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IL10 rs1800896 Genetic Variant Predicts Biochemical Remission in Inflammatory Bowel Disease Patients Undergoing Biologic Therapy IL10 rs1800896基因变异预测炎症性肠病患者接受生物治疗的生化缓解
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-10-29 DOI: 10.1111/imm.70058
Michela Helga Falzone, Davide Giuseppe Ribaldone, Martina Buglione, Irene Cottone, Marta Vernero, Demis Pitoni, Angelo Armandi, Francesca Saba, Eleonora Dileo, Alfredo Santovito, Gian Paolo Caviglia

Genetic factors, including single-nucleotide variants (SNVs), may modulate disease course and therapeutic efficacy in patients with inflammatory bowel disease (IBD). We investigated the association between four SNVs in cytokine genes and clinical phenotype as well as the response to molecular-targeted drugs in patients with IBD. A total of 197 IBD patients (142 Crohn's disease [CD], 55 ulcerative colitis [UC]) undergoing targeted treatment were enrolled. The SNVs analysed were: TNFA rs1800629 (−308 G>A), TGFB rs1800471 (−codon 10 C>T), IL6 rs1800795 (−174 G>C), and IL10 rs1800896 (−1082 G>A). Biochemical response at 12 months (T12) was defined as C-reactive protein < 5.0 mg/L and faecal calprotectin < 250 μg/g at T12, in the absence of ongoing corticosteroid therapy. Among the SNVs analysed, the IL6 rs1800795 C allele was significantly associated with a younger age at diagnosis (p = 0.049), while the TNFA rs1800629 A allele was more frequently observed in patients with CD than in UC (p = 0.036). Regarding treatment response, 134 patients completed 12 months of molecular-targeted therapy and were included in the per-protocol analysis; 41.0% achieved biochemical remission at T12. The IL10 rs1800896 variant allele was significantly associated with remission (OR = 2.15, 95% CI: 1.03–4.44; p = 0.041). This association remained significant in multivariate analysis (aOR = 4.15, 95% CI: 1.49–11.56; p = 0.007), independently of clinical and treatment-related variables. In conclusion, genotyping of cytokine-related SNVs may help identify patients with a more aggressive disease phenotype and guide personalised treatment strategies in patients with IBD.

遗传因素,包括单核苷酸变异(SNVs),可能调节炎症性肠病(IBD)患者的病程和治疗效果。我们研究了四种细胞因子基因SNVs与IBD患者临床表型以及对分子靶向药物的反应之间的关系。共纳入197例接受靶向治疗的IBD患者(其中克罗恩病[CD] 142例,溃疡性结肠炎[UC] 55例)。分析的snv为:TNFA rs1800629 (-308 G>A)、TGFB rs1800471(-密码子10c >T)、IL6 rs1800795 (-174 G>C)和IL10 rs1800896 (-1082 G>A)。12个月生化反应(T12)定义为c反应蛋白
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引用次数: 0
Exhausted CD8 + T Cell in HIV Infection Exhibits an Impaired Bioenergetic Metabolism Driven by Mitochondrial Dysfunction 耗尽的CD8+ T细胞在HIV感染中表现出线粒体功能障碍驱动的生物能量代谢受损。
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-10-28 DOI: 10.1111/imm.70054
Yee Teng Chan, Kar Min Loh, Zhi Ying Phong, Ting Fang Tang, Chun Howe Ng, Alireza Saeidi, Heng Choon Cheong, Yi Ying Cheok, Rong Xiang Ng, Raja Iskandar Shah Raja Azwa, Kian-Kai Cheng, Chung Yeng Looi, Adeeba Kamarulzaman, Reena Rajasuriar, Won Fen Wong

