity in viral respiratory infections remains unknown.
Objective: This study aimed to analyze the effect of DEC in a model of respiratory epithelial cells infected with Influenza A (H1N1)pdm09 virus (IAV) to evaluate its action on antiviral immune effectors and viral titer.
Materials and methods: A549 cells were cultured, infected with IAV, and treated with DEC. Viral load was quantified at 24 h and 48 h. Subsequently, Cytokine levels (IL-1β, IL-6, IL-8, IL-10, IL-15, and RANTES) were analyzed from supernatants at both timepoints using a Bio-Plex Pro-Human Proinflammatory Cytokine kit. RNA was obtained from cells, and RT-qPCR was performed to evaluate the expression of genes encoding MYD88, NLRP3, NF-κB, IFN-β, and IFN-λ.
Results and discussion: Results showed that IFN-λ1 expression was consistent across all groups (p > .05). IFN-β expression increased at 24 h in DEC-treated infected groups (p < .05) but returned to baseline at 48h (p > .05). IL-8 secretion was significantly higher in the IAV + DEC20 group at 24h compared to the MOCK (p ≤ .05), but no differences were found at 48 h (p > .05). Infected cells treated with the lowest DEC dose showed a lower viral titer compared to IAV-infected (p ≤ .05).
Conclusion: DEC maintained IFN-λ1 expression, regulated levels of IFN-β and IL-8, and reduced viral load in IAV-infected epithelial cells.
{"title":"Diethylcarbamazine reduces the viral titer of influenza A (H1N1)pdm09 virus and regulates IFN-β and IL-8 in infected epithelial cells.","authors":"Luis C Ruelas-Ruiz, Carlos E Medina-De la Garza, Azalia M Martinez-Castilla, Mario C Salinas-Carmona, Adrian G Rosas-Taraco","doi":"10.1080/08923973.2025.2609304","DOIUrl":"10.1080/08923973.2025.2609304","url":null,"abstract":"<p><strong>Context: </strong>Influenza is a viral infection with pandemic potential that affects individuals of all ages. The immune response is key to resolving the disease; however, immune deregulation, such as cytokine storm, can cause tissue damage and death. Diethylcarbamazine (DEC), a drug with immunomodulatory effects, has demonstrated anti-inflammatory and antifibrotic properties. However, DEC's activity in viral respiratory infections remains unknown.</p><p><strong>Objective: </strong>This study aimed to analyze the effect of DEC in a model of respiratory epithelial cells infected with Influenza A (H1N1)pdm09 virus (IAV) to evaluate its action on antiviral immune effectors and viral titer.</p><p><strong>Materials and methods: </strong>A549 cells were cultured, infected with IAV, and treated with DEC. Viral load was quantified at 24 h and 48 h. Subsequently, Cytokine levels (IL-1β, IL-6, IL-8, IL-10, IL-15, and RANTES) were analyzed from supernatants at both timepoints using a Bio-Plex Pro-Human Proinflammatory Cytokine kit. RNA was obtained from cells, and RT-qPCR was performed to evaluate the expression of genes encoding MYD88, NLRP3, NF-κB, IFN-β, and IFN-λ.</p><p><strong>Results and discussion: </strong>Results showed that IFN-λ1 expression was consistent across all groups (<i>p</i> > .05). IFN-β expression increased at 24 h in DEC-treated infected groups (<i>p</i> < .05) but returned to baseline at 48h (<i>p</i> > .05). IL-8 secretion was significantly higher in the IAV + DEC20 group at 24h compared to the MOCK (<i>p</i> ≤ .05), but no differences were found at 48 h (<i>p</i> > .05). Infected cells treated with the lowest DEC dose showed a lower viral titer compared to IAV-infected (<i>p</i> ≤ .05).</p><p><strong>Conclusion: </strong>DEC maintained IFN-λ1 expression, regulated levels of IFN-β and IL-8, and reduced viral load in IAV-infected epithelial cells.</p>","PeriodicalId":13420,"journal":{"name":"Immunopharmacology and Immunotoxicology","volume":" ","pages":"94-103"},"PeriodicalIF":3.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145900351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2025-12-23DOI: 10.1080/08923973.2025.2600941
Ying Huang, Na Ma, Wengang Ren
Background: This study systematically explored the effects of moderate-intensity exercise on tumor immunotherapy efficacy and its mechanisms of action using the MC38 colon cancer mouse model.
Methods: Tumor-bearing mice were randomly assigned to the control group, immunotherapy group, and exercise intervention group. Flow cytometry, Luminex multiplex cytokine assays, and other techniques were employed to assess the regulatory effects of exercise on the tumor immune microenvironment and systemic immune responses.
Results: The results showed that exercise intervention significantly inhibited tumor growth, with a 32.0% reduction in tumor volume and a 34.5% reduction in tumor weight, placing its effect between that of the control and immunotherapy groups (p < 0.05). Exercise training increased CD8+ T cell infiltration in the tumor microenvironment by 83.3%, while decreasing the proportion of Tregs and MDSCs by 26.5% and 28.0%, respectively. Furthermore, exercise significantly enhanced serum IFN-γ levels (+65.6%) and IgG concentrations (+29.4%). Circulating tumor DNA (ctDNA) analysis revealed that the total ctDNA concentration in the exercise group decreased by 66.1% compared to the control group (p < 0.01), with KRAS and TP53 mutation frequencies reduced by 66.4% and 67.8%, respectively. Correlation analysis indicated that the CD8+/Tregs ratio was strongly associated with tumor suppression (r = 0.76), and the IFN-γ/IL-6 ratio increased by 97.4%, showing a significant correlation with efficacy (r = 0.79).
