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From fat to fire: The lipid–inflammasome connection 从脂肪到火焰脂质-炎症体之间的联系
IF 7.5 2区 医学 Q1 IMMUNOLOGY Pub Date : 2024-09-27 DOI: 10.1111/imr.13403
Paras K. Anand

Inflammasomes are multiprotein complexes that play a crucial role in regulating immune responses by governing the activation of Caspase-1, the secretion of pro-inflammatory cytokines, and the induction of inflammatory cell death, pyroptosis. The inflammasomes are pivotal in effective host defense against a range of pathogens. Yet, overt activation of inflammasome signaling can be detrimental. The most well-studied NLRP3 inflammasome has the ability to detect a variety of stimuli including pathogen-associated molecular patterns, environmental irritants, and endogenous stimuli released from dying cells. Additionally, NLRP3 acts as a key sensor of cellular homeostasis and can be activated by disturbances in diverse metabolic pathways. Consequently, NLRP3 is considered a key player linking metabolic dysregulation to numerous inflammatory disorders such as gout, diabetes, and atherosclerosis. Recently, compelling studies have highlighted a connection between lipids and the regulation of NLRP3 inflammasome. Lipids are integral to cellular processes that serve not only in maintaining the structural integrity and subcellular compartmentalization, but also in contributing to physiological equilibrium. Certain lipid species are known to define NLRP3 subcellular localization, therefore directly influencing the site of inflammasome assembly and activation. For instance, phosphatidylinositol 4-phosphate plays a crucial role in NLRP3 localization to the trans Golgi network. Moreover, new evidence has demonstrated the roles of lipid biosynthesis and trafficking in activation of the NLRP3 inflammasome. This review summarizes and discusses these emerging and varied roles of lipid metabolism in inflammasome activation. A deeper understanding of lipid-inflammasome interactions may open new avenues for therapeutic interventions to prevent or treat chronic inflammatory and autoimmune conditions.

炎症体是一种多蛋白复合物,通过控制 Caspase-1 的活化、促炎细胞因子的分泌以及炎症细胞死亡的诱导(即脓毒血症),在调节免疫反应方面发挥着至关重要的作用。炎性体是宿主有效抵御一系列病原体的关键。然而,炎性体信号的过度激活可能会造成危害。研究最深入的 NLRP3 炎症小体能够检测到多种刺激,包括病原体相关分子模式、环境刺激物和濒死细胞释放的内源性刺激物。此外,NLRP3 还是细胞稳态的一个关键传感器,可因各种代谢途径的紊乱而被激活。因此,NLRP3 被认为是新陈代谢失调与痛风、糖尿病和动脉粥样硬化等多种炎症性疾病相关的关键因素。最近,一些引人注目的研究强调了脂质与 NLRP3 炎症小体调控之间的联系。脂质是细胞过程中不可或缺的物质,不仅能维持结构的完整性和亚细胞区隔,还能促进生理平衡。已知某些脂质可确定 NLRP3 的亚细胞定位,从而直接影响炎症小体的组装和激活位置。例如,磷脂酰肌醇 4-磷酸酯在 NLRP3 经高尔基体网络定位中起着至关重要的作用。此外,新的证据还证明了脂质的生物合成和运输在激活 NLRP3 炎症小体中的作用。本综述总结并讨论了脂质代谢在炎症小体活化过程中新出现的各种作用。深入了解脂质-炎症小体之间的相互作用可能会为预防或治疗慢性炎症和自身免疫性疾病的治疗干预开辟新的途径。
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引用次数: 0
Immunomodulatory and anti-inflammatory properties of immunoglobulin G antibodies 免疫球蛋白 G 抗体的免疫调节和抗炎特性。
IF 7.5 2区 医学 Q1 IMMUNOLOGY Pub Date : 2024-09-27 DOI: 10.1111/imr.13404
Marjan Hematianlarki, Falk Nimmerjahn

