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MAIT cells: Conserved watchers on the wall. MAIT 细胞:墙壁上的守望者
IF 12.6 1区 医学 Q1 IMMUNOLOGY Pub Date : 2025-01-06 Epub Date: 2024-10-24 DOI: 10.1084/jem.20232298
Lilou Germain, Pablo Veloso, Olivier Lantz, François Legoux

MAIT cells are innate-like T cells residing in barrier tissues such as the lung, skin, and intestine. Both the semi-invariant T cell receptor of MAIT cells and the restricting element MR1 are deeply conserved across mammals, indicating non-redundant functions linked to antigenic specificity. MAIT cells across species concomitantly express cytotoxicity and tissue-repair genes, suggesting versatile functions. Accordingly, MAIT cells contribute to antibacterial responses as well as to the repair of damaged barrier tissues. MAIT cells recognize riboflavin biosynthetic pathway-derived metabolites, which rapidly cross epithelial barriers to be presented by antigen-presenting cells. Changes in gut ecology during intestinal inflammation drive the expansion of strong riboflavin and MAIT ligand producers. Thus, MAIT cells may enable real-time surveillance of microbiota dysbiosis across intact epithelia and provide rapid and context-dependent responses. Here, we discuss recent findings regarding the origin and regulation of MAIT ligands and the role of MAIT cells in barrier tissues. We speculate on the potential reasons for MAIT cell conservation during evolution.

MAIT 细胞是驻留在肺部、皮肤和肠道等屏障组织中的先天性类 T 细胞。MAIT细胞的半变异T细胞受体和限制元件MR1在哺乳动物中都是高度保守的,表明其功能与抗原特异性无关。不同物种的 MAIT 细胞同时表达细胞毒性基因和组织修复基因,表明其具有多功能性。因此,MAIT 细胞有助于抗菌反应和修复受损的屏障组织。MAIT 细胞能识别核黄素生物合成途径衍生的代谢物,这些代谢物能迅速穿过上皮屏障,由抗原递呈细胞递呈。肠道炎症期间肠道生态的变化推动了核黄素和 MAIT 配体生产者的扩张。因此,MAIT 细胞可以在完整的上皮细胞内实时监测微生物群失调情况,并提供快速且与环境相关的反应。在此,我们将讨论有关 MAIT 配体的起源和调控以及 MAIT 细胞在屏障组织中的作用的最新发现。我们推测了 MAIT 细胞在进化过程中保持不变的潜在原因。
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引用次数: 0
Bridging the gap between tumor and disease: Innovating cancer and glioma models.
IF 12.6 1区 医学 Q1 IMMUNOLOGY Pub Date : 2025-01-06 Epub Date: 2024-12-03 DOI: 10.1084/jem.20220808
Stefano M Cirigliano, Howard A Fine

Recent advances in cancer biology and therapeutics have underscored the importance of preclinical models in understanding and treating cancer. Nevertheless, current models often fail to capture the complexity and patient-specific nature of human tumors, particularly gliomas. This review examines the strengths and weaknesses of such models, highlighting the need for a new generation of models. Emphasizing the critical role of the tumor microenvironment, tumor, and patient heterogeneity, we propose integrating our advanced understanding of glioma biology with innovative bioengineering and AI technologies to create more clinically relevant, patient-specific models. These innovations are essential for improving therapeutic development and patient outcomes.

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引用次数: 0
An unconventional purine connection. 非传统的嘌呤联系
IF 12.6 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-12-02 Epub Date: 2024-11-19 DOI: 10.1084/jem.20241527
Fabio Grassi

Xu et al. (https://doi.org/10.1084/jem.20240354) define NAD-induced cell death via purinergic P2RX7 receptor in type 1 unconventional T cells, particularly intrahepatic MAIT cells that are pivotal in liver homeostasis. Therefore, P2RX7 is a potential target to modulate unconventional T cells in immunopathological conditions and cancer.