Conclusion: This study confirms that exercise training exerts anti-tumor effects by remodeling the tumor immune microenvironment, activating systemic immune responses, and reducing ctDNA burden. Its unique "immune normalization" effect provides important evidence for the development of "exercise-immunotherapy" combination treatment strategies.
背景:本研究采用MC38结肠癌小鼠模型,系统探讨中等强度运动对肿瘤免疫治疗疗效的影响及其作用机制。方法:将荷瘤小鼠随机分为对照组、免疫治疗组和运动干预组。采用流式细胞术、Luminex多重细胞因子检测和其他技术来评估运动对肿瘤免疫微环境和全身免疫反应的调节作用。结果:运动干预显著抑制肿瘤生长,肿瘤体积减少32.0%,肿瘤重量减少34.5%,其效果介于对照组和免疫治疗组之间(p p r = 0.76), IFN-γ/IL-6比值增加97.4%,与疗效显著相关(r = 0.79)。结论:本研究证实了运动训练通过重塑肿瘤免疫微环境、激活全身免疫反应、减少ctDNA负荷发挥抗肿瘤作用。其独特的“免疫正常化”作用为“运动-免疫治疗”联合治疗策略的发展提供了重要依据。
{"title":"Investigating the therapeutic efficacy of physical exercise on tumor immunity in a mouse model of malignant colon cancer.","authors":"Ying Huang, Na Ma, Wengang Ren","doi":"10.1080/08923973.2025.2600941","DOIUrl":"10.1080/08923973.2025.2600941","url":null,"abstract":"<p><strong>Background: </strong>This study systematically explored the effects of moderate-intensity exercise on tumor immunotherapy efficacy and its mechanisms of action using the MC38 colon cancer mouse model.</p><p><strong>Methods: </strong>Tumor-bearing mice were randomly assigned to the control group, immunotherapy group, and exercise intervention group. Flow cytometry, Luminex multiplex cytokine assays, and other techniques were employed to assess the regulatory effects of exercise on the tumor immune microenvironment and systemic immune responses.</p><p><strong>Results: </strong>The results showed that exercise intervention significantly inhibited tumor growth, with a 32.0% reduction in tumor volume and a 34.5% reduction in tumor weight, placing its effect between that of the control and immunotherapy groups (<i>p</i> < 0.05). Exercise training increased CD8+ T cell infiltration in the tumor microenvironment by 83.3%, while decreasing the proportion of Tregs and MDSCs by 26.5% and 28.0%, respectively. Furthermore, exercise significantly enhanced serum IFN-γ levels (+65.6%) and IgG concentrations (+29.4%). Circulating tumor DNA (ctDNA) analysis revealed that the total ctDNA concentration in the exercise group decreased by 66.1% compared to the control group (<i>p</i> < 0.01), with KRAS and TP53 mutation frequencies reduced by 66.4% and 67.8%, respectively. Correlation analysis indicated that the CD8+/Tregs ratio was strongly associated with tumor suppression (<i>r</i> = 0.76), and the IFN-γ/IL-6 ratio increased by 97.4%, showing a significant correlation with efficacy (<i>r</i> = 0.79).</p><p><strong>Conclusion: </strong>This study confirms that exercise training exerts anti-tumor effects by remodeling the tumor immune microenvironment, activating systemic immune responses, and reducing ctDNA burden. Its unique \"immune normalization\" effect provides important evidence for the development of \"exercise-immunotherapy\" combination treatment strategies.</p>","PeriodicalId":13420,"journal":{"name":"Immunopharmacology and Immunotoxicology","volume":" ","pages":"34-42"},"PeriodicalIF":3.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145809772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2026-01-12DOI: 10.1080/08923973.2025.2608149
Fatemeh Nozhat, Negin Salamat, Mohammad Ali Salarialiabadi, Hoda Mojiri-Forushani, Hassan Morovvati
Objective: Pharmaceuticals are emerging pollutants that have received great interest because of their discharge into aquatic ecosystems through wastewater worldwide. However, studies on the effects of these pollutants on aquatic animals are limited. Dexamethasone is a potent synthetic glucocorticoid with anti-inflammatory and immunosuppressive effects. Understanding how this medicine affects the immune response of fish was the topic of interest in the present study. The present study investigated the effects of dexamethasone on the innate immune response of the spleen and head kidney cells of Acanthopagrus arabicus in vitro.
Materials: Cultured spleen and head kidney cells were exposed to dexamethasone with various concentrations in vitro. After 48 h, the toxic effects of dexamethasone on innate immune factors were assessed.
Results: Based on the results, the sensitivity of cultured spleen and head kidney cells to dexamethasone increased in a concentration-dependent manner. Dexamethasone significantly decreased the number of IgM-secreting cells and IgM secretion. It also significantly reduced the C3 content of the cultivated cells but did not significantly alter the C4 and ACH50 contents or lysozyme activity of the cultivated cells. Furthermore, dexamethasone significantly suppressed respiratory burst activity and nitric oxide production in the spleen and head kidney cells.
Conclusions: In conclusion, the immunosuppressive effect of dexamethasone was due mainly to its suppressive effects on IgM-secreting cells and IgM production, C3 content, burst activity and nitric oxide production in the spleen and head kidney cells.
