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Smart Biomaterials as Immunomodulators in Cancer Therapy 智能生物材料在癌症治疗中的免疫调节剂作用。
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-11-25 DOI: 10.1111/imm.70068
Amit Sharma, Bhavin Parekh, Vinay Patil, Renuka Jyothi S., Priya Priyadarshini Nayak, Bethanney Janney J., Gurjant Singh, Hasnaawei Al-Shaker

The integration of immunotherapy into oncology has transformed cancer treatment by harnessing the immune system to selectively eliminate malignant cells. Despite remarkable advances, conventional immunotherapies remain constrained by limited response rates, tumour heterogeneity and severe systemic toxicities, including cytokine release syndrome and autoimmunity. To address these challenges, smart biomaterials have emerged as next-generation platforms capable of modulating immune responses with high precision. By enabling localised and controlled release of therapeutic agents, these systems enhance drug retention at tumour sites, reduce systemic exposure and minimise off-target effects. Engineered biomaterials, including liposomes, polymeric nanoparticles, hydrogels, microneedle arrays and implantable scaffolds, provide spatial and temporal control over the delivery of cytokines, checkpoint inhibitors, engineered T cells and cancer vaccines. These platforms improve pharmacokinetics and biodistribution while also facilitating crosstalk with the tumour microenvironment, thereby enhancing therapeutic potency and reducing adverse effects. Recent innovations such as lipid nanoparticles for mRNA-based vaccines and reactive oxygen species–responsive hydrogels highlight the translational potential of these materials, with several formulations now advancing into clinical trials. This review synthesises current progress in the design and application of smart biomaterials as immunomodulators, emphasising their capacity to overcome major clinical barriers in cancer immunotherapy. Key areas of focus include strategies to improve immune cell recruitment, enhance antigen presentation and integrate multimodal therapies. By bridging materials science and immuno-oncology, smart biomaterials represent a transformative approach to achieving safer, more durable and personalised cancer treatments. Continued innovation in this field is poised to reshape the therapeutic landscape and accelerate clinical translation.

通过利用免疫系统选择性地消除恶性细胞,将免疫疗法整合到肿瘤学中已经改变了癌症治疗。尽管取得了显著进展,但传统的免疫疗法仍然受到有限的反应率、肿瘤异质性和严重的全身毒性(包括细胞因子释放综合征和自身免疫)的限制。为了应对这些挑战,智能生物材料已经成为能够高精度调节免疫反应的下一代平台。通过使治疗剂的局部和控制释放,这些系统增强了药物在肿瘤部位的保留,减少了全身暴露并最大限度地减少了脱靶效应。工程生物材料,包括脂质体、聚合纳米颗粒、水凝胶、微针阵列和可植入支架,提供了对细胞因子、检查点抑制剂、工程T细胞和癌症疫苗递送的空间和时间控制。这些平台改善了药代动力学和生物分布,同时也促进了与肿瘤微环境的串扰,从而提高了治疗效力并减少了不良反应。最近的创新,如用于mrna疫苗的脂质纳米颗粒和活性氧物种反应水凝胶,突出了这些材料的转化潜力,目前有几种配方正在进入临床试验阶段。本文综述了智能生物材料作为免疫调节剂的设计和应用的最新进展,强调了它们克服癌症免疫治疗主要临床障碍的能力。重点领域包括改善免疫细胞募集、增强抗原呈递和整合多模式治疗的策略。通过连接材料科学和免疫肿瘤学,智能生物材料代表了实现更安全、更持久和个性化癌症治疗的变革性方法。该领域的持续创新将重塑治疗领域并加速临床转化。
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引用次数: 0
Plasma Protein Fluctuation Trajectories Over 15 Years Before Rheumatoid Arthritis Onset 类风湿关节炎发病前15年血浆蛋白波动轨迹
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-11-12 DOI: 10.1111/imm.70066
Chen Sun, Jiacheng Wang, Wei She, Wenhua Lv, Siyu Wei, Haiyan Chen, Junxian Tao, Linna Yuan, Yuping Zou, Ruilin Li, Jing Xu, Yuan Xu, Ning Wang, Yan Guo, Qinduo Ren, Chang Wang, Songlin Lu, Ye Ma, Yu Dong, Chen Zhang, Hongmei Sun, Guoping Tang, Fanwu Kong, Zhenwei Shang, Hongchao Lyu, Mingming Zhang, Yongshuai Jiang

