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ICB Special Feature: Highlights of 2024 ICB专题:2024年亮点。
IF 3.2 4区 医学 Q3 CELL BIOLOGY Pub Date : 2025-06-18 DOI: 10.1111/imcb.70041
Joanne H Reed

This Special Feature brings you the “Highlights of 2024”, a collection of short articles to bring you up to date on major advances in immunology research published in 2024. Each highlight article summarizes the key papers that drove new discoveries in a specific area of immunology. Pankhurst and Linterman1 highlight the latest discoveries in the germinal center response and new opportunities for the development of more effective vaccines and immunotherapies. Flaman et al.2 focus on key studies that provide critical insights into the development, differentiation, and longevity of antibody secreting cells in health and disease. In Lee and Reed,3 we review recent findings on age-associated B cells, the discovery of their transcriptional regulator, and the evidence for a pathogenic role in autoimmune disease. Valentini et al.4 discuss metabolic pathways that alter regulatory T-cell function and differentiation and their potential as therapeutic targets in inflammatory niches, tumors and autoimmune disease. McEwan et al.5 update us on the growing evidence that the most important risk gene for Alzheimer's disease, the apolipoprotein E variant, APOE4 drives immune dysregulation causing neuroinflammation and neurodegeneration. Eberl6 summarizes the role of γδ T cells in tissues during sepsis while referring to 58 Taylor Swift song titles—how many can you find? 2024 was also a big year for innate lymphoid cells (ILC), with Shen et al.7 discussing tissue-specific roles for ILC3, highlighting metabolic and checkpoint molecules as targets for immunotherapy. Shajan et al.8 summarizes the critical signaling pathways, epigenetic modifications and cytokines-regulating natural killer (NK) cell function and survival. Bourel et al.9 review the latest strategies to enhance NK cell cytotoxicity and memory for cell-based cancer therapy. Finally, Jose et al.10 discuss advances and clinical trials for antibody–drug conjugates, which combine monoclonal antibody specificity with cytotoxic agents to selectively deliver potent drugs to tumor cells.

Whether you are reliving some of 2024's key findings in your field or learning about the major advances in another area, this Special Feature will get you up to date and ready for another exciting year or immunology.

The author declares no conflicts of interest.

Joanne H Reed: Conceptualization; writing – original draft; writing – review and editing.

本专题为您带来“2024年的亮点”,这是一组简短的文章,为您介绍2024年发表的免疫学研究的最新进展。每篇重点文章总结了推动免疫学特定领域新发现的关键论文。Pankhurst和Linterman1强调了生发中心反应的最新发现,以及开发更有效的疫苗和免疫疗法的新机会。Flaman et al.2专注于为健康和疾病中抗体分泌细胞的发育、分化和寿命提供关键见解的关键研究。在Lee和Reed 3中,我们回顾了年龄相关B细胞的最新发现,它们的转录调节因子的发现,以及自身免疫性疾病中致病作用的证据。Valentini等人4讨论了改变调节性t细胞功能和分化的代谢途径,以及它们作为炎症利基、肿瘤和自身免疫性疾病治疗靶点的潜力。McEwan等人5向我们提供了越来越多的证据,证明阿尔茨海默病最重要的风险基因,载脂蛋白E变异,APOE4驱动免疫失调,导致神经炎症和神经变性。Eberl6总结了γδ T细胞在败血症期间组织中的作用,同时参考了58首泰勒·斯威夫特的歌曲标题——你能找到多少?2024年也是先天性淋巴样细胞(ILC)的重要一年,Shen等人7讨论了ILC3的组织特异性作用,强调了代谢和检查点分子作为免疫治疗的靶点。Shajan等人8总结了关键的信号通路、表观遗传修饰和细胞因子调节自然杀伤(NK)细胞功能和存活。Bourel等人回顾了增强NK细胞细胞毒性和记忆的最新策略,用于基于细胞的癌症治疗。最后,Jose等人讨论了抗体-药物偶联物的进展和临床试验,该偶联物将单克隆抗体特异性与细胞毒性药物相结合,选择性地向肿瘤细胞递送强效药物。无论你是在重温2024年在你所在领域的一些重要发现,还是在另一个领域学习重大进展,这篇专题文章都会让你了解最新情况,为另一个激动人心的免疫学年做好准备。作者声明无利益冲突。Joanne H Reed:概念化;写作——原稿;写作——审阅和编辑。
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引用次数: 0
Targeting glutamine metabolism in CD4+ T-cell-mediated autoimmune diseases 靶向谷氨酰胺代谢在CD4+ t细胞介导的自身免疫性疾病。
IF 3 4区 医学 Q3 CELL BIOLOGY Pub Date : 2025-06-18 DOI: 10.1111/imcb.70042
Zheng Li, ZeHong Su, ZhiMin Wu, LvHeng He, PingPing Hu, GaoJian Lian

