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Different Gene Expression Patterns of IL-1 Family Members in Parkinson's Disease: Results from Bayesian Regression Model. 帕金森病中 IL-1 家族成员的不同基因表达模式:贝叶斯回归模型的结果
IF 1.5 4区 医学 Q4 ALLERGY Pub Date : 2024-02-11 DOI: 10.18502/ijaai.v23i1.14955
Negin Jafariaghdam, Majid Khoshmirsafa, Alireza Zamani, Elahe Talebi-Ghane, Shadi Moradi, Faezeh Shahba, Mehrdokht Mazdeh, Mohammad Mahdi Eftekharian

Parkinson's disease, the second most prevalent neurodegenerative disorder lacking a recognized etiology, is influenced by oxidative stress and alterations in inflammatory cytokine levels. This study aimed to investigate the expression levels of Interleukin(IL)1 receptor accessory protein (IL-1RAcP), IL1β, IL1α, IL33, and IL36 genes in blood cells and serum IL-1β levels in Parkinson's disease patients compared to healthy controls (HCs).I n this case-control study, 44 Parkinson's disease patients and 44 age- and sex-matched HCs were included. Gene expression levels were assessed using Quantitative Real-time PCR, and serum IL-1β levels were measured via enzyme-linked immunosorbent assay. Advanced statistical analyses using the Bayesian regression model in R software were employed. Parkinson's disease patients exhibited elevated expression levels of IL-1RAcP and IL1β genes  but decreased levels of IL1α, IL33, and IL36 compared to HCs. Age-based differences were not significant. Regarding gender, IL33 transcript levels were significantly higher in males, and serum IL-1β levels were increased in patients. Subgroup analysis by gender indicated alterations in IL1β and IL-1RAcP expression in both genders, while IL1α, IL33, and IL36 showed reduced expression only in males. Remarkably, only female patients displayed significantly higher serum IL-1β levels than female HCs. These findings suggest that dysregulation of immune-related factors plays a crucial role in Parkinson's disease.

帕金森病是第二大最常见的神经退行性疾病,缺乏公认的病因,它受到氧化应激和炎症细胞因子水平变化的影响。本研究旨在调查帕金森病患者血细胞中白细胞介素(IL)1受体附属蛋白(IL-1RAcP)、IL1β、IL1α、IL33和IL36基因的表达水平,以及与健康对照组(HCs)相比的血清IL-1β水平。基因表达水平采用定量实时 PCR 法进行评估,血清 IL-1β 水平采用酶联免疫吸附法进行测定。使用 R 软件中的贝叶斯回归模型进行了高级统计分析。与普通人相比,帕金森病患者的IL-1RAcP和IL1β基因表达水平升高,但IL1α、IL33和IL36水平降低。年龄差异不显著。在性别方面,男性的IL33转录本水平明显较高,患者的血清IL-1β水平升高。按性别进行的亚组分析表明,IL1β和IL-1RAcP的表达在男女中均有改变,而IL1α、IL33和IL36仅在男性中表达减少。值得注意的是,只有女性患者的血清 IL-1β 水平明显高于女性 HCs。这些发现表明,免疫相关因子的失调在帕金森病中起着至关重要的作用。
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引用次数: 0
Unraveling the Impact of Blood Transfusion on Transcription Factors Regulating T Helper 1, 2, 17 and Regulatory T cells. 揭示输血对调节 T 辅助细胞 1、2、17 和调节性 T 细胞的转录因子的影响。
IF 1.5 4区 医学 Q4 ALLERGY Pub Date : 2024-02-11 DOI: 10.18502/ijaai.v23i1.14958
Samad Valizadeh, Azita Chegini, Faranak Behnaz, Ali Akbar Pourfatollah, Shahram Samiee, Ronak Karbalaeifar

T helper 1 (TH1) and TH2 lymphocytes are the most important components of the immune system affected by blood transfusion. This study aimed`` to evaluate the effect of blood transfusion on gene expression of transcription factors related to the development of TH1, TH2, TH17 and regulatory T cells (Tregs). In this cross-sectional study, 20 patients diagnosed with abdominal aortic aneurysms requiring surgical repair were studied from January 2018 to August 2020. We utilized real-time PCR to evaluate the expression