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Sestrin2 Regulates Endoplasmic Reticulum Stress-Dependent Ferroptosis to Engage Pulmonary Fibrosis by Nuclear Factor Erythroid 2-Related Factor 2/Activating Transcription Factor 4 (NRF2/ATF4) Sestrin2通过核因子红系2相关因子2/激活转录因子4 (NRF2/ATF4)调控内质网应激依赖性铁凋亡参与肺纤维化
3区 医学 Q2 IMMUNOLOGY Pub Date : 2023-11-07 DOI: 10.1155/2023/9439536
Zhaoxing Dong, Ting Li, Cenli Wang, Yong Zhou, Zhongkai Tong, Xuekui Du
Pulmonary fibrosis (PF) can lead to chronic inflammation, the destruction of alveoli and irreversible lung damage. Sestrin2 is a highly protective stress-inducible protein that is involved in the cell response to various stress factors and the regulation of homeostasis and has a certain protective effect against PF. In this study, TGF-β1 was used to establish a PF cell model. Bleomycin was used to induce PF in mice, and the expression levels of related proteins were detected by western blotting. The levels of the inflammatory cytokine, TNF-α, IL-6, and IL-1β were detected by enzyme-linked immunosorbent assays. Immunoprecipitation was used to verify the interaction between ATF4 and NRF2 and between Sestrin2 and NRF2 to explore the specific mechanism by which Sestrin2 affects PF. The results showed that Sestrin2 inhibited fibroblast-to-myofibroblast transition (FMT), improved inflammation, promoted cell proliferation, and alleviated PF. Activating transcription factor 4/nuclear factor erythroid 2-related factor 2 (NRF2/ATF4) signaling pathway activation could alleviate endoplasmic reticulum stress, inhibit ferroptosis and FMT, and reduce reactive oxygen species levels, thereby alleviating PF. Overexpression of ATF4 and the addition of a ferroptosis inducer reversed Sestrin2-mediated alleviation of PF. In conclusion, Sestrin2 alleviates PF and endoplasmic reticulum stress-dependent ferroptosis through the NRF2/ATF4 pathway.
肺纤维化(PF)可导致慢性炎症、肺泡破坏和不可逆的肺损伤。Sestrin2是一种具有高度保护性的应激诱导蛋白,参与细胞对各种应激因子的反应和体内平衡的调节,对PF具有一定的保护作用。本研究采用TGF-β1建立PF细胞模型。用博莱霉素诱导小鼠PF, western blotting检测相关蛋白的表达水平。采用酶联免疫吸附法检测炎性细胞因子、TNF-α、IL-6和IL-1β的水平。采用免疫沉淀法验证ATF4与NRF2、Sestrin2与NRF2之间的相互作用,探讨Sestrin2影响PF的具体机制,结果表明,Sestrin2抑制成纤维细胞向肌成纤维细胞转化(FMT),改善炎症,促进细胞增殖,减轻PF,激活转录因子4/核因子红系2相关因子2 (NRF2/ATF4)信号通路激活可减轻内质网应激。ATF4的过表达和铁下垂诱导剂的加入逆转了Sestrin2介导的PF的缓解,综上所述,Sestrin2通过NRF2/ATF4途径缓解了PF和内质网应激依赖性铁下垂。
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引用次数: 0
GPC3 Promotes Lung Squamous Cell Carcinoma Progression and HLA-A2-Restricted GPC3 Antigenic Peptide-Modified Dendritic Cell-Induced Cytotoxic T Lymphocytes to Kill Lung Squamous Cell Carcinoma Cells. GPC3促进肺鳞状细胞癌进展和hla - a2限制性GPC3抗原肽修饰的树突状细胞诱导的细胞毒性T淋巴细胞杀死肺鳞状细胞癌细胞。
IF 4.1 3区 医学 Q2 IMMUNOLOGY Pub Date : 2023-11-06 eCollection Date: 2023-01-01 DOI: 10.1155/2023/5532617
Jing Ning, Jianqiao Ding, Shu Wang, Youhong Jiang, Daqing Wang, Shenyi Jiang