{"title":"Immunosuppressive effects of dexamethasone on spleen and head kidney cells from Arabian Sea bream (<i>Acanthopagrus arabicus</i>): <i>in vitro</i> model of environmental pharmaceutical pollution.","authors":"Fatemeh Nozhat, Negin Salamat, Mohammad Ali Salarialiabadi, Hoda Mojiri-Forushani, Hassan Morovvati","doi":"10.1080/08923973.2025.2608149","DOIUrl":"10.1080/08923973.2025.2608149","url":null,"abstract":"<p><strong>Objective: </strong>Pharmaceuticals are emerging pollutants that have received great interest because of their discharge into aquatic ecosystems through wastewater worldwide. However, studies on the effects of these pollutants on aquatic animals are limited. Dexamethasone is a potent synthetic glucocorticoid with anti-inflammatory and immunosuppressive effects. Understanding how this medicine affects the immune response of fish was the topic of interest in the present study. The present study investigated the effects of dexamethasone on the innate immune response of the spleen and head kidney cells of <i>Acanthopagrus arabicus in vitro</i>.</p><p><strong>Materials: </strong>Cultured spleen and head kidney cells were exposed to dexamethasone with various concentrations <i>in vitro</i>. After 48 h, the toxic effects of dexamethasone on innate immune factors were assessed.</p><p><strong>Results: </strong>Based on the results, the sensitivity of cultured spleen and head kidney cells to dexamethasone increased in a concentration-dependent manner. Dexamethasone significantly decreased the number of IgM-secreting cells and IgM secretion. It also significantly reduced the C3 content of the cultivated cells but did not significantly alter the C4 and ACH50 contents or lysozyme activity of the cultivated cells. Furthermore, dexamethasone significantly suppressed respiratory burst activity and nitric oxide production in the spleen and head kidney cells.</p><p><strong>Conclusions: </strong>In conclusion, the immunosuppressive effect of dexamethasone was due mainly to its suppressive effects on IgM-secreting cells and IgM production, C3 content, burst activity and nitric oxide production in the spleen and head kidney cells.</p>","PeriodicalId":13420,"journal":{"name":"Immunopharmacology and Immunotoxicology","volume":" ","pages":"122-135"},"PeriodicalIF":3.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145834098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2026-01-29DOI: 10.1080/08923973.2026.2618099
Fatma Sayed Abd-Elsamea, Asmaa H M Soliman, Asmaa Abdo Abdelrahman, Omar Ali Mohamed Farghaly, Mostafa Sabry, Asmaa A Rayan
Objective: This study aimed to assess the effect of chronic administration of Monosodium Glutamate (MSG) on blood cells, thymus, spleen, and inflammatory indicators through interleukin (IL)-17 and interleukin (IL)-10 gene expression levels in blood and in thymic and spleen tissues in male Wistar rats.
Methods: Rats were treated with MSG orally once daily for 90 days at two different doses with and without probiotic supplementation (Bacillus Subtilis and Bacillus Pumilus). Blood samples were collected for CBC, IL-10, and IL-17 gene expression in blood. The spleen and thymus were taken for histological and immunohistochemical studies.
Results: WBC results showed no significant difference among groups. A statistically significant higher mean IL-10 was observed among the low dose with probiotic (group 4) compared to other groups. There was a significantly higher mean of IL17 among low dose without probiotic (group 2). The mean level of IL-17 was high among group 4. Sections from thymus and spleen of MSG groups showed histological derangement. Immunohistochemical staining in tissues supported the observed gene expression levels in blood. Groups with higher cytokine gene expression generally showed stronger tissue staining, confirming consistency between transcription and protein levels and this strengthens interpretation of MSG-induced immune alterations.
Conclusion: High-dose MSG was associated with a decreased level of IL-10 with various degrees of tissue inflammation. Adding probiotics to low-dose MSG resulted in increased levels of IL-10 in blood. The low serum level of IL-17 in the high-dose MSG groups was associated with high degrees of inflammation with little improvement with probiotic.
{"title":"Studying the effect of chronic toxicity of monosodium glutamate on interleukin-10 and interleukin-17 in albino Wistar rats.","authors":"Fatma Sayed Abd-Elsamea, Asmaa H M Soliman, Asmaa Abdo Abdelrahman, Omar Ali Mohamed Farghaly, Mostafa Sabry, Asmaa A Rayan","doi":"10.1080/08923973.2026.2618099","DOIUrl":"10.1080/08923973.2026.2618099","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess the effect of chronic administration of Monosodium Glutamate (MSG) on blood cells, thymus, spleen, and inflammatory indicators through interleukin (IL)-17 and interleukin (IL)-10 gene expression levels in blood and in thymic and spleen tissues in male Wistar rats.</p><p><strong>Methods: </strong>Rats were treated with MSG orally once daily for 90 days at two different doses with and without probiotic supplementation (Bacillus Subtilis and Bacillus Pumilus). Blood samples were collected for CBC, IL-10, and IL-17 gene expression in blood. The spleen and thymus were taken for histological and immunohistochemical studies.</p><p><strong>Results: </strong>WBC results showed no significant difference among groups. A statistically significant higher mean IL-10 was observed among the low dose with probiotic (group 4) compared to other groups. There was a significantly higher mean of IL17 among low dose without probiotic (group 2). The mean level of IL-17 was high among group 4. Sections from thymus and spleen of MSG groups showed histological derangement. Immunohistochemical staining in tissues supported the observed gene expression levels in blood. Groups with higher cytokine gene expression generally showed stronger tissue staining, confirming consistency between transcription and protein levels and this strengthens interpretation of MSG-induced immune alterations.</p><p><strong>Conclusion: </strong>High-dose MSG was associated with a decreased level of IL-10 with various degrees of tissue inflammation. Adding probiotics to low-dose MSG resulted in increased levels of IL-10 in blood. The low serum level of IL-17 in the high-dose MSG groups was associated with high degrees of inflammation with little improvement with probiotic.</p>","PeriodicalId":13420,"journal":{"name":"Immunopharmacology and Immunotoxicology","volume":" ","pages":"148-163"},"PeriodicalIF":3.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146085668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2025-11-19DOI: 10.1080/08923973.2025.2585087
Muhammet Yusuf Tepebaşi, Halil Aşci, Esma Selçuk, Dinçer Uysal, Ahmet Bindal, Duygu Yüksel, Özlem Özmen
Objective: Sepsis-induced cardiotoxicity (SIC) is a critical complication characterized by inflammation, oxidative stress, and apoptosis, leading to myocardial dysfunction. The short-acting opioid analgesic remifentanil (REMI) possesses antioxidant and anti-inflammatory properties. This study aimed to evaluate the cardioprotective effects of REMI on lipopolysaccharide (LPS)-induced SIC by examining inflammation, oxidative stress, apoptosis, and mitochondrial function.