Rheumatoid arthritis (RA) causes long-term functional disability, aggravating physical and mental stress to patients. However, the dynamic pathogenesis before RA onset remains unclear. Here we examined the associations between 2923 plasma proteins and incident RA in the UK Biobank cohort. Over a 15-year follow-up period, 433 RA cases were identified, revealing 460 significant protein-RA associations. These RA-related proteins were predominantly involved in immune responses, such as leukocyte migration, T cell activation, and lymphocyte activation. Sixty five proteins were significantly associated with both long-term and near-term risk of RA. Among them, 26 proteins exhibited changes as early as over 15 years prior to RA onset with progressively fluctuating, such as IL6 and IFI30. Others, such as CDCP1 and TGFA, showed inconsistent fluctuation patterns, while proteins like GDF15 and EDA2R began to fluctuate closer to the onset of RA. Furthermore, these proteins demonstrated robust predictive performance, with an area under the curve (AUC) of 0.818 in the training set and 0.766 in the test set. When combined with demographic measures, the predictive model showed further improvement, achieving an AUC of 0.871 in the training set and 0.919 in the test set. Our findings characterise plasma protein fluctuation trajectories over 15 years before RA onset and deepen our understanding of early-stage pathogenesis.

类风湿性关节炎(RA)会导致长期的功能障碍,加重患者的身心压力。然而,RA发病前的动态发病机制尚不清楚。在这里,我们研究了英国生物银行队列中2923种血浆蛋白与RA事件之间的关系。在15年的随访期间,确定了433例RA病例,揭示了460例显著的RA蛋白关联。这些ra相关蛋白主要参与免疫反应,如白细胞迁移、T细胞活化和淋巴细胞活化。65种蛋白与RA的长期和近期风险显著相关。其中,有26种蛋白早在RA发病前15年以上就出现变化,且呈渐进式波动,如IL6和IFI30。其他的,如CDCP1和TGFA,表现出不一致的波动模式,而像GDF15和EDA2R这样的蛋白质在RA发病时开始波动。此外,这些蛋白质表现出稳健的预测性能,在训练集的曲线下面积(AUC)为0.818,在测试集的AUC为0.766。结合人口学指标,预测模型得到进一步改善,在训练集和测试集的AUC分别为0.871和0.919。我们的研究结果描述了类风湿关节炎发病前15年的血浆蛋白波动轨迹,加深了我们对早期发病机制的理解。
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引用次数: 0
Elevated CD39 + T Cells Contribute to Immune Regulatory Imbalance in Systemic Lupus Erythematosus CD39+ T细胞升高导致系统性红斑狼疮免疫调节失衡
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-11-12 DOI: 10.1111/imm.70065
Ziqi Xiong, Zhiwei Zong, Xiaoyi Zheng, Qihui Han, Yiming Gao, Ayibaota Bahabayi, Zhonghui Zhang, Chen Liu

This study aims to explore the role of CD39 in peripheral blood T cells and its alterations in patients with systemic lupus erythematosus (SLE), focusing on its potential for clinical diagnosis. Peripheral blood samples were collected from 58 newly diagnosed untreated SLE patients and 48 healthy controls. Flow cytometry was used to evaluate CD39 expression in CD4+ T cell subsets (TEMRA, N, EM, CM) and Treg/non-Treg populations. The expression of CD39 and related molecules (VNN2, CD226, CD62L, TIM3, HLA, GZMB) was analysed in peripheral blood mononuclear cells (PBMCs). The correlation between CD39+ T cell subsets and clinical markers was assessed, and the diagnostic value of CD39+ subsets was evaluated using receiver operating characteristic (ROC) curve analysis. CD39 expression was significantly elevated in CD4+ T cells, especially in TEMRA and non-Treg subsets. CD39+ T cells exhibited higher levels of effector molecules such as TIM3, CD226, HLA, VNN2 and GZMB, while CD62L expression was lower. The proportion of CD39 related T cells in SLE patients was significantly higher compared to healthy controls, with significant correlations to clinical markers like anti-SSB antibodies and complement C4. ROC analysis revealed that CD39+ T cell subsets, particularly in N and non-Treg cells, showed potential for diagnosing SLE. CD39+ T cells are involved in immune dysregulation in SLE, and their increased presence and subset distribution suggest their potential as diagnostic markers for SLE.