Xu等人(https://doi.org/10.1084/jem.20240354)定义了NAD通过嘌呤能P2RX7受体诱导1型非常规T细胞细胞死亡,特别是肝内MAIT细胞,这些细胞在肝脏稳态中举足轻重。因此,P2RX7 是调节免疫病理状况和癌症中非常规 T 细胞的潜在靶点。
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引用次数: 0
Immunomolecular and reactivity landscapes of gut IgA subclasses in homeostasis and inflammatory bowel disease. 平衡状态和炎症性肠病中肠道 IgA 亚类的免疫分子和反应性景观
IF 12.6 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-12-02 Epub Date: 2024-11-19 DOI: 10.1084/jem.20230079
Sonia Tejedor Vaquero, Hadas Neuman, Laura Comerma, Xavi Marcos-Fa, Celia Corral-Vazquez, Mathieu Uzzan, Marc Pybus, Daniel Segura-Garzón, Joana Guerra, Lisa Perruzza, Roser Tachó-Piñot, Jordi Sintes, Adam Rosenstein, Emilie K Grasset, Mar Iglesias, Monica Gonzalez Farré, Joan Lop, Maria Evangelina Patriaca-Amiano, Monica Larrubia-Loring, Pablo Santiago-Diaz, Júlia Perera-Bel, Pau Berenguer-Molins, Monica Martinez Gallo, Andrea Martin-Nalda, Encarna Varela, Marta Garrido-Pontnou, Fabio Grassi, Francisco Guarner, Saurabh Mehandru, Lucia Márquez-Mosquera, Ramit Mehr, Andrea Cerutti, Giuliana Magri

The human gut includes plasma cells (PCs) expressing immunoglobulin A1 (IgA1) or IgA2, two structurally distinct IgA subclasses with elusive regulation, function, and reactivity. We show here that intestinal IgA1+ and IgA2+ PCs co-emerged early in life, comparably accumulated somatic mutations, and were enriched within short-lived CD19+ and long-lived CD19- PC subsets, respectively. IgA2+ PCs were extensively clonally related to IgA1+ PCs and a subset of them presumably emerged from IgA1+ precursors. Of note, secretory IgA1 (SIgA1) and SIgA2 dually coated a large fraction of mucus-embedded bacteria, including Akkermansia muciniphila. Disruption of homeostasis by inflammatory bowel disease (IBD) was associated with an increase in actively proliferating IgA1+ plasmablasts, a depletion in long-lived IgA2+ PCs, and increased SIgA1+SIgA2+ gut microbiota. Such increase featured enhanced IgA1 reactivity to pathobionts, including Escherichia coli, combined with depletion of beneficial A. muciniphila. Thus, gut IgA1 and IgA2 emerge from clonally related PCs and show unique changes in both frequency and reactivity in IBD.

人体肠道包括表达免疫球蛋白 A1(IgA1)或 IgA2 的浆细胞(PCs),这是两种结构不同的 IgA 亚类,其调节、功能和反应性难以捉摸。我们在本文中发现,肠道 IgA1+ 和 IgA2+ PCs 在生命早期共同出现,积累的体细胞突变具有可比性,并分别富集在短寿命的 CD19+ 和长寿命的 CD19- PC 亚群中。IgA2+ PC 与 IgA1+ PC 有广泛的克隆关系,其中一部分可能来自 IgA1+ 前体。值得注意的是,分泌型 IgA1(SIgA1)和 SIgA2 可双重包被大量粘液包埋细菌,包括 Akkermansia muciniphila。炎症性肠病(IBD)对体内平衡的破坏与增殖活跃的 IgA1+ 浆细胞的增加、长寿命 IgA2+ PC 的减少以及 SIgA1+SIgA2+ 肠道微生物群的增加有关。这种增加的特点是 IgA1 对病原菌(包括大肠杆菌)的反应性增强,同时有益的粘液噬菌体减少。因此,肠道 IgA1 和 IgA2 来自克隆相关的 PC,在 IBD 中的频率和反应性都会发生独特的变化。
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引用次数: 0
Interleukin-33-activated basophils promote asthma by regulating Th2 cell entry into lung tissue. 白细胞介素-33 激活的嗜碱性粒细胞通过调节 Th2 细胞进入肺组织来促进哮喘的发生。
IF 12.6 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-12-02 Epub Date: 2024-09-19 DOI: 10.1084/jem.20240103
Martijn J Schuijs, Claudia M Brenis Gomez, Fabian Bick, Justine Van Moorleghem, Manon Vanheerswynghels, Geert van Loo, Rudi Beyaert, David Voehringer, Richard M Locksley, Hamida Hammad, Bart N Lambrecht