of transcription factor genes associated with TH1, TH2, TH17, and Treg, namely T-box-expressed-in-T-cells (T-bet), GATA-binding protein 3 (GATA-3), retinoid-related orphan receptor (RORγt), and fork head box protein 3 (Foxp3), respectively. The sampling occurred before anesthesia, 24- and 72 hours post-transfusion, and at the time of discharge. The results showed that the T-bet gene expression, compared to the time before transfusion, was significantly decreased 24 hours after blood transfusion and upon discharge while GATA3 genes exhibited a significant reduction both 24 and 72 hours after the transfusion, as compared to the pre-transfusion levels and the time of patient discharge. The Foxp3 gene demonstrated an increase at all study stages, with a notable surge, particularly 72 hours after red blood cell (RBC) transfusion. Conversely, the expression of RORγt gene, consistently decreased throughout all stages of the study. RBC transfusion in abdominal aortic aneurysm patients altered the balance of transcription gene expression of TH1, TH2, TH17, and Treg cells.

T辅助1(TH1)和TH2淋巴细胞是受输血影响的免疫系统中最重要的组成部分。本研究旨在评估输血对与TH1、TH2、TH17和调节性T细胞(Tregs)发育相关的转录因子基因表达的影响。在这项横断面研究中,我们对2018年1月至2020年8月期间确诊为腹主动脉瘤需要手术修复的20名患者进行了研究。我们利用实时 PCR 技术分别评估了与 TH1、TH2、TH17 和 Treg 相关的转录因子基因的表达,即 T-box-expressed-in-T-cells (T-bet)、GATA 结合蛋白 3 (GATA-3)、视黄醇相关孤儿受体 (RORγt) 和叉头盒蛋白 3 (Foxp3)。采样分别在麻醉前、输血后 24 小时和 72 小时以及出院时进行。结果显示,与输血前相比,T-bet 基因的表达量在输血后 24 小时和出院时显著下降,而 GATA3 基因的表达量在输血后 24 小时和 72 小时与输血前水平和患者出院时相比均显著下降。Foxp3 基因在所有研究阶段都显示出增加,尤其是在输注红细胞(RBC)后 72 小时,其表达明显激增。相反,RORγt 基因的表达在研究的各个阶段都持续下降。腹主动脉瘤患者输注红细胞改变了 TH1、TH2、TH17 和 Treg 细胞转录基因表达的平衡。
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引用次数: 0
A Quality-of-life Study in Patients with Anaphylaxis to Hymenoptera Venom in Iran. 伊朗膜翅目昆虫毒液过敏性休克患者生活质量研究
IF 1.5 4区 医学 Q4 ALLERGY Pub Date : 2024-02-11 DOI: 10.18502/ijaai.v23i1.14954
Mohammad Hasan Bemaniyan, Maryam Heidari, Marzieh Tavakol, Mohammad Nabavi, Fatemeh Ramezani Kashal, Maryam Gholami, Bita Bemaniyan

Little is known about the quality of life of patients with anaphylaxis to Hymenoptera venom. The Vespid Allergy Quality of Life Questionnaire (VQLQ) is commonly used to assess the psychological burden of this condition. This study aimed to evaluate the validity and reliability of the Persian version of VQLQ. In this cross-sectional study, VQLQ was translated into Persian according to expert recommendations.  The final translated version of VQLQ was then administered to 115 patients with Hymenoptera venom allergy at an asthma and allergy clinic in Iran. More than half of the participants were between 20 and 40 years of age, and 60% were male. Fear, anxiety, and outdoor activities had the most significant impact on the quality of life of patients with Hymenoptera venom allergy. Additionally, quality of life was more affected in women than in men, while no correlation was found with age. Furthermore, the quality of life was affected by a history of acute anaphylactic shock due to Hymenoptera venom. The Persian version of VQLQ enables the measurement of quality of life in patients with Hymenoptera venom allergy in the Iranian population. The inclusion of VQLQ in the initial evaluation of these patients may potentially guide allergist in providing support for venom-specific immunotherapy.