Materials and methods: Thirty-two female Wistar albino rats were divided into four groups: control, lipopolysaccharide (LPS), LPS+REMI, and REMI. Myocardial and aortic tissues were analyzed for histopathology, immunoexpression of Caspase-3 (Cas-3), nuclear factor kappa beta (NF-κB), and tumor necrosis factor alpha (TNF-α). Oxidative stress markers, including total oxidant status (TOS), total antioxidant status (TAS), and oxidative stress index (OSI), were measured. Mitochondrial apoptosis-related gene expression of AMP-activated protein kinase (AMPK), BCL2 Associated X (BAX), B-cell lymphoma 2 (BCL-2), Sirtuin 1 (SIRT1), and Peroxisome proliferator-activated receptor gamma coactivator 1-alpha (PGC1α) was assessed.
Results: LPS administration induced severe histopathological damage, increased oxidative stress (elevated TOS and OSI), and upregulated apoptotic (Cas-3, BAX/BCL-2 imbalance) and inflammatory (NF-κB, TNF-α) markers. REMI treatment significantly alleviated myocardial and aortic injury, reducing the histopathological score. It markedly decreased Cas-3, NF-κB, and TNF-α expression, lowered TOS and OSI levels, and modulated the BAX/BCL-2. Furthermore, REMI restored the expression of AMPK, SIRT1, and PGC-1α genes, indicating a protective effect on mitochondrial biogenesis and energy metabolism.
Conclusions: REMI exhibits significant cardioprotective effects in LPS-induced SIC by attenuating inflammation, oxidative stress, and apoptosis while preserving mitochondrial homeostasis.
{"title":"In sepsis-associated cardiotoxicity, remifentanil reduces oxidative stress, inflammation, and apoptosis to maintain mitochondrial biogenesis by inhibiting NFkB and cas-3 immunoexpressions and enhancing SIRT1 upregulation.","authors":"Muhammet Yusuf Tepebaşi, Halil Aşci, Esma Selçuk, Dinçer Uysal, Ahmet Bindal, Duygu Yüksel, Özlem Özmen","doi":"10.1080/08923973.2025.2585087","DOIUrl":"10.1080/08923973.2025.2585087","url":null,"abstract":"<p><strong>Objective: </strong>Sepsis-induced cardiotoxicity (SIC) is a critical complication characterized by inflammation, oxidative stress, and apoptosis, leading to myocardial dysfunction. The short-acting opioid analgesic remifentanil (REMI) possesses antioxidant and anti-inflammatory properties. This study aimed to evaluate the cardioprotective effects of REMI on lipopolysaccharide (LPS)-induced SIC by examining inflammation, oxidative stress, apoptosis, and mitochondrial function.</p><p><strong>Materials and methods: </strong>Thirty-two female Wistar albino rats were divided into four groups: control, lipopolysaccharide (LPS), LPS+REMI, and REMI. Myocardial and aortic tissues were analyzed for histopathology, immunoexpression of Caspase-3 (Cas-3), nuclear factor kappa beta (NF-κB), and tumor necrosis factor alpha (TNF-α). Oxidative stress markers, including total oxidant status (TOS), total antioxidant status (TAS), and oxidative stress index (OSI), were measured. Mitochondrial apoptosis-related gene expression of AMP-activated protein kinase (AMPK), BCL2 Associated X (BAX), B-cell lymphoma 2 (BCL-2), Sirtuin 1 (SIRT1), and Peroxisome proliferator-activated receptor gamma coactivator 1-alpha (PGC1α) was assessed.</p><p><strong>Results: </strong>LPS administration induced severe histopathological damage, increased oxidative stress (elevated TOS and OSI), and upregulated apoptotic (Cas-3, BAX/BCL-2 imbalance) and inflammatory (NF-κB, TNF-α) markers. REMI treatment significantly alleviated myocardial and aortic injury, reducing the histopathological score. It markedly decreased Cas-3, NF-κB, and TNF-α expression, lowered TOS and OSI levels, and modulated the BAX/BCL-2. Furthermore, REMI restored the expression of AMPK, SIRT1, and PGC-1α genes, indicating a protective effect on mitochondrial biogenesis and energy metabolism.</p><p><strong>Conclusions: </strong>REMI exhibits significant cardioprotective effects in LPS-induced SIC by attenuating inflammation, oxidative stress, and apoptosis while preserving mitochondrial homeostasis.</p>","PeriodicalId":13420,"journal":{"name":"Immunopharmacology and Immunotoxicology","volume":" ","pages":"1-10"},"PeriodicalIF":3.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145458686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2025-12-22DOI: 10.1080/08923973.2025.2603439
Jian Gao, Zifang Zheng, Guolie Zhang
Background: This Summary-data-based Mendelian randomization (SMR) study investigates the genetic basis of Graves' disease (GD) using a multi-omics approach to elucidate biological mechanisms and identify therapeutic candidates.
Methods: SMR and Bayesian colocalization analyzed GD associations with methylation (mQTL), expression (eQTL), and protein quantitative trait loci (pQTL) using FinnGen as the discovery cohort. Top SNPs underwent methylation-gene expression and gene expression-protein interaction analyses. Key findings were validated against an independent GWAS dataset. Functional enrichment characterized pathways for eQTL-SMR-derived loci. The Drug Signatures Database (DsigDB) predicted potential drugs.