CD4+ T cells play a vital role in the occurrence and development of autoimmune diseases (AID). The differentiation direction and function of CD4+ T cells are both regulated by metabolic reprogramming, which differs across various CD4+ T subsets. Glutamine (Gln), as an immunoregulatory nutrient, not only provides bioenergy and biosynthesis for the differentiation and effector function of CD4+ T cells but also regulates intracellular redox conditions and produces metabolic intermediates that are used for epigenetic modification of effector cell genes. Here, we review the metabolic characteristics of Gln in CD4+ T cells and its regulatory effects on CD4+ T-cell differentiation and function. We also summarize potential targets on Gln metabolism for AID therapy, including Gln transporters, Gls1, GSH synthesis and epigenetic modification. However, the primary challenge remains how to achieve cell type-specific metabolic inhibition in vivo. Therefore, future research should focus on developing selective and effective therapeutic agents that modulate Gln metabolism while minimizing cytotoxicity for AID treatment.

CD4+ T细胞在自身免疫性疾病(AID)的发生发展中起着至关重要的作用。CD4+ T细胞的分化方向和功能都受到代谢重编程的调控,不同CD4+ T亚群的代谢重编程不同。谷氨酰胺(Gln)作为一种免疫调节营养素,不仅为CD4+ T细胞的分化和效应功能提供生物能量和生物合成,而且调节细胞内氧化还原条件,产生用于效应细胞基因表观遗传修饰的代谢中间体。本文就Gln在CD4+ T细胞中的代谢特征及其对CD4+ T细胞分化和功能的调控作用进行综述。我们还总结了AID治疗中Gln代谢的潜在靶点,包括Gln转运体、Gls1、谷胱甘肽合成和表观遗传修饰。然而,主要的挑战仍然是如何在体内实现细胞类型特异性代谢抑制。因此,未来的研究应侧重于开发选择性和有效的治疗药物,以调节Gln代谢,同时最大限度地减少AID治疗的细胞毒性。
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引用次数: 0
Serum proteomic and metabolomic analyses from patients with IBD identify biological pathways associated with treatment success with anti-integrin therapy 来自IBD患者的血清蛋白质组学和代谢组学分析确定了与抗整合素治疗成功相关的生物学途径。
IF 3 4区 医学 Q3 CELL BIOLOGY Pub Date : 2025-06-12 DOI: 10.1111/imcb.70039
John D Rioux, Gabrielle Boucher, Anik Forest, Bertrand Bouchard, Lise Coderre, Caroline Daneault, Isabelle Robillard Frayne, Julie Thompson Legault, Alain Bitton, Ashwin Ananthakrishnan, Sylvie Lesage, Ramnik J Xavier, Christine Des Rosiers, iGenoMed Consortium

