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Epstein–Barr virus and multiple sclerosis: moving from questions of association to questions of mechanism 爱泼斯坦-巴尔病毒和多发性硬化症:从关联问题到机制问题
IF 5.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2023-05-17 DOI: 10.1002/cti2.1451
Olivia G Thomas, Alan Rickinson, Umaimainthan Palendira

The link between Epstein–Barr virus (EBV) and multiple sclerosis (MS) has puzzled researchers since it was first discovered over 40 years ago. Until that point, EBV was primarily viewed as a cancer-causing agent, but the culmination of evidence now shows that EBV has a pivotal role in development of MS. Early MS disease is characterised by episodic neuroinflammation and focal lesions in the central nervous system (CNS) that over time develop into progressive neurodegeneration and disability. Risk of MS is vanishingly low in EBV seronegative individuals, history of infectious mononucleosis (acute symptomatic primary infection with EBV) significantly increases risk and elevated antibody titres directed against EBV antigens are well-characterised in patients. However, the underlying mechanism – or mechanisms – responsible for this interplay remains to be fully elucidated; how does EBV-induced immune dysregulation either trigger or drive MS in susceptible individuals? Furthermore, deep understanding of virological and immunological events during primary infection and long-term persistence in B cells will help to answer the many questions that remain regarding MS pathogenesis. This review discusses the current evidence and mechanisms surrounding EBV and MS, which have important implications for the future of MS therapies and prevention.

爱泼斯坦-巴尔病毒(EBV)与多发性硬化症(MS)之间的联系,自40多年前首次被发现以来,一直困扰着研究人员。在此之前,EBV主要被视为一种致癌物,但现在证据的高潮表明EBV在MS的发展中起关键作用。早期MS疾病的特征是发作性神经炎症和中枢神经系统(CNS)的局灶性病变,随着时间的推移发展为进行性神经变性和残疾。在EBV血清阴性的个体中,MS的风险非常低,传染性单核细胞增多症(急性症状性EBV原发性感染)的病史显著增加了风险,并且针对EBV抗原的抗体滴度升高在患者中有很好的特征。然而,导致这种相互作用的潜在机制(或机制)仍有待充分阐明;ebv诱导的免疫失调如何触发或驱动易感个体的MS ?此外,深入了解原发性感染期间的病毒学和免疫学事件以及B细胞的长期持续将有助于回答关于MS发病机制的许多问题。本文综述了EBV与多发性硬化症相关的现有证据和机制,这对未来的多发性硬化症治疗和预防具有重要意义。
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引用次数: 6
Hypoxia-inducible factor-1α regulates the interleukin-6 production by B cells in rheumatoid arthritis 缺氧诱导因子-1α调节类风湿关节炎B细胞产生白细胞介素-6
IF 5.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2023-05-09 DOI: 10.1002/cti2.1447
Chaofan Fan, Jia Li, Yixuan Li, Yuyang Jin, Jiaqi Feng, Ruru Guo, Xinyu Meng, Dongcheng Gong, Qian Chen, Fang Du, Chunyan Zhang, Liangjing Lu, Jun Deng, Xiao-Xiang Chen

Objectives

Rheumatoid arthritis (RA) is a disease characterised by bone destruction and systemic inflammation, and interleukin-6 (IL-6) is a therapeutic target for treating it. The study aimed at investigating the sources of IL-6 and the influence of hypoxia-inducible factor-1α (HIF-1α) on IL-6 production by B cells in RA patients.

Methods

The phenotype of IL-6-producing cells in the peripheral blood of RA patients was analysed using flow cytometry. Bioinformatics, real-time polymerase chain reaction, Western blot and immunofluorescence staining were used to determine the IL-6 production and HIF-1α levels in B cells. A dual-luciferase reporter assay and chromatin immunoprecipitation were used to investigate the regulatory role of HIF-1α on IL-6 production in human and mouse B cells.

Results

Our findings revealed that B cells are major sources of IL-6 in the peripheral blood of RA patients, with the proportion of IL-6-producing B cells significantly correlated with RA disease activity. The CD27IgD+ naïve B cell subset was identified as the typical IL-6-producing subset in RA patients. Both HIF-1α and IL-6 were co-expressed by B cells in the peripheral blood and synovium of RA patients, and HIF-1α was found to directly bind to the IL6 promoter and enhance its transcription.

Conclusion

This study highlights the role of B cells in producing IL-6 and the regulation of this production by HIF-1α in patients with RA. Targeting HIF-1α might provide a new therapeutic strategy for treating RA.