Antibodies provide an essential layer of protection from infection and reinfection with microbial pathogens. An impaired ability to produce antibodies results in immunodeficiency and necessitates the constant substitution with pooled serum antibodies from healthy donors. Among the five antibody isotypes in humans and mice, immunoglobulin G (IgG) antibodies are the most potent anti-microbial antibody isotype due to their long half-life, their ability to penetrate almost all tissues and due to their ability to trigger a wide variety of effector functions. Of note, individuals suffering from IgG deficiency frequently produce self-reactive antibodies, suggesting that a normal serum IgG level also may contribute to maintaining self-tolerance. Indeed, the substitution of immunodeficient patients with pooled serum IgG fractions from healthy donors, also referred to as intravenous immunoglobulin G (IVIg) therapy, not only protects the patient from infection but also diminishes autoantibody induced pathology, providing more direct evidence that IgG antibodies play an active role in maintaining tolerance during the steady state and during resolution of inflammation. The aim of this review is to discuss different conceptual models that may explain how serum IgG or IVIg can contribute to maintaining a balanced immune response. We will focus on pathways depending on the IgG fragment crystallizable (Fc) as pre-clinical data in various mouse model systems as well as human clinical data have demonstrated that the IgG Fc-domain recapitulates the ability of intact IVIg with respect to its ability to trigger resolution of inflammation. We will further discuss how the findings already have or are in the process of being translated to novel therapeutic approaches to substitute IVIg in treating autoimmune inflammation.

抗体是防止微生物病原体感染和再感染的重要保护层。如果产生抗体的能力受损,就会导致免疫缺陷,因此必须不断用来自健康供体的集合血清抗体来替代。在人类和小鼠的五种抗体同工型中,免疫球蛋白 G(IgG)抗体是最有效的抗微生物抗体同工型,因为它的半衰期长,几乎能穿透所有组织,并能触发多种效应功能。值得注意的是,IgG 缺乏症患者经常会产生自身反应性抗体,这表明血清 IgG 水平正常也有助于维持自身耐受性。事实上,用来自健康供体的集合血清 IgG 部分替代免疫缺陷患者(也称为静脉注射免疫球蛋白 G(IVIg)疗法),不仅能保护患者免受感染,还能减少自身抗体诱发的病变,从而提供了更多直接证据,证明 IgG 抗体在稳态和炎症消退期间在维持耐受性方面发挥着积极作用。本综述旨在讨论不同的概念模型,以解释血清 IgG 或 IVIg 如何有助于维持平衡的免疫反应。我们将重点讨论依赖于可结晶 IgG 片段(Fc)的途径,因为各种小鼠模型系统的临床前数据和人类临床数据都表明,IgG Fc-域再现了完整 IVIg 引发炎症消退的能力。我们将进一步讨论这些发现如何已经或正在转化为新型治疗方法,以替代 IVIg 治疗自身免疫性炎症。
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引用次数: 0
Loss of tolerance to dietary proteins: From mouse models to human model diseases 丧失对饮食蛋白质的耐受性:从小鼠模型到人类模式疾病
IF 7.5 2区 医学 Q1 IMMUNOLOGY Pub Date : 2024-09-18 DOI: 10.1111/imr.13395
Anais Levescot, Nadine Cerf-Bensussan

The critical importance of the immunoregulatory mechanisms, which prevent adverse responses to dietary proteins is demonstrated by the consequences of their failure in two common but distinct human pathological conditions, food allergy and celiac disease. The mechanisms of tolerance to dietary proteins have been extensively studied in mouse models but the extent to which the results in mice can be extrapolated to humans remains unclear. Here, after summarizing the mechanisms known to control oral tolerance in mouse models, we discuss how the monogenic immune disorders associated with food allergy on the one hand, and celiac disease, on the other hand, represent model diseases to gain insight into the key immunoregulatory pathways that control immune responses to food antigens in humans. The spectrum of monogenic disorders, in which the dysfunction of a single gene, is strongly associated with TH2-mediated food allergy suggests an important overlap between the mechanisms that regulate TH2 and IgE responses to food antigens in humans and mice. In contrast, celiac disease provides a unique example of the link between autoimmunity and loss of tolerance to a food antigen.

