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Investigation into changes in inflammatory and immune cell markers in pre-diabetic patients from Durban, South Africa. 调查南非德班糖尿病前期患者炎症和免疫细胞标志物的变化。
IF 3.3 4区 医学 Q3 TOXICOLOGY Pub Date : 2024-12-01 Epub Date: 2023-12-15 DOI: 10.1080/1547691X.2023.2290282
Nomusa Christina Mzimela, Aubrey Mbulelo Sosibo, Phikelelani Siphosethu Ngubane, Andile Khathi

The prevalence of pre-diabetes is increasing in rapidly urbanizing cities, especially in individuals aged 25 - 45 years old. Studies also indicate that this condition is associated with aberrant immune responses that are also influenced by environmental factors. This study sought to investigate changes in the concentration of immune cells and select inflammatory markers in patients with pre-diabetes in Durban, South Africa. Blood samples collected from King Edward Hospital, after obtaining ethics approval, were divided into non-diabetic (ND), pre-diabetic (PD) and type 2 diabetic (T2D) using ADA criteria. In each sample, the concentration of immune cells and select inflammatory markers were determined. The results showed a significant increase in eosinophil and basophil levels in the PD group as compared to the ND group. Compared to ND, the PD and T2D groups had significant increases in serum TNFα, CD40L and fibrinogen concentrations. Additionally, there were decreases in serum CRP, IL-6, and P-selectin in the PD group while these markers increased in the T2D group. These findings were indicative of immune activation and highlight the impact of pre-diabetes in this population. More studies are recommended with a higher number of samples that are stratified by gender and represent the gender ratio in the city.

在快速城市化的城市中,糖尿病前期的发病率越来越高,尤其是在 25-45 岁的人群中。研究还表明,这种情况与异常免疫反应有关,而异常免疫反应也受到环境因素的影响。本研究旨在调查南非德班糖尿病前期患者体内免疫细胞浓度和部分炎症标志物的变化。从爱德华国王医院采集的血液样本在获得伦理批准后,按照 ADA 标准分为非糖尿病(ND)、糖尿病前期(PD)和 2 型糖尿病(T2D)。对每个样本中的免疫细胞浓度和部分炎症标志物进行了测定。结果显示,与 ND 组相比,PD 组的嗜酸性粒细胞和嗜碱性粒细胞水平明显升高。与 ND 组相比,PD 组和 T2D 组的血清 TNFα、CD40L 和纤维蛋白原浓度明显升高。此外,PD 组的血清 CRP、IL-6 和 P-选择素有所下降,而 T2D 组的这些指标则有所上升。这些研究结果表明了免疫激活,并强调了糖尿病前期对这一人群的影响。建议进行更多的研究,并按性别和城市中的性别比例对样本进行分层。
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引用次数: 0
HLA-A02 restricted T-cell cross-reactivity to a microbial antigen. HLA-A02 限制性 T 细胞与微生物抗原的交叉反应。
IF 2.4 4区 医学 Q3 TOXICOLOGY Pub Date : 2024-12-01 Epub Date: 2024-07-27 DOI: 10.1080/1547691X.2024.2373247
Alar Aints, Marina Šunina, Raivo Uibo

Molecular mimicry has been proposed to be a possible mechanism of induction of autoimmunity. In some cases, it is believed that such events could lead to a disease such as Type 1 diabetes (T1D). One of the primary MHC-I epitopes in the non-obese diabetic (NOD) mouse model of T1D has been identified as a peptide from the islet-specific glucose-6-phosphatase catalytic subunit-related protein (IGRP) protein. In humans, the most common MHC-I model allele is HLA-A02; based on this, the study here identified a potential HLA-A0201-restricted human IGRP epitope as YLKTNLFLFL and also found a homologous A0201-restricted peptide in an Enterococcal protein. Using cells obtained from healthy human donors, it was seen that after a 2-week incubation with the synthetic bacterial protein, healthy A0201+ donor CD8+ cells displayed increased staining for human IGRP-peptide-dextramer. On the other hand, in control cultures, no significant levels of dextramer-staining CD8+ T-cells were detectable. From these outcomes, it is possible to conclude that certain bacterial proteins may initiate CD8+ T-cell-mediated immune reaction toward homologous human antigens.