Asthma is characterized by lung eosinophilia, remodeling, and mucus plugging, controlled by adaptive Th2 effector cells secreting IL-4, IL-5, and IL-13. Inhaled house dust mite (HDM) causes the release of barrier epithelial cytokines that activate various innate immune cells like DCs and basophils that can promote Th2 adaptive immunity directly or indirectly. Here, we show that basophils play a crucial role in the development of type 2 immunity and eosinophilic inflammation, mucus production, and bronchial hyperreactivity in response to HDM inhalation in C57Bl/6 mice. Interestingly, conditional depletion of basophils during sensitization did not reduce Th2 priming or asthma inception, whereas depletion during allergen challenge did. During the challenge of sensitized mice, basophil-intrinsic IL-33/ST2 signaling, and not FcεRI engagement, promoted basophil IL-4 production and subsequent Th2 cell recruitment to the lungs via vascular integrin expression. Basophil-intrinsic loss of the ubiquitin modifying molecule Tnfaip3, involved in dampening IL-33 signaling, enhanced key asthma features. Thus, IL-33-activated basophils are gatekeepers that boost allergic airway inflammation by controlling Th2 tissue entry.

哮喘的特点是肺嗜酸性粒细胞增多、重塑和粘液堵塞,由分泌 IL-4、IL-5 和 IL-13 的适应性 Th2 效应细胞控制。吸入的屋尘螨(HDM)会导致屏障上皮细胞素的释放,从而激活各种先天性免疫细胞,如 DCs 和嗜碱性粒细胞,这些细胞可直接或间接促进 Th2 适应性免疫。在这里,我们发现嗜碱性粒细胞在 C57Bl/6 小鼠吸入 HDM 后的 2 型免疫、嗜酸性粒细胞炎症、粘液分泌和支气管高反应性的发展中起着至关重要的作用。有趣的是,在致敏期间有条件地消耗嗜碱性粒细胞并不会减少 Th2 启动或哮喘的萌发,而在过敏原挑战期间消耗嗜碱性粒细胞则会减少哮喘的萌发。在致敏小鼠的挑战过程中,嗜碱性粒细胞内在的IL-33/ST2信号,而不是FcεRI参与,促进了嗜碱性粒细胞IL-4的产生,并随后通过血管整合素表达将Th2细胞招募到肺部。嗜碱性粒细胞内在泛素修饰分子Tnfaip3参与抑制IL-33信号传导,它的缺失增强了哮喘的主要特征。因此,IL-33 激活的嗜碱性粒细胞是通过控制 Th2 组织进入促进过敏性气道炎症的守门员。
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引用次数: 0
The protozoan commensal Tritrichomonas musculis is a natural adjuvant for mucosal IgA. 原生动物共生体肌肉三联单胞菌是粘膜 IgA 的天然佐剂。
IF 12.6 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-12-02 Epub Date: 2024-11-13 DOI: 10.1084/jem.20221727
Eric Yixiao Cao, Kyle Burrows, Pailin Chiaranunt, Ana Popovic, Xueyang Zhou, Cong Xie, Ayushi Thakur, Graham Britton, Matthew Spindler, Louis Ngai, Siu Ling Tai, Dragos Cristian Dasoveanu, Albert Nguyen, Jeremiah J Faith, John Parkinson, Jennifer L Gommerman, Arthur Mortha