Results: Significant multi-omics associations were found. mQTL analysis linked GD to 1,772 methylation sites (294 genes); eQTL identified 157 genes. pQTL signals appeared in two cohorts (4 genes deCODE; 16 genes UKB-PPP). AGER and AIF1 were consistent across omics. AIF1 showed strong GD associations (mQTL OR 1.09; eQTL OR 1.44; deCODE-pQTL OR 3.17; UKB-PPP-pQTL OR 3.46). Integrated analysis revealed a positive correlation between AGER DNA methylation and expression, but negative for AIF1, with colocalization support (PPH3 + PPH4 > 0.8). SMR showed inverse pQTL associations for AGER and positive for AIF1, also colocalized. Independent GWAS validation confirmed GD associations with AGER and AIF1 at pQTL. Enrichment indicated immune/inflammatory pathways. Drug predictions included agents for AGER (Oleanolic Acid, Rutin, Estriol, GW9662) and AIF1 (Quinoline).
Conclusion: This study provides novel insights into GD pathogenesis, highlighting AGER and AIF1 as therapeutically relevant genes. Findings offer valuable insights for GD treatment strategies and potential drug development streamlining, warranting further experimental validation.
背景:这项基于摘要数据的孟德尔随机化(SMR)研究利用多组学方法研究Graves病(GD)的遗传基础,以阐明生物学机制并确定候选治疗方案。方法:使用FinnGen作为发现队列,SMR和贝叶斯共定位分析GD与甲基化(mQTL)、表达(eQTL)和蛋白质数量性状位点(pQTL)的关联。对顶级snp进行甲基化-基因表达和基因表达-蛋白互作分析。针对独立的GWAS数据集验证了主要发现。功能富集表征了eqtl - smr衍生位点的途径。药物特征数据库(DsigDB)预测潜在药物。结果:发现显著的多组学关联。mQTL分析将GD与1772个甲基化位点(294个基因)联系起来;eQTL鉴定出157个基因。pQTL信号出现在两个队列中(4个基因解码,16个基因UKB-PPP)。AGER和AIF1在组学上是一致的。AIF1表现出较强的GD相关性(mQTL OR 1.09; eQTL OR 1.44; deCODE-pQTL OR 3.17; UKB-PPP-pQTL OR 3.46)。综合分析显示AGER DNA甲基化与表达呈正相关,但与AIF1呈负相关,具有共定位支持(PPH3 + PPH4 > 0.8)。SMR与AGER呈pQTL负相关,与AIF1呈阳性,也是共定位的。独立GWAS验证在pQTL上证实GD与AGER和AIF1相关。富集表明免疫/炎症途径。药物预测包括AGER(齐墩果酸、芦丁、雌三醇、GW9662)和AIF1(喹啉)。结论:本研究为GD的发病机制提供了新的见解,强调了AGER和AIF1是治疗相关基因。研究结果为GD治疗策略和潜在的药物开发简化提供了有价值的见解,需要进一步的实验验证。
{"title":"Multi-omics profiling uncovers candidate genes for the treatment of graves' disease.","authors":"Jian Gao, Zifang Zheng, Guolie Zhang","doi":"10.1080/08923973.2025.2603439","DOIUrl":"10.1080/08923973.2025.2603439","url":null,"abstract":"<p><strong>Background: </strong>This Summary-data-based Mendelian randomization (SMR) study investigates the genetic basis of Graves' disease (GD) using a multi-omics approach to elucidate biological mechanisms and identify therapeutic candidates.</p><p><strong>Methods: </strong>SMR and Bayesian colocalization analyzed GD associations with methylation (mQTL), expression (eQTL), and protein quantitative trait loci (pQTL) using FinnGen as the discovery cohort. Top SNPs underwent methylation-gene expression and gene expression-protein interaction analyses. Key findings were validated against an independent GWAS dataset. Functional enrichment characterized pathways for eQTL-SMR-derived loci. The Drug Signatures Database (DsigDB) predicted potential drugs.</p><p><strong>Results: </strong>Significant multi-omics associations were found. mQTL analysis linked GD to 1,772 methylation sites (294 genes); eQTL identified 157 genes. pQTL signals appeared in two cohorts (4 genes deCODE; 16 genes UKB-PPP). AGER and AIF1 were consistent across omics. AIF1 showed strong GD associations (mQTL OR 1.09; eQTL OR 1.44; deCODE-pQTL OR 3.17; UKB-PPP-pQTL OR 3.46). Integrated analysis revealed a positive correlation between AGER DNA methylation and expression, but negative for AIF1, with colocalization support (PPH3 + PPH4 > 0.8). SMR showed inverse pQTL associations for AGER and positive for AIF1, also colocalized. Independent GWAS validation confirmed GD associations with AGER and AIF1 at pQTL. Enrichment indicated immune/inflammatory pathways. Drug predictions included agents for AGER (Oleanolic Acid, Rutin, Estriol, GW9662) and AIF1 (Quinoline).</p><p><strong>Conclusion: </strong>This study provides novel insights into GD pathogenesis, highlighting AGER and AIF1 as therapeutically relevant genes. Findings offer valuable insights for GD treatment strategies and potential drug development streamlining, warranting further experimental validation.</p>","PeriodicalId":13420,"journal":{"name":"Immunopharmacology and Immunotoxicology","volume":" ","pages":"53-66"},"PeriodicalIF":3.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145804235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2026-01-22DOI: 10.1080/08923973.2025.2606226
Marwa A Al-Gholam, Huda I Abd-Elhafiz, Asmaa S Essawy
Objectives: Recently, cancer rates have increased among women of reproductive age. As a result, chemotherapy exposure is a common cause of premature ovarian failure (POF). The present study evaluated Losartan's protective effects against cyclophosphamide (CP)-induced POF.