分子模拟被认为是诱导自身免疫的一种可能机制。在某些情况下,人们认为此类事件可能导致 1 型糖尿病(T1D)等疾病。非肥胖糖尿病(NOD)小鼠 T1D 模型中的主要 MHC-I 表位之一已被确定为来自肠道特异性葡萄糖-6-磷酸酶催化亚基相关蛋白(IGRP)的多肽。在人类中,最常见的 MHC-I 模型等位基因是 HLA-A02;在此基础上,本研究确定了潜在的 HLA-A0201 限制性人类 IGRP 表位 YLKTNLFLFL,并在肠球菌蛋白中发现了同源的 A0201 限制性肽。通过使用健康人供体的细胞,可以发现在与合成细菌蛋白培养 2 周后,健康的 A0201+ 供体 CD8+ 细胞对人类 IGRP 肽葡聚糖的染色增加。另一方面,在对照培养物中,没有检测到明显的右旋聚糖染色 CD8+ T 细胞。从这些结果可以得出结论,某些细菌蛋白可能会引发 CD8+ T 细胞介导的对同源人类抗原的免疫反应。
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引用次数: 0
Assessment of dermal sensitization by nickel salts in a novel humanized TLR-4 mouse model. 镍盐在新型人源TLR-4小鼠模型中的皮肤致敏性评估。
IF 2.4 4区 医学 Q3 TOXICOLOGY Pub Date : 2024-12-01 Epub Date: 2024-12-04 DOI: 10.1080/1547691X.2024.2414979
K A Roach, S E Anderson, C Waggy, J Aldinger, A B Stefaniak, J R Roberts

The fundamental goal of this study was to determine the potential utility of a novel humanized Toll-like receptor-4 (hTLR-4) mouse model for future in vivo studies of nickel allergy. First, mice of both sexes and hTLR-4 expression profiles were incorporated into a Local Lymph Node Assay (LLNA) to assess skin sensitization. Next, a set of hTLR-4 hTLR-4-positive mice (female and male groups) was similarly exposed to vehicle control (VC) or 10% NiSO4 on Days 1, 2, and 3. Mice were euthanized on Day 10, lymph node (LN) cellularity was assessed, LN and spleen cells were phenotyped, and serum was collected to quantify circulating cytokine and IgE levels. In the LLNA, hTLR-4-positive mice of both sexes exhibited enhanced responsivity to nickel. NiSO4 (10%) had a stimulation index (SI) of 3.7 (females) and 3.8 (males) in hTLR-4-positive animals, and an SI of 0.5 (females) and 0.8 (males) in hTLR-4 hTLR-4-negative mice. In the 10d study, hTLR-4-positive mice exposed to 10% NiSO4 exhibited increased LN cellularity (6.0× increase in females, 3.2× in males) and significantly higher concentrations of circulating IgE (4.1× increase in females, 3.4× in males). Significant increases in serum interferon (IFN)-γ, interleukin (IL)-4, and IL-5 levels were seen in female mice, while altered concentrations of IL-4 and IL-10 were detected in male mice. The results of this study ultimately demonstrate that murine expression of hTLR-4 confers enhanced susceptibility to dermal sensitization by nickel, and consequently, the hTLR-4 mouse model represents a viable approach for future studies of nickel allergy in vivo.

