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Genetic differences in the HLA region contribute to the variability in SARS-CoV-2 vaccine responsiveness of older persons: the Doetinchem Cohort Study HLA区域的遗传差异导致老年人SARS-CoV-2疫苗反应性的变异性:Doetinchem队列研究
IF 3.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2025-11-05 DOI: 10.1002/cti2.70058
Yunus Kuijpers, M Liset Rietman, H Susan J Picavet, Peter Engelfriet, W M Monique Verschuren, Anne-Marie Buisman

Objectives

Older persons generally have weaker antibody responses to vaccines than younger individuals, but heterogeneity is large. We aimed to identify genetic variants associated with primary SARS-CoV-2 vaccine-induced antibody responses in older persons that might contribute to this heterogeneity.

Methods

Demographic and genotype data were collected in the Doetinchem Cohort Study prior to the COVID-19 pandemic. Antibody responses were measured 1 month after the first and second SARS-CoV-2 vaccinations, and genome-wide association analysis was performed in 842 and 890 individuals respectively. Polygenic scores were calculated and tested in an independent sample, and the variance explained by the scores was estimated using a bootstrap procedure. Genes were mapped to genome-wide suggestive (P < 1 × 10−5) loci, and gene set enrichment was performed using the hypergeometric test.

Results

Antibody responses 1 month after the first and second SARS-CoV-2 vaccinations were linked to genome-wide significant (P < 5 × 10−8) loci on Chromosome 5. Polygenic scores related to these antibody responses could explain 9% (95% CI P1: [−4% to 21%], 95% CI P2: [−4% to 24%]) of the variance. Genome-wide suggestive loci related to the responses after two vaccinations could be mapped to several genes in the human leukocyte antigen (HLA) region on chromosome 6p21.

Conclusion

Genetic variation is suggested to play a role in the primary vaccine-induced IgG antibody responses to SARS-CoV-2 in older persons. The most prominent source of variation was found to lie in HLA genes, which are enriched in several immune pathways and immune-mediated diseases.

目的:老年人对疫苗的抗体反应通常比年轻人弱,但异质性很大。我们的目的是确定与老年人原发性SARS-CoV-2疫苗诱导的抗体反应相关的遗传变异,这些变异可能导致这种异质性。方法:收集COVID-19大流行前Doetinchem队列研究的人口统计学和基因型数据。在第一次和第二次SARS-CoV-2疫苗接种1个月后测量抗体应答,并分别对842和890例个体进行全基因组关联分析。在独立样本中计算和测试多基因分数,并使用自举程序估计分数解释的方差。基因被定位到全基因组暗示(P -5)位点,并使用超几何测试进行基因集富集。结果:第一次和第二次SARS-CoV-2疫苗接种1个月后的抗体应答与5号染色体上全基因组显著(P -8)位点相关。与这些抗体反应相关的多基因评分可以解释9%的方差(95% CI P1:[-4%至21%],95% CI P2:[-4%至24%])。在全基因组范围内,与两次接种后的应答相关的暗示性位点可以定位到6p21染色体上人类白细胞抗原(HLA)区域的几个基因。结论:遗传变异可能在老年人一次疫苗诱导的SARS-CoV-2 IgG抗体应答中起作用。最突出的变异来源是HLA基因,它在几种免疫途径和免疫介导的疾病中富集。
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引用次数: 0
Skin immunity and inflammation: cellular interactions and communication 皮肤免疫和炎症:细胞的相互作用和交流。
IF 3.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2025-11-03 DOI: 10.1002/cti2.70053
Divyaa Narayanan, Seen Ling Sim, Snehlata Kumari

The skin is a vital organ that protects organisms from external insults, providing a barrier to the outside environment. The cellular system of the skin consists of highly specialised immune and non-immune cells, which are equipped to respond promptly, providing effective immunity and restoring tissue homeostasis. Well-coordinated cellular communication involves cells and soluble factors, which are essential for maintaining the balance and protecting the skin from inflammatory skin diseases, impaired tissue repair and recurring infections. In this review, we will focus on the recent development of understanding how cellular networks orchestrate skin immunity via a coordinated communication system of soluble factors and their signalling pathways, with a focus on psoriasis as a model of inflammatory skin disease.