人们对膜翅目昆虫毒液过敏性休克患者的生活质量知之甚少。矢车菊过敏生活质量问卷 (VQLQ) 通常用于评估这种疾病的心理负担。本研究旨在评估波斯语版 VQLQ 的有效性和可靠性。在这项横断面研究中,根据专家建议将 VQLQ 翻译成了波斯语。 然后在伊朗的一家哮喘和过敏诊所对 115 名膜翅目毒物过敏患者进行了 VQLQ 的最终翻译版本测试。一半以上的参与者年龄在 20-40 岁之间,60% 为男性。恐惧、焦虑和户外活动对膜翅目昆虫毒液过敏患者的生活质量影响最大。此外,与男性相比,女性的生活质量受到的影响更大,而与年龄则没有相关性。此外,姬蜂毒液导致的急性过敏性休克病史也会影响生活质量。波斯语版的 VQLQ 可以测量伊朗人群中膜翅目昆虫毒液过敏患者的生活质量。在对这些患者进行初步评估时纳入 VQLQ,有可能指导过敏学家为毒液特异性免疫疗法提供支持。
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引用次数: 0
Measurement of the Neutrophils Count and Oxidative Burst in Neutrophils of Patients with Sanjad Sakati Syndrome. 桑贾德-萨卡提综合征患者中性粒细胞计数和氧化爆发的测定
IF 1.5 4区 医学 Q4 ALLERGY Pub Date : 2024-02-11 DOI: 10.18502/ijaai.v23i1.14959
Farhad Abolnezhadian, Majid Aminzadeh, Sara Iranparast, Sajad Dehnavi, Fatemeh Dousti, Moosa Sharifat, Hamid Moradzadegan

Sanjad Sakati Syndrome (SSS) is categorized as a neuroendocrine-related disease due to disorders of the nervous and hormonal systems. Since hormonal changes in these patients may affect the nature and function of the immune system. Thus, in this study, cell count and phagocytotic function of neutrophils were evaluated which may be influenced by changes in the hormonal rate and growth factors. In this study, the neutrophil count value and the oxidative burst were evaluated in six patients diagnosed with SSS and six healthy individuals. There was a significant reduction in the neutrophil count observed in SSS patients compared to healthy controls (37.41±7.93 percent vs. 66.5±6.8 percent). However, there was no significant difference in neutrophil oxidative index between patients with SSS and control subjects (172.33±55.08 vs. 217.00±77.38). We concluded that in patients with SSS, the phagocytic activity of neutrophils was not affected by hormonal changes, while the number of neutrophils and neutrophil-to-lymphocyte ratio (NLR) index were decreased.