本研究的基本目的是确定一种新的人源toll样受体-4 (hTLR-4)小鼠模型在未来镍过敏体内研究中的潜在效用。首先,将不同性别和hTLR-4表达谱的小鼠纳入局部淋巴结测定(LLNA)以评估皮肤致敏性。接下来,一组hTLR-4 hTLR-4阳性小鼠(雌性和雄性组)在第1、2和3天同样暴露于载体对照(VC)或10%的NiSO4。第10天对小鼠实施安乐死,评估淋巴结(LN)细胞结构,对LN和脾脏细胞进行表型分析,收集血清定量循环细胞因子和IgE水平。在LLNA中,htlr -4阳性的雌雄小鼠对镍的反应性增强。NiSO4(10%)对hTLR-4阳性小鼠的刺激指数(SI)分别为3.7(雌性)和3.8(雄性),对hTLR-4阴性小鼠的SI分别为0.5(雌性)和0.8(雄性)。在第10天的研究中,htlr -4阳性小鼠暴露于10% NiSO4后,LN细胞数量增加(雌性增加6.0倍,雄性增加3.2倍),循环IgE浓度显著升高(雌性增加4.1倍,雄性增加3.4倍)。雌性小鼠血清中干扰素(IFN)-γ、白细胞介素(IL)-4和IL-5水平显著升高,而雄性小鼠血清中IL-4和IL-10浓度发生改变。本研究的结果最终表明,hTLR-4的小鼠表达增强了对镍皮肤致敏的易感性,因此,hTLR-4小鼠模型为未来体内镍过敏研究提供了一种可行的方法。
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引用次数: 0
Anti-microbial cetylpyridinium chloride suppresses mast cell function by targeting tyrosine phosphorylation of Syk kinase. 抗菌十六烷基吡啶氯通过靶向Syk激酶酪氨酸磷酸化抑制肥大细胞功能。
IF 3.1 4区 医学 Q3 TOXICOLOGY Pub Date : 2024-12-01 Epub Date: 2025-01-15 DOI: 10.1080/1547691X.2024.2443397
Bright Obeng, Lucas J Bennett, Bailey E West, Dylan J Wagner, Patrick J Fleming, Morgan N Tasker, Madeleine K Lorenger, Dorothy R Smith, Tetiana Systuk, Sydni M Plummer, Jeongwon Eom, Marissa D Paine, Collin T Frangos, Michael P Wilczek, Juyoung K Shim, Melissa S Maginnis, Julie A Gosse

Cetylpyridinium chloride (CPC) is a quaternary ammonium antimicrobial used in numerous personal care products, human food, cosmetic products, and cleaning solutions. Yet, there is minimal published data on CPC effects on eukaryotes, immune signaling, and human health. Previously, it was shown that low-micromolar CPC inhibits rat mast cell function by inhibiting antigen (Ag)-stimulated Ca2+ mobilization, microtubule polymerization, and degranulation. In the current study, these findings are extended to human mast cells (LAD2); this paper presents data indicating that a mechanism of action for CPC might center on its positively-charged quaternary nitrogen in its pyridinium headgroup. The inhibitory effect of CPC was independent of signaling platform receptor architecture. Tyrosine phosphorylation events are a trigger of Ca2+ mobilization necessary for degranulation. CPC inhibits global tyrosine phosphorylation in Ag-stimulated mast cells. Specifically, CPC inhibits tyrosine phosphorylation of specific key players Syk kinase and LAT, a substrate of Syk. In contrast, CPC did not affect Lyn kinase phosphorylation. Thus, a root mechanism for CPC effect might be electrostatic disruption of particular tyrosine phosphorylation events essential for signaling. This work presented here outlines biochemical mechanisms underlying the effects of CPC on immune signaling.