皮肤是保护生物体免受外界侵害的重要器官,为外界环境提供了屏障。皮肤的细胞系统由高度特化的免疫细胞和非免疫细胞组成,它们能够迅速做出反应,提供有效的免疫和恢复组织稳态。良好协调的细胞通讯涉及细胞和可溶性因子,这对于维持平衡和保护皮肤免受炎症性皮肤病,受损组织修复和反复感染至关重要。在这篇综述中,我们将重点关注细胞网络如何通过可溶性因子及其信号通路的协调通信系统协调皮肤免疫的最新进展,重点关注牛皮癣作为炎症性皮肤病的模型。
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引用次数: 0
High-dimensional spectral cytometry identifies follicular regulatory CD8+ T cells in diffuse large B-cell lymphoma 高维光谱细胞术鉴定弥漫性大b细胞淋巴瘤中滤泡调节性CD8+ T细胞。
IF 3.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2025-11-03 DOI: 10.1002/cti2.70062
Alba Díaz Herrero, Phuong-Ha Le, Loic Renaud, Véronique Meignin, Catherine Thieblemont, Véronique Blanc, Vassili Soumelis, Pierre Tonnerre

Objectives

Diffuse large B-cell lymphoma (DLBCL) constitutes 30–40% of non-Hodgkin lymphoma cases. Despite therapeutic advances, persistence of relapsed cases has been linked to the complex tumor microenvironment (TME) and its interactions with lymphoma cells. In particular, characterising T-cell subsets, including rare cell types, and their interplay with the remaining TME is crucial for unravelling DLBCL pathogenesis and refining therapeutic strategies.

Methods

Using flow and spectral cytometry with unsupervised analysis, we investigated T-cell subpopulations across DLBCL biopsies and control lymph nodes (LN). We also inferred communication pathways between T cells and other immune cells in the TME based on the correlation of ligand–receptor expression.

Results

Our analysis revealed a higher frequency of CD8+ follicular regulatory T (Tfr) cells in DLBCL biopsies compared to control LN. These cells exhibited an effector-memory phenotype (CD45RA CCR7), expressed follicular markers (PD-1+ CXCR5+) and had a regulatory profile (CD127 CD25+) along with an activation/co-stimulatory signature (HLA-DR+, ICOS+, CD95+). Correlation analysis highlighted a co-stimulatory interaction between lymphoma B cells and CD8+ Tfr cells through the ICOS/ICOSL pathway, which may contribute to a protumor effect. Validation in independent scRNAseq and flow cytometry datasets confirmed the notable prevalence of CD8+ Tfr cells in DLBCL biopsies.

Conclusions

Our study highlights the utility of high-dimensional computational cytometry in elucidating T-cell subpopulations, including an increased frequency of CD8+ follicular regulatory T cells and their communication patterns within the DLBCL TME. This unbiased approach sheds light on novel cellular mechanisms in DLBCL, uncovering potential targets and biomarkers for immunotherapy.

目的:弥漫性大b细胞淋巴瘤(DLBCL)占非霍奇金淋巴瘤病例的30-40%。尽管治疗取得了进展,但复发病例的持续存在与复杂肿瘤微环境(TME)及其与淋巴瘤细胞的相互作用有关。特别是,表征t细胞亚群,包括罕见的细胞类型,以及它们与剩余TME的相互作用,对于揭示DLBCL的发病机制和完善治疗策略至关重要。方法:采用无监督分析的流式细胞术和光谱细胞术,研究了DLBCL活检组织和对照淋巴结(LN)的t细胞亚群。我们还根据配体受体表达的相关性推断了T细胞与TME中其他免疫细胞之间的通讯途径。结果:我们的分析显示,与对照LN相比,DLBCL活检中CD8+滤泡调节性T (Tfr)细胞的频率更高。这些细胞表现出效应记忆表型(CD45RA- CCR7-),表达滤泡标志物(PD-1+ CXCR5+),具有调节特征(CD127- CD25+)以及激活/共刺激特征(HLA-DR+, ICOS+, CD95+)。相关分析显示,淋巴瘤B细胞与CD8+ Tfr细胞通过ICOS/ICOSL通路共刺激相互作用,可能参与了肿瘤效应。独立scRNAseq和流式细胞术数据集的验证证实了CD8+ Tfr细胞在DLBCL活检中的显著流行。结论:我们的研究强调了高维计算细胞术在阐明T细胞亚群中的效用,包括CD8+滤泡调节性T细胞频率的增加及其在DLBCL TME中的通讯模式。这种无偏倚的方法揭示了DLBCL的新细胞机制,揭示了免疫治疗的潜在靶点和生物标志物。
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引用次数: 0
Elevated high-density lipoprotein levels following acute graft-versus-host disease onset: a potential link to T-cell dysfunction and increased relapse risk 急性移植物抗宿主病发病后高密度脂蛋白水平升高:与t细胞功能障碍和复发风险增加的潜在联系
IF 3.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2025-11-03 DOI: 10.1002/cti2.70060
Romy Böttcher-Loschinski, Franziska Karl, Diana Drettwan, Johannes Wittmann, Benedikt Jacobs, Simon Völkl, Heiko Bruns, Andreas Mackensen, Dimitrios Mougiakakos

