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Differential Production of Midkine and Pleiotrophin by Innate APCs upon Stimulation through Nucleic Acid-Sensing TLRs. 通过核酸感应TLRs刺激天然APC差异产生中间因子和多细胞营养素。
IF 4.1 3区 医学 Q2 Medicine Pub Date : 2023-10-09 eCollection Date: 2023-01-01 DOI: 10.1155/2023/7944102
Elias A Said, Sumaya Al-Dughaishi, Wadha Al-Hatmi, Iman Al-Reesi, Mohammed S Al-Balushi, Atika Al-Bimani, Juma Z Al-Busaidi, Marwa Al-Riyami, Murtadha Al-Khabori, Salam Al-Kindi, Francesco A Procopio, Shadia Al-Sinawi, Aliyaa Al-Ansari, Crystal Y Koh, Khalid Al-Naamani, Ali A Al-Jabri

Midkine (MK) and pleiotrophin (PTN) belong to the same family of cytokines. They have similar sequences and functions. Both have important roles in cellular proliferation, tumors, and diseases. They regulate and are expressed by some immune cells. We have recently demonstrated MK production by some human innate antigen-presenting cells (iAPCs), i.e., monocyte-derived dendritic cells (MDDCs) and macrophages stimulated through Toll-like receptor (TLR)-4, and plasmacytoid dendritic cells (pDCs) stimulated through TLR 7. While PTN production was only documented in tissue macrophages. TLRs 3, 7, 8, and 9 are nucleic acid sensing (NAS) TLRs that detect nucleic acids from cell damage and infection and induce iAPC responses. We investigated whether NAS TLRs can induce MK and PTN production by human iAPCs, namely monocytes, macrophages, MDDCs, myeloid dendritic cells (mDCs), and pDCs. Our results demonstrated for the first time that PTN is produced by all iAPCs upon TLR triggering (p < 0.01). IAPCs produced more PTN than MK (p < 0.01). NAS TLRs and iAPCs had differential abilities to induce the production of MK, which was induced in monocytes and pDCs by all NAS TLRs (p < 0.05) and in MDDCs by TLRs 7/8 (p < 0.05). TLR4 induced a stronger MK production than NAS TLRs (p ≤ 0.05). Monocytes produced higher levels of PTN after differentiation to macrophages and MDDCs (p < 0.05). The production of MK and PTN differs among iAPCs, with a higher production of PTN and a selective induction of MK production by NAS TLR. This highlights the potentially important role of iAPCs in angiogenesis, tumors, infections, and autoimmunity through the differential production of MK and PTN upon TLR triggering.

Midkine(MK)和多效蛋白(PTN)属于同一细胞因子家族。它们具有相似的序列和功能。两者在细胞增殖、肿瘤和疾病中都有重要作用。它们调节某些免疫细胞并由其表达。我们最近已经证明了一些人类先天抗原呈递细胞(iAPC)产生MK,即通过Toll样受体(TLR)-4刺激的单核细胞衍生的树突状细胞(MDDC)和巨噬细胞,以及通过TLR 7刺激的浆细胞样树突状细胞(pDC)。而PTN的产生仅记录在组织巨噬细胞中。TLRs 3、7、8和9是核酸传感(NAS)TLRs,其检测来自细胞损伤和感染的核酸并诱导iAPC反应。我们研究了NAS TLRs是否可以诱导人iAPC(即单核细胞、巨噬细胞、MDDC、髓系树突状细胞(mDC)和pDC)产生MK和PTN。我们的结果首次表明,所有iAPC在TLR触发时都会产生PTN(p<0.01)。IAPC产生的PTN比MK多(p<0.01),NAS TLR和iAPC诱导MK产生的能力不同,所有NAS TLRs在单核细胞和pDCs中诱导(p<0.05),TLRs 7/8在MDDC中诱导(p<0.05)。TLR4诱导的MK产生比NAS TLRs更强(p≤0.05)。单核细胞分化为巨噬细胞和MDDC后产生更高水平的PTN(p<0.01)。不同iAPC的MK和PTN产生不同,具有较高的PTN产量和NAS TLR选择性诱导的MK产量。这突出了iAPC在血管生成、肿瘤、感染和自身免疫中的潜在重要作用,通过TLR触发时MK和PTN的差异产生。
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引用次数: 0
The Role of the IL-33/ST2 Axis in CpG-Induced Macrophage Activation Syndrome. IL-33/ST2轴在CpG诱导的巨噬细胞活化综合征中的作用。
IF 4.1 3区 医学 Q2 Medicine Pub Date : 2023-10-05 eCollection Date: 2023-01-01 DOI: 10.1155/2023/2689360
Yuanji Dong, Rongfen Gao, Kailin He, Jixin Zhong, Lingli Dong

