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Pathological IgE Production in Inborn Errors of Immunity and Beyond 先天性免疫缺陷及其他疾病的病理性IgE产生
IF 7.5 2区 医学 Q1 IMMUNOLOGY Pub Date : 2025-07-15 DOI: 10.1111/imr.70053
Cindy S. Ma, Peter S. Hsu

In this review, we examine different mechanisms for the generation of pathological IgE through the study of inborn errors of immunity (IEI). In particular, we focus on IEIs that are susceptible to atopic disease, such as severe eczema, eosinophilia, and/or food anaphylaxis; this group of approximately 50 genes has been coined primary atopic disorders (PADs). PADs link specific genes and pathways to atopic disease and the production of IgE and can provide insights into more common allergies experienced by the general population.

在这篇综述中,我们通过研究先天性免疫错误(IEI)来研究病理性IgE产生的不同机制。我们特别关注易患特应性疾病的iei,如严重湿疹、嗜酸性粒细胞增多症和/或食物过敏反应;这组大约50个基因被称为原发性特应性疾病(pad)。pad将特定基因和途径与特应性疾病和IgE的产生联系起来,可以为普通人群更常见的过敏提供见解。
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引用次数: 0
Innate Immunity and Tertiary Lymphoid Structures 先天免疫和三级淋巴结构
IF 7.5 2区 医学 Q1 IMMUNOLOGY Pub Date : 2025-07-02 DOI: 10.1111/imr.70052
Ruibo Zhao, Daxing Gao

Tertiary lymphoid structures (TLSs) are ectopic lymphoid tissues that form in response to chronic inflammation, such as in autoimmune diseases or cancer. Their presence has been increasingly recognized as a significant factor in determining patient prognosis and response to cancer treatments. The formation and development of TLSs are intricately linked to inflammatory cytokines and chemokines, which can be induced by the innate immune system. The innate immune system serves as the body's first line of defense against pathogens by producing cytokines and chemokines upon the detection of foreign invaders. The interplay between innate immunity and TLSs is multifaceted and involves various components and mechanisms. Here, we focus on three key aspects. First, the involvement of specific innate immune cell types in TLS dynamics; second, the role of innate immune receptors in TLS formation; lastly, the contributions of innate immune effectors to TLS formation and maintenance. By examining these interconnected aspects, we can gain a comprehensive understanding of how innate immunity regulates the formation and function of TLSs in the context of chronic inflammation and cancer. This knowledge not only enhances our understanding of immune responses but also holds potential for developing novel therapeutic strategies targeting TLSs in various pathological conditions.

三级淋巴样结构(TLSs)是在慢性炎症反应中形成的异位淋巴样组织,如自身免疫性疾病或癌症。它们的存在越来越被认为是决定患者预后和对癌症治疗反应的重要因素。TLSs的形成和发展与炎性细胞因子和趋化因子密切相关,可由先天免疫系统诱导。先天免疫系统是人体抵御病原体的第一道防线,在检测到外来入侵者时产生细胞因子和趋化因子。先天免疫与TLSs之间的相互作用是多方面的,涉及多种成分和机制。在这里,我们关注三个关键方面。首先,特异性先天免疫细胞类型参与TLS动力学;二是先天免疫受体在TLS形成中的作用;最后,探讨了先天免疫效应物在TLS形成和维持中的作用。通过研究这些相互关联的方面,我们可以全面了解先天免疫如何在慢性炎症和癌症的背景下调节TLSs的形成和功能。这些知识不仅增强了我们对免疫反应的理解,而且还具有开发针对各种病理条件下TLSs的新治疗策略的潜力。
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引用次数: 0
The Sunrise of Tertiary Lymphoid Structures in Cancer 癌症中三级淋巴结构的新发现
IF 7.5 2区 医学 Q1 IMMUNOLOGY Pub Date : 2025-07-01 DOI: 10.1111/imr.70046
Juliette Rochefort, Gilles Marodon, Jean-Luc Teillaud, Marie-Caroline Dieu-Nosjean

First considered as a negative epiphenomenon in autoimmune and inflammatory diseases, with possible deleterious consequences through the production of pathological autoantibodies and antiself T cells, tertiary lymphoid structures (TLS) have gained major scientific and clinical interest in cancer due to their association with better clinical outcomes and improved responses to immunotherapy. Studies have investigated the structure and plasticity of TLS in the context of tumors and the role of the TLS B-cell compartment in contributing to the favorable clinical outcome of cancer patients. Identifying biomarkers that indicate the presence of TLS in tumors in a noninvasive manner could therefore represent a major advance in the diagnosis and treatment decision-making for these patients. Also, the interplay between TLS, tumor cells, and microbiota opens new avenues for deciphering the role of microorganisms in cancer development. Their use as TLS inducers further underlines the need for continued research in this field. Moreover, emerging data have emphasized the critical role of sensory and sympathetic nerves in regulating TLS formation and function. Finally, humanized mice may serve as valuable tools for developing preclinical models to study the role of human TLS in cancer, a much-needed goal. These different topics are discussed in the present review.