Objectives

Allogeneic stem cell transplantation (allo-SCT) is the only curative treatment option for several haematologic malignancies. Its therapeutic principle is based on the donor T cells' ability to eliminate any residual malignant cells. Despite its success, challenges such as graft-versus-host disease (GvHD) and disease relapse persist. Recent studies emphasise the role of the metabolic environment in shaping T-cell responses. This study investigates the impact of serum metabolites on T-cell responses following allo-SCT.

Methods

Metabolite levels in serum samples from 55 allo-SCT patients transplanted between November 2015 and October 2018 were analysed by nuclear magnetic resonance (NMR) spectroscopy for six time points after transplantation. These metabolite profiles were correlated with clinical data and T-cell characteristics obtained by flow cytometry-based immunomonitoring. High-density lipoprotein (HDL) emerged as a key factor of interest. To explore the potential relationship between T-cell-related differences and HDL levels, healthy donor T-cell cultures supplemented with HDL were performed.

Results

Elevated HDL levels were associated with acute GvHD (aGvHD) and relapse. Patients with high HDL serum levels exhibited a delayed normalisation of T-cell frequencies and increased effector-memory CD8+ T-cell frequencies. In vitro experiments revealed reduced proliferation and expression of activation/effector molecules after exposure to HDL. Effects of HDL on memory T-cell subset formation resembled the in situ findings in patients.

Conclusions

AGvHD was linked to elevated HDL levels, potentially affecting T-cell-mediated graft-versus-leukaemia (GvL) activity and promoting relapse. HDL could therefore be a potential biomarker for the success of allo-SCT and a lever for improving patients' outcomes.

目的:同种异体干细胞移植(allo-SCT)是几种血液恶性肿瘤的唯一治疗选择。它的治疗原理是基于供体T细胞消除任何残留恶性细胞的能力。尽管取得了成功,但诸如移植物抗宿主病(GvHD)和疾病复发等挑战仍然存在。最近的研究强调代谢环境在形成t细胞反应中的作用。本研究探讨了血清代谢物对同种异体细胞移植后t细胞反应的影响。方法:通过核磁共振(NMR)分析2015年11月至2018年10月间移植的55例同种异体sct患者移植后6个时间点的血清代谢物水平。这些代谢物谱与临床数据和基于流式细胞术的免疫监测获得的t细胞特征相关。高密度脂蛋白(HDL)成为一个关键因素。为了探索t细胞相关差异与HDL水平之间的潜在关系,我们进行了补充HDL的健康供体t细胞培养。结果:HDL水平升高与急性GvHD (aGvHD)和复发相关。高HDL血清水平的患者表现出t细胞频率正常化延迟和效应记忆CD8+ t细胞频率增加。体外实验显示,暴露于HDL后,活化/效应分子的增殖和表达减少。HDL对记忆t细胞亚群形成的影响与患者的原位发现相似。结论:AGvHD与HDL水平升高有关,可能影响t细胞介导的移植物抗白血病(GvL)活性并促进复发。因此,HDL可能是allo-SCT成功的潜在生物标志物,也是改善患者预后的杠杆。
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引用次数: 0
T-cell subsets in Pneumocystis pneumonia 肺囊虫性肺炎的t细胞亚群。
IF 3.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2025-10-28 DOI: 10.1002/cti2.70055
Yuxi Chen, Hengmo Rong, Ting Li, Chao Zhang, Huqin Yang, Han Sun, Dong Wang, Xiaoxia Zhou, Kan Zhai, Zhaohui Tong