Background: Macrophage activation syndrome (MAS) is a fatal inflammatory condition, which is often associated with the elevation of multiple proinflammatory cytokines and multiple organ dysfunction. Previous studies have shown that ST2 contributes to T cell overactivation and plays a detrimental role in mouse models of primary hemophagocytic lymphohistiocytosis. The purpose of this study was to investigate the role of the IL-33/ST2 axis in a mouse model of MAS induced by repeated injections of cytosine-phosphate-guanine (CpG).

Methods: Serum cytokines were determined using the cytometric bead array by flow cytometry. IL-33 and ST2 were detected by immunohistochemistry and real-time quantitative PCR in the liver and spleen of mice. CD3 and F4/80 in the liver were detected by immunohistochemistry. Inflammatory macrophages and effector memory T lymphocytes were detected by flow cytometry.

Result: The CpG-induced MAS model was successfully induced after repeated CpG injections, presenting with hypercytokinemia and hepatosplenomegaly. The numbers of IL-33 positive cells in the liver and spleen decreased significantly, while the expression of ST2 in the liver tended to increase in the mice with MAS. IL-33 and St2 knockout mice showed similar levels of hepatosplenomegaly, peripheral blood count, and cytokine storm when compared with wild-type (WT) mice after induction of MAS. There were also no significant differences in liver pathology (including inflammatory cell infiltration of CD3 and F4/80) and levels of splenic inflammatory macrophages and effector memory T cells between the WT and knockout mice.

Conclusion: These results suggested that IL-33 decreased in the liver and spleen tissues of MAS mice. Further results suggest that IL-33 and St2 knockout mice have no treatment potential in CpG-induced MAS. Thus, the IL-33/ST2 axis has little effect on the prognosis of CpG-induced MAS.

背景:巨噬细胞活化综合征(MAS)是一种致命的炎症性疾病,通常与多种促炎细胞因子的升高和多器官功能障碍有关。先前的研究表明,ST2会导致T细胞过度活化,并在原发性噬血细胞性淋巴组织细胞增多症的小鼠模型中发挥有害作用。本研究旨在探讨IL-33/ST2轴在重复注射胞嘧啶-磷酸鸟嘌呤(CpG)诱导的MAS小鼠模型中的作用。用免疫组织化学和实时定量PCR方法检测小鼠肝脏和脾脏中IL-33和ST2的表达。免疫组化法检测肝组织中CD3和F4/80的表达。流式细胞术检测炎症巨噬细胞和效应记忆T淋巴细胞。结果:重复注射CpG后,成功诱导了CpG诱导的MAS模型,表现为高细胞动力学和肝脾肿大。MAS小鼠肝脏和脾脏中IL-33阳性细胞的数量显著减少,而肝脏中ST2的表达趋于增加。在诱导MAS后,与野生型(WT)小鼠相比,IL-33和St2敲除小鼠表现出相似水平的肝脾肿大、外周血计数和细胞因子风暴。WT和敲除小鼠的肝脏病理学(包括CD3和F4/80的炎症细胞浸润)以及脾脏炎症巨噬细胞和效应记忆T细胞的水平也没有显著差异。结论:这些结果表明,在MAS小鼠的肝脏和脾脏组织中,IL-33降低。进一步的结果表明,IL-33和St2敲除小鼠在CpG诱导的MAS中没有治疗潜力。因此,IL-33/ST2轴对CpG诱导的MAS的预后几乎没有影响。
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引用次数: 0
Diagnostic Value of CD25, CD69, and CD134 on Tuberculosis-Specific Antigen-Stimulated CD4+ T Cells for Tuberculous Pleurisy. CD25、CD69和CD134对结核特异性抗原刺激的CD4+T细胞对结核性胸膜炎的诊断价值。
IF 4.1 3区 医学 Q2 Medicine Pub Date : 2023-09-27 eCollection Date: 2023-01-01 DOI: 10.1155/2023/5309816
Hanlu Shi, Liping Yang, Fujie Zhang, Yu Zhou, Yonglie Zhou