桑贾德-萨卡蒂综合征(SSS)被归类为神经和激素系统紊乱导致的神经内分泌相关疾病。由于这些患者体内的激素变化可能会影响免疫系统的性质和功能。因此,本研究对中性粒细胞的细胞计数和吞噬功能进行了评估,这些功能可能会受到激素率和生长因子变化的影响。本研究对六名确诊为 SSS 的患者和六名健康人的中性粒细胞计数值和氧化爆发进行了评估。与健康对照组相比,SSS 患者的中性粒细胞数量明显减少(37.41±7.93% vs. 66.5±6.8%)。但是,SSS 患者与对照组之间的中性粒细胞氧化指数(172.33±55.08 vs. 217.00±77.38)没有明显差异。我们的结论是,SSS 患者中性粒细胞的吞噬活性不受激素变化的影响,而中性粒细胞的数量和中性粒细胞与淋巴细胞比值(NLR)指数则有所下降。
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引用次数: 0
The Role of Innate and Adaptive Immune System in the Pathogenesis of Schizophrenia. 先天性和适应性免疫系统在精神分裂症发病机制中的作用。
IF 1.5 4区 医学 Q4 ALLERGY Pub Date : 2024-02-11 DOI: 10.18502/ijaai.v23i1.14951
Marziyeh Soltani, Yousef Mirzaei, Ali Hussein Mer, Mina Mohammad-Rezaei, Zahra Shafaghat, Soheila Fattahi, Fatemeh Azadegan-Dehkordi, Meghdad Abdollahpour-Alitappeh, Nader Bagheri

Schizophrenia is one of the most severely debilitating mental disorders that affects 1.1% of the world's population. The exact cause of the disease is not known, but genetics, environmental factors (such as infectious agents, season and region of birth, exposure to viruses, low birth weight, advanced paternal age, and tobacco), and immune system dysfunction can all contribute to the development of schizophrenia. Recently, the role of the immune system in schizophrenia has received much attention. Both acquired and innate immune systems are involved in the pathogenesis of schizophrenia and facilitate the disease's progression. Almost all cells of the immune system including microglia, B cells, and T cells play an important role in the blood-brain barrier damage, inflammation, and in the progression of this disease. In schizophrenia, the integrity of the blood-brain barrier is reduced and then the immune cells are recruited into the endothelium following an increase in the expression of cell adhesion molecules. The entry of immune cells and cytokines leads to inflammation and antibody production in the brain. Accordingly, the results of this study strengthen the hypothesis that the innate and acquired immune systems are involved in the pathogenesis of schizophrenia.

精神分裂症是最严重的精神疾病之一,全世界有 1.1%的人患有精神分裂症。该病的确切病因尚不清楚,但遗传、环境因素(如传染源、出生季节和地区、接触病毒、出生体重过轻、父亲年龄过大和吸烟)以及免疫系统功能紊乱都可能导致精神分裂症的发生。最近,免疫系统在精神分裂症中的作用受到了广泛关注。获得性免疫系统和先天性免疫系统都参与了精神分裂症的发病机制,并促进了疾病的发展。几乎所有的免疫系统细胞,包括小胶质细胞、B 细胞和 T 细胞,都在血脑屏障损伤、炎症和疾病进展中发挥着重要作用。在精神分裂症患者中,血脑屏障的完整性降低,细胞粘附分子的表达增加,免疫细胞被招募到内皮细胞中。免疫细胞和细胞因子的进入导致脑部炎症和抗体的产生。因此,本研究的结果加强了先天性免疫系统和获得性免疫系统参与精神分裂症发病机制的假设。
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引用次数: 0
Immunomodulatory Effect of Calcitriol on Experimental Autoimmune Encephalomyelitis Mice, A Multiple Sclerosis Animal Model 骨化三醇对实验性自身免疫性脑脊髓炎小鼠(多发性硬化症动物模型)的免疫调节作用
4区 医学 Q4 ALLERGY Pub Date : 2023-11-07 DOI: 10.18502/ijaai.v22i5.13995
Behrouz Robat-Jazi, Mona Oraei, Sama Bitarafan, Seyed Alireza Mesbah-Namin, Ali Noori-Zadeh, Fatemeh Mansouri, Karim Parastouei, Ali Anissian, Mir Saeed Yekaninejad, Ali Akbar Saboor-Yaraghi