目的类风湿关节炎(RA)是一种以骨破坏和全身炎症为特征的疾病,而白细胞介素-6 (IL-6)是治疗类风湿关节炎的治疗靶点。本研究旨在探讨RA患者B细胞中IL-6的来源及缺氧诱导因子-1α (HIF-1α)对IL-6产生的影响。方法采用流式细胞术对RA患者外周血il -6生成细胞进行表型分析。采用生物信息学、实时聚合酶链反应、Western blot和免疫荧光染色检测B细胞中IL-6的产生和HIF-1α的水平。采用双荧光素酶报告试验和染色质免疫沉淀法研究HIF-1α对人和小鼠B细胞中IL-6生成的调节作用。结果B细胞是RA患者外周血中IL-6的主要来源,产生IL-6的B细胞比例与RA疾病活动性显著相关。CD27−IgD+ naïve B细胞亚群被确定为RA患者中典型的产生il -6的亚群。HIF-1α和IL-6在RA患者外周血和滑膜的B细胞中共表达,HIF-1α直接结合IL-6启动子并增强其转录。结论本研究强调了B细胞在RA患者中产生IL-6的作用以及HIF-1α对IL-6产生的调节作用。靶向HIF-1α可能为治疗RA提供新的治疗策略。
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引用次数: 0
CD137 deficiency because of two novel biallelic TNFRSF9 mutations in a patient presenting with severe EBV-associated lymphoproliferative disease 在一名患有严重ebv相关淋巴细胞增生性疾病的患者中,由于两个新的双等位基因TNFRSF9突变导致CD137缺乏
IF 5.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2023-05-02 DOI: 10.1002/cti2.1448
Kefeng Shen, Jiachen Wang, Kuangguo Zhou, Wei Mu, Meilan Zhang, Xinyue Deng, Haodong Cai, Wei Zhang, Wei Huang, Min Xiao

Objectives

Increasing evidence indicates that some germline genetic mutations that impair pathways required for robust host immune surveillance against EBV infection may result in an extremely high susceptibility to EBV-associated lymphoproliferative disease (EBV+ LPD). TNFRSF9 encodes a vital costimulatory molecule that enhances CD8+ T-cell proliferation, survival and cytolytic activity. To date, no relevant case resulting from TNFRSF9 heterozygous mutations has been identified.

Methods

Here, we report the first case of CD137 deficiency caused by two novel biallelic heterozygous TNFRSF9 mutations [NM_001561.5: c.208 + 1−>AT and c.452C>A (p.T151K)] in a patient presenting with severe EBV+ LPD. Immunophenotyping and in vitro assays of lymphocyte function and NK cell activity were performed.

Results

Biallelic TNFRSF9 mutations resulted in markedly reduced or abrogated expression of CD137 on activated T, B and NK cells. CD8+ T cells from the patient had impaired activation, reduced expression/release of interferon-γ (IFN-γ), tumor necrosis factor-α (TNF-α), perforin and granzyme B, and diminished cytotoxic activity. Functional experiments identified both variations were hypomorphic mutations and played a contributing role in CD137 deficiency and the development of EBV+ LPD.

Conclusion

Our study expands the genetic spectrum and clinical phenotype of patients with CD137 deficiency and provides additional evidence that the TNFRSF9 gene plays a critical role in host immune responses to EBV infection.

越来越多的证据表明,一些生殖系基因突变损害了宿主对EBV感染的强大免疫监视所需的途径,可能导致EBV相关淋巴细胞增生性疾病(EBV+ LPD)的极高易感性。TNFRSF9编码一种重要的共刺激分子,可增强CD8+ t细胞的增殖、存活和细胞溶解活性。迄今为止,尚未发现由TNFRSF9杂合突变引起的相关病例。方法在此,我们报告了一例由两种新型双等位杂合TNFRSF9突变[NM_001561.5: c.208 + 1−>AT和c.452C>A (p.T151K)]引起的CD137缺乏症,患者表现为严重EBV+ LPD。免疫分型及体外淋巴细胞功能和NK细胞活性测定。结果TNFRSF9双等位基因突变导致CD137在活化的T、B和NK细胞上的表达明显降低或消失。患者的CD8+ T细胞活化受损,干扰素-γ (IFN-γ)、肿瘤坏死因子-α (TNF-α)、穿孔素和颗粒酶B的表达/释放减少,细胞毒性活性降低。功能实验发现,这两种变异都是次胚突变,在CD137缺乏和EBV+ LPD的发展中起作用。结论本研究扩大了CD137缺乏患者的遗传谱和临床表型,并提供了TNFRSF9基因在宿主对EBV感染的免疫应答中起关键作用的额外证据。
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引用次数: 0
The prometastatic relevance of tumor-infiltrating B lymphocytes in laryngeal squamous cell carcinoma 喉鳞癌中肿瘤浸润性B淋巴细胞的前转移相关性
IF 5.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2023-04-26 DOI: 10.1002/cti2.1445
Francesco Missale, Mattia Bugatti, Filippo Marchi, Giulio E Mandelli, Maria Bruni, Giulia Palmerini, Matilde Monti, Anna M Bozzola, Giorgio Arena, Luca Guastini, Maurizio Boggio, Giampiero Parrinello, Giorgio Peretti, William Vermi