Rapid and accurate methods for the diagnosis of tuberculous pleurisy (TP) are urgently needed. Activation markers of tuberculosis (TB)-reactive T cells are considered promising for the diagnosis of active TB (ATB). Different activation indexes may play different roles in the progression of TB, but there are few reports on T cell activation indicators, except for HLA-DR. Hence, we evaluated the expression of early (CD25 and CD69) and late (CD134) activation markers on TB antigen-stimulated CD4+ T cells in populations with different TB infection status and investigated their diagnostic value for ATB, particularly, for TP. Moreover, we compared the differences in the diagnostic efficacy among the indexes from peripheral blood (PB) and pleural fluid (PF) for TP. The expression of each activation marker was significantly increased in TB-infected populations (patients with ATB and latent TB infection vs. healthy individuals; patients with TP vs. non-TP) and was significantly higher in the PF than in the PB of patients with TP. The diagnostic performance of the coexpressed activation markers was superior to that of single expression markers in the differential diagnosis of ATB and non-TB, with CD25+CD134+ showing the best diagnostic efficiency (AUC: 0.93, 95% CI, 0.87-0.99; sensitivity: 86.7%, 95% CI, 72.5%-94.5%; and specificity: 94.0%, 95% CI, 82.5%-98.4%). Except for TB-IGRA, the activation indexes were more accurate than conventional laboratory methods for ATB diagnosis. In addition, the expression of CD25+CD134+ in PB and PF was the best values for differential diagnosis of TP and NTP, with AUCs of 0.87 (95% CI, 0.77-0.96) and 0.95 (95% CI, 0.90-1.00), respectively. Our study provides information on the diagnostic value of different activation markers for TB and shows that the expression of CD25+CD134+ on CD4+ T cells in PF can serve as a potential marker for TP diagnosis.

迫切需要快速准确的方法来诊断结核性胸膜炎。结核病(TB)反应性T细胞的激活标记物被认为有希望用于诊断活动性结核病(ATB)。不同的活化指标可能在TB的进展中发挥不同的作用,但除了HLA-DR外,关于T细胞活化指标的报道很少。因此,我们评估了不同结核病感染状态人群中结核病抗原刺激的CD4+T细胞上早期(CD25和CD69)和晚期(CD134)激活标记物的表达,并研究了它们对ATB,特别是TP的诊断价值。此外,我们还比较了外周血(PB)和胸膜液(PF)指标对TP的诊断效果差异。每种激活标志物的表达在结核病感染人群中显著增加(ATB和潜伏性结核病感染患者与健康人相比;TP患者与非TP患者相比),并且在PF中显著高于TP患者的PB。在ATB和非TB的鉴别诊断中,共表达激活标记物的诊断性能优于单表达标记物,CD25+CD134+显示出最佳的诊断效率(AUC:0.93,95%CI,0.87-0.99;敏感性:86.7%,95%CI;72.5%-94.5%;特异性:94.0%,95%CI:82.5%-98.4%),活化指标对ATB的诊断比传统的实验室方法更准确。此外,PB和PF中CD25+CD134+的表达是TP和NTP鉴别诊断的最佳值,AUCs分别为0.87(95%CI,0.77-0.96)和0.95(95%CI:0.90-1.00)。我们的研究提供了不同激活标志物对结核病诊断价值的信息,并表明PF中CD4+T细胞上CD25+CD134+的表达可以作为TP诊断的潜在标志物。
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引用次数: 0
Alterations in the "Gut-Liver Axis" on Rats with Immunological Hepatic Fibrosis. 免疫性肝纤维化大鼠“肠肝轴”的改变。
IF 4.1 3区 医学 Q2 Medicine Pub Date : 2023-09-21 eCollection Date: 2023-01-01 DOI: 10.1155/2023/5577850
Zhaoyao Qi, Xinxin Qi, Yuanhui Xu, Hongguang Sun, Dengfeng Li, Jincun Liu, Meili Cong, Tao Liu

There remains a lack of standard models that have all the characteristics of human diseases. Especially in immunological hepatic fibrosis, the bovine serum albumin (BSA)-induced liver fibrosis models have the same developmental mechanisms as human liver fibrosis models, but have received little attention. We standardized a BSA-induced liver fibrosis model in rats and thoroughly assessed its pathological characteristics. We also used 16S sequencing to assess homeostasis of the intestinal microflora of rats with BSA-induced liver fibrosis and detected various differential metabolites in the serum of these rats using ultrahigh-performance liquid chromatography-tandem mass spectrometry (UHPLC-MS/MS). We observed stable and unambiguous histological changes in liver tissue morphology and remarkably high concentrations of inflammatory markers in the serum of BSA-induced liver fibrosis rats. In keeping with the fact that BSA induction can cause gut microbiota disorders in rats. UHPLC-MS/MS analysis of rat serum samples in positive-ion mode and negative-ion mode revealed 17 and 25 differential metabolites, respectively. Network analysis revealed that phenylalanine or tyrosine metabolites (e.g., PAGln) were the predominant metabolites in the sera of BSA-induced liver fibrosis rats. Taken together, our results suggest that disorders of amino acid metabolism caused by the gut microbiota may play an important role in the progression of immunological hepatic fibrosis.