三级淋巴样结构(TLS)最初被认为是自身免疫性和炎症性疾病中的一种阴性副现象,可能通过产生病理性自身抗体和抗自身T细胞而产生有害后果,由于其与更好的临床结果和免疫治疗反应的改善有关,因此在癌症中获得了重大的科学和临床兴趣。研究已经探讨了肿瘤背景下TLS的结构和可塑性,以及TLS b细胞区室在促进癌症患者良好临床结果中的作用。因此,以无创方式识别肿瘤中存在TLS的生物标志物可能代表着这些患者诊断和治疗决策的重大进步。此外,TLS、肿瘤细胞和微生物群之间的相互作用为破译微生物在癌症发展中的作用开辟了新的途径。它们作为TLS诱导剂的使用进一步强调了在这一领域继续研究的必要性。此外,新出现的数据强调了感觉和交感神经在调节TLS形成和功能中的关键作用。最后,人源化小鼠可以作为有价值的工具,用于开发临床前模型来研究人类TLS在癌症中的作用,这是一个急需的目标。本文将讨论这些不同的主题。
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引用次数: 0
Burning Down the House: Thymic Repair and Regeneration After Acute Damage 烧毁房子:胸腺修复和再生后的急性损伤
IF 7.5 2区 医学 Q1 IMMUNOLOGY Pub Date : 2025-06-28 DOI: 10.1111/imr.70050
Jarrod A. Dudakov, Marcel R. M. van den Brink

The thymus is extremely sensitive to insult but also has a remarkable capacity for endogenous repair. However, even though there is continual thymic involution and regeneration in response to everyday insults like stress and infection, profound thymic damage such as ionizing radiation leads to prolonged T cell lymphopenia for which there is currently no therapeutic treatment. We and others have been focusing in recent years on untangling the cellular and molecular mechanisms underlying endogenous thymic regeneration in the hope of being able to exploit them for clinical benefit. To date, multiple molecular mechanisms have been identified that are centered on several distinct cell axes, including interleukin-22 produced by innate lymphoid cells, BMP4 by endothelial cells, and type 2 cytokines from eosinophils, ILCs, and Tregs. Notably, one of the uniting triggers for these pathways of repair centers on the balance of cell death detection. In this review, we will highlight the current state of play with regard to cellular and molecular pathways of regeneration as well as the mechanisms triggering them. We will also highlight recent work that sheds light on the limitations of thymus repair and speculate as to what will be needed for an effective thymus-boosting therapy.

胸腺对损伤极为敏感,但也具有显著的内源性修复能力。然而,尽管胸腺在日常应激和感染等损伤下会持续退化和再生,但严重的胸腺损伤(如电离辐射)会导致长期的T细胞淋巴减少,目前尚无治疗方法。近年来,我们和其他人一直致力于解开内源性胸腺再生的细胞和分子机制,希望能够将其用于临床。迄今为止,已经确定了以几个不同的细胞轴为中心的多种分子机制,包括先天淋巴样细胞产生的白介素-22,内皮细胞产生的BMP4,以及来自嗜酸性粒细胞、ILCs和Tregs的2型细胞因子。值得注意的是,这些修复途径的联合触发因素之一是细胞死亡检测的平衡。在这篇综述中,我们将重点介绍关于再生的细胞和分子途径以及触发它们的机制的现状。我们还将重点介绍最近的工作,这些工作揭示了胸腺修复的局限性,并推测有效的胸腺增强治疗需要什么。
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引用次数: 0
Follicle on the Roof: Tertiary Lymphoid Structures in Central Nervous System Autoimmunity 顶泡:中枢神经系统自身免疫的三级淋巴结构
IF 7.5 2区 医学 Q1 IMMUNOLOGY Pub Date : 2025-06-26 DOI: 10.1111/imr.70045
Michelle Zuo, Angela A. Wang, Jennifer L. Gommerman

