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Immunomodulatory Mechanisms and Therapeutic Potential of Vitamin D in Immune Thrombocytopenia. 维生素D在免疫性血小板减少症中的免疫调节机制和治疗潜力。
IF 3.6 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-12-06 eCollection Date: 2025-01-01 DOI: 10.1155/jimr/5810208
Yucao Ma, Wenjing Yao, Haiyan Lang, Yuxin Cheng, Ruhua Ren, Yuecan Chen, Sitong Cheng, Shuo Sun, Qing Guo, Shana Chen

In addition to its classical function in regulating phosphorus and calcium equilibrium, the immunoregulatory effects of vitamin D (VD) have increasingly drawn attention in recent investigations. A deficiency of VD has been associated with multiple autoimmune pathologies. Immune thrombocytopenia (ITP), a hemorrhagic disorder mediated by autoantibodies, manifests through accelerated platelet destruction accompanied by impaired platelet production. Accumulating evidence suggests that VD is intricately involved in ITP pathophysiology, with serum VD concentrations strongly associated with clinical symptoms, disease severity, and overall prognosis. However, the mechanisms underlying these associations remain incompletely understood, and the limited number of studies conducted thus far highlights the necessity for further investigation. This study reviews the correlation between VD and ITP, the immunological mechanisms through which VD regulates ITP, and the potential therapeutic value of VD supplementation in ITP management. Future multicenter clinical trials and mechanistic studies are warranted to develop novel therapeutic strategies for ITP.

维生素D (VD)除了具有调节磷钙平衡的经典功能外,其免疫调节作用也越来越受到人们的关注。VD缺乏与多种自身免疫性疾病有关。免疫性血小板减少症(ITP)是一种由自身抗体介导的出血性疾病,表现为血小板破坏加速伴血小板生成受损。越来越多的证据表明,VD与ITP病理生理关系复杂,血清VD浓度与临床症状、疾病严重程度和总体预后密切相关。然而,这些关联的机制仍然不完全清楚,到目前为止进行的有限的研究突出了进一步调查的必要性。本研究综述了VD与ITP之间的关系,VD调节ITP的免疫学机制,以及VD补充在ITP治疗中的潜在治疗价值。未来的多中心临床试验和机制研究有必要开发新的ITP治疗策略。
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引用次数: 0
Failure of γδ T Cell Recovery in the Gut With Effective Anti-HIV Therapy. 有效的抗hiv治疗导致肠道γδ T细胞恢复失败。
IF 3.6 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-11-27 eCollection Date: 2025-01-01 DOI: 10.1155/jimr/9883892
Priscila O Barros, Stephanie C Burke Schinkel, Ameeta Lubina Nayak, Brittany Haas, Tamara K Berthoud, Michaeline McGuinty, D William Cameron, Jonathan B Angel

Introduction: Infection with HIV alters γδ T cells, and while these changes have been well documented in blood, they are less well understood in the gut.

Methods: Phenotype (specifically HIV coreceptor expression) and polyfunctionality, as defined by concomitant cytokine expression, were evaluated in γδ T cells in the blood and gut of effectively treated people living with HIV (PLWH) and people without HIV (PWOH). Mononuclear cells were isolated from blood and recto-sigmoid colon biopsy tissue, and γδ T cells were evaluated by flow cytometry.

Results: The expression of α4β7 was significantly higher in gut-derived γδ T cells of PLWH compared to PWOH and blood-derived cells of both groups. The polyfunctionality profile of gut-derived γδ T cells in PLWH was also different than that of PWOH, with significantly higher expression of IFN-γ in the gut-derived cells.

Conclusion: The alterations observed in gut-derived γδ T cells from effectively treated PLWH suggest cellular function is not restored with prolonged antiretroviral therapy (ART) and may contribute to a chronic inflammatory state. Trial Registration: HAVARTI trial registration (ClinicalTrials.gov): NCT03147859.