Lung squamous cell carcinoma (LUSC) is associated with poor clinical prognosis and lacks available targeted agents. GPC3 is upregulated in LUSC. Our study aimed to explore the roles of GPC3 in LUSC and the antitumor effects of HLA-A2-restricted GPC3 antigenic peptide-sensitized dendritic cell (DC)-induced cytotoxic T lymphocytes (CTLs) on LUSC. LUSC cells with GPC3 knockdown and overexpression were built using lentivirus packaging, and cell viability, clone formation, apoptosis, cycle, migration, and invasion were determined. Western blotting was used to detect the expression of cell cycle-related proteins and PI3K-AKT pathway-associated proteins. Subsequently, HLA-A2-restricted GPC3 antigenic peptides were predicted and synthesized by bioinformatic databases, and DCs were induced and cultured in vitro. Finally, HLA-A2-restricted GPC3 antigenic peptide-modified DCs were co-cultured with T cells to generate specific CTLs, and the killing effects of different CTLs on LUSC cells were studied. A series of cell function experiments showed that GPC3 overexpression promoted the proliferation, migration, and invasion of LUSC cells, inhibited their apoptosis, increased the number of cells in S phase, and reduced the cells in G2/M phase. GPC3 knockdown downregulated cyclin A, c-Myc, and PI3K, upregulated E2F1, and decreased the pAKT/AKT level. Three HLA-A2-restricted GPC3 antigenic peptides were synthesized, with GPC3522-530 FLAELAYDL and GPC3102-110 FLIIQNAAV antigenic peptide-modified DCs inducing CTL production, and exhibiting strong targeted killing ability in LUSC cells at 80 : 1 multiplicity of infection. GPC3 may advance the onset and progression of LUSC, and GPC3522-530 FLAELAYDL and GPC3102-110 FLIIQNAAV antigenic peptide-loaded DC-induced CTLs have a superior killing ability against LUSC cells.

肺鳞状细胞癌(LUSC)临床预后差,缺乏可用的靶向药物。GPC3在LUSC中上调。本研究旨在探讨GPC3在LUSC中的作用,以及hla - a2限制性GPC3抗原肽致敏树突状细胞(DC)诱导的细胞毒性T淋巴细胞(ctl)对LUSC的抗肿瘤作用。采用慢病毒包装技术构建GPC3敲低和过表达的LUSC细胞,检测细胞活力、克隆形成、凋亡、周期、迁移和侵袭。Western blotting检测细胞周期相关蛋白和PI3K-AKT通路相关蛋白的表达。利用生物信息学数据库预测合成hla - a2限制性GPC3抗原肽,体外诱导培养dc。最后,将hla - a2限制性GPC3抗原肽修饰的dc与T细胞共培养,生成特异性ctl,研究不同ctl对LUSC细胞的杀伤作用。一系列细胞功能实验表明,GPC3过表达可促进LUSC细胞的增殖、迁移和侵袭,抑制其凋亡,增加S期细胞数量,减少G2/M期细胞数量。GPC3敲低cyclin A、c-Myc和PI3K,上调E2F1,降低pAKT/AKT水平。合成了3种hla - a2限制性GPC3抗原肽,GPC3522-530 FLAELAYDL和GPC3102-110 FLIIQNAAV抗原肽修饰的dc诱导CTL产生,在80:1感染倍数下对LUSC细胞表现出较强的靶向杀伤能力。GPC3可能促进LUSC的发生和进展,GPC3522-530 FLAELAYDL和GPC3102-110 FLIIQNAAV抗原肽负载dc诱导的ctl对LUSC细胞具有优越的杀伤能力。
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引用次数: 0
Common Pollen Modulate Immune Responses against Viral-Like Challenges in Airway Coculture Model. 普通花粉调节气道共培养模型对病毒样挑战的免疫反应。
IF 4.1 3区 医学 Q2 IMMUNOLOGY Pub Date : 2023-11-06 eCollection Date: 2023-01-01 DOI: 10.1155/2023/6639092
Tarleena Tossavainen, Maria-Viola Martikainen, Hanna Loukola, Marjut Roponen

Recent research indicates that exposure to pollen increases the risk and severity of respiratory infections, while studies also suggest that it may possess a protective function. Our aim was to investigate how exposure to common pollen modifies airway cells' responses to viral- or bacterial-like challenges and vice versa. Cocultured A549 and THP-1 cells were exposed to three doses of four different pollens (Alnus glutinosa, Betula pendula, Phleum pratense, or Ambrosia artemisiifolia) and subsequently to Toll-like receptor (TLR) ligands mimicking bacterial and viral challenges (TLR3, TLR4, TLR7/8). The stimulation experiment was replicated in reverse order. Toxicological and immunological end points were analyzed. When cells were primed with pollen, especially with grass (P. pratense) or weed (A. artemisiifolia), the ability of cells to secrete cytokines in response to bacterial- and viral-like exposure was decreased. In contrast, cells primed with viral ligand TLR7/8 showed greater cytokine responses against pollen than cells exposed to ligands or pollen alone. Our results suggest that pollen exposure potentially weakens immune reactions to bacterial- or viral-like challenges by modulating cytokine production. They also indicate that TLR7/8-mediated viral challenges could elicit exaggerated immune responses against pollen. Both mechanisms could contribute to the acceleration and complication of infections during the pollen season.