Leptomeningeal tertiary lymphoid structures (TLS) have emerged as a relatively common pathological feature of autoimmune disease, including multiple sclerosis (MS) and particularly in people with progressive and nonremitting MS. These ectopic lymphoid aggregates, observed in the leptomeninges adjacent to so-called “Type 3” sub-pial cortical lesions, are associated with more severe gray matter damage and worse clinical outcomes. Mouse models of MS that recapitulate TLS formation in the central nervous system (CNS) have provided critical insights into the mechanisms driving their development and maintenance. In these models of experimental autoimmune encephalomyelitis (EAE) initiation of TLS is facilitated by Th17 cells, which promote chronic inflammation via cytokines such as IL-17 and GM-CSF. The cell surface expression of lymphotoxin-α and lymphotoxin-β heterotrimers (LTαβ) on lymphocytes, including Th17 cells, elaborates the organization of ectopic lymphoid tissues via LTβR signaling on radio-resistant stromal cells and resident fibroblasts. Ultimately a pro-inflammatory environment characterized by cytokines such as IL-17 and GM-CSF promotes the recruitment of neutrophils which produce proteases and chemokines that sustain a pro-inflammatory milieu. Emerging EAE data suggest that disrupting TLS organization or targeting key pathways involved in their maintenance could represent promising strategies for modulating chronic CNS inflammation in MS. Understanding the cellular and molecular mechanisms regulating TLS dynamics is therefore critical for the development of therapies aimed at halting or reversing nonremitting MS disease.

轻脑膜三级淋巴样结构(TLS)已成为自身免疫性疾病(包括多发性硬化症(MS),尤其是进行性和非缓解性MS患者)相对常见的病理特征。在所谓的“3型”枕下皮质病变附近的轻脑膜中观察到这些异位淋巴样聚集物,与更严重的灰质损伤和更差的临床结果相关。重现中枢神经系统(CNS) TLS形成的MS小鼠模型为推动其发展和维持的机制提供了重要见解。在这些实验性自身免疫性脑脊髓炎(EAE)模型中,Th17细胞促进TLS的启动,Th17细胞通过IL-17和GM-CSF等细胞因子促进慢性炎症。淋巴细胞(包括Th17细胞)表面淋巴素-α和淋巴素-β异源三聚体(LTαβ)的表达,通过LTβR信号在耐辐射基质细胞和常驻成纤维细胞上的表达,阐述了异位淋巴组织的组织。最终,以IL-17和GM-CSF等细胞因子为特征的促炎环境促进中性粒细胞的募集,中性粒细胞产生蛋白酶和趋化因子,维持促炎环境。新出现的EAE数据表明,破坏TLS组织或靶向参与其维持的关键通路可能是调节MS慢性中枢神经系统炎症的有希望的策略。因此,了解调节TLS动力学的细胞和分子机制对于开发旨在停止或逆转非缓解型MS疾病的疗法至关重要。
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引用次数: 0
Is That Lymphocyte Aggregate a Tertiary Lymphoid Organ? Lymphoid Structures in Teleost Fish and the Challenges of Using Mammalian Definitions Across Vertebrate Phylogeny 淋巴细胞聚集体是三级淋巴器官吗?硬骨鱼的淋巴结构和在脊椎动物系统发育中使用哺乳动物定义的挑战
IF 7.5 2区 医学 Q1 IMMUNOLOGY Pub Date : 2025-06-25 DOI: 10.1111/imr.70044
Benjamin J Garcia, Irene Salinas

Teleost fish are the most diverse of the vertebrate taxa, made up of over 30,000 different species with diverse life histories, unique immune systems and extreme physiological adaptations. Mammalian immunologists coined primary, secondary and tertiary lymphoid organs based on their developmental, anatomical and functional characteristics and such definitions are often “imposed” on other organisms. For decades, teleost fish were thought to lack lymphoid aggregates beyond those found in the primary lymphoid organs of the thymus and the head-kidney or those found in the spleen (a secondary lymphoid organ). However, over the past two decades several laboratories have uncovered the presence of lymphocyte aggregates in several anatomical locations, mostly mucosal barriers, in teleost fish. These aggregates are difficult to classify as secondary or tertiary lymphoid structures based on the current mammal-based framework. This perspective provides an overview of the latest findings in lymphocyte aggregates in teleost fish and their potential function in adaptive immunity. We proposed a revised definition for tertiary lymphoid organs (TLOs) that is relevant across a wider range of vertebrate taxa and where the lack of baseline SLO makes TLO description and functional characterization even harder. Specifically, we propose experimental paradigms where the “ectopic” nature of TLOs could be ascertained in non-model organisms.