摘要免疫调节机制可防止对饮食蛋白质产生不良反应,其在食物过敏和乳糜泻这两种常见但又截然不同的人类病症中失效的后果证明了这种机制的极端重要性。人们在小鼠模型中对饮食蛋白质的耐受机制进行了广泛研究,但小鼠的研究结果在多大程度上可以推广到人类身上仍不清楚。在总结了小鼠模型中已知的控制口服耐受性的机制之后,我们将讨论与食物过敏相关的单基因免疫性疾病和乳糜泻是如何代表模型疾病,以深入了解控制人类对食物抗原的免疫反应的关键免疫调节途径。单基因遗传疾病中,单个基因的功能障碍与 TH2 介导的食物过敏密切相关,这表明人类和小鼠对食物抗原的 TH2 和 IgE 反应的调节机制存在重要重叠。相比之下,乳糜泻为自身免疫和对食物抗原耐受性丧失之间的联系提供了一个独特的例子。
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引用次数: 0
Pathogenic mechanisms in the evolution of food allergy 食物过敏演变的致病机制
IF 7.5 2区 医学 Q1 IMMUNOLOGY Pub Date : 2024-09-17 DOI: 10.1111/imr.13398
Monica Martinez-Blanco, Zhussipbek Mukhatayev, Talal A. Chatila

The early development of the neonatal immune system is profoundly influenced by exposure to dietary and microbial antigens, which shapes mucosal tolerance. Successful oral tolerance induction is crucially dependent on microbially imprinted immune cells, most notably the RORγt+ regulatory T (Treg) and antigen presenting cells and is essential for preventing food allergy (FA). The development of FA can be envisioned to result from disruptions at key checkpoints (CKPTs) that govern oral tolerance induction. These include gut epithelial sensory and effector circuits that when dysregulated promote pro-allergic gut dysbiosis. They also include microbially imprinted immune regulatory circuits that are disrupted by dysbiosis and pro-allergic immune responses unleashed by the dysregulation of the aforementioned cascades. Understanding these checkpoints is essential for developing therapeutic strategies to restore immune homeostasis in FA.