In people living with HIV (PLWH), persistent viral replication and antiretroviral therapy (ART)-associated toxicity contribute to T cell exhaustion, characterised by significant metabolic reprogramming that negatively impacts cellular function and longevity. Understanding the metabolic dysregulation in exhausted T cells could unveil novel therapeutic strategies to rejuvenate immune responses in PLWH. This study investigated the prevalence and metabolic gene expression profiles of exhausted CD8+ T cells across three PLWH cohorts: viremic treatment-naïve (TN), viremic treatment-failure (TF) and aviremic treatment-responders (TR). Our analysis revealed that the proportion of exhausted CD8+ T cells (PD1+CD107a) was markedly higher in viremic TN (5.1%) and TF (4.2%) groups compared to the aviremic TR cohort (2.2%, p < 0.05). Similarly, the percentage of terminally differentiated TEMRA cells (CCR7CD45RA+) was elevated in TN (38.0%) and TF (44.7%) compared with TR (21.5%, p < 0.05), indicating a higher prevalence of late-stage differentiation and exhaustion in viremic individuals. NanoString analysis revealed a broad downregulation of metabolic genes in exhausted CD8+ T cells from viremic individuals, suggesting a shift toward a metabolically quiescent state akin to naïve T cells. Seahorse analysis revealed impaired mitochondrial respiration in CD8+ T cells from viremic PLWH, characterised by reductions in both ATP-linked respiration and proton leak. Furthermore, we reported that combined treatment with MitoTEMPO and N-acetyl-l-cysteine (NAC) improved mitochondrial function but failed to restore the effector capacity of CD8+ T cells. In summary, this study highlights the defective metabolic programming of exhausted CD8+ T cells in viremic PLWH, underscoring potential metabolic targets for therapeutic intervention.

在HIV感染者(PLWH)中,持续的病毒复制和抗逆转录病毒治疗(ART)相关的毒性导致T细胞衰竭,其特征是显著的代谢重编程,对细胞功能和寿命产生负面影响。了解耗竭T细胞的代谢失调可以揭示新的治疗策略,以恢复PLWH的免疫反应。该研究调查了三个PLWH队列中耗尽CD8+ T细胞的患病率和代谢基因表达谱:病毒血症treatment-naïve (TN)、病毒血症治疗失败(TF)和病毒血症治疗应答者(TR)。我们的分析显示,与病毒血症TR组(2.2%)相比,病毒血症TN组(5.1%)和TF组(4.2%)中耗尽的CD8+ T细胞(PD1+CD107a-)的比例明显更高,TN组(38.0%)和TF组(44.7%)的p + T细胞(CCR7-CD45RA+)与TR组(21.5%)相比升高,病毒血症个体的p + T细胞向类似naïve T细胞的代谢静止状态转变。海马分析显示,病毒血症PLWH的CD8+ T细胞线粒体呼吸受损,其特征是atp相关呼吸和质子泄漏减少。此外,我们报道了MitoTEMPO和n -乙酰-l-半胱氨酸(NAC)联合治疗改善了线粒体功能,但未能恢复CD8+ T细胞的效应能力。总之,本研究强调了病毒血症PLWH中耗尽的CD8+ T细胞的代谢编程缺陷,强调了治疗干预的潜在代谢靶点。
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引用次数: 0
ERAP1 Allotypes 2 and 10 Differentially Regulate the Immunopeptidome of Melanocytes ERAP1同种异体2和10对黑素细胞免疫肽的调节差异
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-10-23 DOI: 10.1111/imm.70056
Martha Nikopaschou, Martina Samiotaki, Anna Kannavou, Nikolaos V. Angelis, Ourania Tsitsilonis, George Panayotou, Efstratios Stratikos

Endoplasmic reticulum aminopeptidase 1 (ERAP1) is a polymorphic enzyme that shapes the peptide repertoire presented by MHC class I molecules and can regulate adaptive immune responses in cancer and autoimmunity. Common missense polymorphisms in ERAP1 modulate its activity and are found in specific allotypes in humans. ERAP1 allotypes are linked to predisposition to HLA-associated inflammatory diseases such as psoriasis and Behçet's disease, through the generation of specific CD8+ T cell populations targeting disease-specific HLAs. Given the established broad effects of ERAP1 activity on the cellular immunopeptidome, we hypothesised that ERAP1 allotypic variation may lead to broad immunopeptidome shifts capable of triggering the observed antigenic responses. To test this hypothesis, we generated two A375 melanoma cell lines, each one expressing one of the most common, disease-associated ERAP1 allotypes, namely allotypes 2 or 10. Comparison of the immunopeptidome of these two cell lines showed only minor differences in peptide sequences presented but extensive changes in abundance that included alterations in length distribution, binding affinity, and sequence motifs. Our results suggest that enzymatic differences between ERAP1 allotypes are reflected primarily in the quantitative composition of the cellular immunopeptidome. These quantitative changes may constitute a mechanism that underlies ERAP1-allotypic associations with HLA-associated autoimmunity and variable immune responses.