Objectives

Laryngeal squamous cell carcinomas (LSCCs) typically have an excellent prognosis for stage I tumors but a significant risk of locoregional and distant recurrence for intermediate to advanced disease. This study will investigate the clinical relevance of the tumor microenvironment in a large cohort of treatment-naïve patients affected by stage II–IV LSCC.

Methods

Whole slide-based digital pathology analysis was applied to measure six immune cell populations identified by immunohistochemistry (IHC) staining for CD3, CD8, CD20, CD66b, CD163 and CD38. Survival analysis was performed by Cox proportional hazards models and unsupervised hierarchical clustering using the k-means method. Double IHC staining and in-situ hybridisation by RNAscope allowed further analysis of a protumoral B cell population.

Results

A cohort of 98 patients was enrolled and analysed. The cluster of immune-infiltrated LSCCs demonstrated a significantly worse disease-specific survival rate. We also discovered a new association between high CD20+ B cells and a greater risk of distant recurrence. The phenotypic analysis of infiltrating CD20+ B cells showed a naïve (BCL6CD27Mum1) regulatory phenotype, producing TGFβ but not IL10, according to an active TGFβ pathway, as proved by positive pSMAD2 staining.

Conclusion

The identification of regulatory B cells in the context of LSCC, along with the activation of the TGFβ pathway, could provide the basis for new trials investigating the efficacy of already available molecules targeting the TGFβ pathway in the treatment of LSCC.

目的喉部鳞状细胞癌(LSCCs)在I期肿瘤中具有良好的预后,但在中晚期疾病中有明显的局部和远处复发风险。本研究将探讨II-IV期LSCC患者中肿瘤微环境的临床相关性。方法采用全玻片数字病理分析方法,对免疫组化(IHC)染色鉴定的6个免疫细胞群进行CD3、CD8、CD20、CD66b、CD163和CD38的检测。生存分析采用Cox比例风险模型,无监督分层聚类采用k-means方法。双免疫组化染色和原位杂交RNAscope允许进一步分析原肿瘤B细胞群。结果98例患者入组并进行分析。免疫浸润的LSCCs簇表现出明显较差的疾病特异性生存率。我们还发现了高CD20+ B细胞与更大的远处复发风险之间的新关联。浸润的CD20+ B细胞的表型分析显示naïve (BCL6−CD27−Mum1−)调节表型,根据活跃的TGFβ途径,产生TGFβ但不产生IL10, pSMAD2染色阳性。结论LSCC中调节性B细胞的鉴定,以及tgf - β通路的激活,可为研究靶向tgf - β通路分子治疗LSCC的新试验提供基础。
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引用次数: 1
Administration of an LXR agonist promotes atherosclerotic lesion remodelling in murine inflammatory arthritis 给药LXR激动剂促进小鼠炎性关节炎的动脉粥样硬化病变重塑
IF 5.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2023-04-18 DOI: 10.1002/cti2.1446
Dragana Dragoljevic, Man Kit Sam Lee, Gerard Pernes, Pooranee K Morgan, Cynthia Louis, Waled Shihata, Kevin Huynh, Arina A Kochetkova, Patrick W Bell, Natalie A Mellett, Peter J Meikle, Graeme I Lancaster, Michael J Kraakman, Prabhakara R Nagareddy, Beatriz Y Hanaoka, Ian P Wicks, Andrew J Murphy

Objectives

The leading cause of mortality in patients with rheumatoid arthritis is atherosclerotic cardiovascular disease (CVD). We have shown that murine arthritis impairs atherosclerotic lesion regression, because of cellular cholesterol efflux defects in haematopoietic stem and progenitor cells (HSPCs), causing monocytosis and impaired atherosclerotic regression. Therefore, we hypothesised that improving cholesterol efflux using a Liver X Receptor (LXR) agonist would improve cholesterol efflux and improve atherosclerotic lesion regression in arthritis.