摘要新生儿免疫系统的早期发育受到暴露于饮食和微生物抗原的深刻影响,从而形成粘膜耐受。成功的口腔耐受性诱导主要依赖于微生物印记免疫细胞,特别是 RORγt+ 调节性 T 细胞(Treg)和抗原递呈细胞,这对于预防食物过敏(FA)至关重要。可以设想,食物过敏的发生是由于支配口腔耐受性诱导的关键检查点(CKPTs)受到破坏所致。这些检查点包括肠道上皮感觉和效应回路,当它们失调时,会促进肠道过敏性菌群失调。它们还包括微生物印记免疫调节回路,这些回路会因菌群失调和上述级联失调释放的促过敏免疫反应而受到破坏。了解这些检查点对于制定治疗策略以恢复 FA 的免疫平衡至关重要。
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引用次数: 0
Immune responses to food 对食物的免疫反应
IF 7.5 2区 医学 Q1 IMMUNOLOGY Pub Date : 2024-09-17 DOI: 10.1111/imr.13397
Cathryn R. Nagler
<p>The enormous variety of antigens present in food is not ignored by the immune system. Dietary antigens are recognized as foreign, and tolerance must be induced. The regulation of both mucosal and systemic non-responsiveness to dietary antigens is therefore a basic physiological process which has drawn experimental interest for many years. Indeed, the first report on the induction of non-responsiveness by a fed antigen was published over one hundred years ago.<span><sup>1</sup></span> Since that time it has become clear that, in keeping with the need to maintain tolerance to dietary antigens, the oral route of antigen administration is uniquely suited to inducing antigen specific non-responsiveness. Experiments in the late 1980s highlighted the practical benefits of oral antigen administration by demonstrating that intragastric delivery of autoantigens, prior to peripheral immunization, protected against the development of autoimmunity in mice.<span><sup>2, 3</sup></span> This finding was subsequently confirmed in a large variety of animal models of autoimmune, allergic, and inflammatory disease, as well as in models of transplant rejection.<span><sup>4</sup></span> The generalizability of the observation that oral administration of antigen can protect against the development of antigen-induced systemic disease became the foundation for immunotherapeutic trials of orally administered antigens for several human diseases including rheumatoid arthritis, multiple sclerosis, Type 1 diabetes, autoimmune uveitis and food allergy.<span><sup>5</sup></span> However, unlike the murine models where the autoantigens were well defined and administered before disease was induced, the clinical trials attempted to modulate established tissue damage in settings in which the autoantigens were both complex and poorly characterized. It was not surprising, then, when these initial trials met with limited success. Both the murine and human studies succeeded, however, in stimulating interest in understanding the mechanisms by which orally administered antigens induce systemic nonresponsiveness to subsequent antigen challenge.</p><p>Early work by Weiner and colleagues described high and low dose oral tolerance mediated by deletion or anergy/suppression and a novel subset of TGF-β secreting “Th3” cells.<span><sup>6, 7</sup></span> The doses designated as high and low were somewhat arbitrarily defined. The identification of transcription factors that specify CD4 T cell differentiation did not reveal a Th3 subset, but did show that the production of TGF-β by innate immune cells is an important fate specifying cytokine for both Th17 cells and peripherally induced Foxp3<sup>+</sup> regulatory T cells (Tregs).<span><sup>8</sup></span> With the discovery of Foxp3<sup>+</sup> Tregs, attention switched to the role of food antigen specific Tregs induced in the context of the dietary vitamin A metabolite retinoic acid in gut draining lymph nodes. It was even suggested that oral t
免疫系统不会忽视食物中种类繁多的抗原。食物中的抗原被认为是外来的,必须诱导产生耐受性。因此,调节粘膜和全身对食物抗原的非反应性是一个基本的生理过程,多年来一直吸引着人们的实验兴趣。事实上,关于喂食抗原诱导非反应性的第一份报告发表于一百多年前。1 从那时起,人们就清楚地认识到,根据维持对饮食抗原耐受性的需要,口服抗原给药途径非常适合诱导抗原特异性非反应性。20 世纪 80 年代末的实验证明,在进行外周免疫之前,胃内给药自身抗原可防止小鼠自身免疫的发展,从而突出了口服抗原给药的实际益处。口服抗原可预防抗原诱发的全身性疾病,这一观察结果的普遍性为口服抗原治疗多种人类疾病(包括类风湿性关节炎、多发性硬化症、1 型糖尿病、自身免疫性葡萄膜炎和食物过敏)的免疫治疗试验奠定了基础5。然而,与自身抗原定义明确并在疾病诱发前给药的小鼠模型不同,临床试验试图在自身抗原既复杂又特征不明确的情况下调节已确定的组织损伤。因此,这些初步试验取得有限的成功也就不足为奇了。然而,小鼠研究和人体研究都成功地激发了人们对了解口服抗原诱导全身对后续抗原挑战无反应性的机制的兴趣。韦纳及其同事的早期研究描述了由缺失或过敏/抑制以及分泌 TGF-β 的新型 "Th3 "细胞亚群介导的高剂量和低剂量口服耐受。对指定 CD4 T 细胞分化的转录因子的鉴定并未发现 Th3 亚群,但确实表明先天性免疫细胞产生的 TGF-β 是 Th17 细胞和外周诱导的 Foxp3+ 调节性 T 细胞(Tregs)的重要命运指定细胞因子。9 随后的研究表明,肠系膜淋巴结中同时存在 TGF-β 和维甲酸对诱导具有归巢受体的 Tregs 至关重要,这种受体可使 Tregs 迁移回小肠固有层并在 IL-10 的影响下扩增10。Miranda-Waldetario 和 Curotto de Lafaille 首先回顾了上述历史观点,并就诱导食物抗原特异性 Tregs 的核心--不同的抗原呈递细胞/细胞区提供了最新见解12。RORγt+ 表达食物抗原特异性 Fox3+ Tregs 的特定亚群主要在十二指肠引流淋巴结中诱导,对饮食抗原的耐受性至关重要。这些作者以及 Cheifetz 和 Knoop 都强调,生命早期独特的发育窗口(和粘膜微环境)对于诱导对食物的无应答性至关重要13。当危及生命的花生过敏症在美国的发病率开始攀升时,美国儿科学会(AAP)发布了指南,建议孕妇和母乳喂养的母亲避免食用花生,并在孩子 3 岁前不要给他们吃花生。在具有里程碑意义的 "学习早期预防"(LEAP)研究中,莱克及其同事注意到,在英国生活的儿童中,花生过敏比在以色列生活的具有相同种族背景的儿童要常见得多。他们观察到,以色列儿童(而非英国儿童)对花生过敏的发生率比英国儿童高得多。