Previous studies noted an imbalance in T helper (Th) 17 and regulatory T cells (Tregs) in experimental autoimmune encephalomyelitis (EAE), a multiple sclerosis animal model. calcitriol, vitamin D's active form, was found to ameliorate EAE symptoms by favoring Tregss over Th17 cells, suggesting immunomodulatory effects. This study aimed to assess calcitriol's impact on EAE manifestations and cytokine profile in mice. In this study, we recruited twenty-eight C57BL/6 mice and divided them into 4 groups: healthy controls, EAE, EAE with calcitriol treatment, and healthy mice with calcitriol treatment. CD4+ T cells were isolated from splenocytes using magnetic-activated cell sorting. Real-time polymerase chain reaction was employed to quantify the genes associated with Th9 cells (i.e., SPI1 encoding PU.1 and IL9 encoding interleukin [IL]-9). Moreover, the levels of IL-17 and transforming growth factor beta (TGF-β) were evaluated through enzyme-linked immunosorbent assay in the supernatant of CD4+ T cell culture stimulated by anti-CD3 and anti-CD28 antibodies for 72 hours. In the supernatant of CD4+ T cell cultures, the levels of interleukin-17 (IL-17) were significantly increased, while the levels of transforming growth factor beta (TGF-β) were decreased in the EAE Group compared to the healthy control group. Calcitriol treatment reversed these changes and attenuated EAE symptoms, as confirmed in hematoxylin and eosin, and luxol fast blue stains. Notably, calcitriol increased IL9 gene expression in both EAE and healthy mice. This study provides further evidence of the anti-inflammatory effects of calcitriol and its role in attenuating EAE.
先前的研究发现,在实验性自身免疫性脑脊髓炎(EAE)(一种多发性硬化症动物模型)中,辅助性T细胞(Th) 17和调节性T细胞(Tregs)失衡。骨化三醇,维生素D的活性形式,被发现通过有利于Tregss而不是Th17细胞来改善EAE症状,提示免疫调节作用。本研究旨在评估骨化三醇对小鼠EAE表现和细胞因子谱的影响。 在本研究中,我们招募了28只C57BL/6小鼠,将它们分为4组:健康对照组、EAE组、EAE +骨化三醇组和健康小鼠+骨化三醇组。采用磁激活细胞分选法从脾细胞中分离CD4+ T细胞。采用实时聚合酶链反应定量分析Th9细胞相关基因(即编码PU.1的SPI1和编码白细胞介素[IL]-9的IL9)。此外,通过酶联免疫吸附法测定抗cd3和抗cd28抗体刺激CD4+ T细胞培养72小时后上清中IL-17和转化生长因子β (TGF-β)的水平。 与健康对照组相比,EAE组CD4+ T细胞培养上清中白细胞介素-17 (IL-17)水平显著升高,转化生长因子β (TGF-β)水平显著降低。骨化三醇治疗逆转了这些变化并减轻了EAE症状,苏木精和伊红以及luxol耐晒蓝染色证实了这一点。值得注意的是,骨化三醇增加了EAE和健康小鼠il - 9基因的表达。 本研究进一步证明了骨化三醇的抗炎作用及其对EAE的抑制作用。
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引用次数: 0
Amygdalin Improves Allergic Asthma via the Thymic Stromal Lymphopoietin–dendritic Cell–OX40 Ligand Axis in a Mouse Model 小鼠模型中苦杏仁苷通过胸腺基质淋巴生成素-树突状细胞ox40配体轴改善过敏性哮喘
4区 医学 Q4 ALLERGY Pub Date : 2023-11-07 DOI: 10.18502/ijaai.v22i5.13993
Wen Cui, Huan Zhou, Ya-zun Liu, Yan Yang, Yi-zhong Hu, Zhao-peng Han, Jian-er Yu, Zheng Xue
Asthma, characterized by persistent inflammation and increased sensitivity of the airway, is the most common chronic condition among children. Novel, safe, and reliable treatment strategies are the focus of current research on pediatric asthma. Amygdalin, mainly present in bitter almonds, has anti-inflammatory and immunoregulatory potential, but its effect on asthma remains uninvestigated. Here, the impact of amygdalin on the thymic stromal lymphopoietin (TSLP)–dendritic cell (DC)–OX40L axis was investigated. A BALB/c mouse model for allergic asthma was established using the ovalbumin-sensitization method. Amygdalin treatment was administered between days 21 and 27 of the protocol. Cell numbers and hematoxylin and eosin (H&E) staining in bronchoalveolar lavage fluid (BALF) were used to observe the impact of amygdalin on airway inflammation. TSLP, IL-4, IL-5, IL-13, and IFN-γ concentrations were determined via Enzyme-linked immunosorbent assay (ELISA). TSLP, GATA-3, and T-bet proteins were measured using western blotting. Cell-surface receptor expression on DCs (MHC II, CD80, and CD86) was assessed via flow cytometry. OX40L mRNA and protein levels were detected using western blotting and qRT-PCR, respectively. Amygdalin treatment attenuated airway inflammation decreased BALF TSLP levels, inhibited DC maturation, restrained TSLP-induced DC surface marker expression (MHCII, CD80, and CD86), and further decreased OX40L levels in activated DCs. This occurred together with decreased Th2 cytokine levels (IL-4, IL-5, and IL-13) and GATA3 expression, whereas Th1 cytokine (IFN-γ) levels and T-bet expression increased. Amygdalin thus regulates the Th1/Th2 balance through the TSLP–DC–OX40L axis to participate in inflammation development in the airways, providing a basis for potential allergic asthma treatments.
哮喘是儿童中最常见的慢性疾病,其特征是持续的炎症和气道敏感性增加。新颖、安全、可靠的治疗策略是当前儿童哮喘研究的重点。苦杏仁苷主要存在于苦杏仁中,具有抗炎和免疫调节潜能,但其对哮喘的作用尚未研究。本实验研究了苦杏仁苷对胸腺基质淋巴生成素(TSLP) -树突状细胞(DC) -OX40L轴的影响。 采用卵清蛋白致敏法建立BALB/c小鼠变应性哮喘模型。在方案的第21天至第27天之间给予苦杏仁苷治疗。采用支气管肺泡灌洗液(BALF)细胞计数及苏木精和伊红(H&E)染色观察苦杏仁苷对气道炎症的影响。采用酶联免疫吸附法(ELISA)测定TSLP、IL-4、IL-5、IL-13和IFN-γ浓度。western blotting检测TSLP、GATA-3和T-bet蛋白。流式细胞术检测dc细胞表面受体(MHC II、CD80和CD86)的表达。western blotting和qRT-PCR分别检测OX40L mRNA和蛋白水平。 苦杏仁苷治疗可减轻气道炎症,降低BALF TSLP水平,抑制DC成熟,抑制TSLP诱导的DC表面标志物(MHCII, CD80和CD86)表达,并进一步降低活化DC中的OX40L水平。与此同时,Th2细胞因子(IL-4、IL-5和IL-13)水平和GATA3表达降低,而Th1细胞因子(IFN-γ)水平和T-bet表达升高。 因此,苦杏仁苷通过TSLP-DC-OX40L轴调控Th1/Th2平衡,参与气道炎症的发展,为潜在的过敏性哮喘治疗提供基础。
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引用次数: 0
Combined Treatment of Progressive Encephalitis in an X-linked Agammaglobulinemia Patient x连锁无球蛋白血症患者进行性脑炎的综合治疗
4区 医学 Q4 ALLERGY Pub Date : 2023-11-07 DOI: 10.18502/ijaai.v22i5.13999
Marco Antonio Yamazaki-Nakashimada, Patricia Herrera-Mora, Alfonso Mahrx-Bracho, Gabriela López-Herrera, Juan Carlos Bustamante-Ogando, Selma Cecilia Scheffler-Mendoza
Most patients with X-linked agammaglobulinemia are susceptible to infections, while some cases also suffer from inflammatory or autoimmune complications. We describe a patient with progressive encephalitis who improved after the use of immunomodulatory treatment with corticosteroids, fluoxetine, and nitazoxanide. In most of the cases the evolution of the progressive encephalitis is complicated and catastrophic. Based on our experience and the review of the literature, we propose the use of this combined treatment to control this devastating complication.
