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MCC950 promotes diabetic wound healing through modulating macrophage polarization in an MDSC-dependent manner MCC950 以 MDSC 依赖性方式调节巨噬细胞极化,促进糖尿病伤口愈合
IF 4.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2024-08-31 DOI: 10.1016/j.intimp.2024.112983

Diabetic foot ulcers (DFUs) are serious skin injuries whereby the wound healing process is frequently stalled in the inflammatory phase. Currently, there is a lack of effective therapeutic strategies. MCC950, a highly selective nod-like receptor family pyrin domain containing 3 (NLRP3) inhibitor, has been reported to show strong anti-inflammation effects in many diseases. In this study, we unveiled the role of MCC950 in DFU mice model and its underlying molecular mechanisms. MCC950 could significantly accelerate diabetic wound healing, as shown by shortened healing time and better healing quality. Moreover, increased M2 phenotype macrophages and decreased pro-inflammatory genes were observed in MCC950-treated DFU mice. Additionally, myeloid-derived suppressor cells (MDSCs) were significantly increased in blood, spleen and wound tissues at different time courses. Specifically, MCC950 could recruit more MDSCs in an early phase in DFU mice, exerting an anti-inflammation effect. We identified the cell crosstalk between macrophages and MDSCs with MCC950 treatment process. Depleting MDSCs in vivo could eliminate the therapeutic effect of MCC950 on diabetic wound healing through inhibiting M2 macrophage polarization. Besides, MDSCs isolated from the wounds of MCC950 or saline treated mice were cocultured with bone marrow derived macrophage (BMDM) in a transwell system. Results confirmed that MDSCs sorted from MCC950 treated mice caused a significant increased percentage of M2 macrophages. Collectively, our findings suggest that the administration of MCC950 has the potential to accelerate diabetic wound healing by promoting M2 macrophage polarization in an MDSC-dependent manner. This study provides valuable insights into the utilization of pharmacological agents for DFU treatment.

糖尿病足溃疡(DFUs)是一种严重的皮肤损伤,伤口愈合过程经常停滞在炎症阶段。目前,还缺乏有效的治疗策略。据报道,MCC950是一种高选择性的Nod样受体家族含吡林结构域3(NLRP3)抑制剂,在许多疾病中都显示出很强的抗炎作用。本研究揭示了MCC950在DFU小鼠模型中的作用及其潜在的分子机制。MCC950能明显加速糖尿病伤口愈合,表现为愈合时间缩短,愈合质量提高。此外,在经 MCC950 处理的 DFU 小鼠中观察到 M2 表型巨噬细胞增加,促炎基因减少。此外,在不同的时间过程中,血液、脾脏和伤口组织中的髓源性抑制细胞(MDSCs)明显增加。具体而言,MCC950能在DFU小鼠的早期阶段招募更多的MDSCs,从而发挥抗炎作用。我们发现了巨噬细胞和MDSCs在MCC950治疗过程中的细胞串联。在体内消耗MDSCs可以通过抑制M2巨噬细胞极化消除MCC950对糖尿病伤口愈合的治疗作用。此外,从 MCC950 或生理盐水处理的小鼠伤口中分离出的 MDSCs 与骨髓衍生巨噬细胞(BMDM)在转孔系统中进行共培养。结果证实,从 MCC950 处理的小鼠体内分拣出的 MDSCs 会导致 M2 巨噬细胞的比例显著增加。总之,我们的研究结果表明,服用 MCC950 有可能以 MDSC 依赖性方式促进 M2 巨噬细胞极化,从而加速糖尿病伤口愈合。这项研究为利用药理制剂治疗 DFU 提供了宝贵的见解。
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引用次数: 0
AdipoRon exerts an antidepressant effect by inhibiting NLRP3 inflammasome activation in microglia via promoting mitophagy AdipoRon 通过促进有丝分裂来抑制小胶质细胞中 NLRP3 炎性体的激活,从而发挥抗抑郁作用
IF 4.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2024-08-30 DOI: 10.1016/j.intimp.2024.113011