{"title":"Immune responses to food","authors":"Cathryn R. Nagler","doi":"10.1111/imr.13397","DOIUrl":"10.1111/imr.13397","url":null,"abstract":"&lt;p&gt;The enormous variety of antigens present in food is not ignored by the immune system. Dietary antigens are recognized as foreign, and tolerance must be induced. The regulation of both mucosal and systemic non-responsiveness to dietary antigens is therefore a basic physiological process which has drawn experimental interest for many years. Indeed, the first report on the induction of non-responsiveness by a fed antigen was published over one hundred years ago.&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; Since that time it has become clear that, in keeping with the need to maintain tolerance to dietary antigens, the oral route of antigen administration is uniquely suited to inducing antigen specific non-responsiveness. Experiments in the late 1980s highlighted the practical benefits of oral antigen administration by demonstrating that intragastric delivery of autoantigens, prior to peripheral immunization, protected against the development of autoimmunity in mice.&lt;span&gt;&lt;sup&gt;2, 3&lt;/sup&gt;&lt;/span&gt; This finding was subsequently confirmed in a large variety of animal models of autoimmune, allergic, and inflammatory disease, as well as in models of transplant rejection.&lt;span&gt;&lt;sup&gt;4&lt;/sup&gt;&lt;/span&gt; The generalizability of the observation that oral administration of antigen can protect against the development of antigen-induced systemic disease became the foundation for immunotherapeutic trials of orally administered antigens for several human diseases including rheumatoid arthritis, multiple sclerosis, Type 1 diabetes, autoimmune uveitis and food allergy.&lt;span&gt;&lt;sup&gt;5&lt;/sup&gt;&lt;/span&gt; However, unlike the murine models where the autoantigens were well defined and administered before disease was induced, the clinical trials attempted to modulate established tissue damage in settings in which the autoantigens were both complex and poorly characterized. It was not surprising, then, when these initial trials met with limited success. Both the murine and human studies succeeded, however, in stimulating interest in understanding the mechanisms by which orally administered antigens induce systemic nonresponsiveness to subsequent antigen challenge.&lt;/p&gt;&lt;p&gt;Early work by Weiner and colleagues described high and low dose oral tolerance mediated by deletion or anergy/suppression and a novel subset of TGF-β secreting “Th3” cells.&lt;span&gt;&lt;sup&gt;6, 7&lt;/sup&gt;&lt;/span&gt; The doses designated as high and low were somewhat arbitrarily defined. The identification of transcription factors that specify CD4 T cell differentiation did not reveal a Th3 subset, but did show that the production of TGF-β by innate immune cells is an important fate specifying cytokine for both Th17 cells and peripherally induced Foxp3&lt;sup&gt;+&lt;/sup&gt; regulatory T cells (Tregs).&lt;span&gt;&lt;sup&gt;8&lt;/sup&gt;&lt;/span&gt; With the discovery of Foxp3&lt;sup&gt;+&lt;/sup&gt; Tregs, attention switched to the role of food antigen specific Tregs induced in the context of the dietary vitamin A metabolite retinoic acid in gut draining lymph nodes. It was even suggested that oral t","PeriodicalId":178,"journal":{"name":"Immunological Reviews","volume":"326 1","pages":"5-7"},"PeriodicalIF":7.5,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/imr.13397","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142259456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
IgE versus IgG and IgA: Differential roles of allergen-specific antibodies in sensitization, tolerization, and treatment of allergies IgE 与 IgG 和 IgA:过敏原特异性抗体在致敏、耐受和治疗过敏症中的不同作用
IF 7.5 2区 医学 Q1 IMMUNOLOGY Pub Date : 2024-09-16 DOI: 10.1111/imr.13386
E. F. Knol, R. J. J. van Neerven