Pneumocystis pneumonia (PCP), caused by the opportunistic fungal pathogen Pneumocystis, remains a common fungal infection among immunosuppressed individuals. T cells are known to play a critical role in host defences against Pneumocystis. Two functional groups of T cells exist: CD4+ T and CD8+ T. Distinct subsets of CD4+ and CD8+ T cells have been shown to participate in PCP development through specific cytokines and interactions with other immune cells, significantly influencing the pulmonary fungal burden and disease severity. However, the host T-cell responses required for an effective adaptive immune response to PCP remain incompletely defined. In this review, we explore how an in-depth understanding of the integrated and well-defined functions of different T-cell subsets in the immune defence against Pneumocystis could provide insights into facilitating the development of anti-Pneumocystis treatment.

肺囊虫性肺炎(PCP)是由机会性真菌病原体肺囊虫引起的,在免疫抑制个体中仍然是一种常见的真菌感染。已知T细胞在宿主防御肺囊虫病中起关键作用。存在两种T细胞功能群:CD4+ T和CD8+ T。CD4+和CD8+ T细胞的不同亚群已被证明通过特定的细胞因子和与其他免疫细胞的相互作用参与PCP的发展,显著影响肺部真菌负荷和疾病严重程度。然而,宿主t细胞反应需要有效的适应性免疫应答PCP仍然不完全确定。在这篇综述中,我们探讨了如何深入了解不同t细胞亚群在肺囊虫免疫防御中的综合和明确的功能,从而为促进抗肺囊虫治疗的发展提供见解。
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引用次数: 0
Targeting the tumor microenvironment in cholangiocarcinoma to improve immune checkpoint blockade: potential strategies and translational pre-clinical models 靶向胆管癌肿瘤微环境改善免疫检查点阻断:潜在策略和转化临床前模型
IF 3.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2025-10-24 DOI: 10.1002/cti2.70057
Maria-Danae Jessel, Owen McGreevy, Lauryn McReynolds, Lekh N Dahal, Timothy Gilbert, Hassan Z Malik, Christopher E Goldring, Laura E Randle

Cholangiocarcinoma is a malignancy of significant unmet clinical need with limited therapeutic options. Most patients are diagnosed at advanced or metastatic stages, where surgical resection with curative intent is no longer an option. Gemcitabine-cisplatin chemotherapy has been the standard of care for these patients, remaining unchanged for over a decade. Recently, the addition of the programmed death ligand 1 inhibitor, durvalumab, to this regimen demonstrated an objective response rate of 26.7% in a phase III trial, becoming the new standard of care for advanced cholangiocarcinoma. Although considered a success in cholangiocarcinoma treatment, the results indicate that only a small proportion of patients respond to treatment with immune checkpoint inhibitors. Emerging evidence suggests that many cholangiocarcinoma tumors exhibit an immunologically ‘cold’ tumor microenvironment, characterised by predominance of immunosuppressive immune populations and limited infiltration of cytotoxic T cells, which contributes to their resistance to immune checkpoint inhibitors. This review provides a comprehensive overview of the research studies that have employed immunomodulatory strategies in cholangiocarcinoma aimed at priming the tumor microenvironment for a more effective response to immune checkpoint inhibitors. This update will also evaluate the strengths and limitations of current pre-clinical models of cholangiocarcinoma, with emphasis on more advanced translational models. These complex models remain underutilised, hindering the development of novel therapeutic approaches. We suggest that these complex preclinical models may help translation of therapies into clinical practice.