十六烷基吡啶氯(CPC)是一种季铵盐抗菌剂,用于许多个人护理产品,人类食品,化妆品和清洁溶液。然而,关于CPC对真核生物、免疫信号和人类健康的影响的公开数据很少。先前的研究表明,低微摩尔CPC通过抑制抗原(Ag)刺激的Ca2+动员、微管聚合和脱颗粒来抑制大鼠肥大细胞功能。在目前的研究中,这些发现扩展到人类肥大细胞(LAD2);本文提供的数据表明,CPC的作用机制可能集中在其吡啶头基中带正电的季氮上。CPC的抑制作用与信号平台受体结构无关。酪氨酸磷酸化事件是脱颗粒所必需的Ca2+动员的触发。在ag刺激的肥大细胞中,CPC抑制全局酪氨酸磷酸化。具体来说,CPC抑制特定关键参与者Syk激酶和Syk底物LAT的酪氨酸磷酸化。相比之下,CPC不影响Lyn激酶磷酸化。因此,CPC效应的根本机制可能是静电破坏特定的酪氨酸磷酸化事件对信号传导至关重要。本文概述了CPC对免疫信号传导影响的生化机制。
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引用次数: 0
Immunogenic properties of nickel-doped maghemite nanoparticles and the implication for cancer immunotherapy. 掺镍磁铁矿纳米粒子的免疫原性及其对癌症免疫疗法的影响。
IF 2.4 4区 医学 Q3 TOXICOLOGY Pub Date : 2024-12-01 Epub Date: 2024-11-01 DOI: 10.1080/1547691X.2024.2416988
Lenka Rajsiglova, Michal Babic, Katerina Krausova, Pavol Lukac, Katerina Kalkusova, Pavla Taborska, Ludek Sojka, Jirina Bartunkova, Dmitry Stakheev, Luca Vannucci, Daniel Smrz

Nanoparticles are commonly used in diagnostics and therapy. They are also increasingly being implemented in cancer immunotherapy because of their ability to deliver drugs and modulate the immune system. However, the effect of nanoparticles on immune cells involved in the anti-tumor immune response is not well understood. The study reported here showed that nickel-doped maghemite nanoparticles (FN NP) are differentially cytotoxic to cultured mouse and human cancer cell lines, causing their death without negatively impacting the subsequent anticancer immune response. It also found that FN NP induced cell death in the mouse colorectal cancer cell line CT26 and human prostate cancer cell line PC-3, but not in the human prostate cancer cell line LNCaP. The induced cancer cell death did not affect the phenotype and responsivity of the isolated mouse peritoneal macrophages, or ex vivo-generated mouse bone marrow-derived, or human monocyte-derived dendritic cells. Additionally, the induced cancer cell death did not prevent the ex vivo-generated mouse or human dendritic cells from stimulating lymphocytes and enriching cell cultures with cancer cell-reactive T-cells. In conclusion, this study shows that FN NP could be a valuable platform for targeting cancer cells without causing immunosuppressive effects on the subsequent anticancer immune response.

纳米粒子通常用于诊断和治疗。由于纳米粒子具有递送药物和调节免疫系统的能力,因此也越来越多地应用于癌症免疫疗法。然而,人们对纳米粒子对参与抗肿瘤免疫反应的免疫细胞的影响还不甚了解。本文报告的研究表明,掺镍的方镁石纳米粒子(FN NP)对培养的小鼠和人类癌细胞系具有不同的细胞毒性,可导致其死亡,但不会对随后的抗癌免疫反应产生负面影响。研究还发现,FN NP 能诱导小鼠结直肠癌细胞系 CT26 和人类前列腺癌细胞系 PC-3 的细胞死亡,但不能诱导人类前列腺癌细胞系 LNCaP 的细胞死亡。诱导的癌细胞死亡不会影响分离的小鼠腹腔巨噬细胞、活体生成的小鼠骨髓树突状细胞或人类单核细胞树突状细胞的表型和反应性。此外,诱导癌细胞死亡并不妨碍活体生成的小鼠或人类树突状细胞刺激淋巴细胞,并使细胞培养物富集癌细胞反应性 T 细胞。总之,这项研究表明,FN NP 可以成为靶向癌细胞的重要平台,同时不会对随后的抗癌免疫反应产生免疫抑制作用。
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引用次数: 0
Binary and quaternary mixtures of perfluoroalkyl substances (PFAS) differentially affect the immune response to influenza A virus infection. 全氟烷基物质(PFAS)的二元和四元混合物会对甲型流感病毒感染的免疫反应产生不同影响。
IF 3.1 4区 医学 Q3 TOXICOLOGY Pub Date : 2024-12-01 Epub Date: 2024-07-01 DOI: 10.1080/1547691X.2024.2340495
Christina M Post, Carrie McDonough, B Paige Lawrence