The prevalence of asthma, rhinitis, and food allergies has increased dramatically over the last few decades. This increase originally started in western countries, but is now also evident in many other regions of the world. Given the fact that the increase is so quick, the noted increase cannot be linked to a genetic effect, and many environmental factors have been identified that are associated with increased or reduced prevalence of allergies, like changing dietary habits, increased urbanization, pollution, exposure to microorganisms and LPS, and the farming environment and raw milk consumption. Although the key role of allergen-specific IgE in allergies is well known, the role of allergen-specific IgG and IgA antibodies is less well defined. This review will provide an overview of the functions of allergen-specific IgE in allergy, the role of allergen-specific antibodies (IgG (4) and IgA) in allergen immunotherapy (AIT), the possibility to use allergen-specific antibodies for treatment of ongoing allergies, and the potential role of allergen-specific antibodies in tolerance induction to allergens in a preventive setting. In the last, more speculative, section we will present novel hypotheses on the potential role of allergen-specific non-IgE antibodies in allergies by directing antigen presentation, Th2 development, and innate immune training.

摘要在过去几十年中,哮喘、鼻炎和食物过敏的发病率急剧上升。这种增长最初始于西方国家,但现在在世界许多其他地区也很明显。鉴于增长速度如此之快,已注意到的增长不能与遗传效应联系起来,许多环境因素已被确认与过敏症发病率的增加或减少有关,如饮食习惯的改变、城市化的加剧、污染、接触微生物和 LPS,以及养殖环境和饮用生牛奶。尽管过敏原特异性 IgE 在过敏中的关键作用已众所周知,但过敏原特异性 IgG 和 IgA 抗体的作用却不那么明确。本综述将概述过敏原特异性 IgE 在过敏中的功能、过敏原特异性抗体(IgG (4) 和 IgA)在过敏原免疫疗法(AIT)中的作用、使用过敏原特异性抗体治疗持续性过敏的可能性,以及过敏原特异性抗体在预防性诱导过敏原耐受中的潜在作用。在最后一部分,我们将就过敏原特异性非IgE抗体通过引导抗原呈递、Th2发育和先天性免疫训练在过敏症中的潜在作用提出新的假设。
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引用次数: 0
Regulation of immune responses to food by commensal microbes 共生微生物对食物免疫反应的调节
IF 7.5 2区 医学 Q1 IMMUNOLOGY Pub Date : 2024-09-16 DOI: 10.1111/imr.13396
Samuel H. Light, Cathryn R. Nagler

The increasing prevalence of immune-mediated non-communicable chronic diseases, such as food allergies, has prompted a deeper investigation into the role of the gut microbiome in modulating immune responses. Here, we explore the complex interactions between commensal microbes and the host immune system, highlighting the critical role of gut bacteria in maintaining immune homeostasis. We examine how modern lifestyle practices and environmental factors have disrupted co-evolved host–microbe interactions and discuss how changes in microbiome composition impact epithelial barrier function, responses to food allergens, and susceptibility to allergic diseases. Finally, we examine the potential of bioengineered microbiome-based therapies, and live biotherapeutic products, for reestablishing immune homeostasis to prevent or treat food allergies.