Crohn's disease (CD) and ulcerative colitis (UC) are chronic inflammatory diseases of the gastrointestinal tract believed to arise from an imbalance between its epithelial, immune and microbial components. It has been shown that biological differences (e.g. genetic, epigenetic, microbial, environmental) exist between patients with IBD. It is also known that there is important heterogeneity in the response to therapies that target very specific biological pathways (e.g. TNF-alpha signaling, IL-23R signaling, immune cell trafficking). The aim of this study was to identify potential biological differences associated with differential treatment response to the anti α4β7 integrin therapy known as vedolizumab. We performed targeted analyses of > 150 proteins and metabolites, and nontargeted analyses of > 1100 lipid entities in serum samples from 92 IBD patients (42 CD, 50 UC) immediately prior to initiation of therapy with vedolizumab (baseline samples) and at their first clinical assessment (week 14 samples). We detected that the baseline levels of multiple serum cytokines, amino acids, acylcarnitines and triglycerides were different between responders and nonresponders to treatment with vedolizumab. We also noted changes in serum analytes between baseline and week 14 samples that were different between these two groups of patients. Many of these serum analytes are markers of biological pathways that are involved in the activation, proliferation and metabolism of pro-inflammatory cells. This study provides support for the hypothesis that biological differences between individuals not only impact the risk to develop IBD and IBD-related clinical phenotypes but also an IBD patient's likelihood of responding to a biological therapy.

克罗恩病(CD)和溃疡性结肠炎(UC)是胃肠道的慢性炎症性疾病,据信是由其上皮、免疫和微生物成分之间的不平衡引起的。研究表明,IBD患者之间存在生物学差异(如遗传、表观遗传、微生物、环境)。我们还知道,针对非常特定的生物途径(如tnf - α信号、IL-23R信号、免疫细胞运输)的治疗反应存在重要的异质性。本研究的目的是确定与抗α4β7整合素治疗(vedolizumab)差异治疗反应相关的潜在生物学差异。我们对92例IBD患者(42例CD, 50例UC)在开始使用vedolizumab治疗前(基线样本)和首次临床评估(第14周样本)的血清样本中> - 150蛋白和代谢物进行了靶向分析,并对> - 1100脂质实体进行了非靶向分析。我们检测到多种血清细胞因子、氨基酸、酰基肉碱和甘油三酯的基线水平在对vedolizumab治疗有反应和无反应的患者之间是不同的。我们还注意到两组患者在基线和第14周样本之间血清分析物的变化。许多这些血清分析物是参与促炎细胞的激活、增殖和代谢的生物学途径的标记物。该研究支持了个体之间的生物学差异不仅影响IBD发展风险和IBD相关临床表型,还影响IBD患者对生物治疗的反应可能性的假设。
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引用次数: 0
Interferon signaling in type-2 dendritic cells supports TH2 and T follicular helper fates in response to allergens 干扰素信号在2型树突状细胞支持TH2和T滤泡辅助命运对过敏原的反应。
IF 3.2 4区 医学 Q3 CELL BIOLOGY Pub Date : 2025-06-03 DOI: 10.1111/imcb.70035
Greta R Webb, Kerry L Hilligan, Sam I Old, Shiau-Choot Tang, Olivier Lamiable, Franca Ronchese