Methods

Ldlr−/− mice were fed a western-type diet for 14 weeks to initiate atherogenesis, then switched to a chow diet to induce lesion regression and divided into three groups; (1) control, (2) K/BxN serum transfer inflammatory arthritis (K/BxN) or (3) K/BxN arthritis and LXR agonist T0901317 daily for 2 weeks.

Results

LXR activation during murine inflammatory arthritis completely restored atherosclerotic lesion regression in arthritic mice, evidenced by reduced lesion size, macrophage abundance and lipid content. Mechanistically, serum from arthritic mice promoted foam cell formation, demonstrated by increased cellular lipid accumulation in macrophages and paralleled by a reduction in mRNA of the cholesterol efflux transporters Abca1, Abcg1 and Apoe. T0901317 reduced lipid loading and increased Abca1 and Abcg1 expression in macrophages exposed to arthritic serum and increased ABCA1 levels in atherosclerotic lesions of arthritic mice. Moreover, arthritic clinical score was also attenuated with T0901317.

Conclusion

Taken together, we show that the LXR agonist T0901317 rescues impaired atherosclerotic lesion regression in murine arthritis because of enhanced cholesterol efflux transporter expression and reduced foam cell development in atherosclerotic lesions.

目的类风湿关节炎患者死亡的主要原因是动脉粥样硬化性心血管疾病(CVD)。我们已经证明,由于造血干细胞和祖细胞(HSPCs)的细胞胆固醇外排缺陷,导致单核细胞增多和动脉粥样硬化退化受损,小鼠关节炎损害了动脉粥样硬化病变的消退。因此,我们假设使用肝X受体(LXR)激动剂改善胆固醇外排可以改善胆固醇外排并改善关节炎的动脉粥样硬化病变消退。方法Ldlr - / -小鼠连续14周饲喂西式饮食,诱导动脉粥样硬化形成,然后改为周食饮食,诱导病变消退,并分为3组;(1)对照组,(2)K/BxN血清转移性炎性关节炎(K/BxN)或(3)K/BxN关节炎和LXR激动剂T0901317,每天2周。结果小鼠炎症性关节炎期间LXR的激活完全恢复了关节炎小鼠动脉粥样硬化病变的消退,表现为病变大小、巨噬细胞丰度和脂质含量的减少。机制上,关节炎小鼠血清促进泡沫细胞形成,表现为巨噬细胞细胞脂质积累增加,胆固醇外溢转运蛋白Abca1、Abcg1和Apoe mRNA减少。T0901317降低了关节炎血清中巨噬细胞的脂质负荷,增加了Abca1和Abcg1的表达,并增加了关节炎小鼠动脉粥样硬化病变中Abca1的水平。此外,T0901317还能降低关节炎临床评分。综上所述,我们发现LXR激动剂T0901317通过增强胆固醇外流转运蛋白的表达和减少动脉粥样硬化病变中的泡沫细胞的发育,可以缓解小鼠关节炎中受损的动脉粥样硬化病变的消退。
{"title":"Administration of an LXR agonist promotes atherosclerotic lesion remodelling in murine inflammatory arthritis","authors":"Dragana Dragoljevic,&nbsp;Man Kit Sam Lee,&nbsp;Gerard Pernes,&nbsp;Pooranee K Morgan,&nbsp;Cynthia Louis,&nbsp;Waled Shihata,&nbsp;Kevin Huynh,&nbsp;Arina A Kochetkova,&nbsp;Patrick W Bell,&nbsp;Natalie A Mellett,&nbsp;Peter J Meikle,&nbsp;Graeme I Lancaster,&nbsp;Michael J Kraakman,&nbsp;Prabhakara R Nagareddy,&nbsp;Beatriz Y Hanaoka,&nbsp;Ian P Wicks,&nbsp;Andrew J Murphy","doi":"10.1002/cti2.1446","DOIUrl":"https://doi.org/10.1002/cti2.1446","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The leading cause of mortality in patients with rheumatoid arthritis is atherosclerotic cardiovascular disease (CVD). We have shown that murine arthritis impairs atherosclerotic lesion regression, because of cellular cholesterol efflux defects in haematopoietic stem and progenitor cells (HSPCs), causing monocytosis and impaired atherosclerotic regression. Therefore, we hypothesised that improving cholesterol efflux using a Liver X Receptor (LXR) agonist would improve cholesterol efflux and improve atherosclerotic lesion regression in arthritis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p><i>Ldlr</i><sup><i>−/−</i></sup> mice were fed a western-type diet for 14 weeks to initiate atherogenesis, then switched to a chow diet to induce lesion regression and divided into three groups; (1) control, (2) K/BxN serum transfer inflammatory arthritis (K/BxN) or (3) K/BxN arthritis and LXR agonist T0901317 daily for 2 weeks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>LXR activation during murine inflammatory arthritis completely restored atherosclerotic lesion regression in arthritic mice, evidenced by reduced lesion size, macrophage abundance and lipid content. Mechanistically, serum from arthritic mice promoted foam cell formation, demonstrated by increased cellular lipid accumulation in macrophages and paralleled by a reduction in mRNA of the cholesterol efflux transporters <i>Abca1</i>, <i>Abcg1</i> and <i>Apoe</i>. T0901317 reduced lipid loading and increased <i>Abca1</i> and <i>Abcg1</i> expression in macrophages exposed to arthritic serum and increased ABCA1 levels in atherosclerotic lesions of arthritic mice. Moreover, arthritic clinical score was also attenuated with T0901317.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Taken together, we show that the LXR agonist T0901317 rescues impaired atherosclerotic lesion regression in murine arthritis because of enhanced cholesterol efflux transporter expression and reduced foam cell development in atherosclerotic lesions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":152,"journal":{"name":"Clinical & Translational Immunology","volume":"12 4","pages":""},"PeriodicalIF":5.8,"publicationDate":"2023-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cti2.1446","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"5710054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Heterologous booster vaccination with CoronaVac following prime vaccination with mRNA vaccine mRNA疫苗预接种后,冠状病毒异种强化疫苗接种
IF 5.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2023-04-18 DOI: 10.1002/cti2.1449