摘要食物过敏等免疫介导的非传染性慢性疾病的发病率越来越高,促使人们深入研究肠道微生物组在调节免疫反应中的作用。在此,我们探讨了共生微生物与宿主免疫系统之间复杂的相互作用,强调了肠道细菌在维持免疫平衡中的关键作用。我们研究了现代生活方式和环境因素如何破坏了共同进化的宿主与微生物之间的相互作用,并讨论了微生物组组成的变化如何影响上皮屏障功能、对食物过敏原的反应以及对过敏性疾病的易感性。最后,我们探讨了生物工程微生物疗法和活生物治疗产品在重建免疫平衡以预防或治疗食物过敏方面的潜力。
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引用次数: 0
Enhancing Fc-mediated effector functions of monoclonal antibodies: The example of HexaBodies 增强单克隆抗体的 Fc 介导效应功能:六抗体的例子
IF 7.5 2区 医学 Q1 IMMUNOLOGY Pub Date : 2024-09-14 DOI: 10.1111/imr.13394
Hilma J. van der Horst, Tuna Mutis

Since the approval of the CD20-targeting monoclonal antibody (mAb) rituximab for the treatment of lymphoma in 1997, mAb therapy has significantly transformed cancer treatment. With over 90 FDA-approved mAbs for the treatment of various hematological and solid cancers, modern cancer treatment relies heavily on these therapies. The overwhelming success of mAbs as cancer therapeutics is attributed to their broad applicability, high safety profile, and precise targeting of cancer-associated surface antigens. Furthermore, mAbs can induce various anti-tumor cytotoxic effector mechanisms including antibody-dependent cellular cytotoxicity (ADCC), antibody-dependent cellular phagocytosis (ADCP), and complement-dependent cytotoxicity (CDC), all of which are mediated via their fragment crystallizable (Fc) domain. Over the past decades, these effector mechanisms have been substantially improved through Fc domain engineering. In this review, we will outline the different approaches to enhance Fc effector functions via Fc engineering of mAbs, with a specific emphasis on the so-called “HexaBody” technology, which is designed to enhance the hexamerization of mAbs on the target cell surface, thereby inducing greater complement activation, CDC, and receptor clustering. The review will summarize the development, preclinical, and clinical testing of several HexaBodies designed for the treatment of B-cell malignancies, as well as the potential use of the HexaBody technology beyond Fc-mediated effector functions.

摘要自 1997 年 CD20 靶向单克隆抗体(mAb)利妥昔单抗(rituximab)被批准用于治疗淋巴瘤以来,mAb疗法极大地改变了癌症治疗。美国食品及药物管理局批准了 90 多种 mAb 用于治疗各种血液肿瘤和实体肿瘤,现代癌症治疗在很大程度上依赖于这些疗法。mAbs 作为癌症疗法取得的巨大成功归功于其广泛的适用性、高安全性和对癌症相关表面抗原的精确靶向性。此外,mAbs 还能诱导各种抗肿瘤细胞毒性效应机制,包括抗体依赖性细胞毒性(ADCC)、抗体依赖性细胞吞噬(ADCP)和补体依赖性细胞毒性(CDC),所有这些机制都是通过其片段可结晶(Fc)结构域介导的。在过去的几十年中,这些效应机制通过 Fc 结构域工程得到了极大的改善。在这篇综述中,我们将概述通过 mAbs 的 Fc 工程增强 Fc 效应功能的不同方法,并特别强调所谓的 "HexaBody "技术,该技术旨在增强 mAbs 在靶细胞表面的六聚化,从而诱导更强的补体激活、CDC 和受体集群。综述将总结几种用于治疗 B 细胞恶性肿瘤的 HexaBodies 的开发、临床前和临床测试情况,以及 HexaBody 技术在 Fc 介导的效应器功能之外的潜在用途。
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引用次数: 0
Maternal influences on offspring food allergy 母亲对后代食物过敏的影响
IF 7.5 2区 医学 Q1 IMMUNOLOGY Pub Date : 2024-09-14 DOI: 10.1111/imr.13392
Hwa Yeong Lee, Tanuza Nazmul, Jinggang Lan, Michiko K. Oyoshi