Type-2 dendritic cells (DC2s) are essential for the initiation of type-2 immune responses, but the signaling pathways involved in allergen sensing, DC activation and instruction of CD4+ T cell differentiation into TH2 cells remain unclear. Previous studies demonstrated a type-I interferon (IFN-I) signature in skin DC2s following immunization with non-viable larvae of the helminth Nippostrongylus brasiliensis (Nb), house dust mite (HDM) or Schistosoma egg antigen (SEA). Here we show that conditional loss of IFNAR1 signaling in CD11c+ DCs significantly impaired TH2 effector and T follicular helper (TFH) CD4+ T cell responses to Nb. In vivo proliferation experiments demonstrated reduced numbers of highly divided CD4+ T cells in IFNAR1∆CD11c mice compared to IFNAR1WT, with similar proportions of GATA3hi TH2 cells within the divided populations indicating that IFNAR1 signaling in DCs was supporting T cell priming and expansion rather than GATA3hi differentiation. By contrast, TFHs were present in lower frequencies in IFNAR1∆CD11c mice compared to IFNAR1WT, suggesting that IFN-I signaling in DCs is necessary for allergen-specific TFH differentiation. Characterization of the DC2 compartment by flow cytometry and bulk RNAseq demonstrated lower numbers of Nb+ DC2s in draining lymph nodes (dLN) and reduced expression of genes involved in DC2 motility, focal adhesion, and antigen processing, while expression of costimulatory molecules and cell survival and apoptosis pathway scores were similar. Therefore, IFN-I conditioning of skin DC2s is necessary for their effective priming of CD4+ TH2 responses to allergens and likely acts through the additive effects of multiple IFN-I-regulated pathways in DC2s.

2型树突状细胞(Type-2 dendritic cells, DC2s)对于2型免疫应答的启动至关重要,但涉及过敏原感知、DC激活和CD4+ T细胞分化为TH2细胞的信号通路尚不清楚。先前的研究表明,在用巴西尼波圆形线虫(Nippostrongylus brasiliensis, Nb)、屋尘螨(HDM)或血吸虫卵抗原(Schistosoma egg antigen, SEA)的非活的幼虫免疫后,皮肤DC2s中存在i型干扰素(IFN-I)特征。本研究表明,CD11c+ dc中IFNAR1信号的条件缺失显著损害了TH2效应细胞和T滤泡辅助细胞(TFH) CD4+ T细胞对Nb的反应。体内增殖实验表明,与IFNAR1WT相比,IFNAR1∆CD11c小鼠中高度分裂的CD4+ T细胞数量减少,分裂群体中GATA3hi TH2细胞的比例相似,这表明dc中的IFNAR1信号传导支持T细胞的启动和扩增,而不是GATA3hi分化。相比之下,与IFNAR1WT相比,IFNAR1∆CD11c小鼠中TFH的频率较低,这表明dc中的IFN-I信号传导对于过敏原特异性TFH分化是必要的。通过流式细胞术和大体积RNAseq对DC2细胞室的表征表明,引流淋巴结(dLN)中Nb+ DC2s数量减少,参与DC2运动、局灶黏附和抗原加工的基因表达减少,而共刺激分子的表达以及细胞存活和凋亡途径评分相似。因此,IFN-I调节皮肤DC2s对于有效启动CD4+ TH2对过敏原的反应是必要的,并且可能通过多种IFN-I调节通路在DC2s中起叠加作用。
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引用次数: 0
Highlights of 2024: unleashing the power of NK cells—cancer's worst nightmare 2024年的亮点:释放NK细胞的力量——癌症最可怕的噩梦。
IF 3.2 4区 医学 Q3 CELL BIOLOGY Pub Date : 2025-06-02 DOI: 10.1111/imcb.70037
Capucine Bourel, Fernando Souza-Fonseca-Guimaraes, Sylvie Lesage

In this article for the Highlights of 2024 Series, we discuss strategies to enhance NK cell-based cancer therapies. These include (1) cytokine expression on bacterial membranes to boost NK cell activation in tumors, (2) optimizing CAR-NK cell manufacturing for improved efficacy, (3) using CRISPR-Cas9 to identify and target inhibitory genes, and (4) using tetraspecific engagers to enhance cytotoxicity and cytokine memory-like NK cells strengthening anti-tumor responses. This year's progress holds much promise for cancer treatments exploiting NK cells.