Methods and results: Forty female nuligravid Sprague-Dawley rats were used. Rats were randomly placed in four groups: Group I (control group); Group II (losartan group); received Losartan 100 mg/kg daily by gavage oraly for 30 days; Group III (POF group): POF was induced by intraperitoneal injection of 50 mg/kg of CP on day one of the experiment and then 8 mg/kg/day for fifteen serial days; Group IV (Losartan + POF group): received losartan 100 mg/kg daily for thirty days one hour before CP intraperitoneal dosage of 50 mg/kg on the first day of the experiment and then CP has given in a dose of 8 mg/kg/day for fifteen successive days. Physiological sera of blood and tissue samples were evaluated biochemically, hormonally, and histopathologically at the end of the experiment. Losartan treatment improved E2, FSH, LH, and oxidative stress biomarkers. Furthermore, coadministration of Losartan to the POF group exhibited a significant lessening in systolic blood pressure, a significant improvement in ovarian blood flow velocity, and a significant decline in ovarian vascular resistance related to the POF group. Furthermore, Losartan reduced the histopathological and immunohistochemical alterations, enhanced SIRT1 gene expression, and decreased NF-κB gene expression.
Discussion: Our findings suggest that Losartan protects rats from cyclophosphamide-induced ovarian toxicity.
{"title":"Losartan ameliorates premature ovarian failure by regulation of the Sirti1/NF-κB pathway in female albino rats.","authors":"Marwa A Al-Gholam, Huda I Abd-Elhafiz, Asmaa S Essawy","doi":"10.1080/08923973.2025.2606226","DOIUrl":"10.1080/08923973.2025.2606226","url":null,"abstract":"<p><strong>Objectives: </strong>Recently, cancer rates have increased among women of reproductive age. As a result, chemotherapy exposure is a common cause of premature ovarian failure (POF). The present study evaluated Losartan's protective effects against cyclophosphamide (CP)-induced POF.</p><p><strong>Methods and results: </strong>Forty female nuligravid Sprague-Dawley rats were used. Rats were randomly placed in four groups: Group I (control group); Group II (losartan group); received Losartan 100 mg/kg daily by gavage oraly for 30 days; Group III (POF group): POF was induced by intraperitoneal injection of 50 mg/kg of CP on day one of the experiment and then 8 mg/kg/day for fifteen serial days; Group IV (Losartan + POF group): received losartan 100 mg/kg daily for thirty days one hour before CP intraperitoneal dosage of 50 mg/kg on the first day of the experiment and then CP has given in a dose of 8 mg/kg/day for fifteen successive days. Physiological sera of blood and tissue samples were evaluated biochemically, hormonally, and histopathologically at the end of the experiment. Losartan treatment improved E2, FSH, LH, and oxidative stress biomarkers. Furthermore, coadministration of Losartan to the POF group exhibited a significant lessening in systolic blood pressure, a significant improvement in ovarian blood flow velocity, and a significant decline in ovarian vascular resistance related to the POF group. Furthermore, Losartan reduced the histopathological and immunohistochemical alterations, enhanced SIRT1 gene expression, and decreased NF-κB gene expression.</p><p><strong>Discussion: </strong>Our findings suggest that Losartan protects rats from cyclophosphamide-induced ovarian toxicity.</p>","PeriodicalId":13420,"journal":{"name":"Immunopharmacology and Immunotoxicology","volume":" ","pages":"136-147"},"PeriodicalIF":3.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145781207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2025-12-02DOI: 10.1080/08923973.2025.2591423
Nermeen M El Bakary, Noura Magdy Thabet, Laila A Rashed, Khaled Sh Azab, Hamed Helal, Rokaya E Maarouf, Mohamed K Abdel-Rafei
Background: The complex interaction between the adaptive immune system and innate immunological components causes rheumatoid arthritis (RA), a systemic autoimmune disorder that involves synovitis and joint deformity. Brain- spleen axis is a reciprocal cross-communicative circuit serves a crucial role in maintaining immunomodulation and homeostasis. RA complicates extra-articular manifestations in spleen and brain. Exposure to ionizing radiation might exacerbate the severity of RA. Recently, beta- sitosterol (BS), which is a promising phytosterols, has shown efficacy against various inflammatory models.
Objective: Here, we aim at exploring the immunomodulatory effect of BS on the inflammatory responses in arthritic and arthritic-irradiated rats involving articular and extra-articular manifestation implicated in the brain-spleen axis.
Materials and methods: Adjuvant- induced arthritic rats were subjected to fractionated doses of γ-radiation (2 Gy/fraction once per week for 4 successive weeks, up to a total dose of 8 Gy) and either treated with BS (40 mg/kg b.wt./day, p.o.) or the standard anti-RA drug, methotrexate (MTX) (0.5 mg/kg; twice weekly, i.p).
Results: BS ameliorated the arthritic clinical signs, improved histopathological insults, and osteopathological damage as revealed by X- radiography. Moreover, a notable alleviation in key inflammatory culprits was observed in ankle joints. Also, BS modulated apelin-13/APJ and protein kinase C (PKC)/AMP-activated protein kinase (AMPK)/nuclear factor erythroid-2-related factor-2 (Nrf2) signaling pathways in spleen and brain, as well as reduced oxidative stress, augmented antioxidant defenses, and diminished pro-inflammatory cytokines in serum, spleen, and brain that was supported histopathologically.
Conclusion: BS exhibited an immunomodulatory effect involving the brain-spleen axis in arthritic and arthritic-irradiated rats.