仍然缺乏具有人类疾病所有特征的标准模型。特别是在免疫性肝纤维化中,牛血清白蛋白(BSA)诱导的肝纤维化模型与人肝纤维化模型具有相同的发展机制,但很少受到关注。我们标准化了BSA诱导的大鼠肝纤维化模型,并彻底评估了其病理特征。我们还使用16S测序来评估BSA诱导的肝纤维化大鼠肠道菌群的稳态,并使用超高效液相色谱-串联质谱法(UHPLC-MS/MS)检测这些大鼠血清中的各种不同代谢产物。我们在BSA诱导的肝纤维化大鼠血清中观察到肝组织形态的稳定和明确的组织学变化以及显著高浓度的炎症标志物。与BSA诱导可导致大鼠肠道微生物群紊乱的事实一致。在正离子模式和负离子模式下对大鼠血清样品的UHPLC-MS/MS分析分别揭示了17种和25种不同的代谢物。网络分析显示,苯丙氨酸或酪氨酸代谢产物(如PAGln)是BSA诱导的肝纤维化大鼠血清中的主要代谢产物。总之,我们的研究结果表明,肠道微生物群引起的氨基酸代谢紊乱可能在免疫性肝纤维化的进展中发挥重要作用。
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引用次数: 0
sNASP Mutation Aggravates to the TLR4-Mediated Inflammation in SLE by TAK1 Pathway. sNASP突变通过TAK1途径加重TLR4介导的SLE炎症。
IF 4.1 3区 医学 Q2 Medicine Pub Date : 2023-09-20 eCollection Date: 2023-01-01 DOI: 10.1155/2023/4877700
Yatao Bao, Meng Lian, Yong Chen, Xiaotian Gu, Kunyu Cao, Xiaoping Du, Jiyu Ju

Genetic factors play an important role in the pathogenesis of systemic lupus erythematosus (SLE), and abnormal Toll-like receptor (TLR) signaling pathways are closely related to the onset of SLE. In previous studies, we found that the mutant somatic nuclear autoantigenic sperm protein (sNASP) gene in the mouse lupus susceptibility locus Sle2 can promote the development of lupus model mice, but the mechanism is still unclear. Here, we stimulated mouse peritoneal macrophages with different concentrations of lipopolysaccharide. The results showed that sNASP gene mutations can promote the response of the TLR4-TAK1 signaling pathway but have no significant effect on the TLR4-TBK1 signaling pathway. sNASP mutations enhanced TLR4-mediated nuclear factor-κ-gene binding and mitogen-activated protein kinase activation and IL-6, tumor necrosis factor secretion in murine peritoneal macrophages. Collectively, our study revealed the impact of sNASP gene mutation on the sensitivity of TLR4 receptors in mouse peritoneal macrophages and shed light on potential mechanisms underlying inflammation in autoimmune diseases.

遗传因素在系统性红斑狼疮(SLE)的发病机制中起着重要作用,Toll样受体(TLR)信号通路异常与SLE的发病密切相关。在先前的研究中,我们发现小鼠狼疮易感基因座Sle2中的突变体细胞核自身抗原精子蛋白(sNASP)基因可以促进狼疮模型小鼠的发育,但其机制尚不清楚。在这里,我们用不同浓度的脂多糖刺激小鼠腹腔巨噬细胞。结果表明,sNASP基因突变可以促进TLR4-TAK1信号通路的反应,但对TLR4-TBK1信号通路没有显著影响。sNASP突变增强了小鼠腹腔巨噬细胞中TLR4介导的核因子-κ-基因结合和丝裂原活化蛋白激酶活化以及IL-6、肿瘤坏死因子的分泌。总之,我们的研究揭示了sNASP基因突变对小鼠腹腔巨噬细胞TLR4受体敏感性的影响,并揭示了自身免疫性疾病炎症的潜在机制。
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引用次数: 0
Super Enhancer Regulatory Gene FYB1 Promotes the Progression of T Cell Acute Lymphoblastic Leukemia by Activating IGLL1. 超级增强子调控基因FYB1通过激活IGLL1促进T细胞急性淋巴细胞白血病的进展。
IF 4.1 3区 医学 Q2 Medicine Pub Date : 2023-09-19 eCollection Date: 2023-01-01 DOI: 10.1155/2023/3804605
Kunlong Zhang, Jun Lu, Fang Fang, Yongping Zhang, Juanjuan Yu, Yanfang Tao, Wenyuan Liu, Lihui Lu, Zimu Zhang, Xinran Chu, Jianwei Wang, Xiaolu Li, Yuanyuan Tian, Zhiheng Li, Qian Li, Xu Sang, Li Ma, Ningling Wang, Jian Pan, Shaoyan Hu