大多数x连锁无球蛋白血症患者易受感染,而一些病例还患有炎症或自身免疫性并发症。我们描述了一位进行性脑炎患者,在使用皮质类固醇、氟西汀和硝唑尼特进行免疫调节治疗后病情有所改善。在大多数情况下,进行性脑炎的演变是复杂的和灾难性的。根据我们的经验和文献回顾,我们建议使用这种联合治疗来控制这种毁灭性的并发症。
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引用次数: 0
MicroRNA-29a-3p Accelerates Inflammatory Damage in Neonatal Pneumonia Via Targeting Krüppel-like Factor 4 MicroRNA-29a-3p通过靶向kr<s:1> ppel样因子4加速新生儿肺炎的炎症损伤
4区 医学 Q4 ALLERGY Pub Date : 2023-11-07 DOI: 10.18502/ijaai.v22i5.13994
Xiao Juan Xu, Wei Liu, ShiNa Liland
Neonatal pneumonia (NP) is a frequently occurring illness during the neonatal phase. The study investigated the molecular process and the role of microRNA (miR)-29a-3p in NP. Peripheral blood was collected from NP patients and healthy newborns. Human lung fibroblasts cell line (WI-38) were treated with lipopolysaccharide (LPS)) to establish a cellular model for NP. Then, miR-29a-3p and Krüppel-like Factor 4 (KLF4) levels were detected by RT-qPCR or Western blot. The relationship between miR-29a-3p and KLF4 was confirmed by dual luciferase reporter gene assay. Cell survival was assessed using the CCK-8 assay, whereas the levels of interleukin-6, tumor necrosis factor-α, and IL-1β were quantified using ELISA. Additionally, apoptosis was evaluated through flow cytometry. Meanwhile, Bax and Bcl-2 were detected by RT-qPCR. Neonatal rats were administered LPS intraperitoneally (3 mg/kg) to induce NP, and pathological injury and inflammatory reaction were analyzed. MiR-29a-3p was elevated but KLF4 was silenced in NP patient’s serum, LPS-treated WI-38 cell line, and LPS-treated newborn rats. Silence of miR-29a-3p or elevation of KLF4 constrained cell proliferation with inflammation of LPS-treated WI-38 cell line. MiR-29a-3p immediately targeted KLF4. Additionally, silence of miR-29a-3p alleviated LPS-stimulated lung injury and inflammation in neonatal rats. The protective action of silenced miR-29a-3p in LPS-treated WI-38 cell line and newborn rats was turned around by silencing KLF4. This study demonstrates originally that miR-29a-3p boosts inflammatory damage in NP via targeting KLF4, offering a basis for clinically diagnosing and treating NP.