HIV感染会改变γδ T细胞,虽然这些变化在血液中有很好的记录,但在肠道中却不太清楚。方法:对有效治疗的HIV感染者(PLWH)和非HIV感染者(PWOH)血液和肠道中的γδ T细胞进行表型(特别是HIV共受体表达)和多功能性(由伴随的细胞因子表达定义)评估。从血液和直肠乙状结肠活检组织中分离单个核细胞,流式细胞术检测γδ T细胞。结果:PLWH肠源性γδ T细胞α4β7的表达明显高于PWOH和两组血源性细胞。PLWH的肠源性γδ T细胞的多功能性谱也不同于PWOH, IFN-γ在肠源性细胞中的表达显著高于PWOH。结论:在有效治疗的PLWH中观察到的肠源性γδ T细胞的改变表明,长期抗逆转录病毒治疗(ART)不能恢复细胞功能,可能导致慢性炎症状态。试验注册:HAVARTI试验注册(ClinicalTrials.gov): NCT03147859。
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引用次数: 0
Correction to "Remote Limb Ischemic Postconditioning Protects against Ischemic Stroke via Modulating Microglia/Macrophage Polarization in Mice". 修正“通过调节小鼠小胶质细胞/巨噬细胞极化,远端肢体缺血后适应可预防缺血性卒中”。
IF 3.6 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-11-20 eCollection Date: 2025-01-01 DOI: 10.1155/jimr/9753571

[This corrects the article DOI: 10.1155/2021/6688053.].

[这更正了文章DOI: 10.1155/2021/6688053]。
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引用次数: 0
Decreased Serum and Tissue Levels of Isthmin-1 in Patients With Idiopathic Granulomatous Mastitis: A Case-Control Study. 特发性肉芽肿性乳腺炎患者血清和组织中峡素-1水平降低:一项病例对照研究
IF 3.6 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-11-20 eCollection Date: 2025-01-01 DOI: 10.1155/jimr/6368073
Ahmet Karatas, Burak Oz, Ramazan Fazıl Akkoc, Ibrahim Hanifi Ozercan, Suleyman Serdar Koca

Background: Idiopathic granulomatous mastitis (IGM) is a chronic inflammatory breast disorder with unclear etiology. Isthmin-1 (ISM1), a secreted protein with anti-inflammatory properties, has not been previously studied in IGM.

Objective: This study aimed to compare serum and tissue ISM1 levels between IGM patients and healthy controls, and to assess its diagnostic potential.

Methods: This case-control study included 30 women with histopathologically confirmed IGM and 30 age-matched controls undergoing breast reduction surgery. Serum and tissue ISM1 levels were measured using ELISA. Receiver operating characteristic (ROC) analysis assessed the diagnostic performance of serum ISM1.

Results: ISM1 concentrations were significantly lower in IGM patients compared to controls in both serum (541.42 ± 191.01 vs. 1139.19 ± 698.43 pg/mL; p = 0.019) and tissue (511.07 ± 188.16 vs. 778.24 ± 261.98 pg/mL; p  < 0.001). ROC analysis demonstrated moderate diagnostic accuracy (area under the curve [AUC]: 0.768, 95% CI: 0.651-0.885; optimal cutoff: 676.13 pg/mL; sensitivity: 66.7%; specificity: 83.7%). Standard inflammatory markers showed no significant differences between groups.

Conclusions: Reduced ISM1 levels in IGM patients suggest potential involvement in disease pathogenesis. While serum ISM1 shows promise as a supportive biomarker, larger studies, including other inflammatory breast conditions, are needed to confirm specificity and clinical utility.