Immunoglobulin (Ig) A supports mucosal immune homeostasis and host-microbiota interactions. While commensal bacteria are known for their ability to promote IgA, the role of non-bacterial commensal microbes in the induction of IgA remains elusive. Here, we demonstrate that permanent colonization with the protozoan commensal Tritrichomonas musculis (T.mu) promotes T cell-dependent, IgA class-switch recombination, and intestinal accumulation of IgA-secreting plasma cells (PC). T.mu colonization specifically drives the expansion of T follicular helper cells and a unique ICOS+ non-Tfh cell population, accompanied by an increase in germinal center B cells. Blockade of ICOS:ICOSL co-stimulation or MHCII-expression on B cells is central for the induction of IgA following colonization by T.mu, implicating a previously underappreciated mode of IgA induction following protozoan commensal colonization. Finally, T.mu further improves the induction of IgA-secreting PC specific to orally ingested antigens and their peripheral dissemination, identifying T.mu as a "natural adjuvant" for IgA. Collectively, these findings propose a protozoa-driven mode of IgA induction to support intestinal immune homeostasis.

免疫球蛋白(Ig)A 支持粘膜免疫平衡和宿主与微生物群的相互作用。众所周知,共生细菌具有促进 IgA 的能力,但非细菌性共生微生物在诱导 IgA 中的作用仍然难以捉摸。在这里,我们证明了原生动物共生菌麝香曲霉(Tritrichomonas musculis,T.mu)的永久定植会促进依赖于T细胞的IgA类开关重组,以及肠道中分泌IgA的浆细胞(PC)的积累。T.mu的定植特异性地促进了T滤泡辅助细胞和独特的ICOS+非Tfh细胞群的扩增,并伴随着生殖中心B细胞的增加。阻断 ICOS:ICOSL 协同刺激或 B 细胞上的 MHCII 表达是 T.mu 定殖后诱导 IgA 的关键,这意味着原生动物共生体定殖后诱导 IgA 的一种以前未被重视的模式。最后,T.mu 进一步提高了对口服抗原特异性 IgA 分泌 PC 的诱导及其外周传播,从而确定 T.mu 是 IgA 的 "天然佐剂"。总之,这些发现提出了一种原生动物驱动的 IgA 诱导模式,以支持肠道免疫平衡。
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引用次数: 0
Auto-Abs neutralizing type I IFNs in patients with severe Powassan, Usutu, or Ross River virus disease. 严重波瓦桑、乌苏图或罗斯河病毒病患者体内中和 I 型 IFN 的自身抗体。
IF 12.6 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-12-02 Epub Date: 2024-11-01 DOI: 10.1084/jem.20240942
Adrian Gervais, Paul Bastard, Lucy Bizien, Céline Delifer, Pierre Tiberghien, Chaturaka Rodrigo, Francesca Trespidi, Micol Angelini, Giada Rossini, Tiziana Lazzarotto, Francesca Conti, Irene Cassaniti, Fausto Baldanti, Francesca Rovida, Alessandro Ferrari, Davide Mileto, Alessandro Mancon, Laurent Abel, Anne Puel, Aurélie Cobat, Charles M Rice, Dániel Cadar, Jonas Schmidt-Chanasit, Johannes F Scheid, Jacob E Lemieux, Eric S Rosenberg, Marianna Agudelo, Stuart G Tangye, Alessandro Borghesi, Guillaume André Durand, Emilie Duburcq-Gury, Braulio M Valencia, Andrew R Lloyd, Anna Nagy, Margaret M MacDonald, Yannick Simonin, Shen-Ying Zhang, Jean-Laurent Casanova

Arboviral diseases are a growing global health concern. Pre-existing autoantibodies (auto-Abs) neutralizing type I interferons (IFNs) can underlie encephalitis due to West Nile virus (WNV) (∼40% of patients) and tick-borne encephalitis (TBE, due to TBE virus [TBEV]) (∼10%). We report here that these auto-Abs can also underlie severe forms of rarer arboviral infections. Auto-Abs neutralizing high concentrations of IFN-α2, IFN-β, and/or IFN-ω are present in the single case of severe Powassan virus (POWV) encephalitis studied, two of three cases of severe Usutu virus (USUV) infection studied, and the most severe of 24 cases of Ross River virus (RRV) disease studied. These auto-Abs are not found in any of the 137 individuals with silent or mild infections with these three viruses. Thus, auto-Abs neutralizing type I IFNs underlie an increasing list of severe arboviral diseases due to Flaviviridae (WNV, TBEV, POWV, USUV) or Togaviridae (RRV) viruses transmitted to humans by mosquitos (WNV, USUV, RRV) or ticks (TBEV, POWV).