硬骨鱼是最多样化的脊椎动物分类群,由超过30,000种不同的物种组成,具有不同的生活史,独特的免疫系统和极端的生理适应能力。哺乳动物免疫学家根据它们的发育、解剖和功能特征创造了一级、二级和三级淋巴器官,这些定义经常被“强加”到其他生物体上。几十年来,人们认为硬骨鱼除了胸腺和头肾的主要淋巴器官或脾脏(次要淋巴器官)中发现的淋巴细胞外,没有其他淋巴细胞聚集体。然而,在过去的二十年中,几个实验室已经发现硬骨鱼的几个解剖位置(主要是粘膜屏障)存在淋巴细胞聚集体。根据目前以哺乳动物为基础的框架,很难将这些聚集物分类为二级或三级淋巴结构。本文综述了硬骨鱼淋巴细胞聚集体的最新发现及其在适应性免疫中的潜在功能。我们提出了第三淋巴器官(TLOs)的修订定义,该定义与更广泛的脊椎动物类群相关,并且缺乏基线SLO使得TLO描述和功能表征变得更加困难。具体来说,我们提出了实验范式,其中可以在非模式生物中确定TLOs的“异位”性质。
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引用次数: 0
Deconstructing the Thymic Microenvironment Through Genesis to Senescence 从起源到衰老解构胸腺微环境
IF 7.5 2区 医学 Q1 IMMUNOLOGY Pub Date : 2025-06-25 DOI: 10.1111/imr.70048
Michael D'Andrea, Kelin Zhao, Daniel H. D. Gray

The thymus is essential for adaptive immunity, orchestrating the differentiation of hematopoietic progenitors into various T-cell lineages. Thymic epithelial cells (TECs) impart this unique function by mediating the major checkpoints in T-cell differentiation while also imposing stringent tolerance processes required to prevent autoimmunity. Achieving these feats requires extensive TEC specialization and the formation of distinct thymic microenvironments. These features change extensively throughout life, from the growth phases of the embryonic and perinatal thymus, into the steady-state adult, through responses to acute injury and regeneration and, finally, during age-related thymic involution. Here we review how hypothesis and technology have shaped the field's understanding of the thymic microenvironment. We focus on how the development of single-cell technologies has revealed a remarkably diverse cellular landscape shaped by progenitor cell differentiation, TEC proliferation, AIRE-mediated transcriptional processes, and the differentiation of thymic mimetic cell lineages.

胸腺对适应性免疫至关重要,协调造血祖细胞分化为各种t细胞谱系。胸腺上皮细胞(TECs)通过介导t细胞分化的主要检查点来赋予这种独特的功能,同时也施加了防止自身免疫所需的严格耐受过程。实现这些壮举需要广泛的TEC专业化和形成独特的胸腺微环境。这些特征在整个生命过程中发生了广泛的变化,从胚胎和围产期胸腺的生长阶段,到稳定的成年阶段,通过对急性损伤和再生的反应,最后,在与年龄相关的胸腺退化过程中。在这里,我们回顾假设和技术如何塑造了该领域对胸腺微环境的理解。我们关注单细胞技术的发展如何揭示了由祖细胞分化、TEC增殖、aire介导的转录过程和胸腺模拟细胞系分化形成的显著多样化的细胞景观。
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引用次数: 0
Cortical Thymic Epithelial Cells: Key Developers of the Code of T-Cell Selection and TCR Repertoire Diversity 胸腺皮质上皮细胞:t细胞选择代码和TCR库多样性的关键开发者
IF 7.5 2区 医学 Q1 IMMUNOLOGY Pub Date : 2025-06-25 DOI: 10.1111/imr.70049
Pedro M. Rodrigues, Laura G. Sousa, Nuno L. Alves