最近的研究表明,接触花粉会增加呼吸道感染的风险和严重程度,同时研究也表明花粉可能具有保护功能。我们的目的是研究暴露于普通花粉如何改变气道细胞对病毒或细菌样挑战的反应,反之亦然。共培养的A549和THP-1细胞暴露于三剂量的四种不同的花粉(Alnus glutinosa, Betula pendula, phum pratense或Ambrosia artemisiifolia),随后暴露于模拟细菌和病毒挑战的toll样受体(TLR)配体(TLR3, TLR4, TLR7/8)。刺激实验以相反的顺序重复。分析毒理学和免疫学终点。当细胞受到花粉,特别是草(P. pratense)或杂草(A. artemisiifolia)的刺激时,细胞分泌细胞因子以响应细菌和病毒样暴露的能力降低。相比之下,用病毒配体TLR7/8引发的细胞对花粉的细胞因子反应比单独暴露于配体或花粉的细胞更强。我们的研究结果表明,花粉暴露可能通过调节细胞因子的产生而削弱对细菌或病毒样挑战的免疫反应。他们还表明,tlr7 /8介导的病毒攻击可以引起对花粉的过度免疫反应。这两种机制都可能导致花粉季节感染的加速和复杂化。
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引用次数: 0
Understanding How Minerals Contribute to Optimal Immune Function. 了解矿物质如何促进最佳免疫功能。
IF 4.1 3区 医学 Q2 IMMUNOLOGY Pub Date : 2023-11-01 eCollection Date: 2023-01-01 DOI: 10.1155/2023/3355733
Alina Stefanache, Ionut-Iulian Lungu, Ioan-Adrian Butnariu, Gabriela Calin, Cristian Gutu, Constantin Marcu, Carmen Grierosu, Elena Roxana Bogdan Goroftei, Letitia-Doina Duceac, Marius Gabriel Dabija, Florina Popa, Daniela Damir

Sufficient mineral supply is vital not only for the innate immune system but also for the components of the adaptive immune defense, which encompass defense mechanisms against pathogens and the delicate balance of pro- and anti-inflammatory regulation in the long term. Generally, a well-balanced diet is capable of providing the necessary minerals to support the immune system. Nevertheless, specific vulnerable populations should be cautious about obtaining adequate amounts of minerals such as magnesium, zinc, copper, iron, and selenium. Inadequate levels of these minerals can temporarily impair immune competence and disrupt the long-term regulation of systemic inflammation. Therefore, comprehending the mechanisms and sources of these minerals is crucial. In exceptional circumstances, mineral deficiencies may necessitate supplementation; however, excessive intake of supplements can have adverse effects on the immune system and should be avoided. Consequently, any supplementation should be approved by medical professionals and administered in recommended doses. This review emphasizes the crucial significance of minerals in promoting optimal functioning of the immune system. It investigates the indispensable minerals required for immune system function and the regulation of inflammation. Moreover, it delves into the significance of maintaining an optimized intake of minerals from a nutritional standpoint.

充足的矿物质供应不仅对先天免疫系统至关重要,而且对适应性免疫防御的组成部分也至关重要,适应性免疫防御包括对抗病原体的防御机制以及长期促炎和抗炎调节的微妙平衡。一般来说,均衡的饮食能够提供必要的矿物质来支持免疫系统。尽管如此,特定的弱势群体应谨慎获取足量的矿物质,如镁、锌、铜、铁和硒。这些矿物质水平不足会暂时损害免疫能力,并破坏系统炎症的长期调节。因此,了解这些矿物的机制和来源至关重要。在特殊情况下,矿物质缺乏可能需要补充;然而,过量摄入补充剂会对免疫系统产生不良影响,应该避免。因此,任何补充剂都应得到医疗专业人员的批准,并按推荐剂量服用。这篇综述强调了矿物质在促进免疫系统最佳功能方面的重要意义。它研究了免疫系统功能和炎症调节所需的不可或缺的矿物质。此外,它还从营养的角度探讨了保持矿物质最佳摄入量的重要性。
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引用次数: 0
Bone Mesenchymal Stem Cell-Derived Small Extracellular Vesicles Ameliorated Lipopolysaccharide-Induced Lung Injury Via the miR-21-5p/PCSK6 Pathway. 骨间充质干细胞衍生的小细胞外小泡通过miR-21-5p/PCSK6途径改善脂多糖诱导的肺损伤。
IF 4.1 3区 医学 Q2 IMMUNOLOGY Pub Date : 2023-10-28 eCollection Date: 2023-01-01 DOI: 10.1155/2023/3291137
Bo Cai, Weidong Song, Song Chen, Jie Sun, Rui Zhou, Zhen Han, Jian Wan