Yun Shan Goh, Siew-Wai Fong, Angeline Rouers, Zi Wei Chang, Matthew Zirui Tay, Jean-Marc Chavatte, Nicole Ziyi Zhuo, Pei Xiang Hor, Chiew Yee Loh, Yuling Huang, Joel Xu En Wong, Yong Jie Tan, Daniel Rui Xiang Lim, Bei Wang, Eve Zi Xian Ngoh, Siti Nazihah Mohd Salleh, Raphael Tze Chuen Lee, Surinder Pada, Louisa Jin Sun, Desmond Luan Seng Ong, Jyoti Somani, Eng Sing Lee, NCID Study Group, COVID-19 Study Group, Sebastian Maurer-Stroh, Cheng-I Wang, Yee-Sin Leo, Raymond TP Lin, Ee Chee Ren, David C Lye, Barnaby Edward Young, Poh Lian Lim, Lisa FP Ng & Laurent Renia

Clinical & Translational Immunology 2023; 12: e1449.

Correction to: Clin Trans Immunol 2022; 11: e1043. https://doi.org/10.1002/cti2.1403. Published online 23 August 2022

The authors inadvertently excluded a funding body in the Acknowledgments section. The corrected version appears below:

Yun山高、Siew-Wai方,安吉莉Rouers,子张,马修·Zirui泰jean - marc Chavatte,妮可章子怡卓,裴湘何珥卫生绮Loh,玉玲黄,乔尔徐黄,永杰,丹尼尔•瑞翔Lim贝王夜子西安Ngoh,西蒂Nazihah穆罕默德Salleh,拉斐尔老子村李萨伦德篇,路易莎金太阳,德斯蒙德的菜肴Seng Ong Jyoti Somani, Eng唱Lee NCID研究小组,COVID-19研究小组,Sebastian Maurer-Stroh Cheng-I Wang Yee-Sin Leo,雷蒙德•林TP Ee Chee任,David C . Lye, Barnaby Edward Young,林宝莲,Lisa FP Ng &;Laurent reniical &《转化免疫学》2023;12: e1449。修正:clinin Trans Immunol 2022;11: e1043。https://doi.org/10.1002/cti2.1403。作者无意中在致谢部分排除了一个资助机构。更正后的版本如下:
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引用次数: 1
A specific anti-COVID-19 BNT162b2 vaccine-induced early innate immune signature positively correlates with the humoral protective response in healthy and multiple sclerosis vaccine recipients 在健康和多发性硬化症疫苗接种者中,一种特异性抗covid -19 BNT162b2疫苗诱导的早期先天免疫特征与体液保护反应正相关
IF 5.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2023-03-23 DOI: 10.1002/cti2.1434
Martina Severa, Fabiana Rizzo, Alessandro Sinigaglia, Daniela Ricci, Marilena Paola Etna, Gaia Cola, Doriana Landi, Maria Chiara Buscarinu, Catia Valdarchi, Giovanni Ristori, Silvia Riccetti, Chiara Piubelli, Pierangela Palmerini, Antonio Rosato, Federico Gobbi, Stefano Balducci, Girolama Alessandra Marfia, Marco Salvetti, Luisa Barzon, Eliana Marina Coccia