背景:特发性肉芽肿性乳腺炎(IGM)是一种慢性炎性乳腺疾病,病因不明。Isthmin-1 (ISM1)是一种具有抗炎特性的分泌蛋白,此前未在IGM中进行过研究。目的:本研究旨在比较IGM患者与健康对照者的血清和组织ISM1水平,并评估其诊断潜力。方法:本病例对照研究包括30例组织病理学证实的IGM女性和30例年龄匹配的对照组,均行缩乳手术。ELISA法检测血清及组织ISM1水平。受试者工作特征(ROC)分析评估血清ISM1的诊断效能。结果:IGM患者血清ISM1浓度(541.42±191.01比1139.19±698.43 pg/mL, p = 0.019)和组织ISM1浓度(511.07±188.16比778.24±261.98 pg/mL, p < 0.001)均显著低于对照组。ROC分析显示诊断准确度中等(曲线下面积[AUC]: 0.768, 95% CI: 0.651-0.885;最佳截止值:676.13 pg/mL;敏感性:66.7%;特异性:83.7%)。标准炎症指标组间差异无统计学意义。结论:IGM患者ISM1水平降低可能与疾病发病机制有关。虽然血清ISM1有望作为一种支持性生物标志物,但需要更大规模的研究,包括其他炎症性乳腺疾病,来确认其特异性和临床实用性。
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引用次数: 0
RETRACTION: A Novel In Situ Dendritic Cell Vaccine Triggered by Rose Bengal Enhances Adaptive Antitumour Immunity. 撤回:一种由玫瑰孟加拉触发的新型原位树突状细胞疫苗增强了适应性抗肿瘤免疫。
IF 3.6 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-11-13 eCollection Date: 2025-01-01 DOI: 10.1155/jimr/9834758
Journal Of Immunology Research

[This retracts the article DOI: 10.1155/2022/1178874.].

[本文撤回文章DOI: 10.1155/2022/1178874.]。
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引用次数: 0
Inhibition of Complement Will Substantially Reduce the Anemia of Malaria. 抑制补体将大大减少疟疾贫血。
IF 3.6 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-11-11 eCollection Date: 2025-01-01 DOI: 10.1155/jimr/3534692
Ronald P Taylor, Margaret A Lindorfer

There is compelling evidence that complement plays a major role in the elimination of nonparasitized erythrocytes (np-Es) in the anemia of malaria. In fact, for every erythrocyte destroyed after infection by Plasmodium falciparum (Pf) or Plasmodium vivax, at least 10 np-Es are cleared, most likely due to C3b opsonization. In malaria, complement is activated by three breakdown products released from lysed parasitized erythrocytes (p-Es): hemin/hematin, the digestive vacuole (DV), and hemozoin. Both childhood anemia in malaria and post-artesunate delayed-hemolysis in individuals with malaria treated with artesunate can be ascribed to complement activation. These findings are important with respect to development of potential therapies for malarial anemia because there are now available FDA-approved drugs that completely inhibit complement at the C3 activation step for several days at a time. We review key clinical findings and basic science investigations that implicate complement and in particular C3b opsonization as a significant factor in malarial anemia. Extension of these basic science studies to examine FDA-approved drugs that block complement at the C3b opsonization step are needed to justify their potential utilization in treatment of malarial anemia. In particular, in vitro studies in blood cultures of Pf/vivax should determine whether deposition of C3 activation products on np-Es can be completely prevented in the presence of complement inhibitors. If these experiments validate proof of concept, then extension of this paradigm to a clinical trial based on combined treatment with artesunate plus an FDA-approved complement inhibitor would be indicated.