内质网氨基肽酶1 (ERAP1)是一种多态酶,可形成MHC I类分子所呈现的肽库,并可调节癌症和自身免疫中的适应性免疫反应。ERAP1中常见的错义多态性调节其活性,并在人类的特定同种异型中发现。ERAP1同种异体通过产生靶向疾病特异性hla的特异性CD8+ T细胞群,与hla相关炎症性疾病(如牛皮癣和behet病)的易感性相关。鉴于ERAP1活性对细胞免疫肽穹窿的广泛影响,我们假设ERAP1异型变异可能导致广泛的免疫肽穹窿移位,从而触发观察到的抗原反应。为了验证这一假设,我们生成了两个A375黑色素瘤细胞系,每个细胞系表达一种最常见的与疾病相关的ERAP1同种异体,即同种异体2或10。比较这两种细胞系的免疫肽丘显示,肽序列只有微小的差异,但在丰度上有广泛的变化,包括长度分布、结合亲和力和序列基序的改变。我们的研究结果表明,ERAP1同种异体之间的酶促差异主要反映在细胞免疫肽球的定量组成上。这些定量变化可能构成了erap1与hla相关自身免疫和可变免疫反应的同种异型关联的机制。
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引用次数: 0
Deubiquitinating Enzyme UCHL1 Modulates FHL2 to Block Ferroptosis and Counteract CD8 + T Cell Anti-Tumour Immunity in Lung Adenocarcinoma 去泛素化酶UCHL1调节FHL2阻断肺腺癌中铁凋亡和对抗CD8+ T细胞抗肿瘤免疫。
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-10-22 DOI: 10.1111/imm.70057
Xianchao Chen, Jinping Li, Bo Tang, Xionghuai Wang, Yun Huang

A pivotal strategy in immuno-oncology is the initiation and modulation of adaptive immune responses. Ubiquitin carboxyl-terminal hydrolase L1 (UCHL1), known for its role in protein homeostasis and functionality, is implicated in tumorigenesis. However, its part in the antitumor immunity mediated by CD8+ T cells in lung adenocarcinoma (LUAD) is not yet clear. We harnessed bioinformatics to evaluate the clinical relevance of UCHL1 in LUAD, performed IHC to detect the expression of UCHL1 in LUAD tissue, and utilised qPCR to assess UCHL1 levels in LUAD cells, exploring its correlation with the presence of CD8+ T cells. The effects of UCHL1 on CD8+ T cell vigour have been investigated using lactate dehydrogenase and enzyme-linked immunosorbent assay kits, as well as flow cytometry. The contribution of UCHL1 to ferroptosis was examined with ferrous ion and manganese dioxide assay kits, alongside western blot. Furthermore, we utilised bioinformatics software UbiBrowser and Hdock, in conjunction with co-immunoprecipitation (Co-IP), immunofluorescence, and IP methods, to dissect the interaction between UCHL1 and FHL2. Rescue experiments further clarified the mechanism by which UCHL1 modulates FHL2 in tumour immunity. In vivo experiments confirmed the promoting effect of UCHL1 on tumour growth. Elevated UCHL1 levels in LUAD tissues and cells were observed. Dampening UCHL1 triggered ferroptosis in LUAD cells, which in turn ramped up CD8+ T cell activity and enhanced their tumour-killing potential. Mechanistically, UCHL1 was shown to deubiquitinate the downstream factor FHL2, and knocking down FHL2 could counteract the immunosuppressive effects induced by high UCHL1 levels on CD8+ T cells. UCHL1 inhibitor LDN57444 significantly inhibited tumour growth in mice. Therapies aimed at the UCHL1/FHL2 axis could be effectively paired with immunotherapies, opening new avenues in cancer treatment strategies.