Background: Arising from T progenitor cells, T-cell acute lymphoblastic leukemia (T-ALL) is an aggressive hematologic malignant tumor, accounting for 15% of childhood ALL and 25% of adult ALL. Composing of putative enhancers in close genomic proximity, super enhancer (SE) is critical for cell identity and the pathogenesis of multiple cancers. Belonging to the cytosolute linker protein group, FYB1 is essential for TCR signaling and extensively studied in terms of tumor pathogenesis and metastasis. Dissecting the role of FYN binding protein 1 (FYB1) in T-ALL holds the potential to improve the treatment outcome and prognosis of T-ALL.

Methods: In this study, SEs were explored using public H3K27ac ChIP-seq data derived from T-ALL cell lines, AML cell lines and hematopoietic stem and progenitor cells (HSPCs). Downstream target of FYB1 gene was identified by RNA-seq. Effects of shRNA-mediated downregulation of FYB1 and immunoglobulin lambda-like polypeptide 1 (IGLL1) on self-renewal of T-ALL cells were evaluated in vitro and/or in vivo.

Results: As an SE-driven gene, overexpression of FYB1 was observed in T-ALL, according to the Cancer Cell Line Encyclopedia database. In vitro, knocking down FYB1 led to comprised growth and enhanced apoptosis of T-ALL cells. In vivo, downregulation of FYB1 significantly decreased the disease burden by suppressing tumor growth and improved survival rate. Knocking down FYB1 resulted in significantly decreased expression of IGLL1 that was also an SE-driven gene in T-ALL. As a downstream target of FYB1, IGLL1 exerted similar role as FYB1 in inhibiting growth of T-ALL cells.

Conclusion: Our results suggested that FYB1 gene played important role in regulating self-renewal of T-ALL cells by activating IGLL1, representing a promising therapeutic target for T-ALL patients.

背景:T细胞急性淋巴细胞白血病(T-ALL)起源于T祖细胞,是一种侵袭性血液系统恶性肿瘤,占儿童ALL的15%,成人ALL的25%。超级增强子(SE)由基因组附近的假定增强子组成,对细胞身份和多种癌症的发病机制至关重要。FYB1属于细胞溶质连接蛋白组,对TCR信号传导至关重要,并在肿瘤发病机制和转移方面得到了广泛研究。分析FYN结合蛋白1(FYB1)在T-ALL中的作用有可能改善T-ALL的治疗结果和预后。方法:在本研究中,使用来自T-ALL细胞系、AML细胞系以及造血干细胞和祖细胞(HSPCs)的公开H3K27ac-ChIP-seq数据来探索SE。通过RNA-seq鉴定了FYB1基因的下游靶点。在体外和/或体内评估shRNA介导的下调FYB1和免疫球蛋白λ样多肽1(IGLL1)对T-ALL细胞自我更新的影响。结果:根据癌症细胞系百科全书数据库,作为一种SE驱动基因,在T-ALL中观察到FYB1的过度表达。在体外,敲低FYB1导致T-ALL细胞的包容性生长和凋亡增强。在体内,下调FYB1通过抑制肿瘤生长和提高生存率显著降低了疾病负担。敲除FYB1导致IGLL1的表达显著降低,IGLL1也是T-ALL中SE驱动的基因。作为FYB1的下游靶标,IGLL1在抑制T-ALL细胞生长方面发挥了与FYB1相似的作用。结论:我们的研究结果表明,FYB1基因通过激活IGLL1在调节T-ALL细胞的自我更新中发挥着重要作用,是T-ALL患者有希望的治疗靶点。
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引用次数: 0
Dupilumab's Impact on Blood Parameters in Nasal Polyposis: 18-Month Follow-Up in Real Life. Dupilumab对鼻息肉病血液参数的影响:现实生活中18个月的随访。
IF 4.1 3区 医学 Q2 Medicine Pub Date : 2023-09-15 eCollection Date: 2023-01-01 DOI: 10.1155/2023/4027701
Antonella Loperfido, Andrea Ciofalo, Carlo Cavaliere, Elona Begvarfaj, Francesca Cascone, Giacomo Alfonzo, Rosalba Cadeddu, Stefano Millarelli, Gianluca Bellocchi, Antonio Greco, Marco de Vincentiis, Simonetta Masieri

Background: Dupilumab represents the first approved biological for severe uncontrolled chronic rhinosinusitis with nasal polyps (CRSwNP).