有令人信服的证据表明,在疟疾贫血中,补体在消除非寄生红细胞(np-Es)中起着重要作用。事实上,在感染恶性疟原虫(Pf)或间日疟原虫后,每破坏一个红细胞,至少有10个np-Es被清除,很可能是由于C3b的活化。在疟疾中,由被寄生红细胞(p-Es)释放的三种分解产物激活补体:血红素/血红素、消化液泡(DV)和血色素。疟疾儿童贫血和用青蒿琥酯治疗的疟疾患者在服用青蒿琥酯后出现的迟发性溶血可归因于补体激活。这些发现对于开发疟疾贫血的潜在疗法很重要,因为现在有一些fda批准的药物可以在C3激活阶段完全抑制补体,一次可以抑制数天。我们回顾了关键的临床发现和基础科学研究,这些研究表明补体,特别是C3b的活化是疟疾贫血的一个重要因素。需要扩展这些基础科学研究,以检查fda批准的阻断C3b补体的药物,以证明其在治疗疟疾性贫血中的潜在应用。特别是,在Pf/间日疟原虫血液培养的体外研究中,应该确定补体抑制剂是否可以完全阻止C3激活产物在np-Es上的沉积。如果这些实验验证了概念的证明,那么将该范例扩展到基于青蒿琥酯加fda批准的补体抑制剂联合治疗的临床试验。
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引用次数: 0
Ribonucleases of Mice and Men: Unveiling the Roles of the RNase A Superfamily in Host Defence. 小鼠和人类的核糖核酸酶:揭示rna酶A超家族在宿主防御中的作用。
IF 3.6 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-11-10 eCollection Date: 2025-01-01 DOI: 10.1155/jimr/3940139
Raúl Anguita, Yusuf Ali, Brian Becknell, Ester Boix

Antimicrobial peptides and proteins (AMPs) constitute ancient host defence mechanisms to preserve tissue sterility and protect the host from infectious diseases. Currently, AMPs are awakening the interest of medical researchers due to their potential to become novel weapons to target multi-drug resistant (MDR) pathogens and thereby overcome the limitations of traditional antibiotics. Among AMPs, human RNases belonging to the RNase A superfamily stand out as promising agents for therapeutic uses given their high antimicrobial activity, wide spectrum against multiple pathogens and low toxicity. However, a better understanding of how human RNases perform their antimicrobial actions in tissues is necessary to develop novel therapies. Mouse infectious disease models can be extremely useful to study the function of AMPs in vivo and have already provided valuable knowledge about RNase role in tissues such as the intestine and urinary tract. Therefore, it is necessary to understand the genetic and functional divergences that exist between human and mouse RNases to design experiments that are poised for clinical translation. The aim of this review is to present the similarities and differences between human and mouse RNases at genomic, structural and functional levels as a guide for future scientists exploring the roles of RNases in host defence.

抗菌肽和蛋白(AMPs)构成了古老的宿主防御机制,以保持组织无菌并保护宿主免受传染病的侵害。目前,AMPs正引起医学研究人员的兴趣,因为它们有可能成为针对多药耐药(MDR)病原体的新型武器,从而克服传统抗生素的局限性。在抗菌肽中,属于RNase A超家族的人rna酶因其高抗菌活性、广谱抗多种病原体和低毒性而成为治疗用途的有前途的药物。然而,更好地了解人类rna酶如何在组织中发挥其抗菌作用对于开发新的治疗方法是必要的。小鼠传染病模型对于研究AMPs在体内的功能非常有用,并且已经提供了有关RNase在肠和尿路等组织中的作用的宝贵知识。因此,有必要了解人类和小鼠rna酶之间存在的遗传和功能差异,以设计为临床翻译做好准备的实验。这篇综述的目的是在基因组、结构和功能水平上展示人类和小鼠rna酶之间的异同,为未来科学家探索rna酶在宿主防御中的作用提供指导。
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引用次数: 0
Cytokine Profile in the Upper Airways of Patients With N-ERD Obtained via a Minimally Invasive Method. 通过微创方法获得N-ERD患者上呼吸道细胞因子谱。
IF 3.6 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-10-29 eCollection Date: 2025-01-01 DOI: 10.1155/jimr/2768458
Karolina Frachowicz-Guerreiro, Adrian Gajewski, Rafał Ćwikliński, Marcin Kurowski, Maciej Chałubiński, Aleksandra Wardzyńska

Introduction: NSAID-exacerbated respiratory disease (N-ERD) is a bronchial asthma phenotype characterized by the coexistence of NSAID hypersensitivity, lower airway symptoms, and severe chronic sinusitis with nasal polyps. This study examined the cytokine profiles in the upper airways of patients with N-ERD compared to those of patients with NSAID-tolerant asthma, allergic rhinitis (AR), and healthy controls.