Acute lung injury (ALI) is a life-threatening disease that currently lacks a cure. Although stem cell-derived small extracellular vesicles (sEVs) have shown promising effects in the treatment of ALI, their underlying mechanisms and responsible components have yet to be identified. Proprotein convertase subtilisin/kexin type 6 (PCSK6) is a gene involved in inflammation and a potential target of miR-21-5p, a microRNA enriched in stem cell-derived sEVs. The current study investigated the role of PCSK6 in lipopolysaccharide (LPS)-induced ALI and its interaction with miR-21-5p. Notably, our results showed that PCSK6 expression was positively correlated with LPS stimulation. Knockdown of PCSK6 ameliorated LPS-induced inhibition of proliferation and upregulation of permeability in human BEAS-2B cells, whereas PCSK6 overexpression displayed the opposite effects. BEAS-2B cells were able to actively internalize the cocultured bone mesenchymal stem cell (MSC)-derived sEVs (BMSC-sEVs), which alleviated the cell damage caused by LPS. Overexpressing PCSK6, however, eliminated the therapeutic effects of BMSC-sEV coculture. Mechanistically, BMSC-sEVs inhibited PCSK6 expression via the delivery of miR-21-5p, which is directly bound to the PCSK6 gene. Our work provides evidence for the role of PCSK6 in LPS-induced ALI and identified miR-21-5p as a component of BMSC-derived sEVs that suppressed PCSK6 expression and ameliorated LPS-induced cell damage. These results reveal a novel molecular mechanism for ALI pathogenesis and highlight the therapeutic potential of using sEVs released by stem cells to deliver miR-21-5p for ALI treatment.

急性肺损伤是一种危及生命的疾病,目前尚无治愈方法。尽管干细胞衍生的细胞外小泡(sEV)在治疗ALI方面显示出良好的效果,但其潜在机制和主要成分尚待确定。前蛋白转化酶枯草杆菌蛋白酶/kexin 6型(PCSK6)是一种参与炎症的基因,也是miR-21-5p的潜在靶点,miR-21-5p是一种富含干细胞衍生sEV的微小RNA。本研究探讨了PCSK6在脂多糖(LPS)诱导的ALI中的作用及其与miR-21-5p的相互作用。值得注意的是,我们的结果显示PCSK6的表达与LPS刺激呈正相关。敲低PCSK6改善了LPS诱导的人BEAS-2B细胞增殖抑制和通透性上调,而PCSK6过表达显示出相反的作用。BEAS-2B细胞能够主动内化共培养的骨髓间充质干细胞(MSC)衍生的sEV(BMSC sEV),从而减轻LPS引起的细胞损伤。然而,过表达PCSK6消除了BMSC-sEV共培养的治疗作用。从机制上讲,BMSC sEV通过递送与PCSK6基因直接结合的miR-21-5p来抑制PCSK6的表达。我们的工作为PCSK6在LPS诱导的ALI中的作用提供了证据,并确定miR-21-5p是BMSC衍生的sEV的一种成分,其抑制PCSK6的表达并改善LPS诱导的细胞损伤。这些结果揭示了ALI发病机制的新分子机制,并强调了利用干细胞释放的sEV递送miR-21-5p治疗ALI的治疗潜力。
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引用次数: 0
Tim-3 Is Differentially Expressed during Cell Activation and Interacts with the LSP-1 Protein in Human Macrophages. Tim-3在细胞激活过程中差异表达,并与人巨噬细胞中的LSP-1蛋白相互作用。
IF 4.1 3区 医学 Q2 IMMUNOLOGY Pub Date : 2023-10-26 eCollection Date: 2023-01-01 DOI: 10.1155/2023/3577334
Ranferi Ocaña-Guzman, Lucero A Ramon-Luing, Luis A Vazquez-Bolaños, Michelle Rodríguez-Alvarado, Fausi Bulhusen-Rodriguez, Alonso Torres-Hatem, Karen Gonzalez-Torres, Mariana Citlalli de Alba-Alvarado, Isabel Sada-Ovalle

T-cell Immunoglobulin and Mucin Domain 3 (TIM-3) is an immune checkpoint receptor known to regulate T-cell activation and has been targeted for immunotherapy in cancer and other diseases. However, its expression and function in other cell types, such as macrophages, are poorly understood. This study investigated TIM-3 expression in human macrophages polarized to M1 (stimulated with IFN-γ and LPS) and M2 (stimulated with IL-4 and IL-13) phenotypes using an in vitro model. Our results show that M1 macrophages have a lower frequency of TIM-3+ cells compared to M2 macrophages at 48 and 72 hr poststimulation. Additionally, we observed differential levels of soluble ADAM 10, an enzyme responsible for TIM-3 release, in the supernatants of M1 and M2 macrophages at 72 hr. We also found that the TIM-3 intracellular tail might associate with lymphocyte-specific protein 1 (LSP-1), a protein implicated in cell motility and podosome formation. These findings enhance our understanding of TIM-3 function in myeloid cells such as macrophages and may inform the development of immunotherapies with reduced immune-related adverse effects.

