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A history of psycho-neuro-endocrine immune interactions in rheumatic diseases. 风湿病中精神-神经-内分泌免疫相互作用的历史。
IF 2.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-08-21 DOI: 10.1159/000540959
Rainer H Straub, Maurizio Cutolo

Background All active scientists stand on the shoulders of giants and many other more anonymous scientists, and this is not different in our field of psycho-neuro-endocrine immunology in rheumatic diseases. Too often, the modern world of publishing forgets about the collective enterprise of scientists. Some journals advise the authors to present only literature of the last decade, and it became a natural attitude of many scientists to present only the latest publications. In order to work against this general unempirical behavior, Neuroimmunomodulation devotes the 30-year anniversary issue to the history of medical science in psycho-neuro-endocrine immunology. Summary Keywords were derived from the psycho-neuro-endocrine immunology research field very well known to the authors (R.H.S. collects a list of key words since 1994). We screened PubMed, the Cochran Library of Medicine, Embase, Scopus database, and the ORCiD database to find relevant historical literature. The Snowballing procedure helped to find related work. According to the historical appearance of discoveries in the field, the order of presentation follows the subsequent scheme: 1. The sensory nervous system, 2. The sympathetic nervous system, 3. The vagus nerve, 4. Steroid hormones (glucocorticoids, androgens, progesterone, estrogens, and the vitamin D hormone), 5. Afferent pathways involved in fatigue, anxiety, insomnia, and depression (in-cludes pathophysiology), and 6. Evolutionary medicine and energy regulation - an umbrella theory. Key Messages A brief history on psycho-neuro-endocrine immunology cannot address all relevant aspects of the field. The authors are aware of this shortcoming. The reader must see this review as a viewpoint through the biased eyes of the authors. Nevertheless, the text gives an overview of history in psycho-neuro-endocrine immunology of rheumatic diseases.

背景所有活跃的科学家都是站在巨人和许多其他默默无闻的科学家的肩膀上,这在我们的风湿病心理-神经-内分泌免疫学领域也不例外。现代出版界往往忘记了科学家的集体事业。一些期刊建议作者只发表最近十年的文献,许多科学家自然而然地只发表最新的论文。为了反对这种普遍的非经验主义行为,《神经免疫调节》在 30 周年纪念特刊中专门介绍了精神-神经-内分泌免疫学的医学史。摘要 关键词来自作者非常熟悉的心理-神经-内分泌免疫学研究领域(R.H.S.自1994年起收集关键词列表)。我们筛选了 PubMed、Cochran 医学图书馆、Embase、Scopus 数据库和 ORCiD 数据库,以查找相关的历史文献。"滚雪球 "程序帮助我们找到了相关工作。根据该领域发现的历史沿革,介绍顺序如下:1.感觉神经系统;2.交感神经系统;3.迷走神经;4.类固醇激素(糖皮质激素、雄激素、孕激素、雌激素和维生素 D 激素);5.疲劳、焦虑、失眠和抑郁(包括病理生理学)的传入途径;6.进化医学和能量调节--能量调节的历史沿革。进化医学与能量调节--一种总括理论。重要信息 有关心理-神经-内分泌免疫学的简史无法涵盖该领域的所有相关方面。作者意识到了这一不足。读者必须将这篇综述视为作者带有偏见的观点。尽管如此,本文还是概述了风湿病心理-神经-内分泌免疫学的历史。
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引用次数: 0
STEERING THE MICROBIOTA-GUT-BRAIN AXIS BY ANTIBIOTICS TO MODEL NEURO-IMMUNE-ENDOCRINE DISORDERS. 通过抗生素引导微生物群-肠-脑轴来模拟神经-免疫-内分泌紊乱。
IF 2.4 4区 医学 Q2 Neuroscience Pub Date : 2024-04-17 DOI: 10.1159/000538927
M. Pérez-Morales, P. C. Bello-Medina, D. A. González-Franco, Sofía Díaz-Cintra, Jaime García-Mena, Gustavo Pacheco-López
BACKGROUNDOver the last century, animal models have been employed to study the gut-brain axis and its relationship with physiological processes, including those necessary for survival, such as food intake regulation and thermoregulation; those involved in diseases, ranging from inflammation to obesity; and those concerned to the development of neurodegenerative diseases and neuropsychiatric disorders, such as Alzheimer's disease and autism spectrum disorder, respectively.SUMMARYThe gut microbiota has been recognized in the last decade as an essential functional component of this axis. Many reports demonstrate that the gut microbiota influences the development of a vast array of physiological processes. Experiments that use animal models to assess the effect of the gut microbiota on the brain and behavior may involve the acute or chronic administration of wide-spectrum antibiotics.KEY MESSAGESThis narrative review summarizes the beneficial or detrimental effects of antibiotics administered prenatally or postnatally to rodents during acute or chronic periods in a wide range of protocols. These include animal models of disease and behavioral paradigms of learning and memory, anxiety, obsessive-compulsive disorder, and autism spectrum disorder. Biomarkers and behavioral assays associated with antibiotic exposure are also included in this review.