Objective: Aim of this paper is to provide a multicentric real-life study about treatment with dupilumab for CRSwNP with a special focus on blood parameters and IgE, IgG, and IgA.

Method: A retrospective data collection was jointly conducted at the Otolaryngology departments of San Camillo Forlanini Hospital and University of Rome "La Sapienza" from December 2020 to January 2023.

Results: A total of 130 patients were included in the study. Monitoring our patients for 18 months, we observed a reduction in nasal polyposis and an improvement in symptoms and their impact on quality of life. Regarding blood tests, a transient increase in blood eosinophils was found in most cases. Total IgE showed a gradual decrease in values. IgG and IgA also showed a slight reduction of values, while remaining within normal ranges.

Conclusion: To the best of our knowledge, this is the first study to evaluate the impact of dupilumab on several blood parameters in patients receiving treatment for CRswNP. Further studies are needed to confirm our results and to understand the underlying immunological mechanisms.

背景:Dupilumab是首个被批准用于治疗严重非控制性慢性鼻窦炎伴鼻息肉(CRSwNP)的生物制剂。目的:本文的目的是提供一项关于杜匹单抗治疗CRSwNP的多中心真实研究,特别关注血液参数和IgE、IgG和IgA。方法:从2020年12月到2023年1月,在圣卡米洛-福拉尼尼医院和罗马大学“La Sapienza”的耳鼻咽喉科联合进行回顾性数据收集。结果:共有130名患者纳入研究。对我们的患者进行了18个月的监测,我们观察到鼻息肉病的减少、症状的改善及其对生活质量的影响。关于血液检查,在大多数情况下发现血液嗜酸性粒细胞短暂增加。总IgE值逐渐降低。IgG和IgA的值也略有下降,同时保持在正常范围内。结论:据我们所知,这是第一项评估杜匹单抗对接受CRswNP治疗的患者的几个血液参数影响的研究。需要进一步的研究来证实我们的结果并了解潜在的免疫机制。
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引用次数: 1
Physiological Changes in the Levels of Anti-Cytokine Autoantibodies in Early Pregnancy Are Missing in Pregnant Women with Hashimoto's Thyroiditis. 桥本甲状腺炎孕妇妊娠早期抗细胞因子自身抗体水平的生理变化缺失
IF 4.1 3区 医学 Q2 Medicine Pub Date : 2023-08-25 eCollection Date: 2023-01-01 DOI: 10.1155/2023/5221658
Szabina Erdő-Bonyár, Diána Simon, Anna Bajnok, Jasper Nörenberg, Tímea Serény-Litvai, Ákos Várnagy, Kálmán Kovács, Eszter Hantosi, Emese Mezősi, Tímea Berki

T helper type 1 (Th1) and inflammatory cytokines play essential roles in early pregnancy and also in the pathogenesis of Hashimoto's thyroiditis (HT). Changes in the serum level of autoantibodies to cytokines, which may be able to modulate their availability and actions have been described in several autoimmune disorders. Yet, no data are available on anti-cytokine autoantibodies either during early pregnancy or in patients with HT. The aim of the study was to measure autoantibodies to inflammatory-, Th1- and Th22-cytokines in serum samples in healthy pregnancy (HP) and in pregnant women with HT (HTP). As pathological autoantibodies are hallmarks of HT, in addition we also measured anti-B-cell activator factor (BAFF) autoantibodies. The measurement was carried out with a Luminex multiplex assay and the Luminex MAGPIX Instrument, age-matched healthy women (HC) and women with HT (HT) were used as controls. In the first trimester of HP, anti-TNFα, anti-IL-8, and anti-IFNγ autoantibodies were significantly decreased, while autoantibodies to BAFF were significantly elevated compared to the HC. However, these alterations were not present in the HTP. Moreover, the levels of autoantibodies to IL-22 and TNFα were significantly increased in HTP compared to the HP. All differences in the levels of the investigated autoantibodies could be detected in the first trimester of pregnancies except for anti-IL-22 autoantibodies. According to our results we can conclude that alterations in the levels of autoantibodies to inflammatory and Th1 cytokines are physiological in the first trimester of pregnancy and their disturbance can be associated with autoimmune conditions such as HT.