Depression is a serious mental disorder that threatens patients’ physical and mental health worldwide. The activation of the NLR family pyrin domain-containing 3 (NLRP3) inflammasome is essential for microglia-mediated neuroinflammation and neuronal damage in depression. Numerous pathophysiological factors, such as mitochondrial dysfunction and impaired mitophagy, have an essential role in activating the NLRP3 inflammasome. AdipoRon is a potent adiponectin receptor agonist; however, its antidepressant effects have not been thoroughly investigated. In this study, we found that AdipoRon ameliorated depression-like behavior and neuronal damage induced by chronic unpredictable mild stress (CUMS). Further research demonstrated that AdipoRon inhibited the activation of the NLRP3 inflammasome and protected hippocampal neurons from microglial cytotoxicity by promoting mitophagy, increasing the clearance of damaged mitochondria, and reducing mtROS accumulation. Importantly, inhibition of mitophagy attenuated the antidepressant and neuroprotective effects of AdipoRon. Overall, these findings indicate that AdipoRon alleviates depression by inhibiting NLRP3 inflammasome activation in microglia via improving mitophagy.

抑郁症是一种严重的精神疾病,威胁着全球患者的身心健康。NLR家族含吡咯啉结构域3(NLRP3)炎性体的激活是抑郁症中由小胶质细胞介导的神经炎症和神经元损伤的关键。许多病理生理因素,如线粒体功能障碍和有丝分裂障碍,在激活NLRP3炎性体方面起着至关重要的作用。AdipoRon是一种强效的脂肪连接素受体激动剂,但其抗抑郁作用尚未得到深入研究。在这项研究中,我们发现 AdipoRon 可改善慢性不可预测轻度应激(CUMS)诱导的抑郁样行为和神经元损伤。进一步的研究表明,AdipoRon 可抑制 NLRP3 炎性体的激活,并通过促进有丝分裂、增加受损线粒体的清除和减少 mtROS 的积累,保护海马神经元免受小胶质细胞毒性的伤害。重要的是,抑制有丝分裂会减弱 AdipoRon 的抗抑郁和神经保护作用。总之,这些研究结果表明,AdipoRon 可通过改善有丝分裂来抑制小胶质细胞中 NLRP3 炎性体的激活,从而缓解抑郁症。
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引用次数: 0
DUS4L suppresses invasion and metastasis in LUAD via modulation of PI3K/AKT and ERK/MAPK signaling through GRB2 DUS4L 通过 GRB2 调节 PI3K/AKT 和 ERK/MAPK 信号,抑制 LUAD 的侵袭和转移
IF 4.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2024-08-30 DOI: 10.1016/j.intimp.2024.113043

Objective

Limited research has focused on the role of dihydrouridine synthases (DUS) family members in human tumors. Our previous findings indicated an impact of dihydrouridine synthase 4 like (DUS4L) on cell proliferation and apoptosis in lung adenocarcinoma (LUAD) A549 cell, yet its broader functions and regulatory mechanisms in LUAD remain elusive.

Methods

Using a LUAD tissue microarray and immunohistochemical (IHC) staining, we validated variations in DUS4L protein expression levels among LUAD patients and assessed its clinical significance. Additional experiments using short hairpin RNA (shRNA) against DUS4L (sh-DUS4L-2), LUAD cell lines, cell function assays (including wound healing, transwell migration and invasion, colony formation, and apoptosis assays), and mouse tumor xenografts were performed to examine the biological roles of DUS4L in LUAD progression. RNA sequencing, proteomic analyses, mass spectrometry, and co-immunoprecipitation experiments were conducted to identify and validate DUS4L-regulated downstream target genes and signaling pathways.