胆管癌是一种未满足临床需要且治疗选择有限的恶性肿瘤。大多数患者被诊断为晚期或转移期,手术切除治疗目的不再是一种选择。吉西他滨-顺铂化疗一直是这些患者的标准治疗方案,十多年来一直保持不变。最近,在该方案中加入程序性死亡配体1抑制剂durvalumab,在一项III期试验中显示出26.7%的客观缓解率,成为晚期胆管癌的新护理标准。虽然被认为是胆管癌治疗的成功,但结果表明,只有一小部分患者对免疫检查点抑制剂治疗有反应。新出现的证据表明,许多胆管癌肿瘤表现出免疫上的“冷”肿瘤微环境,其特征是免疫抑制性免疫群体占主导地位,细胞毒性T细胞浸润有限,这有助于它们对免疫检查点抑制剂的抵抗。本文综述了在胆管癌中采用免疫调节策略的研究,旨在启动肿瘤微环境,使其对免疫检查点抑制剂产生更有效的反应。本次更新还将评估当前胆管癌临床前模型的优势和局限性,重点是更先进的转化模型。这些复杂的模型仍未得到充分利用,阻碍了新治疗方法的发展。我们认为这些复杂的临床前模型可能有助于将治疗方法转化为临床实践。
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引用次数: 0
A semi-automated ASC speck assay to evaluate pyrin inflammasome activation 半自动化ASC斑点试验评估pyrin炎性体活化
IF 3.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2025-10-23 DOI: 10.1002/cti2.70054
Pei Dai, Oliver Skinner, Xufeng Lin, Aiden Telfser, Stephanie Ruiz-Diaz, Rohit G Saldanha, Katie Frith, Ming-Wei Lin, Kahn Preece, Paul E Gray, Alberto Pinzon-Charry, Anna Sullivan, Stephen Adelstein, Winnie WY Tong, Matthew JS Parker, Laila Girgis, Brynn Wainstein, Samar Ojami, Elissa K Deenick, Leonard D Goldstein, Michael J Rogers, Tri Giang Phan

Objective

To develop a rapid functional assay to validate variants of uncertain significance (VUS) in the MEFV gene.

Methods

Overactivity of the pyrin inflammasome pathway and ASC speck oligomerisation in response to stimulation with low concentrations of Clostridium difficile toxin A was directly visualised by immunofluorescence microscopy. A semi-automated algorithm was developed to count cells and ASC specks.

Results

The semi-automated ASC speck assay is able to discriminate between healthy controls and patients with familial Mediterranean fever (FMF) and pyrin inflammasome overactivity with high sensitivity. It is also able to discriminate pyrin inflammasome overactivity from other autoinflammatory disease controls with high specificity.

Conclusion

The semi-automated ASC speck assay may be a useful test to functionally validate VUS in the MEFV gene and screen for pyrin inflammasome overactivity.

目的建立MEFV基因不确定意义变异(VUS)的快速功能检测方法。方法采用免疫荧光显微镜直接观察低浓度艰难梭菌毒素A刺激下pyrin炎性小体通路的过度活性和ASC斑点寡聚化。开发了一种半自动算法来计数细胞和ASC斑点。结果半自动化ASC斑点法能够区分健康对照者与家族性地中海热(FMF)和pyrin炎性体过度活跃患者,灵敏度高。它还能以高特异性区分pyrin炎性体过度活跃与其他自身炎性疾病对照。结论半自动ASC斑点法可用于MEFV基因VUS的功能验证和pyrin炎性小体过度活性筛选。
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引用次数: 0
Human axillary lymph node T follicular helper (Tfh) and Precursor-Tfh cells exhibit functional flexibility following seasonal influenza vaccination 季节性流感疫苗接种后,人腋窝淋巴结T滤泡辅助细胞(Tfh)和前体Tfh细胞表现出功能灵活性
IF 3.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2025-10-23 DOI: 10.1002/cti2.70056
Hannah Law, Raymond H. Y. Louie, Omid R. Faridani, Alexandra Carey Hoppé, Mollie Boyd, Mengfei Chen, Jerome Samir, Solange Obeid, Brad Milner, Fabio Luciani, Anthony D. Kelleher, Vanessa Venturi, C. Mee Ling Munier

Objectives

CD4+ T cells partitioned into different cell lineages based on transcription factor, cytokine and chemokine expression have defined functions that work cooperatively to ensure optimum operation of the immune system. This study investigated the lineages and interactions of key CD4+ T-cell subsets within human lymph nodes (LNs) post-vaccination to assess the potential for adaptability and flexibility in an immune response.

Methods

Ultrasound-guided fine needle biopsies/aspirates were used to isolate T follicular helper (Tfh) and Precursor (Pre)-Tfh cells from the vaccine-draining and contralateral axillary LNs of five individuals at 5 days after influenza vaccination, followed by single-cell RNA sequencing, gene expression and T-cell receptor analysis.