本研究旨在探讨CD39在系统性红斑狼疮(SLE)患者外周血T细胞中的作用及其改变,重点探讨其在临床诊断中的潜力。本文收集了58例新诊断的未治疗SLE患者和48例健康对照者的外周血样本。流式细胞术检测CD39在CD4+ T细胞亚群(TEMRA、N、EM、CM)和Treg/非Treg群体中的表达。检测外周血单个核细胞(PBMCs)中CD39及相关分子(VNN2、CD226、CD62L、TIM3、HLA、GZMB)的表达。评估CD39+ T细胞亚群与临床标志物的相关性,采用受试者工作特征(ROC)曲线分析评估CD39+ T细胞亚群的诊断价值。CD39在CD4+ T细胞中的表达显著升高,尤其是在TEMRA和非treg亚群中。CD39+ T细胞中TIM3、CD226、HLA、VNN2、GZMB等效应分子表达水平较高,而CD62L表达水平较低。SLE患者中CD39相关T细胞比例明显高于健康对照组,且与抗ssb抗体、补体C4等临床标志物有显著相关性。ROC分析显示CD39+ T细胞亚群,特别是N细胞和非treg细胞,具有诊断SLE的潜力。CD39+ T细胞参与SLE的免疫失调,其增加的存在和亚群分布提示其作为SLE诊断标志物的潜力。
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引用次数: 0
Leukocyte Specific Protein 1 Deficiency Impairs Anti-Melanoma Immunity by Disrupting DC and CD8 + T Cell Function in Mice 白细胞特异性蛋白1缺乏通过破坏DC和CD8+ T细胞功能损害小鼠抗黑色素瘤免疫
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-11-12 DOI: 10.1111/imm.70064
María Mercedes Pascual, Nicolás Daniel Dho, Rachel Paola Acland Strack, Constanza Marín, Federico Ruiz Moreno, Luz María Palacios, Guadalupe López Menichetti, Carolina Luque, María Inés Crespo, Belkys Maletto, Gabriel Morón

Leukocyte-specific protein 1 (LSP1) is an F-actin-binding protein involved in immune cell motility and cytoskeletal rearrangement. Although LSP1 has been extensively studied in neutrophils and macrophages, its role in dendritic cells and tumour surveillance remains poorly understood. Here, we demonstrate that LSP1 deficiency in mice leads to increased growth of B16-OVA melanoma, accompanied by reduced survival. Flow cytometry and histological analysis revealed lower total leukocyte content in the tumour microenvironment (TME) in LSP1 knockout (KO) mice compared to wild-type (WT) mice, and a significant reduction in CD8+ T cells and CD103+ dendritic cells (DCs), as well as in additional immune cell populations, in tumour-draining lymph nodes of LSP1 KO mice. In vivo, DCs from LSP1 KO mice exhibited impaired antigen uptake and transportation to the tumour-draining lymph node and a reduced in vitro capacity to activate naïve CD8+ T cells. These defects correlated with diminished in vitro and in vivo CD8+ T cell priming and activation in LSP1-deficient mice. Cytokine profiling of tumour homogenates from LSP1 KO mice revealed a complex inflammatory milieu, with elevated levels of both pro- and anti-tumoural cytokines, including IL-1β, TNF-α, IL-10, IL-17A, IFNβ IL-23, IL-27 and GM-CSF. Our findings suggest that LSP1 plays a critical, cell-intrinsic role in both DC and CD8+ T cell function, although we cannot exclude the possible role of other leukocyte populations. Its absence promotes tumour progression by disrupting key immune responses in the TME.

白细胞特异性蛋白1 (LSP1)是一种f -肌动蛋白结合蛋白,参与免疫细胞运动和细胞骨架重排。尽管LSP1在中性粒细胞和巨噬细胞中被广泛研究,但其在树突状细胞和肿瘤监测中的作用仍然知之甚少。在这里,我们证明了LSP1在小鼠中的缺乏导致B16-OVA黑色素瘤的生长增加,并伴有生存率降低。流式细胞术和组织学分析显示,与野生型(WT)小鼠相比,LSP1敲除(KO)小鼠肿瘤微环境(TME)中的总白细胞含量较低,LSP1 KO小鼠肿瘤引流淋巴结中的CD8+ T细胞和CD103+树突状细胞(dc)以及其他免疫细胞群的含量显著降低。在体内,来自LSP1 KO小鼠的dc表现出抗原摄取和运输到肿瘤引流淋巴结的受损,并且体外激活naïve CD8+ T细胞的能力降低。这些缺陷与lsp1缺陷小鼠体内和体外CD8+ T细胞启动和激活减少相关。来自LSP1 KO小鼠的肿瘤均质物的细胞因子谱显示了复杂的炎症环境,促肿瘤和抗肿瘤细胞因子水平升高,包括IL-1β、TNF-α、IL-10、IL-17A、IFNβ、IL-23、IL-27和GM-CSF。我们的研究结果表明,LSP1在DC和CD8+ T细胞功能中都起着关键的细胞内在作用,尽管我们不能排除其他白细胞群的可能作用。它的缺失通过破坏TME中的关键免疫反应来促进肿瘤进展。
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引用次数: 0
Selective Reduction of MAIT Cells in Peripheral Blood T Cell Subsets of Primary Sjögren's Syndrome and Their Clinical Significance 原发性Sjögren综合征外周血T细胞亚群MAIT细胞选择性减少及其临床意义
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-11-12 DOI: 10.1111/imm.70062
Zhao Guan, Bohao Yang, Hanxi Luo, Zhenxue Li, Zhiwei Zong, Jie Chen, Weijie Lin, Bing Shen, Ziqi Xiong, Chen Liu