Results

We identified a consistent upregulation of DUS4L in LUAD tissues. In vitro and in vivo experiments underscored the inhibitory effect of DUS4L downregulation on LUAD progression, including migration, invasion, and proliferation. Mechanistically, DUS4L was found to interact with the signaling molecule GRB2, promoting LUAD progression and metastasis by inducing epithelial-mesenchymal transition (EMT) via the PI3K/AKT and ERK/MAPK pathways.

Conclusion

Our results establish the functional role of DUS4L in driving the progression and metastasis of LUAD, implicating its potential as a candidate therapeutic target for LUAD.

目的有关二氢尿苷合成酶(DUS)家族成员在人类肿瘤中作用的研究十分有限。我们之前的研究结果表明,二氢尿嘧啶合成酶 4 类似物(DUS4L)对肺腺癌(LUAD)A549 细胞的细胞增殖和凋亡有影响,但其在 LUAD 中更广泛的功能和调控机制仍不清楚。方法我们利用 LUAD 组织芯片和免疫组化(IHC)染色,验证了 LUAD 患者中 DUS4L 蛋白表达水平的变化,并评估了其临床意义。我们还使用针对 DUS4L 的短发夹 RNA (shRNA)(sh-DUS4L-2)、LUAD 细胞系、细胞功能测试(包括伤口愈合、经孔迁移和侵袭、集落形成和细胞凋亡测试)以及小鼠肿瘤异种移植进行了其他实验,以研究 DUS4L 在 LUAD 进展中的生物学作用。研究人员进行了 RNA 测序、蛋白质组分析、质谱分析和共免疫沉淀实验,以鉴定和验证 DUS4L 调控的下游靶基因和信号通路。体外和体内实验强调了下调 DUS4L 对 LUAD 进展(包括迁移、侵袭和增殖)的抑制作用。从机制上讲,研究发现 DUS4L 与信号分子 GRB2 相互作用,通过 PI3K/AKT 和 ERK/MAPK 通路诱导上皮-间质转化(EMT),从而促进 LUAD 的进展和转移。
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引用次数: 0
Paeoniflorin alleviates DSS-induced ulcerative colitis by suppressing inflammation, oxidative stress, and apoptosis via regulating serum metabolites and inhibiting CDC42/JNK signaling pathway 芍药苷通过调节血清代谢物和抑制 CDC42/JNK 信号通路,抑制炎症、氧化应激和细胞凋亡,从而缓解 DSS 引起的溃疡性结肠炎
IF 4.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2024-08-30 DOI: 10.1016/j.intimp.2024.113039

Ulcerative colitis (UC) poses a threat to human health. The present study attempts to unravel the efficacy and potential mechanisms of paeoniflorin (PF), a naturally sourced active ingredient, for the management of UC. By establishing a DSS (dextran sulphate sodium)-induced experimental rat model of UC, this study found that PF was effective in ameliorating UC symptoms, inhibiting oxidative stress, inflammation and apoptosis, and repairing colonic epithelial damage. In addition, metabolomics revealed that PF may alleviate UC by primarily improving linoleic acid metabolism. Mechanistically, PF inhibited the CDC42/JNK signaling pathway by targeting CDC42. In particular, HuProtTM20K proteomics, molecular docking and MST revealed that PF is a novel CDC42 inhibitor. In LPS-treated Caco-2 cells, PF similarly inhibited oxidative stress, inflammation, and apoptosis and down-regulated the CDC42/JNK signaling pathway. Overall, PF inhibits oxidative stress, inflammation and apoptosis and repairs colonic epithelial damage through modulation of serum metabolites and inhibition of the CDC42/JNK signaling pathway, leading to alleviation of UC.