T细胞免疫球蛋白和Mucin结构域3(TIM-3)是一种已知调节T细胞激活的免疫检查点受体,已被靶向用于癌症和其他疾病的免疫治疗。然而,人们对其在巨噬细胞等其他细胞类型中的表达和功能知之甚少。本研究使用体外模型研究了TIM-3在分化为M1(用IFN-γ和LPS刺激)和M2(用IL-4和IL-13刺激)表型的人巨噬细胞中的表达。我们的结果表明,在48和72岁时,M1巨噬细胞的TIM-3+细胞频率低于M2巨噬细胞 hr刺激后。此外,我们在72岁时M1和M2巨噬细胞的上清液中观察到可溶性ADAM 10(一种负责TIM-3释放的酶)的不同水平 我们还发现TIM-3细胞内尾部可能与淋巴细胞特异性蛋白1(LSP-1)有关,该蛋白与细胞运动和足细胞形成有关。这些发现增强了我们对巨噬细胞等骨髓细胞中TIM-3功能的理解,并可能为开发减少免疫相关不良反应的免疫疗法提供信息。
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引用次数: 0
Circulating miR-320b Contributes to CD4+ T-Cell Proliferation in Systemic Lupus Erythematosus via MAP3K1. 循环miR-320b通过MAP3K1促进系统性红斑狼疮CD4+T细胞增殖。
IF 4.1 3区 医学 Q2 IMMUNOLOGY Pub Date : 2023-10-26 eCollection Date: 2023-01-01 DOI: 10.1155/2023/6696967
Zutong Li, Rou Wang, Dandan Wang, Shujie Zhang, Hua Song, Shuai Ding, Yantong Zhu, Xin Wen, Hui Li, Hongwei Chen, Shanshan Liu, Lingyun Sun

Systemic lupus erythematosus (SLE) is a chronic autoimmune disease characterized by the production of autoantibodies and tissue inflammation. Mesenchymal stem cells (MSCs) have emerged as a promising candidate therapy for SLE owing to the immunomodulatory and regenerative properties. Circulating miRNAs are small, single-stranded noncoding RNAs in a variety of body fluids that regulate numerous immunologic and inflammatory pathways. Recent studies have revealed many differentially expressed circulating miRNAs in autoimmune diseases including SLE. However, the role of circulating miRNAs in SLE has not been extensively studied. Here, we performed small RNA sequencing analysis to compare the circulating miRNA profiles of SLE patients before and after MSC transplantation (MSCT), and identified a significant decrease of circulating miR-320b level during MSCT. Importantly, we found that the expression of circulating miR-320b and its target gene MAP3K1 was closely associated with SLE disease activity. The in vitro experiments showed that decreased MAP3K1 level in SLE peripheral blood mononuclear cells (PBMCs) was involved in CD4+ T-cell proliferation. In MRL/lpr mice, miR-320b overexpression aggravated symptoms of SLE, while miR-320b inhibition could promote disease remission. Besides, MSCs regulate miR-320b/MAP3K1 expression both in vitro and in vivo. Our results suggested that circulating miR-320b and MAP3K1 may be involved in CD4+ T-cell proliferation in SLE. This trial is registered with NCT01741857.

系统性红斑狼疮(SLE)是一种慢性自身免疫性疾病,其特征是产生自身抗体和组织炎症。间充质干细胞(MSCs)由于其免疫调节和再生特性,已成为治疗SLE的一种有前途的候选疗法。循环miRNA是一种小的单链非编码RNA,存在于多种体液中,调节多种免疫和炎症途径。最近的研究揭示了包括SLE在内的自身免疫性疾病中许多差异表达的循环miRNA。然而,循环miRNA在SLE中的作用尚未得到广泛研究。在此,我们进行了小RNA测序分析,以比较系统性红斑狼疮患者在MSC移植(MSCT)前后的循环miRNA谱,并发现MSCT期间循环miR-320b水平显著降低。重要的是,我们发现循环miR-320b及其靶基因MAP3K1的表达与SLE疾病活动密切相关。体外实验表明,SLE外周血单个核细胞(PBMC)MAP3K1水平的降低与CD4+T细胞的增殖有关。在MRL/lpr小鼠中,miR-320b的过度表达加重了SLE的症状,而miR-320b的抑制可以促进疾病的缓解。此外,MSCs在体外和体内调节miR-320b/MAP3K1的表达。我们的研究结果表明,循环miR-320b和MAP3K1可能参与SLE患者CD4+T细胞的增殖。该试验在NCT01741857注册。
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引用次数: 0
The Value of IgM Memory B-Cells in the Assessment of Splenic Function in Childhood Cancer Survivors at Risk for Splenic Dysfunction: A DCCSS-LATER Study. IgM记忆B细胞在评估有脾功能异常风险的癌症儿童幸存者脾功能中的价值:DCCSS-LATER研究。
IF 4.1 3区 医学 Q2 IMMUNOLOGY Pub Date : 2023-10-20 eCollection Date: 2023-01-01 DOI: 10.1155/2023/5863995
Bente M Houtman, Iris Walraven, Elke de Grouw, Richard W M van der Maazen, Leontien C M Kremer, Eline van Dulmen-den Broeder, Marry M van den Heuvel-Eibrink, Wim J E Tissing, Dorine Bresters, Helena J H van der Pal, Andrica C H de Vries, Marloes Louwerens, Margriet van der Heiden-van der Loo, Sebastian J C Neggers, Geert O Janssens, Nicole M A Blijlevens, Annechien J A Lambeck, Frank Preijers, Jacqueline J Loonen

Background: Childhood cancer survivors (CCS) who received radiotherapy involving the spleen or total body irradiation (TBI) might be at risk for splenic dysfunction. A comprehensive screening test for examining splenic dysfunction is lacking.