Results

Tfh and Pre-Tfh cells within five clusters with distinct gene expression profiles, designated: Resting, Activated migrating, B-cell-interacting Tfh, Proliferating and Cytotoxic, exhibited attributes of more than one T-cell lineage and expanded T-cell clones were present in more than one cluster, suggesting divergent differentiation into different fate lineages from a common precursor. Inferred pseudotime suggested a bifurcating trajectory rooted in the resting cluster and terminating at either the Proliferating or Cytotoxic clusters. This analysis predicted the transition of cells through activation states and the gain and loss of lineage attributes and effector functions. Enriched gene pathways along the pseudotime trajectories were consistent with these functional transitions and involvement in the immune response to vaccination.

Conclusion

These results reveal the flexible potential within the Tfh lineage that could be leveraged to drive more efficient vaccine responses and inform rational vaccine design.

CD4+ T细胞根据转录因子、细胞因子和趋化因子的表达划分为不同的细胞系,具有明确的功能,这些功能协同工作以确保免疫系统的最佳运行。本研究调查了接种疫苗后人类淋巴结(LNs)内关键CD4+ t细胞亚群的谱系和相互作用,以评估免疫反应的适应性和灵活性。方法采用超声引导下细针活检/抽吸法从5例流感疫苗接种后5 d的疫苗引流和对侧腋窝中分离T滤泡辅助细胞(Tfh)和前体(Pre)-Tfh细胞,进行单细胞RNA测序、基因表达和T细胞受体分析。结果Tfh和前Tfh细胞具有不同的基因表达谱,分别为:静息、活化迁移、b细胞相互作用Tfh、增殖和细胞毒性,表现出不止一个t细胞谱系的属性,扩增的t细胞克隆存在于多个集群中,表明从一个共同的前体分化成不同的命运谱系。推断的假时间表明,分叉轨迹植根于休息簇,终止于增殖或细胞毒性簇。该分析通过激活状态以及谱系属性和效应功能的获得和丧失来预测细胞的转变。沿伪时间轨迹富集的基因通路与这些功能转变和参与疫苗接种的免疫反应一致。结论这些结果揭示了Tfh谱系的灵活潜力,可用于驱动更有效的疫苗反应并为合理的疫苗设计提供信息。
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引用次数: 0
Genome-wide association study and polygenic risk scores of eosinophilia in Taiwan 台湾地区嗜酸性粒细胞增多的全基因组关联研究及多基因风险评分
IF 3.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2025-10-17 DOI: 10.1002/cti2.70050
Hsing-Fang Lu, Su Boon-Yong, Chi-Ya Yang, Jiu-Yao Wang, Yen-Ting Chang, Fuu-Jen Tsai

Objectives

Eosinophilia, characterised by elevated eosinophil levels, is associated with various allergic and inflammatory conditions. This study aimed to elucidate the genetic determinants of eosinophil levels by examining polygenic risk scores (PRS) and identifying significant single nucleotide polymorphisms (SNPs).

Methods

We conducted a comprehensive genome-wide association study (GWAS) on eosinophil levels using a large cohort, comprising 221 851 controls (eosinophil levels ≤ 5%) and 11 200 cases (eosinophil levels > 5%) in Taiwan. The analysis included covariates such as age, sex and the first 10 principal components to account for population stratification. Polygenic risk scores were calculated, and their associations with eosinophil levels were evaluated.

Results

The control group exhibited a mean eosinophil level of 47.81 (SD, 21.08) and was composed of 55.32% females and 44.68% males. The case group had a mean eosinophil level of 43.27 (SD, 22.27) and consisted of 38.6% females and 61.4% males. The GWAS identified several SNPs with significant associations, including rs7646596, rs8191981, rs140105250, rs77143352, rs12535759, rs11327184, rs16917546, rs76738175, rs11568075, rs9557175 and rs2801127, with rs7646596 showing the most significant P-value. PRS analysis indicated that individuals with higher polygenic risk scores were significantly more likely to have elevated eosinophil levels.

Conclusion

This study identified several genetic loci significantly associated with eosinophil levels, highlighting the polygenic nature of eosinophilia. The robust associations, particularly with SNP rs7646596, offer valuable insights into the genetic underpinnings of eosinophilia and related conditions.