溃疡性结肠炎(UC)对人类健康构成威胁。本研究试图揭示天然活性成分芍药苷(PF)治疗溃疡性结肠炎的功效和潜在机制。通过建立右旋糖酐硫酸钠(DSS)诱导的 UC 大鼠实验模型,该研究发现芍药苷能有效改善 UC 症状,抑制氧化应激、炎症和细胞凋亡,修复结肠上皮损伤。此外,代谢组学研究发现,PF 可能主要通过改善亚油酸代谢来缓解 UC。从机理上讲,PF 通过靶向 CDC42 抑制 CDC42/JNK 信号通路。特别是,HuProtTM20K 蛋白组学、分子对接和 MST 发现 PF 是一种新型 CDC42 抑制剂。在经 LPS 处理的 Caco-2 细胞中,PF 同样抑制了氧化应激、炎症和细胞凋亡,并下调了 CDC42/JNK 信号通路。总之,PF 可抑制氧化应激、炎症和细胞凋亡,并通过调节血清代谢物和抑制 CDC42/JNK 信号通路修复结肠上皮损伤,从而缓解 UC。
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引用次数: 0
Elucidating the causal nexus between antibody-mediated immunity and autoimmune diseases: Insights from bidirectional mendelian randomization, gene expression profiling, and drug sensitivity analysis 阐明抗体介导的免疫与自身免疫性疾病之间的因果关系:双向泯灭随机化、基因表达谱分析和药物敏感性分析的启示
IF 4.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2024-08-30 DOI: 10.1016/j.intimp.2024.113027

Objective

This study aimed to elucidate the causal relationships between antibodies and autoimmune diseases using Mendelian randomization (MR).

Methods

Data on 46 antibodies were obtained from genome-wide association studies (GWAS). Autoimmune disease data were sourced from the FinnGen consortium and the IEU OpenGWAS project. Inverse-variance weighted (IVW) analysis was the primary method, supplemented by heterogeneity and sensitivity analyses. We also examined gene expression near significant SNPs and conducted drug sensitivity analyses.

Results

Antibodies and autoimmune diseases exhibit diverse interactions. Antibodies produced after Polyomavirus infection tend to increase the risk of several autoimmune diseases, while those following Human herpesvirus 6 infection generally reduce it. The impact of Helicobacter pylori infection varies, with different antibodies affecting autoimmune diseases in distinct ways. Overall, antibodies significantly influence the risk of developing autoimmune diseases, whereas autoimmune diseases have a lesser impact on antibody levels. Gene expression and drug sensitivity analyses identified multiple genes and drugs as potential treatment options for ankylosing spondylitis (AS), with the AIF1 gene being particularly promising.

Conclusions

Bidirectional MR analysis confirms complex causal relationships between various antibodies and autoimmune diseases, revealing intricate patterns of post-infection antibody interactions. Several drugs and genes, notably AIF1, show potential as candidates for AS treatment, offering new avenues for research. Further exploration of the underlying mechanisms is necessary.

方法 46种抗体的数据来自全基因组关联研究(GWAS)。46种抗体的数据来自全基因组关联研究(GWAS),自身免疫性疾病的数据来自FinnGen联盟和IEU OpenGWAS项目。反方差加权(IVW)分析是主要方法,并辅以异质性和敏感性分析。我们还检测了重要 SNP 附近的基因表达,并进行了药物敏感性分析。感染多瘤病毒后产生的抗体往往会增加罹患多种自身免疫性疾病的风险,而感染人类疱疹病毒 6 后产生的抗体通常会降低罹患风险。幽门螺旋杆菌感染的影响也各不相同,不同的抗体对自身免疫性疾病的影响方式也不同。总体而言,抗体对自身免疫性疾病的发病风险影响很大,而自身免疫性疾病对抗体水平的影响较小。结论双向磁共振分析证实了各种抗体与自身免疫性疾病之间复杂的因果关系,揭示了感染后抗体相互作用的复杂模式。一些药物和基因,特别是 AIF1,显示出治疗强直性脊柱炎的潜力,为研究提供了新的途径。有必要进一步探索其潜在机制。
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引用次数: 0
Hsp60 deletion in cholinergic neurons: Impact on neuroinflammation and memory 胆碱能神经元中的 Hsp60 缺失:对神经炎症和记忆的影响
IF 4.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2024-08-30 DOI: 10.1016/j.intimp.2024.113022