新生儿肺炎(NP)是一种常见于新生儿期的疾病。本研究探讨了microRNA (miR)-29a-3p在NP中的分子过程和作用。采集NP患者和健康新生儿外周血。用脂多糖(LPS)处理人肺成纤维细胞(WI-38),建立NP细胞模型。然后采用RT-qPCR或Western blot检测miR-29a-3p和kr ppel样因子4 (KLF4)水平。双荧光素酶报告基因检测证实miR-29a-3p与KLF4的关系。使用CCK-8法评估细胞存活,而使用ELISA法定量白细胞介素-6、肿瘤坏死因子-α和IL-1β的水平。此外,流式细胞术检测细胞凋亡。同时RT-qPCR检测Bax和Bcl-2。采用LPS (3 mg/kg)腹腔诱导新生大鼠NP,观察病理损伤及炎症反应。 NP患者血清、lps处理的WI-38细胞系和lps处理的新生大鼠中MiR-29a-3p升高,KLF4沉默。miR-29a-3p的沉默或KLF4的升高抑制了lps处理的WI-38细胞系的细胞增殖和炎症。MiR-29a-3p立即靶向KLF4。此外,miR-29a-3p的沉默减轻了lps刺激的新生大鼠肺损伤和炎症。沉默miR-29a-3p对lps处理的WI-38细胞系和新生大鼠的保护作用通过沉默KLF4而逆转。 本研究初步证实miR-29a-3p通过靶向KLF4促进NP的炎症损伤,为NP的临床诊断和治疗提供依据。
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引用次数: 0
Cycle Threshold Values Predict COVID-19 Severity and Mortality but are not Correlated with Laboratory Markers 周期阈值预测COVID-19严重程度和死亡率,但与实验室标志物无关
4区 医学 Q4 ALLERGY Pub Date : 2023-11-07 DOI: 10.18502/ijaai.v22i5.13996
Behnaz Esmaeili, Hoda Khoshnevis, Atefe Alirezaee, Abbas Shakoori, Zahra Pourpak, Hamid Chegini, Zahra Ahmadinejad
Many studies have evaluated the possible utility of cycle threshold (Ct) values as a predictor of Coronavirus disease 2019 (COVID-19) severity and patient outcome. Given the inconsistent results, we aimed to evaluate the association between severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Ct values and disease severity, inflammatory markers, and outcomes in Iranian patients with COVID-19. A retrospective study of 528 patients with COVID-19 hospitalized from September 2020 to October 2021 was conducted. Demographic, clinical, and laboratory data of patients were retrieved from electronic medical records. Ct values were analyzed as a continuous variable after subcategorizing into 3 groups: low (Ct values<20), medium (Ct values 20 to 30), and high (Ct values>30). Of the 528 patients (45.1% female) aged 13 to 97 years, 109 patients had low Ct values, 312 patients had medium, and 107 patients had high Ct values. Patients with low Ct values were more likely to present with critical COVID-19, require invasive mechanical ventilation and develop complications such as acute respiratory distress syndrome and pneumonia. Furthermore, patients with low or medium Ct values were more likely to die compared to patients with high Ct values.Multivariate analysis showed that patients with low or medium Ct values were more likely to have severe COVID-19 compared with patients with high Ct values. The multivariate analysis also showed a higher risk of mortality in patients with low Ct values compared to patients with high Ct values, although this was not statistically significant. Our findings revealed that Ct values were an independent predictor of COVID-19 severity. The risk of mortality was higher in patients with low Ct values. However, further investigation is needed to address the correlation between Ct values and inflammatory factors.
许多研究已经评估了周期阈值(Ct)作为2019冠状病毒病(COVID-19)严重程度和患者预后预测因子的可能效用。鉴于结果不一致,我们旨在评估伊朗COVID-19患者的严重急性呼吸综合征冠状病毒2 (SARS-CoV-2) Ct值与疾病严重程度、炎症标志物和结局之间的关系。 对2020年9月至2021年10月住院的528例新冠肺炎患者进行回顾性研究。从电子病历中检索患者的人口统计、临床和实验室数据。Ct值作为一个连续变量进行分析,将其细分为3组:低(Ct值<20)、中(Ct值20 ~ 30)、高(Ct值>30)。 528例患者(女性45.1%),年龄13 ~ 97岁,Ct值低109例,中312例,高107例。Ct值低的患者更容易出现重症COVID-19,需要有创机械通气,并发生急性呼吸窘迫综合征和肺炎等并发症。此外,与高Ct值的患者相比,低或中等Ct值的患者更容易死亡。多因素分析显示,与高Ct值的患者相比,低Ct值或中Ct值的患者更容易发生重症COVID-19。多变量分析还显示,与高Ct值的患者相比,低Ct值的患者死亡风险更高,尽管这没有统计学意义。 我们的研究结果显示,Ct值是COVID-19严重程度的独立预测因子。Ct值低的患者死亡风险较高。但Ct值与炎症因子的相关性有待进一步研究。
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Iranian journal of allergy, asthma, and immunology
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