This study aims to assess the distribution of mucosal-associated invariant T (MAIT) cells across CD3+ T cell subsets in human peripheral blood and investigate their changes in patients with primary Sjögren's syndrome (pSS), exploring their potential clinical implications. Peripheral blood from 39 pSS patients and 45 healthy controls was analysed. CD3+ T cells were categorised into four subsets: CD4+CD8−, double-positive (DP), double-negative (DN), and CD8+CD4−. MAIT cells (CD161++TCRVα7.2+) were identified using flow cytometry. Proportions and absolute counts of MAIT cells were compared between pSS patients and controls. Supplementary experiments were conducted on the peripheral blood of 15 pSS patients and 17 healthy controls to analyse the expression of GZMB and perforin in MAIT cells and their four subpopulations (CD4+ MAIT, CD8+ MAIT, DN MAIT, and DP MAIT). MAIT cell-related parameters were correlated with clinical indices, and their diagnostic value was evaluated using receiver operating characteristic (ROC) curves. The proportion and absolute count of MAIT cells were significantly reduced in pSS patients compared to healthy controls. In particular, MAIT cell levels were markedly lower in the DN and CD8+CD4− subsets. Additionally, the absolute counts of MAIT cells were significantly decreased in the DP, DN, and CD8+CD4− subsets, whereas no significant change was observed in the CD4+CD8− subset. Compared with healthy controls, the proportion of GZMB+ cells in the CD8+ MAIT and DN MAIT subpopulations of pSS patients increased. The percentages of MAIT cells within CD3+ T cells were negatively correlated with inflammatory markers, including C-reactive protein (CRP), erythrocyte sedimentation rate (ESR) and anti-SSB antibodies. Notably, MAIT cells in the DN subset were also positively correlated with complement C4 levels. MAIT cell proportions and counts vary across CD3+ T cell subsets, showing significant reductions in pSS patients. These findings highlight the potential role of MAIT cells as a diagnostic biomarker, given their strong associations with clinical disease markers in pSS.

本研究旨在评估人外周血中粘膜相关不变性T (MAIT)细胞在CD3+ T细胞亚群中的分布,并研究其在原发性Sjögren综合征(pSS)患者中的变化,探讨其潜在的临床意义。分析了39例pSS患者和45例健康对照者的外周血。CD3+ T细胞分为四个亚群:CD4+CD8-、双阳性(DP)、双阴性(DN)和CD8+CD4-。流式细胞术检测MAIT细胞(CD161+ TCRVα7.2+)。比较pSS患者和对照组MAIT细胞的比例和绝对计数。在15例pSS患者和17例健康对照者的外周血中进行GZMB和perforin在MAIT细胞及其4个亚群(CD4+ MAIT、CD8+ MAIT、DN MAIT和DP MAIT)中的表达分析。MAIT细胞相关参数与临床指标相关,采用受试者工作特征(ROC)曲线评价其诊断价值。与健康对照相比,pSS患者的MAIT细胞比例和绝对计数显著降低。特别是,MAIT细胞水平在DN和CD8+CD4-亚群中显著降低。此外,DP、DN和CD8+CD4-亚群的MAIT细胞绝对计数显著减少,而CD4+CD8-亚群的MAIT细胞绝对计数未见显著变化。与健康对照相比,pSS患者CD8+ MAIT和DN MAIT亚群中GZMB+细胞的比例增加。CD3+ T细胞内MAIT细胞的百分比与炎症标志物呈负相关,包括c反应蛋白(CRP)、红细胞沉降率(ESR)和抗ssb抗体。值得注意的是,DN亚群中的MAIT细胞也与补体C4水平呈正相关。MAIT细胞的比例和计数在不同的CD3+ T细胞亚群中有所不同,在pSS患者中显示出显著的减少。这些发现强调了MAIT细胞作为诊断性生物标志物的潜在作用,因为它们与pSS的临床疾病标志物有很强的相关性。
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引用次数: 0
Leveraging Mycobacterium tuberculosis Rv1507A Protein for Improved Immunogenicity in Mycobacterium bovis BCG Vaccine 利用结核分枝杆菌Rv1507A蛋白提高牛分枝杆菌卡介苗的免疫原性
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-11-08 DOI: 10.1111/imm.70063
Nilofer Naqvi, Anwar Alam, Mohd Shariq, Yashika Ahuja, Dipendra K. Mitra, Seyed E. Hasnain, Nasreen Z. Ehtesham