Cholinergic circuit defects have been linked to various neurological abnormalities, yet the precise mechanisms underlying the impact of cholinergic signaling on cognitive functions, particularly in the context of neuroinflammation-associated, remain poorly understood. Similarly, while the dopamine receptor (D2R) has been implicated in the pausing of cholinergic interneurons (CIN), its relationship with behavior remains inadequately elucidated. In this study, we aimed to investigate whether D2R plays a role in the regulation of fear and memory in the Hsp60 knockout condition, given the non-canonical involvement of Hsp60 in inflammation. Using a CRE-floxed system, we selectively generated cholinergic neurons specific to Hsp60 knockout mice and subjected them to memory tests. Our results revealed a significant increase in freezing levels during recall and contextual tests in Hsp60-deprived mice. We also observed dysregulation of neurotransmitters and D2R in the hippocampus of Hsp60 knockout mice, along with enhanced impairments in cytokine levels and synaptic protein dysregulations. These changes were accompanied by alterations in PI3K/eIF4E/Jak/ERK/CREB signaling pathways. Notably, D2R agonism via Quinpirole led to a decrease in freezing levels during recall and contextual tests, alongside an increase in IBA-1 expression and improvements in inflammatory response-linked signaling pathways, including JAK/STAT/P38/JNK impairments. Given that these pathways are well-known downstream signaling cascades of D2R, our findings suggest that D2R signaling may contribute to the neuroinflammation induced by Hsp60 deprivation, potentially exacerbating memory impairments.

胆碱能回路缺陷与各种神经系统异常有关,但胆碱能信号传导对认知功能影响的确切机制,尤其是在神经炎症相关的情况下,仍然知之甚少。同样,虽然多巴胺受体(D2R)与胆碱能中间神经元(CIN)的暂停有关,但其与行为的关系仍未得到充分阐明。在本研究中,鉴于 Hsp60 在炎症中的非典型参与,我们旨在研究 D2R 是否在 Hsp60 基因敲除条件下的恐惧和记忆调控中发挥作用。利用 CRE-floxed系统,我们选择性地生成了特异于 Hsp60 基因敲除小鼠的胆碱能神经元,并对它们进行了记忆测试。我们的结果表明,在记忆和情境测试中,Hsp60 缺失小鼠的冻结水平明显升高。我们还观察到 Hsp60 基因敲除小鼠海马中神经递质和 D2R 的失调,以及细胞因子水平和突触蛋白失调的增强。这些变化伴随着 PI3K/eIF4E/Jak/ERK/CREB 信号通路的改变。值得注意的是,通过喹吡罗激动D2R会降低回忆和情境测试中的冻结水平,同时增加IBA-1的表达,改善与炎症反应相关的信号通路,包括JAK/STAT/P38/JNK损伤。鉴于这些通路是众所周知的D2R下游信号级联,我们的研究结果表明,D2R信号转导可能有助于Hsp60剥夺诱导的神经炎症,从而可能加剧记忆损伤。
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引用次数: 0
Turmeric extract alleviates airway inflammation via oxidative stress-driven MAPKs/MMPs pathway. 姜黄提取物通过氧化应激驱动的 MAPKs/MMPs 通路缓解气道炎症。
IF 4.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2024-08-30 DOI: 10.1016/j.intimp.2024.113018
Jeong-Won Kim, Ji-Soo Jeong, Jin-Hwa Kim, Chang-Yeop Kim, Eun-Hye Chung, Je-Won Ko, Tae-Won Kim