{"title":"Beta-sitosterol alleviates inflammatory culprits and disease severity in arthritic irradiated rat's model: role of brain-spleen axis.","authors":"Nermeen M El Bakary, Noura Magdy Thabet, Laila A Rashed, Khaled Sh Azab, Hamed Helal, Rokaya E Maarouf, Mohamed K Abdel-Rafei","doi":"10.1080/08923973.2025.2591423","DOIUrl":"10.1080/08923973.2025.2591423","url":null,"abstract":"<p><strong>Background: </strong>The complex interaction between the adaptive immune system and innate immunological components causes rheumatoid arthritis (RA), a systemic autoimmune disorder that involves synovitis and joint deformity. Brain- spleen axis is a reciprocal cross-communicative circuit serves a crucial role in maintaining immunomodulation and homeostasis. RA complicates extra-articular manifestations in spleen and brain. Exposure to ionizing radiation might exacerbate the severity of RA. Recently, beta- sitosterol (BS), which is a promising phytosterols, has shown efficacy against various inflammatory models.</p><p><strong>Objective: </strong>Here, we aim at exploring the immunomodulatory effect of BS on the inflammatory responses in arthritic and arthritic-irradiated rats involving articular and extra-articular manifestation implicated in the brain-spleen axis.</p><p><strong>Materials and methods: </strong>Adjuvant- induced arthritic rats were subjected to fractionated doses of γ-radiation (2 Gy/fraction once per week for 4 successive weeks, up to a total dose of 8 Gy) and either treated with BS (40 mg/kg b.wt./day, p.o.) or the standard anti-RA drug, methotrexate (MTX) (0.5 mg/kg; twice weekly, i.p).</p><p><strong>Results: </strong>BS ameliorated the arthritic clinical signs, improved histopathological insults, and osteopathological damage as revealed by X- radiography. Moreover, a notable alleviation in key inflammatory culprits was observed in ankle joints. Also, BS modulated apelin-13/APJ and protein kinase C (PKC)/AMP-activated protein kinase (AMPK)/nuclear factor erythroid-2-related factor-2 (Nrf2) signaling pathways in spleen and brain, as well as reduced oxidative stress, augmented antioxidant defenses, and diminished pro-inflammatory cytokines in serum, spleen, and brain that was supported histopathologically.</p><p><strong>Conclusion: </strong>BS exhibited an immunomodulatory effect involving the brain-spleen axis in arthritic and arthritic-irradiated rats.</p>","PeriodicalId":13420,"journal":{"name":"Immunopharmacology and Immunotoxicology","volume":" ","pages":"11-33"},"PeriodicalIF":3.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145603925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-10-26DOI: 10.1080/08923973.2025.2572548
Wahid Shah, Arshad Mehmood, Imran Ali, Shoaib Muhammad, Syed Shah Zaman Haider Naqvi
Background: Polydatin, a natural component of Polygonum cuspidatum, exhibits potent anti-metabolic properties. The treatment with Poly (10 µm/L) effectively reversed the high glucose (HG)-induced reduction in acetylcholine (ACh)-elicited vasodilation in the aortas of Sprague-Dawley rats.
Methods: Male Sprague-Dawley rats were used to evaluate the effects of polydatin on endothelial function under HG conditions. Endothelium-dependent relaxation (EDR) was assessed in isolated thoracic aortic rings using ACh, with or without L-NAME or tempol. Human umbilical vein endothelial cells (HUVECs) were also treated under normal glucose (NG), HG, or HG + polydatin conditions. Gene expression (NLRP3, VCAM-1, GAPDH) was measured by RT-PCR, while protein levels of eNOS, iNOS, NLRP3, VCAM-1, and GAPDH were analyzed by western blotting.
Results: HG significantly impaired ACh-induced EDR in rat aortic rings, while polydatin (10 µmol/L) restored vascular responsiveness. Mechanistically, polydatin upregulated eNOS and suppressed iNOS expression, and its vasoprotective effects were partially inhibited by L-NAME, indicating nitric oxide (NO) pathway involvement. In both aortic tissues and HUVECs, HG markedly increased NLRP3 and VCAM-1 expression, which was effectively reversed by polydatin, indicating its anti-inflammatory action.
Conclusion: Polydatin counteracts hyperglycemia-induced endothelial dysfunction by enhancing eNOS-dependent NO signaling to restore vasodilatory capacity, while inhibiting NLRP3 inflammasome activation and downstream VCAM-1 expression to attenuate vascular inflammation. These dual mechanisms position polydatin as a therapeutic agent for preserving vascular function in diabeticconditions.