Objectives

The very rapidly approved mRNA-based vaccines against SARS-CoV-2 spike glycoprotein, including Pfizer-BioNTech BNT162b2, are effective in protecting from severe coronavirus disease 2019 (COVID-19) in immunocompetent population. However, establishing the duration and identifying correlates of vaccine-induced protection will be crucial to optimise future immunisation strategies. Here, we studied in healthy vaccine recipients and people with multiple sclerosis (pwMS), undergoing different therapies, the regulation of innate immune response by mRNA vaccination in order to correlate it with the magnitude of vaccine-induced protective humoral responses.

Methods

Healthy subjects (n = 20) and matched pwMS (n = 22) were longitudinally sampled before and after mRNA vaccination. Peripheral blood mononuclear cell (PBMC)-associated type I and II interferon (IFN)-inducible gene expression, serum innate cytokine/chemokine profile as well as binding and neutralising anti-SARS-COV-2 antibodies (Abs) were measured.

Results

We identified an early immune module composed of the IFN-inducible genes Mx1, OAS1 and IRF1, the serum cytokines IL-15, IL-6, TNF-α and IFN-γ and the chemokines IP-10, MCP-1 and MIG, induced 1 day post second and third BNT162b2 vaccine doses, strongly correlating with magnitude of humoral response to vaccination in healthy and MS vaccinees. Moreover, induction of the early immune module was dramatically affected in pwMS treated with fingolimod and ocrelizumab, both groups unable to induce a protective humoral response to COVID-19 vaccine.

Conclusion

Overall, this study suggests that the vaccine-induced early regulation of innate immunity is mediated by IFN signalling, impacts on the magnitude of adaptive responses and it might be indicative of vaccine-induced humoral protection.

针对SARS-CoV-2刺突糖蛋白的mrna疫苗(包括Pfizer-BioNTech BNT162b2)在免疫功能正常人群中可有效预防2019年严重冠状病毒病(COVID-19)。然而,确定疫苗诱导保护的持续时间和确定相关因素对于优化未来的免疫策略至关重要。在这里,我们研究了在接受不同治疗的健康疫苗接种者和多发性硬化症(multiple sclerosis, pwMS)患者中,mRNA疫苗接种对先天免疫反应的调节,以便将其与疫苗诱导的保护性体液反应的程度相关联。方法对健康人(20例)和匹配的pwMS(22例)进行mRNA接种前后的纵向抽样。检测外周血单核细胞(PBMC)相关I型和II型干扰素(IFN)诱导基因表达、血清先天细胞因子/趋化因子谱以及结合和中和抗sars - cov -2抗体(Abs)。结果我们发现了一个由IFN诱导基因Mx1、OAS1和IRF1、血清细胞因子IL-15、IL-6、TNF-α和IFN-γ以及趋化因子IP-10、MCP-1和MIG组成的早期免疫模块,该模块在第二次和第三次BNT162b2疫苗接种后1天诱导,与健康和MS疫苗接种后的免疫应答程度密切相关。此外,fingolimod和ocrelizumab治疗的pwMS早期免疫模块的诱导受到显著影响,两组均无法诱导对COVID-19疫苗的保护性体液反应。总之,本研究提示疫苗诱导的先天免疫的早期调节是由IFN信号介导的,影响适应性反应的大小,并可能表明疫苗诱导的体液保护。
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引用次数: 0
Naturally derived cytokine peptides limit virus replication and severe disease during influenza A virus infection 在甲型流感病毒感染期间,自然衍生的细胞因子肽限制病毒复制和严重疾病
IF 5.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2023-03-23 DOI: 10.1002/cti2.1443
Christopher M Harpur, Alison C West, Mélanie A Le Page, Maggie Lam, Christopher Hodges, Osezua Oseghale, Andrew J Gearing, Michelle D Tate