Methods: 89 patients were included in the N-ERD, AR, asthma, and control groups. The minimally invasive nasosorption technique was used to collect nasal mucosal lining fluid. Inflammatory mediators were quantified using a Bio-Plex Multiplex System.

Results: IL-6 levels in nasal samples (NSs) were higher in all patient groups than in the controls. No significant differences were observed in the nasal levels of all analyzed cytokines between patients with N-ERD and those with asthma or AR alone. Cluster analysis identified two distinct inflammatory phenotypes within the N-ERD group based on nasal cytokine profiles, although these did not correlate with clinical features. A logistic regression model showed that only serum TNF-α levels and the severity of nasal obstruction significantly differentiated patients with N-ERD from the other groups.

Conclusion: The results demonstrate that while patients with N-ERD exhibit heterogeneity in upper airway inflammatory profiles, this does not necessarily translate into differences in clinical presentation.

非甾体抗炎药加重呼吸系统疾病(N-ERD)是一种支气管哮喘表型,以非甾体抗炎药过敏、下气道症状和严重慢性鼻窦炎合并鼻息肉共存为特征。本研究检测了N-ERD患者与耐非甾体抗炎药(nsaid)哮喘、过敏性鼻炎(AR)患者和健康对照者上呼吸道的细胞因子谱。方法:89例患者分为N-ERD组、AR组、哮喘组和对照组。采用微创鼻吸液技术采集鼻黏膜内积液。使用Bio-Plex Multiplex系统对炎症介质进行定量。结果:各患者组鼻标本(NSs)中IL-6水平均高于对照组。N-ERD患者与单独哮喘或AR患者的鼻腔中所有分析的细胞因子水平均无显著差异。聚类分析确定了N-ERD组中基于鼻腔细胞因子谱的两种不同的炎症表型,尽管这些与临床特征无关。logistic回归模型显示,只有血清TNF-α水平和鼻塞严重程度能显著区分N-ERD患者与其他组。结论:结果表明,虽然N-ERD患者在上呼吸道炎症谱上表现出异质性,但这并不一定转化为临床表现的差异。
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引用次数: 0
Spermidine Remodels the Mitochondrial Metabolism of Tumor-Infiltrating Lymphocytes. 亚精胺重塑肿瘤浸润淋巴细胞的线粒体代谢。
IF 3.6 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-10-29 eCollection Date: 2025-01-01 DOI: 10.1155/jimr/7550012
Yizhe Sun, Hao Fu, Xinyu Li, Meng Wan, Hongchao Xiong, Chaoting Zhang

Adoptive cell therapy (ACT) utilizing tumor-infiltrating lymphocytes (TILs) has significant potential in treating various cancers; however, its effectiveness is often compromised by the tendency of TILs to become exhausted and dysfunctional. Revitalizing these essential immune cells is crucial for amplifying their antitumor efficacy. Our study investigates the influence of spermidine on the metabolic pathways of TILs, focusing on its critical contribution to T cell vitality. We assessed the impact of spermidine on glucose absorption, mitochondrial functionality, and energy production in TILs. The application of spermidine resulted in a pronounced improvement in mitochondrial functionality and energy production, indicated by a surge in mitochondrial numbers and enhanced activity of the tricarboxylic acid (TCA) cycle. Importantly, the suppression of mitochondrial metabolism negated the beneficial effects of spermidine on mitigating exhaustion and enhancing cellular activity, highlighting the essential role of mitochondrial metabolism in the action of spermidine. Our research suggests that modulation of metabolism by spermidine could be a potential strategy to strengthen the antitumor capabilities of TIL-based treatments, offering a promising method to better manage solid tumors.