辅助T型1 (Th1)和炎性细胞因子在妊娠早期和桥本甲状腺炎(HT)发病中起重要作用。血清中细胞因子自身抗体水平的变化,可能能够调节其有效性和作用,已在几种自身免疫性疾病中得到描述。然而,在妊娠早期或HT患者中,没有抗细胞因子自身抗体的数据。本研究的目的是测量健康妊娠(HP)和HT孕妇(HTP)血清样本中针对炎症、Th1和th22细胞因子的自身抗体。由于病理性自身抗体是HT的标志,此外,我们还测量了抗b细胞激活因子(BAFF)自身抗体。采用Luminex多重检测法和Luminex MAGPIX仪器进行测量,以年龄匹配的健康女性(HC)和HT女性(HT)为对照。在HP早期,抗tnf α、抗il -8和抗ifn γ自身抗体显著降低,而抗BAFF自身抗体显著升高。然而,这些改变并没有出现在http中。此外,与HP相比,HTP中IL-22和tnf - α的自身抗体水平显著升高。除抗il -22自身抗体外,所有被调查自身抗体水平的差异均可在妊娠前三个月检测到。根据我们的研究结果,我们可以得出结论,炎症和Th1细胞因子自身抗体水平的改变在怀孕的前三个月是生理性的,它们的紊乱可能与自身免疫性疾病(如HT)有关。
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引用次数: 0
The Important Role of Interleukin-2 in COVID-19. 白细胞介素-2在新冠肺炎中的重要作用。
IF 4.1 3区 医学 Q2 Medicine Pub Date : 2023-08-22 eCollection Date: 2023-01-01 DOI: 10.1155/2023/7097329
Leila Ghanbari Naeini, Laleh Abbasi, Farzaneh Karimi, Pajman Kokabian, Fahimeh Abdi Abyaneh, Delaram Naderi

There is controversial literature about the effects of the interleukin-2 (IL-2) cytokine family in COVID-19 pathogenesis and immunity. So we aimed to identify the potential in the role of the IL-2 family in COVID-19. A narrative review search was done through online databases, including PubMed, Scopus, and Web of Science. The search deadline was up to December 2022. We applied no time limits for the searching strategy. After retrieving articles from the databases, the authors summarized the data into two data extraction tables. The first data extraction table described the changes in the IL-2 cytokine family in COVID-19 and the second table described the therapeutic interventions targeting IL-2 family cytokines. The results of the literature on the role of the IL-2 cytokine family do not show a singular rule. IL-2 cytokine family can change during severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Some studies suggest that IL-2 cytokine family rise during the infection and cause severe inflammatory response and cytokine storm. These cytokines are shown to be increased in immunocompromised patients and worsen their prognosis. In individuals without underlying disease, the upregulation of the IL-2 family shows the clinical outcome of the disease and rises with disease severity. However, some other studies show that these cytokines do not significantly change. IL-2 cytokine family is mostly upregulated in healthy individuals who had vaccination, but immunocompromised patients did not show significant changes after a single dose of vaccines, which shows that these patients need booster doses for efficient immunity. IL-2 cytokine family can also be used as immunotherapy agents in COVID-19.