Objective: We investigated whether IgM memory B-cells could be used to assess splenic dysfunction in CCS who received a splenectomy, radiotherapy involving the spleen, or TBI.

Methods: All CCS were enrolled from the DCCSS-LATER cohort. We analyzed differences in IgM memory B-cells and Howell-Jolly bodies (HJB) in CCS who had a splenectomy (n = 9), received radiotherapy involving the spleen (n = 36), or TBI (n = 15). IgM memory B-cells < 9 cells/µL was defined as abnormal.

Results: We observed a higher median number of IgM memory B-cells in CCS who received radiotherapy involving the spleen (31 cells/µL, p=0.06) or TBI (55 cells/µL, p = 0.03) compared to CCS who received splenectomy (20 cells/µL). However, only two CCS had IgM memory B-cells below the lower limit of normal. No difference in IgM memory B-cells was observed between CCS with HJB present and absent (35 cells/µL vs. 44 cells/µL).

Conclusion: Although the number of IgM memory B-cells differed between splenectomized CCS and CCS who received radiotherapy involving the spleen or TBI, only two CCS showed abnormal values. Therefore, this assessment cannot be used to screen for splenic dysfunction.

背景:接受脾放疗或全身放射治疗(TBI)的癌症儿童幸存者(CCS)可能有脾功能障碍的风险。缺乏一种全面的检查脾脏功能障碍的筛查方法。目的:我们研究IgM记忆B细胞是否可用于评估接受脾切除、脾脏放疗或TBI的CCS的脾功能障碍。方法:所有CCS均来自DCCSS-LATER队列。我们分析了接受脾切除(n = 9) ,接受了涉及脾脏的放射治疗(n = 36)或TBI(n = 15) 。IgM记忆B细胞 µL被定义为异常。结果:我们观察到接受脾脏放射治疗的CCS中IgM记忆B细胞的中位数较高(31 细胞/µL,p=0.06)或TBI(55 细胞/µL,p = 0.03),而接受脾切除术的CCS(20 细胞/µL)。然而,只有两个CCS的IgM记忆B细胞低于正常的下限。在存在和不存在HJB的CCS之间没有观察到IgM记忆B细胞的差异(35 细胞/µL vs.44 结论:尽管脾脏切除的CCS和接受脾脏或TBI放射治疗的CCS的IgM记忆B细胞数量不同,但只有两个CCS显示出异常值。因此,这种评估不能用于筛查脾脏功能障碍。
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引用次数: 0
Dupilumab Efficacy in Patients with Type 2 Asthma with and without Elevated Blood Neutrophils. Dupilumab对伴有和不伴有血中性粒细胞升高的2型哮喘患者的疗效。
IF 4.1 3区 医学 Q2 IMMUNOLOGY Pub Date : 2023-10-19 eCollection Date: 2023-01-01 DOI: 10.1155/2023/9943584
Eugene R Bleecker, Reynold A Panettieri, Njira L Lugogo, Jonathan Corren, Nadia Daizadeh, Juby A Jacob-Nara, Yamo Deniz, Paul J Rowe, Angela Khodzhayev, Xavier Soler, Thomas J Ferro, Christopher N Hansen

Introduction: Elevated neutrophil counts in blood, sputum, or lung have been associated with poor clinical outcomes and more severe disease in patients with type 2 asthma. In the phase 3 LIBERTY ASTHMA QUEST (NCT02414854), add-on dupilumab 200 and 300 mg every 2 weeks compared with matched placebo significantly reduced severe asthma exacerbations and improved forced expiratory volume in 1 s (FEV1) in patients with uncontrolled, moderate-to-severe asthma. This post hoc analysis explored the efficacy of dupilumab in patients with type 2 asthma enrolled in QUEST with or without elevated blood neutrophil counts.

Methods: Annualized severe exacerbation rates during the 52-week treatment period and least-squares mean change from baseline in FEV1 over time were evaluated for patients with elevated type 2 biomarkers at baseline (blood eosinophils ≥ 150 cells/µL or fractional exhaled nitric oxide (FeNO) ≥ 20 ppb; and eosinophils ≥ 300 cells/µL or FeNO ≥ 50 ppb) and low (<4,000 cells/µL) or high (≥4,000 cells/µL) neutrophil counts.

Results: Dupilumab significantly reduced annualized severe exacerbation rates compared with placebo during the 52-week treatment period in patients with elevated type 2 biomarkers, irrespective of baseline neutrophil count (P < 0.0001 for all comparisons). Significant improvements in FEV1 versus placebo were observed as early as Week 2 and over the 52-week treatment period, irrespective of baseline neutrophil count (P < 0.001 for all comparisons). Safety findings were similar across all subgroups, regardless of neutrophil counts at baseline.