Tuberculosis (TB) remains a global health burden, particularly because of the limited efficacy of the Bacillus Calmette-Guérin (BCG) vaccine against adult pulmonary TB. To improve immunogenicity, we developed a recombinant BCG strain expressing the M. tuberculosis -specific antigen Rv1507A (rBCG_Rv1507A) and evaluated its immune-enhancing potential. rBCG_Rv1507A-infected human PBMCs and murine macrophages exhibited enhanced co-stimulatory marker expression and Th1-skewed cytokine profiles in vitro. The vaccine stimulated the expansion of T follicular helper (TFH) cells and both central and effector memory T cells. Intratracheal immunisation induced systemic and mucosal antibody responses, localized memory B cell formation, and enrichment of lung-resident memory T cells in vivo. Importantly, rBCG_Rv1507A promoted macrophage apoptosis and suppressed autophagy, which may support cross-antigen presentation. Furthermore, it induces features of trained immunity, including hematopoietic progenitor expansion and metabolic reprogramming of macrophages. These immunological enhancements were compartmentalized to the lungs, the primary site of TB infection, due to mucosal delivery. Collectively, rBCG_Rv1507A demonstrated potential as a next-generation TB vaccine by integrating durable adaptive memory with innate immune training. However, further studies are required to confirm its protective efficacy.

结核病仍然是全球卫生负担,特别是因为卡介苗对成人肺结核的效力有限。为了提高免疫原性,我们构建了表达结核分枝杆菌特异性抗原Rv1507A (rBCG_Rv1507A)的重组卡介苗菌株,并评估了其免疫增强潜力。rbcg_rv1507a感染的人外周血单核细胞和小鼠巨噬细胞在体外表现出增强的共刺激标志物表达和th1倾斜的细胞因子谱。疫苗刺激T滤泡辅助细胞(TFH)和中枢记忆T细胞和效应记忆T细胞的扩增。气管内免疫诱导全身和粘膜抗体反应,局部记忆B细胞形成,以及体内肺驻留记忆T细胞的富集。重要的是,rBCG_Rv1507A促进巨噬细胞凋亡并抑制自噬,这可能支持交叉抗原递呈。此外,它还能诱导训练免疫的特征,包括造血祖细胞的扩增和巨噬细胞的代谢重编程。这些免疫增强被划分为肺,结核感染的原发部位,由于粘膜传递。总的来说,rBCG_Rv1507A通过将持久适应性记忆与先天免疫训练相结合,展示了作为下一代结核病疫苗的潜力。然而,需要进一步的研究来证实其保护作用。
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引用次数: 0
CXCL2-PI3K/AKT/NF-κB Signalling Axis Drives Neutrophil Activation and Inflammation in Systemic Lupus Erythematosus: Implications for Targeted Therapeutic Strategies CXCL2-PI3K/AKT/NF-κB信号轴驱动系统性红斑狼疮中性粒细胞激活和炎症:靶向治疗策略的意义
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-11-08 DOI: 10.1111/imm.70060
Chang Xu, Yali Zhou, Xinwei Huang, Yun jing Pu, Wenting Cao, Limei Yuan, Yongzhuo Wu, Danqi Deng, Binbin Yang