The prevalence of allergies has been globally escalating. While allergies could appear at any age, they often develop in early life. However, the significant knowledge gap in the field is the mechanisms by which allergies affect certain people but not others. Investigating early factors and events in neonatal life that have a lasting impact on determining the susceptibilities of children to develop allergies is a significant area of the investigation as it promotes the understanding of neonatal immune system that mediates tolerance versus allergies. This review focuses on the research over the recent 10 years regarding the potential maternal factors that influence offspring allergies with a view to food allergy, a potentially life-threatening cause of anaphylaxis. The role of breast milk, maternal diet, maternal antibodies, and microbiota that have been suggested as key maternal factors regulating offspring allergies are discussed here. We also suggest future research area to expand our knowledge of maternal–offspring interactions on the pathogenesis of food allergy.

摘要过敏症的发病率在全球范围内呈上升趋势。虽然过敏可能出现在任何年龄段,但通常是在生命早期发病。然而,该领域的重大知识空白是过敏影响某些人而不影响其他人的机制。新生儿期的早期因素和事件对决定儿童过敏的易感性有着持久的影响,对这些因素和事件的调查是一个重要的研究领域,因为它有助于了解新生儿免疫系统介导的耐受性与过敏性的关系。本综述侧重于近十年来有关影响后代过敏症的潜在母体因素的研究,主要针对食物过敏这一可能危及生命的过敏性休克病因。母乳、母体饮食、母体抗体和微生物群被认为是调节后代过敏的关键母体因素,本文讨论了这些因素的作用。我们还提出了未来的研究领域,以扩展我们对母子相互作用在食物过敏发病机制中的作用的认识。
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引用次数: 0
From the Gorgon's blood to Behring's Blutserumtherapie: A long path towards serum therapy 从高竿之血到贝林的血清疗法:通往血清疗法的漫长之路
IF 7.5 2区 医学 Q1 IMMUNOLOGY Pub Date : 2024-09-14 DOI: 10.1111/imr.13391
Yves-Marie Lahaie, Hervé Watier

At the end of the 19th century medicine was turned upside down by the development of serum therapy, a great therapeutic revolution as was vaccination a few years earlier. Many serums were developed, the most famous being the German doctor Emil von Behring's diphtheria serum, which saved countless children's lives from this dreadful disease. The discovery of the serum therapy principle, allowed by the progressive understanding of humoral immunity, occurred both in Germany and France, almost at the same time. Interestingly, this principle arose from two different intellectual paths, reviving the age-old opposition between mechanism and vitalism: while Behring came to this discovery reasoning as a chemist, French researchers Charles Richet and Jules Héricourt behaved as physiologists, focusing on the role of the host in the host-pathogen interaction. However, we should maybe consider that serum therapy history begins much earlier. Great forerunners must not be forgotten, especially researchers who investigated the field of immunity as soon as in the very beginning of the microbiological revolution; but also many people throughout centuries who tried to cure diseases with blood: as a transfer of blood serum, serum therapy also lies in the tradition of blood transfusion.

摘要 19 世纪末,血清疗法的发展使医学发生了翻天覆地的变化,就像几年前的疫苗接种一样,这是一场伟大的治疗革命。许多血清被研制出来,其中最著名的是德国医生埃米尔-冯-贝林(Emil von Behring)的白喉血清,它挽救了无数罹患这种可怕疾病的儿童的生命。由于对体液免疫的逐步了解,血清疗法原理的发现几乎同时发生在德国和法国。有趣的是,这一原理产生于两种不同的思想路径,使古老的机制论与生命论之间的对立重现:贝林是以化学家的身份进行推理而发现这一原理的,而法国研究人员夏尔-里歇(Charles Richet)和儒勒-埃里克(Jules Héricourt)则是以生理学者的身份进行研究,重点关注宿主在宿主-病原体相互作用中的作用。不过,我们或许应该考虑到,血清疗法的历史要更早一些。我们不能忘记伟大的先行者,尤其是早在微生物学革命之初就对免疫领域进行研究的研究人员,以及几个世纪以来试图用血液治疗疾病的许多人:作为血清的转移,血清疗法也继承了输血的传统。
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引用次数: 0
期刊
Immunological Reviews
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