{"title":"Polydatin enhances blood vessel relaxation and reduces NLRP3-mediated inflammation in hyperglycemia by lowering vascular cell adhesion molecule expression.","authors":"Wahid Shah, Arshad Mehmood, Imran Ali, Shoaib Muhammad, Syed Shah Zaman Haider Naqvi","doi":"10.1080/08923973.2025.2572548","DOIUrl":"10.1080/08923973.2025.2572548","url":null,"abstract":"<p><strong>Background: </strong>Polydatin, a natural component of Polygonum cuspidatum, exhibits potent anti-metabolic properties. The treatment with Poly (10 µm/L) effectively reversed the high glucose (HG)-induced reduction in acetylcholine (ACh)-elicited vasodilation in the aortas of Sprague-Dawley rats.</p><p><strong>Methods: </strong>Male Sprague-Dawley rats were used to evaluate the effects of polydatin on endothelial function under HG conditions. Endothelium-dependent relaxation (EDR) was assessed in isolated thoracic aortic rings using ACh, with or without L-NAME or tempol. Human umbilical vein endothelial cells (HUVECs) were also treated under normal glucose (NG), HG, or HG + polydatin conditions. Gene expression (NLRP3, VCAM-1, GAPDH) was measured by RT-PCR, while protein levels of eNOS, iNOS, NLRP3, VCAM-1, and GAPDH were analyzed by western blotting.</p><p><strong>Results: </strong>HG significantly impaired ACh-induced EDR in rat aortic rings, while polydatin (10 µmol/L) restored vascular responsiveness. Mechanistically, polydatin upregulated eNOS and suppressed iNOS expression, and its vasoprotective effects were partially inhibited by L-NAME, indicating nitric oxide (NO) pathway involvement. In both aortic tissues and HUVECs, HG markedly increased NLRP3 and VCAM-1 expression, which was effectively reversed by polydatin, indicating its anti-inflammatory action.</p><p><strong>Conclusion: </strong>Polydatin counteracts hyperglycemia-induced endothelial dysfunction by enhancing eNOS-dependent NO signaling to restore vasodilatory capacity, while inhibiting NLRP3 inflammasome activation and downstream VCAM-1 expression to attenuate vascular inflammation. These dual mechanisms position polydatin as a therapeutic agent for preserving vascular function in diabeticconditions.</p>","PeriodicalId":13420,"journal":{"name":"Immunopharmacology and Immunotoxicology","volume":" ","pages":"794-802"},"PeriodicalIF":3.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145372669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-11-17DOI: 10.1080/08923973.2025.2585083
Chao Zhang, Fang An
Objectives: Immunotherapies, including chimeric antigen receptor T-cell (CAR-T) therapy, represent a pivotal approach in the treatment of multiple myeloma (MM). However, the complex immunosuppressive tumor microenvironment (TME) poses significant challenges to their efficacy. Among the immunosuppressive cells in the MM TME, granulocytic myeloid-derived suppressor cells (G-MDSCs) are predominant, yet their functions remain incompletely understood. This study aimed to comprehensively analyze the role of G-MDSCs in MM patients undergoing CAR-T therapy.
Methods: Single-cell transcriptomic data from seven MM patients before and after CAR-T therapy were analyzed to characterize G-MDSCs. Functional enrichment and gene set enrichment analysis (GSEA) were performed to identify signaling pathways. A risk prediction model was constructed using RNA-seq and survival data from 713 MM patients, and validated by Kaplan-Meier analysis. In vitro experiments were conducted to assess the immunosuppressive functions of G-MDSCs.
Results: The findings, though exploratory due to limited sample size and inter-patient heterogeneity, suggested pathological activation and immunosuppressive roles of G-MDSCs potentially linked to patient prognosis. G-MDSCs were identified as key modulators of immune responses within the TME, with GSEA indicating regulation via IFN-α/γ signaling. They may facilitate immune evasion of MM cells by promoting proliferation through the IGF1-IGF1R axis and inhibiting T cells and other immune cells via the SIRPA-CD47 pathway. The risk prediction model based on G-MDSC gene signatures demonstrated high prognostic accuracy (AUC = 0.94). PTGS1 was identified as a key marker associated with high-risk groups, and functional assays confirmed its role in mediating G-MDSC immunosuppressive activity.
Conclusions: This study provides preliminary insights into the functional role of G-MDSCs in the MM TME and highlights their impact on CAR-T therapy outcomes. The findings suggest potential therapeutic strategies, including targeting PTGS1, to enhance CAR-T efficacy. Larger and more diverse cohorts are required to substantiate these observations.
{"title":"Functional role of granulocytic myeloid-derived suppressor cells in CAR-T therapy: insights from single-cell RNA sequencing in multiple myeloma.","authors":"Chao Zhang, Fang An","doi":"10.1080/08923973.2025.2585083","DOIUrl":"10.1080/08923973.2025.2585083","url":null,"abstract":"<p><strong>Objectives: </strong>Immunotherapies, including chimeric antigen receptor T-cell (CAR-T) therapy, represent a pivotal approach in the treatment of multiple myeloma (MM). However, the complex immunosuppressive tumor microenvironment (TME) poses significant challenges to their efficacy. Among the immunosuppressive cells in the MM TME, granulocytic myeloid-derived suppressor cells (G-MDSCs) are predominant, yet their functions remain incompletely understood. This study aimed to comprehensively analyze the role of G-MDSCs in MM patients undergoing CAR-T therapy.</p><p><strong>Methods: </strong>Single-cell transcriptomic data from seven MM patients before and after CAR-T therapy were analyzed to characterize G-MDSCs. Functional enrichment and gene set enrichment analysis (GSEA) were performed to identify signaling pathways. A risk prediction model was constructed using RNA-seq and survival data from 713 MM patients, and validated by Kaplan-Meier analysis. In vitro experiments were conducted to assess the immunosuppressive functions of G-MDSCs.</p><p><strong>Results: </strong>The findings, though exploratory due to limited sample size and inter-patient heterogeneity, suggested pathological activation and immunosuppressive roles of G-MDSCs potentially linked to patient prognosis. G-MDSCs were identified as key modulators of immune responses within the TME, with GSEA indicating regulation via IFN-α/γ signaling. They may facilitate immune evasion of MM cells by promoting proliferation through the IGF1-IGF1R axis and inhibiting T cells and other immune cells via the SIRPA-CD47 pathway. The risk prediction model based on G-MDSC gene signatures demonstrated high prognostic accuracy (AUC = 0.94). PTGS1 was identified as a key marker associated with high-risk groups, and functional assays confirmed its role in mediating G-MDSC immunosuppressive activity.</p><p><strong>Conclusions: </strong>This study provides preliminary insights into the functional role of G-MDSCs in the MM TME and highlights their impact on CAR-T therapy outcomes. The findings suggest potential therapeutic strategies, including targeting PTGS1, to enhance CAR-T efficacy. Larger and more diverse cohorts are required to substantiate these observations.</p>","PeriodicalId":13420,"journal":{"name":"Immunopharmacology and Immunotoxicology","volume":" ","pages":"880-896"},"PeriodicalIF":3.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145458638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}