免疫肿瘤学的一个关键策略是启动和调节适应性免疫反应。泛素羧基末端水解酶L1 (UCHL1)以其在蛋白质稳态和功能中的作用而闻名,与肿瘤的发生有关。然而,其在肺腺癌(LUAD)中CD8+ T细胞介导的抗肿瘤免疫中的作用尚不清楚。我们利用生物信息学方法评估UCHL1在LUAD中的临床相关性,采用免疫组化方法检测UCHL1在LUAD组织中的表达,并利用qPCR方法评估LUAD细胞中UCHL1的水平,探讨其与CD8+ T细胞存在的相关性。使用乳酸脱氢酶和酶联免疫吸附测定试剂盒以及流式细胞术研究了UCHL1对CD8+ T细胞活力的影响。用亚铁离子和二氧化锰检测试剂盒以及western blot检测UCHL1对铁下垂的贡献。此外,我们利用生物信息学软件UbiBrowser和Hdock,结合共免疫沉淀(Co-IP)、免疫荧光和IP方法,剖析了UCHL1和FHL2之间的相互作用。救援实验进一步阐明了UCHL1在肿瘤免疫中调控FHL2的机制。体内实验证实了UCHL1对肿瘤生长的促进作用。观察到LUAD组织和细胞中UCHL1水平升高。抑制UCHL1触发LUAD细胞中的铁下垂,进而增加CD8+ T细胞活性并增强其肿瘤杀伤潜力。在机制上,UCHL1被证明可以使下游因子FHL2去泛素化,而敲低FHL2可以抵消高水平UCHL1对CD8+ T细胞诱导的免疫抑制作用。UCHL1抑制剂LDN57444显著抑制小鼠肿瘤生长。针对UCHL1/FHL2轴的治疗可以有效地与免疫疗法配对,为癌症治疗策略开辟新的途径。
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引用次数: 0
Nbeal2 Inactivation Triggers Abl1 Stabilisation and Dysregulated Subcellular Localisation of the Multi-Drug-Resistant Protein MDR1 (ABCB1) in Mast Cells Nbeal2失活触发肥大细胞中Abl1稳定和多药耐药蛋白MDR1 (ABCB1)亚细胞定位失调
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-10-19 DOI: 10.1111/imm.70055
Raphaela Marquardt, Nico Andreas, Ronja Herrnberger, Claudia Küchler, Katrin Hornung, Bernhard Nieswandt, Marco Groth, Paul M. Jordan, Oliver Werz, Julia Drube, Sebastian Drube

Inactivation of the BEACH (beige and chediak-higashi) family member NBEAL2 in humans and mice results in the development of the gray platelet syndrome (GPS), a bleeding disorder characterised by macrothrombocytopenia and splenomegaly. On the cellular level, NBEAL2 inactivation leads to functional defects in megakaryocytes, platelets, neutrophils and NK cells. In addition, Nbeal2 deletion in mice causes specific defects in mast cells (MCs), such as accumulation of transcription factors and proteins that are involved in the protein biosynthesis machinery. These defects culminate in non-physiological survival behaviour and an amplified stem cell factor (SCF)-, interleukin (IL)-3- and IL-33-induced cytokine production. Here we show that NBEAL2 deficiency also leads to an Abl1-supported increased surface expression of the multi-drug-resistant protein 1 (Mdr-1) ABCB1, which is antagonised by the IL-33-induced activation of the TAK1-IKK2 module and the activation of Src-family-kinases (SFKs). Our data demonstrate that NBEAL2 is required to control the surface expression of ABCB1.

BEACH(米色和chediak-higashi)家族成员NBEAL2在人类和小鼠中的失活导致灰色血小板综合征(GPS)的发展,这是一种以大量血小板减少和脾大为特征的出血性疾病。在细胞水平上,NBEAL2失活导致巨核细胞、血小板、中性粒细胞和NK细胞的功能缺陷。此外,小鼠的Nbeal2缺失会导致肥大细胞(MCs)的特异性缺陷,例如参与蛋白质生物合成机制的转录因子和蛋白质的积累。这些缺陷最终导致非生理性生存行为和扩增的干细胞因子(SCF)-,白细胞介素(IL)-3-和IL-33诱导的细胞因子产生。在这里,我们发现NBEAL2缺陷也导致abl1支持的多药耐药蛋白1 (Mdr-1) ABCB1的表面表达增加,这被il -33诱导的TAK1-IKK2模块的激活和src家族激酶(SFKs)的激活所拮抗。我们的数据表明,NBEAL2是控制ABCB1表面表达所必需的。
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引用次数: 0
Mycobacterium tuberculosis Acr1 Protein Mitigates Experimental Autoimmune Encephalomyelitis Symptoms by Generating Myeloid-Derived Suppressor Cells and Regulatory T Cells 结核分枝杆菌Acr1蛋白通过产生髓源性抑制细胞和调节性T细胞减轻实验性自身免疫性脑脊髓炎症状
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-10-19 DOI: 10.1111/imm.70050
Taruna Lamba, Mohammad Adeel Zafar, Mohammad Shaaz, Sanpreet Singh, Sudhakar Singh, Mohd Affan Khan, Shivank Prajapati, Junaid A. Malik, Sidhanta Nanda, Kaneez F. Siddiqui, Ashish Arora, Sharvan Sehrawat, Javed N. Agrewala