Turmeric (Curcuma longa L.) extract (CLE) has been shown to elicit several pharmacological properties and is widely used in Asian traditional medicine. Herein, we assessed the impact of CLE on airway inflammation in BALB/c mice and A549 cells to clarify the underlying mechanism. An asthmatic mouse model was established by administering ovalbumin (OVA). CLE (100 or 300 mg/kg/day) was orally administered daily from days 18 to 23, with dexamethasone (3 mg/kg/day) used as the positive control. Human airway epithelial cells, A549, were stimulated using recombinant tumor necrosis factor-α. The CLE100 and CLE400 groups exhibited a significant downregulation in eosinophil counts, cytokine levels, and immunoglobulin-E levels. Moreover, CLE administration dose-dependently suppressed oxidative stress and airway inflammation in the lung tissue. CLE administration inhibited the phosphorylation of mitogen-activated protein kinases (MAPKs) and the expression and activity of matrix metalloproteinase (MMP)-9. In vitro, CLE treatment reduced mRNA levels of proinflammatory cytokines, MAPK phosphorylation, and the expression and activity of MMP-2 and MMP-9. Additionally, 50 µg/mL CLE and 2.5 µg/mL curcumin showed similar anti-inflammatory effects. Collectively, our findings revealed that CLE could suppress airway inflammation in asthmatic mice and A549 cells via oxidative stress-driven MAPK/MMPs signaling, suggesting that CLE could be developed as a potential treatment option for patients with asthma.

姜黄(Curcuma longa L.)提取物(CLE)已被证明具有多种药理特性,并被广泛应用于亚洲传统医学中。在此,我们评估了姜黄提取物对 BALB/c 小鼠和 A549 细胞气道炎症的影响,以阐明其潜在机制。通过注射卵清蛋白(OVA)建立了哮喘小鼠模型。从第 18 天到第 23 天,每天口服 CLE(100 或 300 毫克/千克/天),并以地塞米松(3 毫克/千克/天)作为阳性对照。使用重组肿瘤坏死因子-α刺激人气道上皮细胞 A549。CLE100 和 CLE400 组的嗜酸性粒细胞数量、细胞因子水平和免疫球蛋白-E 水平均有显著下降。此外,服用 CLE 可剂量依赖性地抑制肺组织中的氧化应激和气道炎症。服用 CLE 可抑制丝裂原活化蛋白激酶(MAPKs)的磷酸化以及基质金属蛋白酶(MMP)-9 的表达和活性。在体外,CLE 可降低促炎细胞因子的 mRNA 水平、MAPK 磷酸化以及 MMP-2 和 MMP-9 的表达和活性。此外,50 微克/毫升的 CLE 和 2.5 微克/毫升的姜黄素具有相似的抗炎效果。总之,我们的研究结果表明,CLE 可通过氧化应激驱动的 MAPK/MMPs 信号传导抑制哮喘小鼠和 A549 细胞的气道炎症,这表明 CLE 可作为哮喘患者的一种潜在治疗选择。
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引用次数: 0
Prolyl hydroxylase inhibitor desidustat attenuates autoimmune hemolytic anemia in mice 脯氨酰羟化酶抑制剂 Desidustat 可减轻小鼠自身免疫性溶血性贫血的症状
IF 4.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2024-08-30 DOI: 10.1016/j.intimp.2024.113029

Autoimmune hemolytic anemia (AIHA) is a heterogeneous group of diseases mediated by autoantibody directed against RBCs causing hemolysis and anemia. AIHA develops rapidly or over time, depending on the triggering factor. Desidustat is a prolyl hydroxylase inhibitor clinically used for the treatment of chronic kidney disease (CKD)-induced anemia. In this study, we investigated the effect of desidustat in preclinical model of AIHA. We used rat RBC for induction of AIHA in mice. These mice were then treated with desidustat (15 mg/kg, PO, once a day) for eight weeks. Desidustat treatment increased hemoglobin, RBC and hematocrit and decreased WBC and lymphocytes. This treatment suppressed serum LDH, oxidative stress in RBCs, antibody titer and antibody deposition on RBC surface, and increased RBC lifespan. Serum and spleen iron along with spleen mass and oxidative stress were decreased by desidustat. Bone marrow iron was increased and expression of CD71 (cell surface marker for early erythroid progenitor) and TER-119 (cell surface marker for late erythroid progenitor) in bone marrow were found to be elevated by desidustat by treatment. This treatment also suppressed deposition of membrane-bound antibody in late erythroid cells. The treatment showed reduction in total splenic cells, CD71 and TER-119 positive cells in the spleen. Thus, desidustat treatment increased erythropoiesis, early maturation of bone marrow erythroid cells having longer RBC life span due to decrease in the antibody-mediated lysis of RBCs and its progenitors leading to reduced oxidative stress. Thus, desidustat can be a good therapeutic option for treatment of AIHA.