Per- and polyfluoroalkyl substances (PFAS) are anthropogenic organofluorine compounds that persist indefinitely in the environment and bioaccumulate throughout all trophic levels. Biomonitoring efforts have detected multiple PFAS in the serum of most people. Immune suppression has been among the most consistent effects of exposure to PFAS. PFAS often co-occur as mixtures in the environment, however, few studies have examined immunosuppression of PFAS mixtures or determined whether PFAS exposure affects immune function in the context of infection. In this study, mixtures containing two or four different PFAS and a mouse model of infection with influenza A virus (IAV) were used to assess immunotoxicity of PFAS mixtures. PFAS were administered via the drinking water as either a binary mixture of perfluorooctane sulfonate (PFOS) and perfluorooctanoic acid (PFOA) or quaternary mixture of PFOS, PFOA, perfluorohexane sulfonate (PFHxS), and perfluorononanoic acid (PFNA). The results indicated that the binary mixture affected the T-cell response, while the quaternary mixture affected the B-cell response to infection. These findings indicate that the immunomodulatory effects of PFAS mixtures are not simply additive, and that the sensitivity of immune responses to PFAS varies by cell type and mixture. The study also demonstrates the importance of studying adverse health effects of PFAS mixtures.

全氟烷基和多氟烷基物质(PFAS)是一种人为有机氟化合物,可在环境中无限期存在,并在所有营养级中进行生物累积。生物监测工作已在大多数人的血清中检测到多种 PFAS。免疫抑制是接触全氟辛烷磺酸最常见的影响之一。PFAS 通常以混合物的形式出现在环境中,但很少有研究对 PFAS 混合物的免疫抑制作用进行检测,也很少有研究确定 PFAS 暴露是否会影响感染情况下的免疫功能。本研究利用含有两种或四种不同 PFAS 的混合物和感染甲型流感病毒 (IAV) 的小鼠模型来评估 PFAS 混合物的免疫毒性。PFAS以全氟辛烷磺酸(PFOS)和全氟辛酸(PFOA)的二元混合物或全氟辛烷磺酸、全氟辛酸、全氟己烷磺酸(PFHxS)和全氟壬酸(PFNA)的四元混合物的形式通过饮用水给药。结果表明,二元混合物会影响 T 细胞的反应,而四元混合物则会影响 B 细胞对感染的反应。这些研究结果表明,全氟辛烷磺酸混合物的免疫调节作用并非简单的相加作用,免疫反应对全氟辛烷磺酸的敏感性因细胞类型和混合物而异。这项研究还表明了研究 PFAS 混合物对健康的不利影响的重要性。
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引用次数: 0
Systemic and immunotoxicity induced by topical application of perfluoroheptane sulfonic acid (PFHpS) or perfluorooctane sulfonic acid (PFOS) in a murine model. 在小鼠模型中局部应用全氟庚烷磺酸(PFHpS)或全氟辛烷磺酸(PFOS)引起的全身和免疫毒性。
IF 2.4 4区 医学 Q3 TOXICOLOGY Pub Date : 2024-12-01 Epub Date: 2024-07-27 DOI: 10.1080/1547691X.2024.2371868
Lisa M Weatherly, Hillary L Shane, Laurel G Jackson, Ewa Lukomska, Rachel Baur, Madison P Cooper, Stacey E Anderson