Mycobacterium tuberculosis (Mtb) effectively suppresses host immunity to ensure its survival. We have earlier shown that the Acr1 protein of Mtb can inhibit the differentiation of dendritic cells (DCs). Consequently, in the current study, we examined the role of Acr1 in mitigating autoimmunity. Initially, we observed that Acr1 skews the differentiation of DCs into functionally competent myeloid-derived suppressor cells (MDSCAcr1) that chiefly secrete immunosuppressive molecules, expand regulatory T cells (TregAcr1) and attenuate inflammatory responses. Further, MDSCAcr1 suppress Th17 cells. Acr1 expanded MDSCs with a concurrent increase in myelin oligodendrocyte glycoprotein (MOG)-specific Tregs and a decline in Th17 cells in a murine experimental autoimmune encephalomyelitis (EAE) model and prevented the onset of the disease. These results were further validated in the prophylactic model of EAE. Mechanistically, Acr1 activates Tregs and MDSCs via the TLR-4 pathway, implicating innate immune recognition in Mtb-induced suppression. The results indicate a potential role of Acr1 against autoimmune diseases.

结核分枝杆菌(Mtb)有效抑制宿主免疫以确保其存活。我们之前已经证明Mtb的Acr1蛋白可以抑制树突状细胞(dc)的分化。因此,在当前的研究中,我们研究了Acr1在减轻自身免疫中的作用。最初,我们观察到Acr1扭曲了dc向功能性髓源性抑制细胞(MDSCAcr1)的分化,MDSCAcr1主要分泌免疫抑制分子,扩增调节性T细胞(TregAcr1)并减轻炎症反应。此外,MDSCAcr1抑制Th17细胞。在小鼠实验性自身免疫性脑脊髓炎(EAE)模型中,Acr1扩增MDSCs,同时增加髓鞘少突胶质细胞糖蛋白(MOG)特异性Tregs和Th17细胞的减少,并阻止疾病的发作。这些结果在EAE的预防模型中得到进一步验证。从机制上讲,Acr1通过TLR-4途径激活Tregs和MDSCs,在mtb诱导的抑制中涉及先天免疫识别。结果表明,Acr1在对抗自身免疫性疾病方面具有潜在作用。
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引用次数: 0
Inhibition of Pyruvate Dehydrogenase Kinase 2 Alleviates Concanavalin A-Induced Acute Liver Injury by Regulating Myeloid-Derived Suppressor Cells 丙酮酸脱氢酶激酶2的抑制通过调节髓源性抑制细胞减轻豆豆蛋白a诱导的急性肝损伤。
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-10-15 DOI: 10.1111/imm.70053
Chunxia Li, Chenyu Li, Weiwei Zhai, Ruihan Yu, Xinyi Xu, Fenglian Yan, Hui Zhang, Junfeng Zhang, Mingsheng Zhao, Lin Wang, Yuanbo Zhu, Zhihong Liu, Zhuoqun Yang, Wenbo Li, Huabao Xiong

Pyruvate dehydrogenase kinase 2 (PDK2) regulates glucose metabolism; however, its role in liver injury development is unknown. Therefore, this study aimed to explore the effects of PDK2 on liver injury using a concanavalin A (Con A)-induced acute liver injury mouse model. To understand the mechanisms by which PDK2 affects liver injury pathogenesis, network pharmacology analysis was performed to pinpoint the potential target genes and signaling pathways involved. Con A was used to induce acute liver injury in mice. Thereafter, PDK2 differential expression levels in the liver tissue of normal and liver injury mice were analyzed, and the effects of PDK2 inhibition on Con A-induced liver damage were assessed through biochemical analysis and observation of hepatic histopathological changes. Enzyme-linked immunosorbent assay, quantitative polymerase chain reaction, flow cytometry, and western blotting were used to explore the possible mechanisms by which PDK2 affects liver injury. PDK2 was involved in liver injury progression, and pharmacological inhibition of PDK2 notably increased mouse survival, decreased serum alanine transaminase and aspartate aminotransferase levels, attenuated hepatic histopathological damage and apoptosis, and inhibited pro-inflammatory cytokine secretion and the activation of the mitogen-activated protein kinase/nuclear factor kappa B (MAPK/NF-κB) signaling pathway. Pharmacological inhibition of PDK2 markedly alleviated hepatic oxidative stress and elevated myeloid-derived suppressor cells (MDSCs) in the livers of acute liver injury mice. Overall, inhibiting PDK2 ameliorates Con A-induced acute liver injury by enhancing MDSCs accumulation and suppressing oxidative stress, the MAPK/NF-κB signaling pathway, and inflammation. These findings identify PDK2 as a promising therapeutic target for immune-mediated hepatitis.