利用肿瘤浸润淋巴细胞(til)的过继细胞疗法(ACT)在治疗多种癌症方面具有重要的潜力;然而,它的有效性经常被til变得疲惫和功能失调的趋势所损害。激活这些必需的免疫细胞对于增强其抗肿瘤功效至关重要。我们的研究探讨了亚精胺对TILs代谢途径的影响,重点关注其对T细胞活力的重要贡献。我们评估了亚精胺对TILs中葡萄糖吸收、线粒体功能和能量产生的影响。亚精胺的应用导致线粒体功能和能量产生的显著改善,表明线粒体数量激增和三羧酸(TCA)循环活性增强。重要的是,线粒体代谢的抑制否定了亚精胺在缓解衰竭和增强细胞活性方面的有益作用,突出了线粒体代谢在亚精胺作用中的重要作用。我们的研究表明,亚精胺调节代谢可能是增强基于til的治疗的抗肿瘤能力的潜在策略,为更好地治疗实体肿瘤提供了一种有希望的方法。
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引用次数: 0
High Fat and Sugar Diet Increases Enteric cDC1 and Oral Antigen-Specific Tregs. 高脂肪和高糖饮食增加肠道cDC1和口服抗原特异性Tregs。
IF 3.6 3区 医学 Q2 IMMUNOLOGY Pub Date : 2025-10-28 eCollection Date: 2025-01-01 DOI: 10.1155/jimr/6600076
K Fischer, O Horno, B Raposo, I Godinho, H Ribeiro, H Veiga-Fernandes, M Martínez-López

Diet-induced obesity is a growing global health concern linked to various immunological alterations. Dendritic cells (DCs) are major regulators of the balance between pro-inflammatory and tolerogenic immune responses. Conventional Type 1 DCs (cDC1) contribute to oral tolerance by affecting the generation of food specific regulatory T cells (Tregs). Nevertheless, whether obesity affects cDC1/Treg pathways and the generation of food tolerance remains poorly understood. Here, we investigated the spatio-temporal impact of a high-fat, high-sugar diet (HFHSD) on the enteric immune system. Enteric immune composition was primarily altered by diet and intestinal region, independently of the duration of the dietary regimen. Notably, the lamina propria of animals fed with high-caloric diet was enriched in cDC1 overtime. While diet did neither reprogramme cDC1 gut-homing markers, nor costimulatory molecules nor cytokines, it increased intestinal cDC1 levels, which correlated with increased Tregs during oral tolerance protocols. Our findings contribute to a better understanding of high-caloric diet and food intolerances, while revealing a remarkable plasticity of the intestinal immune system in response to diet.

饮食引起的肥胖是一个日益增长的全球健康问题,与各种免疫改变有关。树突状细胞(dc)是促炎和耐受性免疫反应之间平衡的主要调节因子。传统的1型dc (cDC1)通过影响食物特异性调节性T细胞(Tregs)的产生来促进口服耐受。然而,肥胖是否影响cDC1/Treg通路和食物耐受性的产生仍然知之甚少。在这里,我们研究了高脂肪、高糖饮食(HFHSD)对肠道免疫系统的时空影响。肠道免疫组成主要受饮食和肠道区域的影响,与饮食方案的持续时间无关。值得注意的是,高热量饮食喂养的动物固有层cDC1随着时间的推移而丰富。虽然饮食既没有重编程cDC1肠道归巢标记物,也没有重编程共刺激分子或细胞因子,但它增加了肠道cDC1水平,这与口服耐受方案中Tregs的增加相关。我们的发现有助于更好地理解高热量饮食和食物不耐受,同时揭示了肠道免疫系统对饮食的显著可塑性。
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引用次数: 0
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