Per- and polyfluoroalkyl substances (PFAS) are a large group of synthetic surfactants of over 12,000 compounds that are incorporated into numerous products for their chemical and physical properties. Studies have associated PFAS with adverse health effects. Although there is a high potential for dermal exposure, these studies are lacking. The present study evaluated the systemic and immunotoxicity of subchronic 28- or 10-days of dermal exposure, respectively, to PFHpS (0.3125-2.5% or 7.82-62.5 mg/kg/dose) or PFOS (0.5% or 12.5 mg/kg/dose) in a murine model. Elevated levels of PFHpS were detected in the serum and urine, suggesting that absorption is occurring through the dermal route. PFHpS induced significantly increased relative liver weight, significantly decreased relative spleen and thymus weight, altered serum chemistries, and altered histopathology. Additionally, PFHpS significantly reduced the humoral immune response and altered immune subsets in the spleen, suggesting immunosuppression. Gene expression changes were observed in the liver, skin, and spleen of genes involved in fatty acid metabolism, necrosis, and inflammation. Immune-cell phenotyping identified significant decreases in B-cells and CD11b+ monocyte and/or macrophages in the spleen along with decreases in eosinophils and dendritic cells in the skin. These findings support PFHpS absorption through the skin leading to liver damage and immune suppression.

全氟烷基和多氟烷基物质(PFAS)是由 12,000 多种化合物组成的一大类合成表面活性剂,因其化学和物理特性而被广泛应用于各种产品中。研究表明,PFAS 会对健康造成不良影响。虽然皮肤接触的可能性很大,但目前还缺乏这方面的研究。本研究评估了小鼠模型亚慢性 28 天或 10 天皮肤接触全氟辛烷磺酸(0.3125-2.5% 或 7.82-62.5 毫克/千克/剂量)或全氟辛烷磺酸(0.5% 或 12.5 毫克/千克/剂量)的全身毒性和免疫毒性。在血清和尿液中检测到的全氟辛烷磺酸水平升高,表明吸收是通过皮肤途径进行的。PFHpS 会导致肝脏相对重量显著增加、脾脏和胸腺相对重量显著减少、血清化学成分改变和组织病理学改变。此外,PFHpS 还明显降低了体液免疫反应,改变了脾脏中的免疫亚群,表明存在免疫抑制。肝脏、皮肤和脾脏中涉及脂肪酸代谢、坏死和炎症的基因表达发生了变化。免疫细胞表型分析发现,脾脏中的 B 细胞和 CD11b+ 单核细胞和/或巨噬细胞显著减少,皮肤中的嗜酸性粒细胞和树突状细胞也有所减少。这些研究结果表明,通过皮肤吸收全氟辛烷磺酸会导致肝损伤和免疫抑制。
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引用次数: 0
Codon optimized influenza H1 HA sequence but not CTLA-4 targeting of HA antigen to enhance the efficacy of DNA vaccines in an animal model. 对 H1 流感 HA 序列进行密码子优化,但不对 HA 抗原的 CTLA-4 靶向进行优化,以提高 DNA 疫苗在动物模型中的疗效。
IF 2.4 4区 医学 Q3 TOXICOLOGY Pub Date : 2024-12-01 Epub Date: 2024-09-25 DOI: 10.1080/1547691X.2024.2400624
Dito Anurogo, Chia-Yuan Chen, Chu-Chi Lin, Jeanne Adiwinata Pawitan, Daniel W Qiu, J Timothy Qiu

Infections caused by the influenza virus lead to both epidemic and pandemic outbreaks in humans and animals. Owing to their rapid production, safety, and stability, DNA vaccines represent a promising avenue for eliciting immunity and thwarting viral infections. While DNA vaccines have demonstrated substantial efficacy in murine models, their effectiveness in larger animals remains subdued. This limitation may be addressed by augmenting the immunogenicity of DNA-based vaccines. In the investigation here, protein expression was enhanced via codon optimization and then mouse cytotoxic T-lymphocyte antigen 4 (CTLA-4) was harnessed as a modulatory adjunct to bind directly to antigen-presenting cells. Further, the study evaluated the immunogenicity of two variants of the hemagglutinin (HA) antigen, i.e. the full-length and the C-terminal deletion versions. The study findings revealed that the codon-optimized HA gene (pcHA) led to increased protein synthesis, as evidenced by elevated mRNA levels. Codon optimization also significantly bolstered both cellular and humoral immune responses. In cytokine assays, all plasmid constructs, particularly pCTLA4-cHA, induced robust interferon (IFN)-γ production, while interleukin (IL)-4 levels remained uniformly non-significant. Mice immunized with pcHA displayed an augmented presence of IFNγ+ T-cells, underscoring the enhanced potency of the codon-optimized HA vaccine. Contrarily, CTLA-4-fused DNA vaccines did not significantly amplify the immune response.