Objectives

Novel host-targeted therapeutics could treat severe influenza A virus (IAV) infections, with reduced risk of drug resistance. LAT8881 is a synthetic form of the naturally occurring C-terminal fragment of human growth hormone. Acting independently of the growth hormone receptor, it can reduce inflammation-induced damage and promote tissue repair in an animal model of osteoarthritis. LAT8881 has been assessed in clinical trials for the treatment of obesity and neuropathy and has an excellent safety profile. We investigated the potential for LAT8881, its metabolite LAT9991F and LAT7771 derived from prolactin, a growth hormone structural homologue, to treat severe IAV infection.

Methods

LAT8881, LAT9991F and LAT7771 were evaluated for their effects on cell viability and IAV replication in vitro, as well as their potential to limit disease in a preclinical mouse model of severe IAV infection.

Results

In vitro LAT8881 treatment enhanced cell viability, particularly in the presence of cytotoxic stress, which was countered by siRNA inhibition of host lanthionine synthetase C-like proteins. Daily intranasal treatment of mice with LAT8881 or LAT9991F, but not LAT7771, from day 1 postinfection significantly improved influenza disease resistance, which was associated with reduced infectious viral loads, reduced pro-inflammatory cytokines and increased abundance of protective alveolar macrophages. LAT8881 treatment in combination with the antiviral oseltamivir phosphate led to more pronounced reduction in markers of disease severity than treatment with either compound alone.

Conclusion

These studies provide the first evidence identifying LAT8881 and LAT9991F as novel host-protective therapies that improve survival, limit viral replication, reduce local inflammation and curtail tissue damage during severe IAV infection. Evaluation of LAT8881 and LAT9991F in other infectious and inflammatory conditions of the airways is warranted.

新的宿主靶向治疗方法可以治疗严重甲型流感病毒(IAV)感染,并降低耐药风险。LAT8881是天然存在的人类生长激素c端片段的合成形式。在骨关节炎动物模型中,它可以独立于生长激素受体起作用,减少炎症引起的损伤,促进组织修复。LAT8881已在治疗肥胖和神经病变的临床试验中进行评估,并具有良好的安全性。我们研究了LAT8881及其代谢物LAT9991F和LAT7771衍生自催乳素(一种生长激素结构同源物)治疗严重IAV感染的潜力。方法研究LAT8881、LAT9991F和LAT7771对体外IAV复制和细胞活力的影响,以及在严重IAV感染的临床前小鼠模型中对疾病的限制作用。结果在体外,LAT8881处理提高了细胞活力,特别是在细胞毒性应激存在的情况下,这可以通过siRNA抑制宿主硫氨酸合成酶c样蛋白来抵消。从感染后第1天起,每天用LAT8881或LAT9991F(而不是LAT7771)鼻内治疗小鼠,可显著提高流感疾病的抵抗力,这与感染病毒载量降低、促炎细胞因子减少和保护性肺泡巨噬细胞丰度增加有关。与单独使用任何一种化合物治疗相比,LAT8881与抗病毒药物磷酸奥司他韦联合治疗导致疾病严重程度标志物的显著降低。结论这些研究首次证明了LAT8881和LAT9991F是一种新的宿主保护疗法,可提高严重IAV感染期间的生存率、限制病毒复制、减轻局部炎症和减少组织损伤。评估LAT8881和LAT9991F在其他气道感染和炎症条件下是有必要的。
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引用次数: 3
Adoptive T-cell therapy targeting Epstein–Barr virus as a treatment for multiple sclerosis 针对eb病毒的过继t细胞疗法治疗多发性硬化症
IF 5.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2023-03-21 DOI: 10.1002/cti2.1444
Corey Smith, Rajiv Khanna

Emergence of a definitive link between Epstein–Barr virus (EBV) and multiple sclerosis has provided an impetus to develop immune-based therapies to target EBV-infected B cells. Initial studies with autologous EBV-specific T-cell therapy demonstrated that this therapy is safe with minimal side effects and more importantly multiple patients showed both symptomatic and objective neurological improvements including improved quality of life, reduction of fatigue and reduced intrathecal IgG production. These observations have been successfully extended to an ‘off-the-shelf’ allogeneic EBV-specific T-cell therapy manufactured using peripheral blood lymphocytes of healthy seropositive individuals. This adoptive immunotherapy has also been shown to be safe with encouraging clinical responses. Allogeneic EBV T-cell therapy overcomes some of the limitations of autologous therapy and can be rapidly delivered to patients with improved therapeutic potential.