在这篇文章2024系列的亮点中,我们讨论了增强NK细胞为基础的癌症治疗的策略。这些包括(1)在细菌膜上表达细胞因子以促进肿瘤中NK细胞的活化,(2)优化CAR-NK细胞制造以提高疗效,(3)使用CRISPR-Cas9识别和靶向抑制基因,以及(4)使用四特异性参与器增强细胞毒性和细胞因子记忆样NK细胞增强抗肿瘤反应。今年的进展为利用NK细胞治疗癌症带来了很大希望。
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引用次数: 0
Platforms for studying cell–cell recognition by immune cells 研究免疫细胞识别细胞的平台。
IF 3 4区 医学 Q3 CELL BIOLOGY Pub Date : 2025-05-29 DOI: 10.1111/imcb.70036
Jordan Kramer, P Anton van der Merwe, Omer Dushek

Immune cells interact directly with other cells and make decisions by integrating information from many different receptor–ligand interactions at these cell–cell interfaces. Since they encounter a huge variety of normal and abnormal cells, they experience many different combinations and concentrations of ligands. Understanding immune responses therefore requires platforms that enable ligands to be easily manipulated. We review and compare the available platforms, focusing on T-cell recognition. Although genetically modified antigen-presenting cells (APCs) offer the most physiological system, manipulating their ligands is difficult and slow. In contrast, solid surfaces or supported lipid bilayers allow easy manipulation of ligands but lack the biophysical properties of cells, such as softness, a glycocalyx, and/or ligand mobility. A recently developed CombiCell system enables easy manipulation of ligands while conserving key biophysical properties. By comparing the advantages and limitations of each platform, we provide a framework to choose the most suitable system to study signal integration in both basic and translational contexts.

免疫细胞直接与其他细胞相互作用,并通过整合这些细胞-细胞界面上许多不同受体-配体相互作用的信息来做出决定。由于它们遇到各种各样的正常和异常细胞,它们经历了许多不同的配体组合和浓度。因此,理解免疫反应需要使配体易于操纵的平台。我们回顾和比较现有的平台,重点是t细胞识别。虽然转基因抗原呈递细胞(APCs)提供了最生理的系统,但操纵它们的配体是困难和缓慢的。相比之下,固体表面或支撑的脂质双分子层可以很容易地操纵配体,但缺乏细胞的生物物理特性,如柔软性、糖萼和/或配体的流动性。最近开发的CombiCell系统可以轻松操作配体,同时保留关键的生物物理特性。通过比较每个平台的优势和局限性,我们提供了一个框架,以选择最合适的系统来研究基础和翻译环境下的信号集成。
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引用次数: 0
Highlights of 2024: Advances in Germinal Centers 2024年的亮点:生发中心的进展。
IF 3.2 4区 医学 Q3 CELL BIOLOGY Pub Date : 2025-05-19 DOI: 10.1111/imcb.70032
Theresa E Pankhurst, Michelle A Linterman

In this article for the Highlights of 2024 series, we review the latest advances in the biology of the germinal center response. These discoveries provide key insights into germinal center function and dysregulation, uncovering new opportunities for the development of more effective vaccines.

在这篇文章的亮点2024系列中,我们回顾了生发中心反应生物学的最新进展。这些发现为生发中心功能和失调提供了重要见解,为开发更有效的疫苗提供了新的机会。
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引用次数: 0
A trial-blazer in clinical research 临床研究的先驱。
IF 3 4区 医学 Q3 CELL BIOLOGY Pub Date : 2025-05-19 DOI: 10.1111/imcb.70034
Alex Johnston, Arti Medhavy, Suzanne Elliott, Danielle I Stanisic

Founded in 2005, Gallipoli Medical Research (GMR) is a leading independent medical research institute located in Greenslopes, Brisbane, Queensland. GMR strives to enrich and restore lives through pioneering medical research that transcends the laboratory to deliver meaningful and tangible real-world solutions. In 2006, GMR launched its clinical trials program at one of Australia's largest private hospitals, with the focus on advancing healthcare through innovative treatments and emerging therapies, with a particular focus on oncology, liver, and respiratory diseases. Dr Suzanne Elliott is the Associate Director of Clinical Trials at GMR. Here, Dr Elliott discusses her transition from laboratory-based research into the clinical trial industry and shares her insight, advice, and pioneering contributions to industry, government, and the clinical trial research landscape across her diverse 30-year career.