自身免疫性溶血性贫血(AIHA)是由针对红细胞的自身抗体引起溶血和贫血的一组异质性疾病。根据诱发因素的不同,AIHA可迅速发展或长期发展。地舒司他是一种脯氨酰羟化酶抑制剂,临床上用于治疗慢性肾脏病(CKD)引起的贫血。在本研究中,我们研究了去度司他在 AIHA 临床前模型中的作用。我们使用大鼠 RBC 诱导小鼠 AIHA。然后用地司他(15 毫克/千克,口服,每天一次)治疗这些小鼠八周。地司他治疗可增加血红蛋白、红细胞和血细胞比容,减少白细胞和淋巴细胞。该治疗抑制了血清 LDH、红细胞中的氧化应激、抗体滴度和红细胞表面的抗体沉积,并延长了红细胞的寿命。去度斯塔可降低血清和脾脏铁含量、脾脏质量和氧化应激。地司他治疗后,骨髓铁增加,骨髓中 CD71(早期红细胞祖细胞的细胞表面标志物)和 TER-119(晚期红细胞祖细胞的细胞表面标志物)的表达升高。该疗法还能抑制膜结合抗体在晚期红细胞中的沉积。治疗后,脾脏细胞总数、脾脏中的 CD71 和 TER-119 阳性细胞减少。因此,地司他治疗可增加红细胞生成,促进骨髓红细胞的早期成熟,延长红细胞的寿命,这是因为抗体介导的红细胞及其祖细胞裂解减少,导致氧化应激减少。因此,地司他是治疗 AIHA 的一种良好疗法。
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引用次数: 0
Efficacy, safety, and prognostic modeling in neoadjuvant immunotherapy for esophageal squamous cell carcinoma 食管鳞状细胞癌新辅助免疫疗法的疗效、安全性和预后模型
IF 4.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2024-08-30 DOI: 10.1016/j.intimp.2024.112845

Objective

To evaluate the safety and efficacy of neoadjuvant immunotherapy in patients with esophageal squamous cell carcinoma (ESCC) and construct a prognostic model.

Methods

Clinical data were retrospectively collected from patients with locally advanced ESCC who received neoadjuvant immunotherapy and chemotherapy. The primary endpoints were major pathologic remission rate and disease-free survival, and secondary endpoints were treatment-related adverse events and perioperative complications. Correlates affecting pathological response were analyzed using univariate and multivariate logistic regression, survival-related variables were screened by Boruta and least absolute shrinkage and selection operator Cox regression analysis. A nomogram was constructed and utilized to test the predictive efficacy of the treatment with receiver operating characteristic curve and decision curve analysis.

Results

A total of 181 patients were enrolled, of whom 119 (66 %) patients received 3–4 cycles of treatment. Treatment-related adverse events occurred in 65.2 % of the patients, with 13.3 % experiencing severe complications. Major pathological remission rate was achieved in 68 (37.6 %) patients, with no significant difference between the treatment cycle groups (P=0.925). The nomogram included pathologic TNM stage, lymphovascular invasion, post-treatment and post-surgery albumin levels, and post-treatment systemic immune-inflammation index. One-year disease-free survival area under the curve was 0.86 (95 %CI, 0.75–0.97) in the derivation cohort and 0.75 (95 %CI, 0.50–0.99) in the validation cohort, with good calibration performance.