丙酮酸脱氢酶激酶2 (PDK2)调节葡萄糖代谢;然而,其在肝损伤发展中的作用尚不清楚。因此,本研究旨在通过刀豆蛋白a (cona)诱导的急性肝损伤小鼠模型,探讨PDK2对肝损伤的影响。为了了解PDK2影响肝损伤发病机制的机制,我们进行了网络药理学分析,以确定潜在的靶基因和所涉及的信号通路。用Con A诱导小鼠急性肝损伤。随后,分析正常小鼠和肝损伤小鼠肝组织中PDK2的差异表达水平,通过生化分析和肝脏组织病理学变化观察,评估PDK2抑制对Con a诱导的肝损伤的影响。采用酶联免疫吸附试验、定量聚合酶链反应、流式细胞术和western blotting等方法探讨PDK2影响肝损伤的可能机制。PDK2参与肝损伤进展,药理抑制PDK2可显著提高小鼠存活率,降低血清丙氨酸转氨酶和天冬氨酸转氨酶水平,减轻肝脏组织病理损伤和细胞凋亡,抑制促炎细胞因子分泌和丝裂原活化蛋白激酶/核因子κB (MAPK/NF-κB)信号通路的激活。药理抑制PDK2可显著减轻急性肝损伤小鼠肝脏氧化应激和髓源性抑制细胞(MDSCs)升高。总的来说,抑制PDK2通过增强MDSCs积累和抑制氧化应激、MAPK/NF-κB信号通路和炎症来改善Con - a诱导的急性肝损伤。这些发现确定PDK2是免疫介导性肝炎的一个有希望的治疗靶点。
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引用次数: 0
Modulation of Immune Cells by Aspirin During Pregnancy 怀孕期间阿司匹林对免疫细胞的调节作用。
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-10-14 DOI: 10.1111/imm.70051
Ana Luísa Areia, Jani Almeida, Vera Alves, Anabela Mota-Pinto, Helena Sá

Pregnancy requires precise maternal immune adaptation to support fetal development while maintaining defense against external threats. Disruption of this balance can result in complications such as preeclampsia (PE), a major cause of maternal and fetal morbidity and mortality. Low-dose aspirin (LDA) is widely used to prevent PE, but its immunomodulatory mechanisms are not fully understood. In this observational study (CES-BS_SF_160_2022; NCT06882850), 32 healthy pregnant women were enrolled and PE risk assessed; 16 classified as high-risk received LDA (150 mg/day) from the first trimester until 36 weeks, and 16 served as controls. Peripheral blood was collected in each trimester (T1, T2, T3), with an additional sample 4 weeks after LDA initiation in the Risk Group (T1.2). Complete blood counts and flow cytometry assessed immune cell populations. Both groups were well-matched for maternal, delivery, and neonatal characteristics, with no significant differences in complications or adverse outcomes. White blood cell subpopulations did not differ significantly. However, the Risk Group had significantly lower haemoglobin and platelet levels in the second trimester. T cell frequencies increased in the Risk Group by the second trimester, with higher percentages of CD4 and CD8 T cells. NK cell analysis showed a decrease in total NK cells at the second trimester versus 4 weeks after LDA initiation, with an increase in CD56bright (tolerogenic) NK cells and a decrease in CD56dim (cytotoxic) NK cells. Regulatory T cell (Treg) analysis revealed increased naïve and activated (HLA-DR+) Treg cells and decreased memory Treg cells at the second trimester. Activated (HLA-DR+) Th17 and Th17.1 cells were lower in the Risk Group at the second trimester. These results suggest that LDA in high-risk pregnancies is associated with lower haemoglobin and platelet levels, an increase in naïve Treg cells, and a shift from cytotoxic to tolerogenic NK cells. The decline in activated Th17 and Th17.1 cells indicates enhanced immune tolerance and reduced inflammation, supporting LDA's role in modulating immune responses to promote healthy pregnancy outcomes. Importantly, these findings should be interpreted as hypothesis-generating; the limited sample size and single-center design constrain the strength of clinical inferences and underscore the need for replication in larger, multicenter cohorts. Further research is needed to determine whether these immunological changes correlate with improved clinical outcomes in broader populations.