Systemic lupus erythematosus (SLE) is a complex autoimmune disease characterised by chronic inflammation and immune dysregulation, with neutrophils playing a critical role in disease pathogenesis. In this study, we elucidated the involvement of the CXCL2-PI3K/AKT/NF-κB signalling axis in the abnormal activation of neutrophils in SLE using transcriptome analysis and functional experiments. Transcriptomic profiling revealed that CXCL2 expression is significantly upregulated in SLE patients, contributing to the activation of key inflammatory pathways and the expression of pro-inflammatory cytokines and chemokines. In vitro and in vivo experiments confirmed that CXCL2 promotes the transcription of inflammatory factors by activating the PI3K/AKT/NF-κB pathway, and inhibitors targeting this signalling axis effectively reduced inflammation. Furthermore, neutrophils from SLE patients exhibited a ‘pre-activated’ state under CXCL2 stimulation, potentially due to epigenetic or metabolic alterations. The functional relevance of CXCL2 was further validated in vivo, where knockout of CXCL2 or depletion of neutrophils reduced tissue damage and inflammatory responses. This study highlights the importance of the CXCL2-PI3K/AKT/NF-κB signalling axis in SLE and suggests that targeting CXCL2 or neutrophil-specific markers could provide novel therapeutic strategies for managing SLE. Future research should explore the heterogeneity of neutrophil subpopulations in SLE and the role of metabolic reprogramming in exacerbating inflammation, further refining potential targeted therapies.

系统性红斑狼疮(SLE)是一种以慢性炎症和免疫失调为特征的复杂自身免疫性疾病,中性粒细胞在疾病发病机制中起着关键作用。在本研究中,我们通过转录组分析和功能实验阐明了CXCL2-PI3K/AKT/NF-κB信号轴参与SLE中性粒细胞的异常激活。转录组学分析显示,CXCL2在SLE患者中表达显著上调,促进了关键炎症通路的激活以及促炎细胞因子和趋化因子的表达。体外和体内实验证实,CXCL2通过激活PI3K/AKT/NF-κB通路促进炎症因子的转录,靶向该信号轴的抑制剂可有效减轻炎症。此外,来自SLE患者的中性粒细胞在CXCL2刺激下表现出“预激活”状态,可能是由于表观遗传或代谢改变。在体内进一步验证了CXCL2的功能相关性,其中敲除CXCL2或中性粒细胞的消耗可减少组织损伤和炎症反应。本研究强调了CXCL2- pi3k /AKT/NF-κB信号轴在SLE中的重要性,并提示靶向CXCL2或中性粒细胞特异性标记物可能为SLE的治疗提供新的治疗策略。未来的研究应该探索SLE中性粒细胞亚群的异质性,以及代谢重编程在加剧炎症中的作用,进一步完善潜在的靶向治疗。
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引用次数: 0
Tui Na Acupressure Modulates Treg Immunosuppression via FoxP3/mTORC1 Signalling in ALS Mice 推纳穴位按压通过FoxP3/mTORC1信号传导调节ALS小鼠Treg免疫抑制
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-11-06 DOI: 10.1111/imm.70052
Jie Han, Xi Xu, Yan Zhao, Yao Xiao, Fei Huang, Jing Zhou, Hai Huang, Guiqian Wang

Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease driven by neuroinflammation, where regulatory T cell (Treg) dysfunction exacerbates immune imbalance. This study explores whether Tui Na acupressure, a traditional Chinese therapy, can restore Treg immunosuppressive function through the FoxP3/mTORC1 signalling pathway to mitigate ALS pathology. In SOD1G93A ALS mice, Tui Na was applied at the Shenshu acupoint, with motor and cognitive functions assessed via rotarod, tail suspension, novel object recognition, and Y-maze tests. Multi-omics (transcriptomics, proteomics), flow cytometry, ELISA, and Western blot analysed Treg proportions, cytokine profiles, and pathway activation. In vitro assays evaluated Treg proliferation and immunosuppression. Tui Na significantly enhanced motor and cognitive performance, increased Treg proportions in spleen, lymph nodes, and blood, and elevated anti-inflammatory cytokines (IL-10, TGF-β) while reducing pro-inflammatory markers (IL-6, TNF-α). Transcriptomic and proteomic analyses revealed upregulated FoxP3, Mtor, and Raptor, with enhanced Treg proliferation and immunosuppression confirmed in vitro. Pathway inhibitors (GSK126, rapamycin) reversed these effects, confirming FoxP3/mTORC1 dependency. Tui Na also reduced apoptosis and oxidative stress, supporting immune regulation. These findings highlight Tui Na's potential to restore Treg-mediated immune balance in ALS, offering a non-pharmacological therapeutic strategy. This study provides novel immunological insights into Tui Na's mechanisms, advocating its clinical evaluation for ALS and related immune-driven disorders.