Conclusions

Pathological staging combined with albumin level and systemic immune-inflammation index could be a superior predictor of survival prognosis in ESCC patients receiving neoadjuvant immunotherapy. The findings of this study yield new evidence regarding the efficacy and safety of neoadjuvant immunotherapy in ESCC and provide a tool for identifying patients at risk of recurrence.

方法回顾性收集接受新辅助免疫疗法和化疗的局部晚期食管鳞状细胞癌(ESCC)患者的临床数据。主要终点是主要病理缓解率和无病生存期,次要终点是治疗相关不良事件和围手术期并发症。采用单变量和多变量逻辑回归分析了影响病理反应的相关因素,采用Boruta和最小绝对缩减筛选了与生存相关的变量,并选择操作者进行了Cox回归分析。结果 共有181名患者入组,其中119名患者(66%)接受了3-4个周期的治疗。65.2%的患者出现了与治疗相关的不良反应,其中13.3%出现了严重并发症。68例(37.6%)患者获得了主要病理缓解,治疗周期组之间无显著差异(P=0.925)。提名图包括病理 TNM 分期、淋巴管侵犯、治疗后和手术后白蛋白水平以及治疗后全身免疫炎症指数。推导队列的一年无病生存率曲线下面积为 0.86(95 %CI,0.75-0.97),验证队列的一年无病生存率曲线下面积为 0.75(95 %CI,0.50-0.99),校准性能良好。本研究的结果为新辅助免疫疗法在 ESCC 中的有效性和安全性提供了新的证据,并为识别有复发风险的患者提供了一种工具。
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引用次数: 0
Dried tangerine peel polysaccharide accelerates wound healing by recruiting anti-inflammatory macrophages 干橘皮多糖通过招募抗炎巨噬细胞加速伤口愈合
IF 4.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2024-08-30 DOI: 10.1016/j.intimp.2024.113036

Macrophage polarization is a key process involved in wound healing. The continuous release of proinflammatory cytokines by macrophages inhibits the healing process of chronic wounds, such as diabetic wounds. To promote wound healing, it is important to change the phenotype of resident macrophages to prevent inflammation. We previously reported that dried tangerine peel polysaccharide (DTPP) binds to and inhibits the TLR4/MD-2 complex, which is crucial for the inflammatory activation of macrophages, suggesting the potential of DTPP in wound healing applications. Both zebrafish and mouse models were used to evaluate the therapeutic efficacy of DTPP. Moreover, we found that DTPP recruited macrophages to the wound area and promoted their M2 repolarization. Using hyperglycaemic zebrafish and db/db mouse models, we discovered that DTPP accelerated wound healing in vivo in metabolic disorders. Our results suggest that DTPP promotes the recruitment of macrophages, shifts macrophages towards the anti-inflammatory M2 phenotype, and ultimately accelerates the wound healing process.

巨噬细胞极化是伤口愈合的一个关键过程。巨噬细胞持续释放促炎细胞因子会抑制慢性伤口(如糖尿病伤口)的愈合过程。为了促进伤口愈合,改变常驻巨噬细胞的表型以防止炎症非常重要。我们以前曾报道过,干橘皮多糖(DTPP)能与 TLR4/MD-2 复合物结合并抑制该复合物,而 TLR4/MD-2 复合物对巨噬细胞的炎症活化至关重要,这表明 DTPP 有潜力应用于伤口愈合。我们利用斑马鱼和小鼠模型来评估 DTPP 的疗效。此外,我们还发现 DTPP 能将巨噬细胞吸引到伤口区域,并促进其 M2 再极化。通过使用高血糖斑马鱼和 db/db 小鼠模型,我们发现 DTPP 加快了代谢紊乱患者体内伤口的愈合。我们的研究结果表明,DTPP 可促进巨噬细胞的招募,使巨噬细胞向抗炎 M2 表型转变,最终加速伤口愈合过程。
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International immunopharmacology
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