虫媒病毒疾病是全球日益关注的健康问题。中和 I 型干扰素(IFNs)的原有自身抗体(auto-Abs)可能是西尼罗河病毒(WNV)脑炎(40% 的患者)和蜱传脑炎(TBE,由 TBE 病毒 [TBEV] 引起)(10%)的病因。我们在此报告,这些自身抗体也可能是较罕见的虫媒病毒感染的严重形式的基础。高浓度 IFN-α2、IFN-β 和/或 IFN-ω 中和的自身抗体存在于所研究的一例严重的波瓦桑病毒(POWV)脑炎病例、所研究的三例严重的乌苏图病毒(USUV)感染病例中的两例,以及所研究的 24 例罗斯河病毒(RRV)病例中最严重的一例。在这三种病毒的 137 例静默或轻度感染者中,没有发现这些自身抗体。因此,越来越多的严重虫媒病毒疾病是由蚊子(WNV、TBEV、POWV、USUV)或蜱虫(TBEV、POWV)传播给人类的黄病毒科(WNV)或托加病毒科(RRV)病毒引起的,这些自身抗体中和了 I 型 IFNs。
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引用次数: 0
Suppression of melanoma by mice lacking MHC-II: Mechanisms and implications for cancer immunotherapy. 缺乏 MHC-II 的小鼠对黑色素瘤的抑制:癌症免疫疗法的机制和意义。
IF 12.6 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-12-02 Epub Date: 2024-10-29 DOI: 10.1084/jem.20240797
Hexin Shi, Dawson Medler, Jianhui Wang, Rachel Browning, Aijie Liu, Sara Schneider, Claudia Duran Bojorquez, Ashwani Kumar, Xiaohong Li, Jiexia Quan, Sara Ludwig, James J Moresco, Chao Xing, Eva Marie Y Moresco, Bruce Beutler

Immune checkpoint inhibitors interfere with T cell exhaustion but often fail to cure or control cancer long-term in patients. Using a genetic screen in C57BL/6J mice, we discovered a mutation in host H2-Aa that caused strong immune-mediated resistance to mouse melanomas. H2-Aa encodes an MHC class II α chain, and its absence in C57BL/6J mice eliminates all MHC-II expression. H2-Aa deficiency, specifically in dendritic cells (DC), led to a quantitative increase in type 2 conventional DC (cDC2) and a decrease in cDC1. H2-Aa-deficient cDC2, but not cDC1, were essential for melanoma suppression and effectively cross-primed and recruited CD8 T cells into tumors. Lack of T regulatory cells, also observed in H2-Aa deficiency, contributed to melanoma suppression. Acute disruption of H2-Aa was therapeutic in melanoma-bearing mice, particularly when combined with checkpoint inhibition, which had no therapeutic effect by itself. Our findings suggest that inhibiting MHC-II may be an effective immunotherapeutic approach to enhance immune responses to cancer.