加利波利医学研究所(GMR)成立于2005年,是一家领先的独立医学研究机构,位于昆士兰州布里斯班的格林斯洛普斯。GMR致力于通过超越实验室的开创性医学研究,提供有意义和切实的现实世界解决方案,丰富和恢复生活。2006年,GMR在澳大利亚最大的私立医院之一启动了临床试验项目,重点是通过创新治疗和新兴疗法推进医疗保健,特别是肿瘤、肝脏和呼吸系统疾病。Suzanne Elliott博士是GMR临床试验副主任。在这里,艾略特博士讨论了她从实验室为基础的研究过渡到临床试验行业,并分享了她的见解,建议,以及在她30年的职业生涯中对行业,政府和临床试验研究领域的开创性贡献。
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引用次数: 0
Heterogeneity of T follicular regulatory cells: exploring their expanding ontogeny and differentiation pathways T滤泡调节细胞的异质性:探索其扩大的个体发生和分化途径。
IF 3 4区 医学 Q3 CELL BIOLOGY Pub Date : 2025-05-19 DOI: 10.1111/imcb.70026
Maria Miguel Cavaco, Pedro Gaspar, Rui do Amaral Vieira, Filipa Ribeiro, Luis Graca

T follicular regulatory (Tfr) cells have emerged as key mediators in controlling germinal center (GC) responses, preventing excessive immune activation and preserving self-tolerance. Initially thought to originate solely from thymic T regulatory cells (tTregs), recent findings reveal a more complex picture involving multiple differentiation pathways contributing to their heterogeneity. The natural route of differentiation comprises the most abundant subset, which originates from tTregs and retains the expression of CD25 (CD25+ nTfr), before transitioning into a more mature CD25-negative state within the GC (CD25 nTfr). Conversely, the induced route (iTfr) includes Tfr cells that arise alongside nTfr cells but originate from peripheral Tregs or CD25-expressing Tfh cells, in addition to a late-GC subset (late Tfr) that emerges through the expression of FoxP3 by Tfh cells. The identification of circulating Tfr cells (cTfr) in peripheral blood, especially useful for studying immune dysregulation in humans, provides insights into their systemic roles and potential as biomarkers for immune dysfunction in different clinical scenarios. While it becomes evident that Tfr cells exhibit a heterogeneous nature, a deeper understanding of their distinct subsets could pave the way for targeted immunomodulatory strategies in the development of novel vaccines and therapeutics. This review provides a comprehensive overview of Tfr cell diversity, exploring their ontogeny, functional roles, and impact on immune homeostasis and disease.

T滤泡调节性(Tfr)细胞已成为控制生发中心(GC)反应、防止过度免疫激活和保持自身耐受性的关键介质。最初被认为仅起源于胸腺T调节细胞(tTregs),最近的研究结果揭示了一个更复杂的图景,涉及多种分化途径,导致它们的异质性。自然分化途径包括最丰富的子集,它起源于tTregs并保留CD25 (CD25+ nTfr)的表达,然后在GC内过渡到更成熟的CD25阴性状态(CD25- nTfr)。相反,诱导途径(iTfr)包括与nTfr细胞一起产生的Tfr细胞,但起源于外周Tregs或表达cd25的Tfh细胞,以及通过Tfh细胞表达FoxP3而出现的晚期gc亚群(晚期Tfr)。外周血循环Tfr细胞(cTfr)的鉴定对研究人类免疫失调特别有用,它提供了对它们在不同临床情况下作为免疫功能障碍生物标志物的系统性作用和潜力的见解。虽然很明显,Tfr细胞表现出异质性质,但对其不同亚群的更深入了解可以为开发新型疫苗和治疗方法中的靶向免疫调节策略铺平道路。本文综述了Tfr细胞的多样性,探讨了它们的个体发生、功能作用以及对免疫稳态和疾病的影响。
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引用次数: 0
Transcriptomic signatures of host immune responses in aphthous ulcers, the earliest lesions of Crohn's disease, suggest that bacterial uptake, rather than global dysbiosis, is the initiating factor 溃疡是克罗恩病最早的病变,宿主免疫反应的转录组特征表明,细菌摄取,而不是整体生态失调,是启动因素。
IF 3.2 4区 医学 Q3 CELL BIOLOGY Pub Date : 2025-05-19 DOI: 10.1111/imcb.70031
Phillip J Whiley, Ojas VA Dixit, Mukta Das Gupta, Hardip Patel, Guoyan Zhao, Susan J Connor, Kim M Summers, David A Hume, Paul Pavli, Claire L O'Brien