关于白细胞介素-2(IL-2)细胞因子家族在新冠肺炎发病机制和免疫中的作用,有争议的文献。因此,我们旨在确定IL-2家族在新冠肺炎中的潜在作用。通过PubMed、Scopus和Web of Science等在线数据库进行叙述性综述搜索。搜索截止日期为2022年12月。我们对搜索策略没有时间限制。从数据库中检索文章后,作者将数据汇总为两个数据提取表。第一个数据提取表描述了新冠肺炎中IL-2细胞因子家族的变化,第二个表描述了针对IL-2家族细胞因子的治疗干预。关于IL-2细胞因子家族作用的文献结果没有显示出单一的规则。IL-2细胞因子家族在严重急性呼吸综合征冠状病毒2型感染期间可能发生变化。一些研究表明,IL-2细胞因子家族在感染期间升高,并引起严重的炎症反应和细胞因子风暴。这些细胞因子在免疫功能受损的患者中增加,并恶化他们的预后。在没有潜在疾病的个体中,IL-2家族的上调显示了疾病的临床结果,并随着疾病的严重程度而升高。然而,其他一些研究表明,这些细胞因子没有显著变化。IL-2细胞因子家族在接种疫苗的健康个体中大多上调,但免疫功能低下的患者在单剂疫苗接种后没有表现出显著变化,这表明这些患者需要加强剂量才能获得有效免疫。IL-2细胞因子家族也可作为新冠肺炎的免疫疗法药物。
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引用次数: 0
Periventricular Microglia Polarization and Morphological Changes Accompany NLRP3 Inflammasome-Mediated Neuroinflammation after Hypoxic-Ischemic White Matter Damage in Premature Rats. 早产大鼠缺氧缺血性白质损伤后脑室周围小胶质细胞极化和形态变化伴随着 NLRP3 炎症体介导的神经炎症
IF 4.1 3区 医学 Q2 Medicine Pub Date : 2023-08-19 eCollection Date: 2023-01-01 DOI: 10.1155/2023/5149306
Liu Yang, Yajun Zhang, Xuefei Yu, Danni Li, Na Liu, Xindong Xue, Jianhua Fu

White matter damage (WMD) is a primary cause of cerebral palsy and cognitive impairment in preterm infants, and no effective treatments are available. Microglia are a major component of the innate immune system. When activated, they form typical pro-inflammatory (M1) and anti-inflammatory (M2) phenotypes and regulate myelin development and synapse formation. Therefore, they may play a pivotal role in hypoxic-ischemic (HI) WMD. Herein, we investigated neural inflammation and long-term microglia phenotypic polarization in a neonatal rat model of hypoxia-ischemia-induced WMD and elucidated the underlying pathophysiological processes. We exposed 3-day-old (P3) Sprague-Dawley rats to hypoxia (8% oxygen) for 2.5 hr after unilateral common carotid artery ligation. The activation of NLRP3 inflammatory bodies, microglia M1/M2 polarization, myelination, and synaptic development in our model were monitored 7, 14, and 21 days after birth. In addition, the Morris water maze test was performed on postnatal Day 28. We confirmed myelination disturbance in the periventricular white matter, abnormal synaptic development, and behavioral changes in the periventricular area during the development of HI WMD. In addition, we found an association between the occurrence and development of HI WMD and activation of the NLRP3 inflammasome, microglial M1/M2 polarization, and the release of inflammatory factors. NLRP3 inhibition can play an anti-inflammatory role by inhibiting the differentiation of microglia into the M1 phenotype, thereby improving myelination and synapse formation. In conclusion, microglia are key mediators of the inflammatory response and exhibit continuous phenotypic polarization 7-21 days after HI-induced WMD. This finding can potentially lead to a new treatment regimen targeting the phenotypic polarization of microglia early after HI-induced brain injury.

白质损伤(WMD)是早产儿脑瘫和认知障碍的主要原因,目前尚无有效的治疗方法。小胶质细胞是先天性免疫系统的主要组成部分。当被激活时,它们会形成典型的促炎(M1)和抗炎(M2)表型,并调节髓鞘发育和突触形成。因此,它们可能在缺氧缺血性(HI)WMD 中发挥关键作用。在此,我们研究了缺氧缺血诱导的WMD新生大鼠模型中的神经炎症和长期小胶质细胞表型极化,并阐明了其潜在的病理生理过程。我们将出生 3 天(P3)的 Sprague-Dawley 大鼠置于单侧颈总动脉结扎后的缺氧(8% 氧气)环境中 2.5 小时。在大鼠出生后 7、14 和 21 天,对其 NLRP3 炎性体的激活、小胶质细胞 M1/M2 极化、髓鞘化和突触发育情况进行了监测。此外,还在出生后第28天进行了莫里斯水迷宫试验。我们证实,在 HI WMD 的发育过程中,脑室周围白质的髓鞘化紊乱、突触发育异常以及脑室周围区域的行为发生了变化。此外,我们还发现 HI WMD 的发生和发展与 NLRP3 炎性体的激活、小胶质细胞 M1/M2 极化和炎性因子的释放有关。抑制 NLRP3 可抑制小胶质细胞向 M1 表型分化,从而改善髓鞘形成和突触形成,从而起到抗炎作用。总之,小胶质细胞是炎症反应的关键介质,在 HI 诱导大规模毁灭性脑损伤后 7-21 天表现出持续的表型极化。这一发现有可能导致针对 HI 诱导的脑损伤后早期小胶质细胞表型极化的新治疗方案。
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引用次数: 0
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Journal of Immunology Research
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