Conclusions: Dupilumab treatment significantly reduced annualized severe exacerbation rates and improved lung function in patients with uncontrolled, moderate-to-severe, type 2 asthma, irrespective of baseline blood neutrophil count. This trial is registered with NCT02414854.

引言:血液、痰液或肺部中性粒细胞计数升高与2型哮喘患者的不良临床结果和更严重的疾病有关。在第3阶段自由ASTHMA QUEST(NCT02414854)中,添加dupilumab 200和300 与匹配的安慰剂相比,每2周mg显著减少了严重哮喘的恶化,并改善了1 s(FEV1)。这项事后分析探讨了dupilumab在QUEST中登记的2型哮喘患者中的疗效,这些患者的血液中性粒细胞计数升高或不升高。方法:对基线时2型生物标志物升高的患者(血液嗜酸性粒细胞 ≥ 150个细胞/µL或部分呼出一氧化氮(FeNO) ≥ 20 ppb;和嗜酸性粒细胞 ≥ 300个细胞/µL或FeNO ≥ 50 ppb)和低(µL)或高(≥4000个细胞/µL)中性粒细胞计数。结果:在52周的治疗期内,与安慰剂相比,Dupilumab显著降低了2型生物标志物升高的患者的年化严重恶化率,而与基线中性粒细胞计数无关(所有比较均<0.0001)。早在第2周和52周的治疗期间,就观察到FEV1与安慰剂相比有显著改善,而与基线中性粒细胞计数无关(所有比较均<0.001)。所有亚组的安全性结果相似,与基线中性粒细胞计数无关。结论:无论基线血中性粒细胞计数如何,Dupilumab治疗都能显著降低不受控制的中重度2型哮喘患者的年化严重恶化率并改善肺功能。本试验注册号为NCT02414854。
{"title":"Dupilumab Efficacy in Patients with Type 2 Asthma with and without Elevated Blood Neutrophils.","authors":"Eugene R Bleecker,&nbsp;Reynold A Panettieri,&nbsp;Njira L Lugogo,&nbsp;Jonathan Corren,&nbsp;Nadia Daizadeh,&nbsp;Juby A Jacob-Nara,&nbsp;Yamo Deniz,&nbsp;Paul J Rowe,&nbsp;Angela Khodzhayev,&nbsp;Xavier Soler,&nbsp;Thomas J Ferro,&nbsp;Christopher N Hansen","doi":"10.1155/2023/9943584","DOIUrl":"10.1155/2023/9943584","url":null,"abstract":"<p><strong>Introduction: </strong>Elevated neutrophil counts in blood, sputum, or lung have been associated with poor clinical outcomes and more severe disease in patients with type 2 asthma. In the phase 3 LIBERTY ASTHMA QUEST (NCT02414854), add-on dupilumab 200 and 300 mg every 2 weeks compared with matched placebo significantly reduced severe asthma exacerbations and improved forced expiratory volume in 1 s (FEV<sub>1</sub>) in patients with uncontrolled, moderate-to-severe asthma. This <i>post hoc</i> analysis explored the efficacy of dupilumab in patients with type 2 asthma enrolled in QUEST with or without elevated blood neutrophil counts.</p><p><strong>Methods: </strong>Annualized severe exacerbation rates during the 52-week treatment period and least-squares mean change from baseline in FEV<sub>1</sub> over time were evaluated for patients with elevated type 2 biomarkers at baseline (blood eosinophils ≥ 150 cells/<i>µ</i>L or fractional exhaled nitric oxide (FeNO) ≥ 20 ppb; and eosinophils ≥ 300 cells/<i>µ</i>L or FeNO ≥ 50 ppb) and low (<4,000 cells/<i>µ</i>L) or high (≥4,000 cells/<i>µ</i>L) neutrophil counts.</p><p><strong>Results: </strong>Dupilumab significantly reduced annualized severe exacerbation rates compared with placebo during the 52-week treatment period in patients with elevated type 2 biomarkers, irrespective of baseline neutrophil count (<i>P</i> < 0.0001 for all comparisons). Significant improvements in FEV<sub>1</sub> versus placebo were observed as early as Week 2 and over the 52-week treatment period, irrespective of baseline neutrophil count (<i>P</i> < 0.001 for all comparisons). Safety findings were similar across all subgroups, regardless of neutrophil counts at baseline.</p><p><strong>Conclusions: </strong>Dupilumab treatment significantly reduced annualized severe exacerbation rates and improved lung function in patients with uncontrolled, moderate-to-severe, type 2 asthma, irrespective of baseline blood neutrophil count. This trial is registered with NCT02414854.</p>","PeriodicalId":15952,"journal":{"name":"Journal of Immunology Research","volume":"2023 ","pages":"9943584"},"PeriodicalIF":4.1,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10602700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71412527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Irradiation Attenuates Systemic Lupus Erythematosus-Like Morbidity in NZBWF1 Mice: Focusing on CD180-Negative Cells. 辐射减轻NZBWF1小鼠系统性红斑狼疮样发病率:聚焦CD180阴性细胞。
IF 4.1 3区 医学 Q2 IMMUNOLOGY Pub Date : 2023-10-18 eCollection Date: 2023-01-01 DOI: 10.1155/2023/9969079
Kazuko Fujita, Taku Kuwabara, Bing Wang, Kaoru Tanaka, Kei Ito, Yuri Akishima-Fukasawa, Tetuo Mikami, Yoshikiyo Akasaka, Toshiharu Ishii