Trial Registration: ClinicalTrials.gov: NCT06882850

怀孕需要精确的母体免疫适应来支持胎儿发育,同时保持对外部威胁的防御。这种平衡的破坏可能导致并发症,如先兆子痫(PE),这是孕产妇和胎儿发病率和死亡率的主要原因。低剂量阿司匹林(LDA)被广泛用于预防PE,但其免疫调节机制尚不完全清楚。在这项观察性研究(CES-BS_SF_160_2022; NCT06882850)中,招募了32名健康孕妇并评估了PE风险;16例高危孕妇从妊娠早期至36周接受LDA (150 mg/天)治疗,16例作为对照组。在每个妊娠期(T1、T2、T3)采集外周血,风险组(T1.2)在LDA开始后4周再采集一次外周血。全血细胞计数和流式细胞术评估免疫细胞群。两组的产妇、分娩和新生儿特征都很好地匹配,并发症或不良结局没有显著差异。白细胞亚群无显著差异。然而,风险组在妊娠中期的血红蛋白和血小板水平明显较低。高危组的T细胞频率在妊娠中期增加,CD4和CD8 T细胞的比例更高。NK细胞分析显示,与LDA启动后4周相比,妊娠中期NK细胞总数减少,CD56bright(耐受性)NK细胞增加,CD56dim(细胞毒性)NK细胞减少。调节性T细胞(Treg)分析显示,在妊娠中期,naïve和活化的(HLA-DR+) Treg细胞增加,记忆Treg细胞减少。在妊娠中期,危险组活化的(HLA-DR+) Th17和Th17.1细胞较低。这些结果表明,高危妊娠的LDA与血红蛋白和血小板水平降低、naïve Treg细胞增加以及细胞毒性向耐受性NK细胞转变有关。激活Th17和Th17.1细胞的减少表明免疫耐受增强,炎症减少,支持LDA在调节免疫反应以促进健康妊娠结局中的作用。重要的是,这些发现应该被解释为假设生成;有限的样本量和单中心设计限制了临床推断的强度,并强调需要在更大的多中心队列中进行复制。需要进一步的研究来确定这些免疫变化是否与更广泛人群的临床结果改善相关。试验注册:ClinicalTrials.gov: NCT06882850。
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引用次数: 0
Gamma Delta T Cells in the Tumour Microenvironment: A Double-Edged Sword 肿瘤微环境中的γ δ T细胞:一把双刃剑。
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-10-14 DOI: 10.1111/imm.70035
Mohammad Javad Hayati, Javad Yaghmoorian Khojini, Fatemeh Khara, Arezoo Heydari, Nasim Vousooghi, Seyed Mohammad Sadra Abootorabi, Maryam Barkhordar, Mohammad Javad Mousavi

Gamma delta (γδ) T cells represent a distinct group of lymphocytes capable of functioning in both pro-tumorigenic and anti-tumorigenic capacities inside the tumour microenvironment (TME). Their unique ability for MHC-independent recognition of stress-induced antigens enables swift immunosurveillance, positioning them as a double-edged sword in cancer immunosurveillance. This review critically investigates this dichotomy, analysing their potent tumour-suppressive roles, which are primarily driven by subsets like Vγ9Vδ2 T cells through cytotoxic mechanisms such as perforin and granzyme release and the secretion of pro-inflammatory cytokines like interferon-gamma (IFN-γ). Conversely, we explore their tumour-promoting functions, wherein subsets such as IL-17-producing Vδ1 T cells can foster an immunosuppressive milieu, angiogenesis, and immune evasion. The function of γδ T cells is extensively examined, emphasising how the TME critically dictates this functional polarisation. This duality presents both a significant challenge and a promising opportunity for cancer immunotherapy. Future investigations and emerging therapeutic strategies are discussed, including the use of adoptive cell therapies with CAR-γδ T cells and combination approaches with immune checkpoint inhibitors, which aim to overcome the TME's suppressive barriers. A deeper understanding of the molecular switches that govern γδ T cell function is paramount for devising effective next-generation therapies that can exploit their full anti-cancer potential.