免疫检查点抑制剂会干扰T细胞衰竭,但往往无法治愈或长期控制患者的癌症。通过对C57BL/6J小鼠进行基因筛选,我们发现了宿主H2-Aa中的一种突变,这种突变会导致小鼠黑色素瘤产生强烈的免疫介导抗药性。H2-Aa编码MHC II类α链,在C57BL/6J小鼠中缺失H2-Aa会消除所有MHC-II的表达。缺乏H2-Aa,特别是树突状细胞(DC)缺乏H2-Aa,会导致2型常规DC(cDC2)数量增加,而cDC1数量减少。缺乏H2-Aa的cDC2(而非cDC1)对黑色素瘤的抑制至关重要,它们能有效地交叉灌注CD8 T细胞并将其招募到肿瘤中。在H2-Aa缺乏症中也观察到了T调节细胞的缺乏,这也是黑色素瘤抑制的原因之一。急性破坏H2-Aa对黑色素瘤小鼠有治疗作用,尤其是与检查点抑制结合使用时,而检查点抑制本身没有治疗作用。我们的研究结果表明,抑制 MHC-II 可能是增强癌症免疫反应的一种有效免疫治疗方法。
{"title":"Suppression of melanoma by mice lacking MHC-II: Mechanisms and implications for cancer immunotherapy.","authors":"Hexin Shi, Dawson Medler, Jianhui Wang, Rachel Browning, Aijie Liu, Sara Schneider, Claudia Duran Bojorquez, Ashwani Kumar, Xiaohong Li, Jiexia Quan, Sara Ludwig, James J Moresco, Chao Xing, Eva Marie Y Moresco, Bruce Beutler","doi":"10.1084/jem.20240797","DOIUrl":"10.1084/jem.20240797","url":null,"abstract":"<p><p>Immune checkpoint inhibitors interfere with T cell exhaustion but often fail to cure or control cancer long-term in patients. Using a genetic screen in C57BL/6J mice, we discovered a mutation in host H2-Aa that caused strong immune-mediated resistance to mouse melanomas. H2-Aa encodes an MHC class II α chain, and its absence in C57BL/6J mice eliminates all MHC-II expression. H2-Aa deficiency, specifically in dendritic cells (DC), led to a quantitative increase in type 2 conventional DC (cDC2) and a decrease in cDC1. H2-Aa-deficient cDC2, but not cDC1, were essential for melanoma suppression and effectively cross-primed and recruited CD8 T cells into tumors. Lack of T regulatory cells, also observed in H2-Aa deficiency, contributed to melanoma suppression. Acute disruption of H2-Aa was therapeutic in melanoma-bearing mice, particularly when combined with checkpoint inhibition, which had no therapeutic effect by itself. Our findings suggest that inhibiting MHC-II may be an effective immunotherapeutic approach to enhance immune responses to cancer.</p>","PeriodicalId":15760,"journal":{"name":"Journal of Experimental Medicine","volume":"221 12","pages":""},"PeriodicalIF":12.6,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11528124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142521984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Myeloid activation clears ascites and reveals IL27-dependent regression of metastatic ovarian cancer. 髓系激活可清除腹水,并揭示转移性卵巢癌的消退依赖于 IL27。
IF 12.6 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-12-02 Epub Date: 2024-11-21 DOI: 10.1084/jem.20231967
Brennah Murphy, Taito Miyamoto, Bryan S Manning, Gauri Mirji, Alessio Ugolini, Toshitha Kannan, Kohei Hamada, Yanfang P Zhu, Daniel T Claiborne, Lu Huang, Rugang Zhang, Yulia Nefedova, Andrew Kossenkov, Filippo Veglia, Rahul Shinde, Nan Zhang

Patients with metastatic ovarian cancer (OvCa) have a 5-year survival rate of <30% due to the persisting dissemination of chemoresistant cells in the peritoneal fluid and the immunosuppressive microenvironment in the peritoneal cavity. Here, we report that intraperitoneal administration of β-glucan and IFNγ (BI) induced robust tumor regression in clinically relevant models of metastatic OvCa. BI induced tumor regression by controlling fluid tumor burden and activating localized antitumor immunity. β-glucan alone cleared ascites and eliminated fluid tumor cells by inducing intraperitoneal clotting in the fluid and Dectin-1-Syk-dependent NETosis in the omentum. In omentum tumors, BI expanded a novel subset of immunostimulatory IL27+ macrophages and neutralizing IL27 impaired BI efficacy in vivo. Moreover, BI directly induced IL27 secretion in macrophages where single agent treatment did not. Finally, BI extended mouse survival in a chemoresistant model and significantly improved chemotherapy response in a chemo-sensitive model. In summary, we propose a new therapeutic strategy for the treatment of metastatic OvCa.