Systemic lupus erythematosus (SLE) is a chronic autoimmune disease characterized by the production of autoantibodies that can induce systemic inflammation. Ultraviolet-A and X-ray irradiation have been reported to have therapeutic effects in patients with SLE. We previously demonstrated that CD180-negative cells, these are radiosensitive, contribute to the development of SLE-like morbidity in NZBWF1 mice. In this study, the effects of irradiation on SLE-like morbidity manifestations in NZBWF1 mice and on CD180-negative cells were investigated. Whole-body irradiation, excluding the head, attenuated SLE-like morbidity in vivo, as indicated by the prevention of the renal lesion development, inhibition of anti-dsDNA antibody production, reduction of urinary protein levels, and prolongation of the lifespan. Irradiation also reduced the proportion of CD180-negative cells in the spleen. Although other immune cells or molecules may be triggered because of the whole-body irradiation treatment, previous research, and the current results suggest a strong relationship between the radiation-induced decrease in CD180-negative cells and the amelioration of SLE-like morbidities. Clinical trials assessing CD180-negative cells as a therapeutic target for SLE have been hampered by the lack of validated cell markers; nonetheless, the present findings suggest that radiotherapy may be a new therapeutic strategy for managing SLE symptoms.

系统性红斑狼疮(SLE)是一种慢性自身免疫性疾病,其特征是产生可诱导全身炎症的自身抗体。据报道,紫外线-A和X射线照射对SLE患者有治疗作用。我们先前证明,CD180阴性细胞对辐射敏感,有助于NZBWF1小鼠SLE样发病率的发展。在本研究中,研究了辐射对NZBWF1小鼠SLE样发病表现和CD180阴性细胞的影响。全身照射(不包括头部)减轻了体内SLE样发病率,如预防肾脏病变发展、抑制抗dsDNA抗体产生、降低尿蛋白水平和延长寿命所示。照射还降低了脾脏中CD180阴性细胞的比例。尽管由于全身照射治疗可能会触发其他免疫细胞或分子,但先前的研究和目前的结果表明,辐射诱导的CD180阴性细胞减少与SLE样疾病的改善之间存在密切关系。评估CD180阴性细胞作为SLE治疗靶点的临床试验因缺乏有效的细胞标志物而受到阻碍;尽管如此,目前的研究结果表明,放疗可能是治疗SLE症状的一种新的治疗策略。
{"title":"Irradiation Attenuates Systemic Lupus Erythematosus-Like Morbidity in NZBWF1 Mice: Focusing on CD180-Negative Cells.","authors":"Kazuko Fujita, Taku Kuwabara, Bing Wang, Kaoru Tanaka, Kei Ito, Yuri Akishima-Fukasawa, Tetuo Mikami, Yoshikiyo Akasaka, Toshiharu Ishii","doi":"10.1155/2023/9969079","DOIUrl":"10.1155/2023/9969079","url":null,"abstract":"<p><p>Systemic lupus erythematosus (SLE) is a chronic autoimmune disease characterized by the production of autoantibodies that can induce systemic inflammation. Ultraviolet-A and X-ray irradiation have been reported to have therapeutic effects in patients with SLE. We previously demonstrated that CD180-negative cells, these are radiosensitive, contribute to the development of SLE-like morbidity in NZBWF1 mice. In this study, the effects of irradiation on SLE-like morbidity manifestations in NZBWF1 mice and on CD180-negative cells were investigated. Whole-body irradiation, excluding the head, attenuated SLE-like morbidity <i>in vivo</i>, as indicated by the prevention of the renal lesion development, inhibition of anti-dsDNA antibody production, reduction of urinary protein levels, and prolongation of the lifespan. Irradiation also reduced the proportion of CD180-negative cells in the spleen. Although other immune cells or molecules may be triggered because of the whole-body irradiation treatment, previous research, and the current results suggest a strong relationship between the radiation-induced decrease in CD180-negative cells and the amelioration of SLE-like morbidities. Clinical trials assessing CD180-negative cells as a therapeutic target for SLE have been hampered by the lack of validated cell markers; nonetheless, the present findings suggest that radiotherapy may be a new therapeutic strategy for managing SLE symptoms.</p>","PeriodicalId":15952,"journal":{"name":"Journal of Immunology Research","volume":"2023 ","pages":"9969079"},"PeriodicalIF":4.1,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10599955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54229484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
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Journal of Immunology Research
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