流感病毒引起的感染会导致人类和动物流行病和大流行病的爆发。DNA 疫苗具有生产迅速、安全和稳定的特点,是激发免疫力和阻断病毒感染的一个很有前途的途径。虽然 DNA 疫苗已在小鼠模型中显示出巨大的功效,但其在大型动物中的效果仍然不佳。这一限制可通过增强 DNA 疫苗的免疫原性来解决。在本文的研究中,通过密码子优化增强了蛋白质的表达,然后利用小鼠细胞毒性 T 淋巴细胞抗原 4(CTLA-4)作为调节辅助剂,直接与抗原递呈细胞结合。此外,该研究还评估了血凝素(HA)抗原的两种变体(即全长和 C 端缺失版本)的免疫原性。研究结果表明,经过密码子优化的HA基因(pcHA)可增加蛋白质合成,mRNA水平的升高就是证明。密码子优化还大大增强了细胞和体液免疫反应。在细胞因子检测中,所有质粒构建体,尤其是 pCTLA4-cHA,都能诱导干扰素(IFN)-γ 的产生,而白细胞介素(IL)-4 的水平却始终不显著。用 pcHA 免疫的小鼠显示出更多的 IFNγ+ T 细胞,这突出表明了经过密码子优化的 HA 疫苗具有更强的效力。相反,CTLA-4融合DNA疫苗并没有显著增强免疫反应。
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引用次数: 0
Consideration of the EXiLE test for predicting anaphylaxis after diclofenac etalhyaluronate administration. 流放试验预测双氯芬酸乙透明质酸给药后过敏反应的考虑。
IF 2.4 4区 医学 Q3 TOXICOLOGY Pub Date : 2024-12-01 Epub Date: 2024-11-03 DOI: 10.1080/1547691X.2024.2417758
Haruyo Akiyama, Chisato Kurisaka, Dai Muramatsu, Shuhei Takada, Kei Toyama, Keiji Yoshioka, Ryosuke Nakamura

Diclofenac etalhyaluronate, an active pharmaceutical ingredient in JOYCLU® (JCL), serves as a joint function improvement agent in knee and hip osteoarthritis patients. However, frequent cases of anaphylaxis induced by JCL administration have been reported. Recent clinical research suggests the potential utility of the basophil activation test (BAT) in predicting JCL-induced anaphylaxis. Nonetheless, the BAT is deemed impractical for routine diagnostic testing due to complex procedures involving whole blood stimulation and flow cytometry-based analyses. In the study reported here, an IgE crosslinking-induced luciferase expression (EXiLE) test which uses patient sera without complicated procedures, was performed with patients who had received JCL, with or without subsequent anaphylactic symptoms. The results of this test were then compared with those of the BAT reported in a clinical research study. Of the six BAT-positive JCL-induced anaphylaxis-experienced patients, four were positive in the EXiLE test and all non-experienced patients were negative in both the BAT and EXiLE tests, thus illustrating a high concordance rate of 92.3%. Further validation of testing conditions is expected to improve these rates. Notably, complement inactivation treatment led to a positive EXiLE result in a BAT-negative patient. In conclusion, it appears that the EXiLE test exhibits promise as an alternative to BAT for predicting JCL-induced anaphylaxis, and in so doing offers a simpler diagnostic approach.