转移性卵巢癌(OvCa)患者的 5 年生存率为
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引用次数: 0
Human ITGAV variants are associated with immune dysregulation, brain abnormalities, and colitis. 人类 ITGAV 变异与免疫失调、大脑异常和结肠炎有关。
IF 12.6 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-12-02 Epub Date: 2024-11-11 DOI: 10.1084/jem.20240546
Sina Ghasempour, Neil Warner, Rei Guan, Marco M Rodari, Danton Ivanochko, Ryder Whittaker Hawkins, Ashish Marwaha, Jan K Nowak, Yijing Liang, Daniel J Mulder, Lorraine Stallard, Michael Li, Daniel D Yu, Fred G Pluthero, Vritika Batura, Mo Zhao, Iram Siddiqui, Julia E M Upton, Jessie M Hulst, Walter H A Kahr, Roberto Mendoza-Londono, Fabienne Charbit-Henrion, Lies H Hoefsloot, Anis Khiat, Diana Moreira, Eunice Trindade, Maria do Céu Espinheira, Isabel Pinto Pais, Marjolein J A Weerts, Hannie Douben, Daniel Kotlarz, Scott B Snapper, Christoph Klein, James J Dowling, Jean-Philippe Julien, Marieke Joosten, Nadine Cerf-Bensussan, Spencer A Freeman, Marianna Parlato, Tjakko J van Ham, Aleixo M Muise

Integrin heterodimers containing an Integrin alpha V subunit are essential for development and play critical roles in cell adhesion and signaling. We identified biallelic variants in the gene coding for Integrin alpha V (ITGAV) in three independent families (two patients and four fetuses) that either caused abnormal mRNA and the loss of functional protein or caused mistargeting of the integrin. This led to eye and brain abnormalities, inflammatory bowel disease, immune dysregulation, and other developmental issues. Mechanistically, the reduction of functional Integrin αV resulted in the dysregulation of several pathways including TGF-β-dependent signaling and αVβ3-regulated immune signaling. These effects were confirmed using immunostaining, RNA sequencing, and functional studies in patient-derived cells. The genetic deletion of itgav in zebrafish recapitulated patient phenotypes including retinal and brain defects and the loss of microglia in early development as well as colitis in juvenile zebrafish with reduced SMAD3 expression and transcriptional regulation. Taken together, the ITGAV variants identified in this report caused a previously unknown human disease characterized by brain and developmental defects in the case of complete loss-of-function and atopy, neurodevelopmental defects, and colitis in cases of incomplete loss-of-function.

含有 Integrin alpha V 亚基的整合素异二聚体对发育至关重要,并在细胞粘附和信号传导中发挥关键作用。我们在三个独立的家族(两名患者和四名胎儿)中发现了编码整合素αV(ITGAV)基因的双叶变体,这些变体要么导致mRNA异常和功能蛋白缺失,要么导致整合素靶向错误。这导致了眼睛和大脑异常、炎症性肠病、免疫失调和其他发育问题。从机理上讲,功能性整合素αV的减少导致多种途径失调,包括依赖于TGF-β的信号传导和αVβ3调控的免疫信号传导。通过免疫染色、RNA 测序和对患者衍生细胞的功能研究证实了这些影响。在斑马鱼中遗传性缺失 ITGAV 再现了患者的表型,包括视网膜和大脑缺陷、早期发育过程中小胶质细胞的缺失以及幼年斑马鱼结肠炎,SMAD3 表达和转录调控减少。综上所述,本报告中鉴定出的 ITGAV 变体导致了一种之前未知的人类疾病,其特点是在功能完全缺失的情况下会导致大脑和发育缺陷,而在功能不完全缺失的情况下会导致过敏、神经发育缺陷和结肠炎。
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引用次数: 0
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