嗜酸性粒细胞增多的特点是嗜酸性粒细胞水平升高,与各种过敏和炎症有关。本研究旨在通过检测多基因风险评分(PRS)和识别显著的单核苷酸多态性(snp)来阐明嗜酸性粒细胞水平的遗传决定因素。方法采用大队列研究对台湾地区嗜酸性粒细胞水平进行了全面的全基因组关联研究(GWAS),其中包括22851名对照组(嗜酸性粒细胞水平≤5%)和1200名病例(嗜酸性粒细胞水平≤5%)。分析包括协变量,如年龄,性别和前10个主要成分,以解释人口分层。计算多基因风险评分,并评估其与嗜酸性粒细胞水平的关系。结果对照组平均嗜酸性粒细胞水平为47.81 (SD, 21.08),女性占55.32%,男性占44.68%。病例组平均嗜酸性粒细胞水平为43.27 (SD, 22.27),女性38.6%,男性61.4%。GWAS鉴定出几个snp具有显著相关性,包括rs7646596、rs8191981、rs140105250、rs77143352、rs12535759、rs11327184、rs16917546、rs76738175、rs11568075、rs9557175和rs2801127,其中rs7646596的p值最显著。PRS分析表明,多基因风险评分较高的个体更有可能出现嗜酸性粒细胞水平升高。结论本研究发现了几个与嗜酸性粒细胞水平显著相关的基因位点,突出了嗜酸性粒细胞增多的多基因性质。这种强大的关联,特别是与SNP rs7646596的关联,为嗜酸性粒细胞增多症和相关疾病的遗传基础提供了有价值的见解。
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引用次数: 0
Single-cell RNA sequencing reveals cell immune status and dysregulated monocytes in patients with myasthenia gravis 单细胞RNA测序揭示重症肌无力患者的细胞免疫状态和失调的单核细胞
IF 3.8 2区 医学 Q2 IMMUNOLOGY Pub Date : 2025-10-05 DOI: 10.1002/cti2.70052
Yufan Guo, Yu Gu, Yuting Jin, Xintao Wu, Yuting Lou, Pu Miao, Ye Wang, Bijun Zhang, Xueting Lin, Chudi Zhang, Jianhua Feng

Objectives

As an autoimmune disorder, myasthenia gravis (MG) manifests as an autoimmune attack on postsynaptic neuromuscular junction proteins by pathogenic autoantibodies. This immune attack disrupts neurotransmission, resulting in fatigable skeletal muscle weakness with diurnal fluctuation. However, functional cure biomarkers for patients remain limited.

Methods

Peripheral blood collection was performed at three time points in patients with MG: before treatment (Pre), 1 month after treatment (Post) and functional cure (long-term follow-up, LF). Single-cell RNA sequencing was performed. The clinical examination results were collected and summarised.

Results

In general, patients with MG exhibited dynamic changes in immune cell composition and inflammatory features. In particular, monocytes were enriched in the LF group, and further subgroup analysis revealed enrichment of CD14+S100A12+ monocytes and depletion of CD14+FOS+ monocytes in the LF group. Moreover, inflammation scores were significantly different in the Pre, Post and LF groups.

Conclusion

Our study provides a comprehensive cell landscape for patients with MG, identifies two dysregulated monocytes, elucidates the inflammation status and offers a new perspective on understanding the aetiology of functional cure and potential therapeutic strategies for patients with MG.

目的重症肌无力(MG)是一种自身免疫性疾病,表现为病原性自身抗体对突触后神经肌肉连接蛋白的自身免疫攻击。这种免疫攻击会破坏神经传递,导致骨骼肌无力且昼夜波动。然而,用于患者的功能性治愈生物标志物仍然有限。方法MG患者在治疗前(Pre)、治疗后1个月(Post)和功能治愈(LF)三个时间点进行外周血采集。进行单细胞RNA测序。收集并总结临床检查结果。结果总体而言,MG患者免疫细胞组成和炎症特征发生动态变化。特别是,LF组单核细胞富集,进一步的亚组分析显示LF组CD14+S100A12+单核细胞富集,CD14+FOS+单核细胞缺失。此外,前、后、LF组的炎症评分差异有统计学意义。结论我们的研究为MG患者提供了一个全面的细胞景观,确定了两种失调的单核细胞,阐明了炎症状态,并为了解MG患者功能治愈的病因和潜在的治疗策略提供了新的视角。
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引用次数: 0
期刊
Clinical & Translational Immunology
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