肌萎缩性侧索硬化症(ALS)是一种由神经炎症驱动的神经退行性疾病,其中调节性T细胞(Treg)功能障碍加剧了免疫失衡。本研究探讨中医推拿是否可以通过FoxP3/mTORC1信号通路恢复Treg免疫抑制功能,从而减轻ALS病理。在SOD1G93A ALS小鼠中,将推脑应用于肾枢穴,通过旋转杆、悬尾、新物体识别和y迷宫测试评估运动和认知功能。多组学(转录组学、蛋白质组学)、流式细胞术、ELISA和Western blot分析Treg比例、细胞因子谱和途径激活。体外实验评估Treg增殖和免疫抑制。推那显著提高运动和认知能力,增加脾脏、淋巴结和血液中Treg的比例,升高抗炎细胞因子(IL-10、TGF-β),降低促炎标志物(IL-6、TNF-α)。转录组学和蛋白质组学分析显示FoxP3, Mtor和Raptor上调,体外证实Treg增殖增强和免疫抑制。途径抑制剂(GSK126,雷帕霉素)逆转了这些作用,证实了FoxP3/mTORC1依赖性。推脑还能减少细胞凋亡和氧化应激,支持免疫调节。这些发现强调了推那在ALS中恢复treg介导的免疫平衡的潜力,提供了一种非药物治疗策略。本研究为推脑作用机制提供了新的免疫学视角,为推脑治疗ALS及相关免疫驱动疾病提供了临床评价。
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引用次数: 0
Large Extracellular Vesicles From Keratinocytes Expressing Human Papillomavirus Type 16 E6/E7 Suppress Langerhans-Like Cell CD8 + T Cell Priming and IL-12 Expression 表达人乳头瘤病毒16型E6/E7的角化细胞胞外大泡抑制朗格汉斯样细胞CD8+ T细胞启动和IL-12表达
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-11-05 DOI: 10.1111/imm.70059
Vaughn Ticar, Betina Nair, Michelle Wilson, Allison Tschirley, Merilyn Hibma

Human papillomavirus type 16 (HPV16) E6 and E7 are oncogenic proteins that are overexpressed following viral genome integration into the chromosomal DNA of infected mucosal epithelial cells, contributing to viral immune evasion and carcinogenesis. Epithelial cells can shed large extracellular vesicles (LEVs) that may modulate immune responses. We hypothesise that LEVs shed from epithelial cells expressing E6 and E7 modulate CD8+ T cell priming by the skin-local antigen presenting cells, the Langerhans cells (LCs). LEVs were isolated from control and E6/E7-expressing murine epithelial PDV cells. PDV-E6/E7 cells shed threefold more LEVs than control PDV cells in vitro. Murine LC ‘like’ cells were differentiated in vitro, co-cultured with LEVs, and assessed for antigen presentation, co-stimulatory molecule expression and cytokine production. We found that LCs co-cultured with Ctrl-LEVs demonstrated enhanced TAP1-dependent CD8 T cell priming, which was associated with increased co-stimulatory molecule and IL-12 expression. LCs co-cultured with E6/E7-LEVs failed to enhance TAP-1-dependent T cell priming and suppressed IL-12 production despite upregulating MHC-1 and co-stimulatory molecule expression. Our results show that LC priming of T cells is enhanced following treatment with Ctrl-LEVs whereas LEVs from HPV16 E6/E7 expressing cells suppress LC function. Functional impairment of LC priming of T cells by E6/E7-LEVs released in the epithelium may contribute to viral persistence in HPV16-infected skin.

人乳头瘤病毒16型(HPV16) E6和E7是在病毒基因组整合到感染粘膜上皮细胞的染色体DNA后过度表达的致癌蛋白,有助于病毒免疫逃避和致癌。上皮细胞可以脱落大的细胞外囊泡(LEVs),可能调节免疫反应。我们假设从表达E6和E7的上皮细胞中脱落的lev通过皮肤局部抗原呈递细胞朗格汉斯细胞(LCs)调节CD8+ T细胞的启动。从对照和表达E6/ e7的小鼠上皮PDV细胞中分离lev。PDV- e6 /E7细胞的lev含量是对照PDV细胞的3倍。小鼠LC“样”细胞在体外分化,与lev共培养,并评估抗原呈递、共刺激分子表达和细胞因子产生。我们发现,与ctrl - lev共培养的LCs表现出增强的tap1依赖性CD8 T细胞启动,这与共刺激分子和IL-12表达的增加有关。LCs与E6/E7-LEVs共培养,尽管上调MHC-1和共刺激分子表达,但未能增强tap -1依赖性T细胞的启动和抑制IL-12的产生。我们的研究结果表明,用Ctrl-LEVs处理T细胞后,LC的启动增强,而来自表达HPV16 E6/E7细胞的LEVs抑制LC的功能。上皮细胞释放的E6/E7-LEVs对T细胞LC启动的功能损害可能有助于病毒在hpv16感染皮肤中的持续存在。
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引用次数: 0
KDM5A: A Master Epigenetic Regulator of Th2 Immunity and Allergic Disease Pathogenesis KDM5A: Th2免疫和过敏性疾病发病机制的主要表观遗传调控因子
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-11-04 DOI: 10.1111/imm.70061
Jiangqi Liu, Zhiqiang Liu, Xiaorui Geng, Yongjin Wu, Lihua Mo, Yun Liao, Yu Liu, Pingchang Yang