eb病毒(EBV)与多发性硬化症之间明确联系的出现,为开发针对EBV感染的B细胞的免疫疗法提供了动力。自体ebv特异性t细胞疗法的初步研究表明,这种疗法是安全的,副作用最小,更重要的是,多名患者表现出症状性和客观的神经系统改善,包括改善生活质量、减轻疲劳和减少鞘内IgG产生。这些观察结果已成功地扩展到一种“现成的”同种异体ebv特异性t细胞疗法,该疗法使用健康血清阳性个体的外周血淋巴细胞制造。这种过继性免疫疗法也被证明是安全的,具有令人鼓舞的临床反应。同种异体EBV t细胞疗法克服了自体疗法的一些局限性,可以快速地传递给具有更好治疗潜力的患者。
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引用次数: 6
Cerebrospinal fluid YKL-40 level evolution is associated with autoimmune encephalitis remission 脑脊液YKL-40水平进化与自身免疫性脑炎缓解相关
IF 5.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2023-03-15 DOI: 10.1002/cti2.1439
Guillaume Dorcet, Marie Benaiteau, Jérémie Pariente, Fabienne Ory-Magne, Emmanuel Cheuret, Marie Rafiq, Wesley Brooks, Bénédicte Puissant-Lubrano, Fran?oise Fortenfant, Yves Renaudineau, Chloé Bost

Objective

Because of its heterogeneity in clinical presentation and course, predicting autoimmune encephalitis (AIE) evolution remains challenging. Hence, our aim was to explore the correlation of several biomarkers with the clinical course of disease.

Methods

Thirty-seven cases of AIE were selected retrospectively and divided into active (N = 9), improved (N = 12) and remission (N = 16) AIE according to their disease evolution. Nine proteins were tested in both serum and cerebrospinal fluid (CSF) at diagnosis (T0) and during the follow-up (T1), in particular activated MMP-9 (MMP-9A) and YKL-40 (or chitinase 3-like 1).

Results

From diagnosis to revaluation, AIE remission was associated with decreased YKL-40 and MMP-9A levels in the CSF, and with decreased NfL and NfH levels in the serum. The changes in YKL-40 concentrations in the CSF were associated with (1) still active AIE when increasing >10% (P-value = 0.0093); (2) partial improvement or remission when the changes were between +9% and −20% (P-value = 0.0173); and remission with a reduction > −20% (P-value = 0.0072; overall difference between the three groups: P-value = 0.0088). At T1, the CSF YKL-40 levels were significantly decreased between active and improved as well as improved and remission AIE groups but with no calculable threshold because of patient heterogeneity.

Conclusion

The concentration of YKL-40, a cytokine-like proinflammatory protein produced by glial cells, is correlated in the CSF with the clinical course of AIE. Its introduction as a biomarker may assist in following disease activity and in evaluating therapeutic response.

目的由于自身免疫性脑炎(AIE)在临床表现和病程上的异质性,预测其发展仍具有挑战性。因此,我们的目的是探索几种生物标志物与疾病临床病程的相关性。方法回顾性分析37例AIE患者,根据病情进展分为活动性AIE(9例)、改善性AIE(12例)和缓解性AIE(16例)。在诊断(T0)和随访(T1)期间,在血清和脑脊液(CSF)中检测了9种蛋白质,特别是活化的MMP-9 (MMP-9A)和YKL-40(或几次质酶3-样1)。结果从诊断到重新评估,AIE缓解与脑脊液中YKL-40和MMP-9A水平降低以及血清中NfL和NfH水平降低有关。脑脊液中YKL-40浓度的变化与(1)当AIE升高>10%时仍有活性(p值= 0.0093);(2)变化在+9% ~ - 20%之间部分改善或缓解(p值= 0.0173);缓解,减少> - 20% (p值= 0.0072;三组间总差异:p值= 0.0088)。在T1时,脑脊液YKL-40水平在AIE活动组和改善组以及改善组和缓解组之间显著降低,但由于患者异质性,没有可计算的阈值。结论脑脊液中胶质细胞产生的细胞因子样促炎蛋白YKL-40的浓度与AIE的临床病程相关。其作为生物标志物的引入可能有助于跟踪疾病活动和评估治疗反应。
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引用次数: 0
期刊
Clinical & Translational Immunology
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