双氯芬酸乙透明质酸是JOYCLU®(JCL)中的一种活性药物成分,可作为膝关节和髋关节骨关节炎患者的关节功能改善剂。然而,JCL引起的过敏反应的常见病例已被报道。最近的临床研究表明,嗜碱性粒细胞激活试验(BAT)在预测jcl诱导的过敏反应中的潜在效用。尽管如此,由于涉及全血刺激和基于流式细胞术的分析的复杂程序,BAT被认为是不切实际的常规诊断测试。在这里报道的研究中,IgE交联诱导的荧光素酶表达(EXiLE)测试使用患者血清,没有复杂的程序,对接受过JCL的患者进行了测试,有或没有随后的过敏症状。然后将该测试结果与临床研究中报告的BAT结果进行比较。在6例BAT阳性的jcl诱导的过敏经历患者中,4例在EXiLE试验中呈阳性,所有未经历过BAT和EXiLE试验的患者均为阴性,因此一致性率高达92.3%。测试条件的进一步验证有望提高这些率。值得注意的是,补体失活治疗导致bat阴性患者的流放结果呈阳性。总之,流放试验似乎有望作为预测jcl诱发的过敏反应的替代方法,因此提供了一种更简单的诊断方法。
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引用次数: 0
Per- and polyfluoroalkyl substances alter innate immune function: evidence and data gaps. 全氟和多氟烷基物质改变先天性免疫功能:证据和数据差距。
IF 3.1 4区 医学 Q3 TOXICOLOGY Pub Date : 2024-12-01 Epub Date: 2024-05-07 DOI: 10.1080/1547691X.2024.2343362
Drake W Phelps, Ashley M Connors, Giuliano Ferrero, Jamie C DeWitt, Jeffrey A Yoder

Per- and polyfluoroalkyl substances (PFASs) are a large class of compounds used in a variety of processes and consumer products. Their unique chemical properties make them ubiquitous and persistent environmental contaminants while also making them economically viable and socially convenient. To date, several reviews have been published to synthesize information regarding the immunotoxic effects of PFASs on the adaptive immune system. However, these reviews often do not include data on the impact of these compounds on innate immunity. Here, current literature is reviewed to identify and incorporate data regarding the effects of PFASs on innate immunity in humans, experimental models, and wildlife. Known mechanisms by which PFASs modulate innate immune function are also reviewed, including disruption of cell signaling, metabolism, and tissue-level effects. For PFASs where innate immune data are available, results are equivocal, raising additional questions about common mechanisms or pathways of toxicity, but highlighting that the innate immune system within several species can be perturbed by exposure to PFASs. Recommendations are provided for future research to inform hazard identification, risk assessment, and risk management practices for PFASs to protect the immune systems of exposed organisms as well as environmental health.

全氟烷基和多氟烷基物质(PFASs)是一大类化合物,用于各种工艺和消费品中。其独特的化学特性使其成为无处不在的持久性环境污染物,同时也使其具有经济可行性和社会便利性。迄今为止,已有多篇综述综述了全氟辛烷磺酸对适应性免疫系统的免疫毒性影响。但是,这些综述通常不包括这些化合物对先天免疫系统影响的数据。在此,我们对现有文献进行了回顾,以确定并纳入有关全氟辛烷磺酸对人类、实验模型和野生动物先天性免疫影响的数据。此外,还回顾了 PFASs 调节先天性免疫功能的已知机制,包括对细胞信号传导、新陈代谢和组织水平影响的破坏。对于已有先天性免疫数据的全氟辛烷磺酸,研究结果模棱两可,对毒性的共同机制或途径提出了更多疑问,但也强调了多个物种的先天性免疫系统可能会因暴露于全氟辛烷磺酸而受到干扰。本文为今后的研究提出了建议,以便为全氟辛烷磺酸的危害识别、风险评估和风险管理实践提供信息,从而保护暴露生物的免疫系统和环境健康。
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引用次数: 0
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Journal of Immunotoxicology
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