Interleukin-4 (IL-4) drives Th2 polarisation and allergic inflammation, yet the epigenetic mechanisms regulating Il4 transcription in CD4+ T cells remain unclear. While STAT6 and GATA3 are canonical transcriptional regulators, lysine-specific demethylase 5A (KDM5A), an H3K4-specific demethylase, has not been linked to Th2 immunity. Here, we investigate KDM5A's role in IL-4 production and allergic airway disease (AA). Using DO11.10 TCR-transgenic mice and CD4+ T cell-specific Kdm5a-knockout models, we assessed KDM5A's role in IL-4 transcription. Chromatin immunoprecipitation (ChIP)-qPCR evaluated H3K4 demethylation at the Il4 promoter. Cross-ELISA quantified IL-4 secretion, and ubiquitination assays analysed KDM5A stability. Lactobacilli-derived DNA (LgDNA) was administered to disrupt the USP7-KDM5A axis in AA models. The results showed that KDM5A deficiency abolished TCR activation-induced IL-4 production, impairing Th2 polarisation. Mechanistically, KDM5A maintained H3K4 hypomethylation at the Il4 promoter, facilitating STAT6/GATA3 recruitment. TCR signalling enhanced KDM5A promoter occupancy via USP7-mediated deubiquitination. USP7 stabilisation of KDM5A elevated H3K4 demethylation and IL-4 transcription, driving AA pathogenesis. LgDNA suppressed USP7 activity, reducing KDM5A promoter binding by 65% and airway inflammation by 72%. In summary, KDM5A acts as an epigenetic rheostat of Th2 immunity, where USP7-dependent stabilisation licenses STAT6/GATA3 access to the Il4 promoter during TCR activation. Targeting the USP7-KDM5A axis with LgDNA selectively suppresses pathogenic Th2 responses while preserving physiological IL-4 functions. Our findings define a novel epigenetic mechanism for allergic disease and establish microbiome-derived LgDNA as a precision therapeutic strategy.

白细胞介素-4 (IL-4)驱动Th2极化和过敏性炎症,但在CD4+ T细胞中调节IL-4转录的表观遗传机制尚不清楚。虽然STAT6和GATA3是典型的转录调节因子,赖氨酸特异性去甲基酶5A (KDM5A),一种h3k4特异性去甲基酶,与Th2免疫无关。在这里,我们研究了KDM5A在IL-4产生和变应性气道疾病(AA)中的作用。利用DO11.10 tcr转基因小鼠和CD4+ T细胞特异性KDM5A敲除模型,我们评估了KDM5A在IL-4转录中的作用。染色质免疫沉淀(ChIP)-qPCR评估了Il4启动子处的H3K4去甲基化。交叉elisa定量IL-4分泌,泛素化测定分析KDM5A的稳定性。给乳杆菌源性DNA (LgDNA)破坏AA模型的USP7-KDM5A轴。结果表明,KDM5A缺失可消除TCR激活诱导的IL-4产生,损害Th2极化。在机制上,KDM5A在Il4启动子处维持H3K4的低甲基化,促进STAT6/GATA3的募集。TCR信号通过usp7介导的去泛素化增强KDM5A启动子占用。USP7稳定KDM5A提高H3K4去甲基化和IL-4转录,驱动AA发病机制。LgDNA抑制USP7活性,使KDM5A启动子结合减少65%,气道炎症减少72%。综上所述,KDM5A作为Th2免疫的表观遗传变阻器,其中usp7依赖的稳定性允许STAT6/GATA3在TCR激活期间进入Il4启动子。用LgDNA靶向USP7-KDM5A轴选择性地抑制致病性Th2反应,同时保留生理上的IL-4功能。我们的研究结果定义了过敏性疾病的一种新的表观遗传机制,并建立了微生物组衍生的LgDNA作为一种精确的治疗策略。
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引用次数: 0
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Immunology
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