Crohn's disease is a chronic, transmural inflammatory disease of the human gut. Changes in the fecal microbial composition and dysbiosis are consistent features in studies of Crohn's disease patients, but whether dysbiosis is a cause or consequence of inflammation remains unresolved. Genetic susceptibility plays a role in the development of Crohn's disease and has been linked to genes involved in recognition of intestinal bacteria by the mononuclear phagocyte system. The earliest visible lesions in Crohn's disease are aphthous ulcers, overlying Peyer's patches and lymphoid follicles. To identify mechanisms underlying the earliest stages of disease we compared gene expression in aphthous ulcers, Peyer's patches, inflamed and endoscopically normal mucosa from patients and controls using total RNA-seq. The resulting data were subjected to network analysis to identify coregulated gene expression signatures of cell types and processes. These results were compared to single-cell RNA-seq analysis of intestinal macrophages in normal and diseased mucosa. The analysis of aphthous ulcers revealed signatures of epithelial stress and antimicrobial defense, plasma cell activation and immunoglobulin production, monocyte recruitment, inflammatory gene expression and induction of interferon-γ. These signatures were not present in the normal appearing mucosa adjacent to aphthous ulcers, which were similar to healthy control mucosa. Given the role of Peyer's patches and lymphoid follicles in sampling the luminal contents, these findings suggest the initial lesion in Crohn's disease arises from the uptake of bacteria and the activation of multiple host defense pathways rather than the breakdown of epithelial barrier integrity and widespread bacterial translocation.

克罗恩病是一种人体肠道的慢性、跨壁炎症性疾病。粪便微生物组成的变化和生态失调是克罗恩病患者研究的一贯特征,但生态失调是炎症的原因还是后果仍未解决。遗传易感性在克罗恩病的发展中起作用,并与单核吞噬细胞系统识别肠道细菌的基因有关。克罗恩病最早可见的病变是口腔溃疡,覆盖在佩耶氏斑和淋巴滤泡上。为了确定疾病早期的潜在机制,我们使用总RNA-seq方法比较了来自患者和对照组的阿弗顿溃疡、Peyer’s斑块、炎症和内镜下正常粘膜的基因表达。结果数据进行网络分析,以确定细胞类型和过程的共调节基因表达特征。这些结果与正常和病变粘膜中肠巨噬细胞的单细胞RNA-seq分析结果进行了比较。对阿弗顿溃疡的分析揭示了上皮应激和抗菌防御、浆细胞活化和免疫球蛋白产生、单核细胞募集、炎症基因表达和干扰素-γ诱导的特征。这些特征在毗邻阿弗顿溃疡的正常粘膜中不存在,这与健康对照粘膜相似。鉴于Peyer's斑块和淋巴滤泡在管腔内容物取样中的作用,这些发现表明克罗恩病的初始病变源于细菌的摄取和多种宿主防御途径的激活,而不是上皮屏障完整性的破坏和广泛的细菌易位。
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引用次数: 0
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