γδ (γδ) T细胞是一种独特的淋巴细胞群,在肿瘤微环境(TME)内具有促肿瘤和抗肿瘤功能。它们独特的mhc独立识别应激诱导抗原的能力使其能够快速免疫监视,将其定位为癌症免疫监视中的双刃剑。这篇综述批判性地研究了这种两分法,分析了它们有效的肿瘤抑制作用,主要是由v γ γ 9v δ2 T细胞等亚群通过细胞毒性机制驱动的,如穿孔素和颗粒酶释放以及促炎细胞因子如干扰素γ (IFN-γ)的分泌。相反,我们探索了它们的肿瘤促进功能,其中亚群如产生il -17的Vδ1 T细胞可以促进免疫抑制环境,血管生成和免疫逃避。对γδ T细胞的功能进行了广泛的研究,强调了TME如何关键地决定了这种功能极化。这种两重性为癌症免疫治疗带来了重大挑战和充满希望的机会。讨论了未来的研究和新兴的治疗策略,包括使用CAR-γδ T细胞的过继细胞疗法和免疫检查点抑制剂的联合方法,旨在克服TME的抑制屏障。更深入地了解控制γδ T细胞功能的分子开关对于设计有效的下一代治疗方法至关重要,可以充分利用其抗癌潜力。
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引用次数: 0
Photodynamic-Immunotherapy Synergy: Decoding the Spatiotemporal Regulation of Tumour Immunogenicity for Enhanced PD-1 Blockade 光动力-免疫治疗协同作用:解码肿瘤免疫原性对增强PD-1阻断的时空调节。
IF 5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-10-08 DOI: 10.1111/imm.70049
Zhenni ChenLiu, Leihan Wang, Chen Gu, Dong Tang

In recent years, breakthrough advancements have been achieved in cancer immunotherapy, particularly through immune checkpoint inhibition targeting the PD-1/PD-L1 pathway. This approach reverses the immunosuppressive effect of tumour cells on T lymphocytes, thereby reinstating antitumour immune responses and demonstrating considerable clinical efficacy. Photodynamic therapy (PDT), which operates via a unique localised mechanism, not only induces direct tumour cell ablation by generating reactive oxygen species (ROS) through photosensitizers, but also promotes immunogenic cell death (ICD), leading to the activation of systemic antitumour immunity. Growing evidence indicates that the combination of PD-1 blockade and PDT produces cooperative effects within the tumour microenvironment, amplifying immune activation. Such a strategy alleviates T-cell immunosuppression post-PDT, thereby forming a positive feedback loop that improves therapeutic performance. This review summarises the mechanistic rationale underlying the combined application of PDT and anti-PD-1 therapy, with emphasis on their synergistic interplay in the tumour microenvironment, as well as recent advances in nanomaterial-based strategies aimed at resolving hypoxia-related limitations and enhancing targeting precision. Furthermore, current challenges and future directions for this combinatorial regimen are discussed.

近年来,癌症免疫治疗取得了突破性进展,特别是针对PD-1/PD-L1通路的免疫检查点抑制。这种方法逆转了肿瘤细胞对T淋巴细胞的免疫抑制作用,从而恢复了抗肿瘤免疫反应,并显示出相当大的临床疗效。光动力疗法(PDT)通过独特的局部机制起作用,不仅通过光敏剂产生活性氧(ROS)直接诱导肿瘤细胞消融,而且还促进免疫原性细胞死亡(ICD),导致全身抗肿瘤免疫的激活。越来越多的证据表明,PD-1阻断和PDT的结合在肿瘤微环境中产生协同效应,放大免疫激活。这种策略减轻了pdt后t细胞的免疫抑制,从而形成了一个正反馈循环,提高了治疗效果。本文综述了联合应用PDT和抗pd -1治疗的机制原理,重点介绍了它们在肿瘤微环境中的协同相互作用,以及基于纳米材料的策略的最新进展,旨在解决缺氧相关的限制和提高靶向精度。此外,还讨论了该组合方案目前面临的挑战和未来的发展方向。
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引用次数: 0
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Immunology
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