The thymus is crucial for developing immunocompetent T cells expressing T cell receptors (TCRs) capable of responding to foreign antigens while remaining tolerant to self-components. T cell development involves complex interactions with thymic stromal cells, including thymic epithelial cells (TECs). Particularly, T cell selection relies on the coordinated, yet spatially and temporally distinct functions of rare cortical (cTECs) and medullary (mTECs) subtypes. While cTECs are essential for T cell lineage commitment and positive selection, mTECs play a role in central tolerance by eliminating autoreactive cells and promoting regulatory T cell development. Thus, thymic selection refines the TCR repertoire, promoting immune competence to foreign antigens while ensuring tolerance to self. This review focuses on the instructive role of cTECs in positive selection and CD4/CD8 lineage commitment. It further explores recent discoveries on the molecular mechanisms underlying the generation of selective self-peptide–MHC ligands, which are critical for TCR diversification. We also highlight recent findings on TEC heterogeneity and discuss their potential roles in T cell selection. Understanding TEC diversity and their specialized machinery in generating selective ligands reshapes our view of thymic biology and is key to comprehending their influence on peripheral CD4+ and CD8+ T cell functions.

胸腺对于产生免疫能力的T细胞至关重要,这些T细胞表达的T细胞受体(TCRs)能够对外来抗原作出反应,同时对自身成分保持耐受性。T细胞的发育涉及与胸腺基质细胞,包括胸腺上皮细胞(TECs)的复杂相互作用。特别是,T细胞的选择依赖于罕见的皮质(cTECs)和髓质(mTECs)亚型的协调,但在空间和时间上不同的功能。虽然ctec对于T细胞谱系承诺和正向选择至关重要,但mtec通过消除自身反应性细胞和促进调节性T细胞发育在中心耐受性中发挥作用。因此,胸腺选择完善了TCR库,提高了对外来抗原的免疫能力,同时确保了对自身的耐受性。本文综述了ctec在阳性选择和CD4/CD8谱系承诺中的指导作用。它进一步探讨了选择性自肽- mhc配体产生的分子机制的最新发现,这对TCR多样化至关重要。我们还强调了TEC异质性的最新发现,并讨论了它们在T细胞选择中的潜在作用。了解TEC多样性及其产生选择性配体的特殊机制重塑了我们对胸腺生物学的看法,并且是理解它们对外周血CD4+和CD8+ T细胞功能影响的关键。
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引用次数: 0
Perivascular Tertiary Lymphoid Structures in Autoimmune Disease 自身免疫性疾病的血管周围三级淋巴结构
IF 7.5 2区 医学 Q1 IMMUNOLOGY Pub Date : 2025-06-24 DOI: 10.1111/imr.70047
Jörg J. Goronzy, Cornelia M. Weyand
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引用次数: 0
Epitope-Specific Antibodies in Allergic Disease and Clinical Tolerance 过敏性疾病中的表位特异性抗体和临床耐受性
IF 7.5 2区 医学 Q1 IMMUNOLOGY Pub Date : 2025-06-20 DOI: 10.1111/imr.70042
Orlee Marini-Rapoport, Moumita Bhowmik, Tarun Keswani, Sarita U. Patil

B-cell epitope specificity on food allergens is highly relevant to understanding both the pathogenesis of IgE and IgG-mediated clinical tolerance after immunotherapy. The molecular binding interactions between the paratopes of antibodies and the epitopes of food allergens drive IgE-crosslinking, the subsequent activation of allergen effector cells, and the symptoms of systemic and life-threatening anaphylaxis. Various characteristics of allergen-specific IgE, such as high affinity and clonal diversity, can contribute to the persistence of food allergy and the severity of anaphylaxis upon allergen exposure. On the other hand, the induction of epitope-specific IgG antibodies in allergic individuals can inhibit IgE binding to food allergens. A subset of these can be neutralizing antibodies that effectively disrupt multiple allergen-IgE interactions to suppress effector responses. This review details the crucial role of epitope specificity and antibody clonality in both the pathogenesis of food allergy and in the development of clinical tolerance.

b细胞表位对食物过敏原的特异性与了解IgE的发病机制和免疫治疗后igg介导的临床耐受高度相关。抗体旁位和食物过敏原表位之间的分子结合相互作用驱动ige交联,随后激活过敏原效应细胞,以及全身和危及生命的过敏反应症状。过敏原特异性IgE的各种特性,如高亲和力和克隆多样性,可能有助于食物过敏的持久性和过敏原暴露后过敏反应的严重性。另一方面,在过敏个体中诱导表位特异性IgG抗体可以抑制IgE与食物过敏原的结合。其中的一个子集可以是中和抗体,有效地破坏多种过敏原- ige相互作用,以抑制效应反应。本文就表位特异性和抗体克隆性在食物过敏发病机制和临床耐受性发展中的重要作用作一综述。
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引用次数: 0
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Immunological Reviews
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