背景上个世纪,人们利用动物模型来研究肠道-大脑轴及其与生理过程的关系,包括生存所必需的过程,如食物摄入调节和体温调节;与疾病有关的过程,从炎症到肥胖;以及与神经退行性疾病和神经精神疾病的发展有关的过程,如阿尔茨海默病和自闭症谱系障碍。许多报告表明,肠道微生物群影响着一系列生理过程的发展。利用动物模型评估肠道微生物群对大脑和行为的影响的实验可能涉及到急性或慢性服用广谱抗生素。其中包括疾病动物模型以及学习和记忆、焦虑、强迫症和自闭症谱系障碍的行为范例。本综述还包括与抗生素暴露相关的生物标志物和行为测定。
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引用次数: 0
Serum levels of the steroid hormone dehydroepiandrosterone (DHEA) are associated with psychological trauma and lymphocyte telomere integrity in women suffering from depression. 抑郁症女性血清中的类固醇激素脱氢表雄酮(DHEA)水平与心理创伤和淋巴细胞端粒完整性有关。
IF 2.4 4区 医学 Q2 Neuroscience Pub Date : 2024-04-17 DOI: 10.1159/000538893
Karin de Punder, J. Salinas-Manrique, Detlef E. Dietrich, Alexander Karabatsiakis
INTRODUCTIONEmerging studies highlight the telomere system as an aging mechanism underlying the association between exposure to psychological trauma and the development of a wide range of physical and mental disorders, including major depressive disorder (MDD). Here, we investigated associations of circulating levels of the steroid hormone dehydroepiandrosterone (DHEA) with immune cell telomere length (TL) in the context of lifetime trauma exposure and MDD.METHODSLifetime traumatic events (trauma load) were assessed using the Essener Trauma Inventory (ETI) in n=22 postmenopausal female inpatients with MDD and n=22 non-depressed controls. All women completed the Beck's Depression Inventory-II to assess the severity of current depressive symptoms. DHEA concentration in serum was measured by immunoassay and TL was quantified in kilobase units using quantitative fluorescent in situ hybridization (qFISH) in total peripheral blood mononuclear cells (PBMC) and in selected T cell subpopulations isolated by FACS separation.RESULTSHigher trauma load was significantly associated with lower DHEA concentration, which in turn was linked to more depression-related fatigue. Furthermore, DHEA concentration was positively and significantly associated with TL in memory CD4+ T cells as well as in naïve and memory CD8+ T cells, but not in naïve CD4+ T cells and total PBMC. Mediational analysis suggested that DHEA concentration is a mediator in the relationship between trauma load and memory CD8+ T cell TL.CONCLUSIONThe current findings suggest a potential role of DHEA as a biological resilience factor that may exert beneficial effects on telomere integrity, especially in conditions related to distress.
引言:越来越多的研究强调端粒系统是暴露于心理创伤与包括重度抑郁症(MDD)在内的多种身体和精神疾病之间关系的一种衰老机制。在此,我们研究了类固醇激素脱氢表雄酮(DHEA)的循环水平与免疫细胞端粒长度(TL)在终生创伤暴露和重性抑郁症背景下的关联。所有女性均完成了贝克抑郁量表-II,以评估当前抑郁症状的严重程度。用免疫测定法测定血清中的 DHEA 浓度,用定量荧光原位杂交法(qFISH)对外周血单核细胞(PBMC)总数和经 FACS 分离的选定 T 细胞亚群中的 TL 进行千碱基单位定量。此外,记忆 CD4+ T 细胞以及幼稚和记忆 CD8+ T 细胞中的 DHEA 浓度与 TL 呈显著正相关,而幼稚 CD4+ T 细胞和整个 PBMC 中的 DHEA 浓度与 TL 无关。中介分析表明,DHEA浓度是创伤负荷与记忆CD8+ T细胞TL之间关系的中介因素。
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引用次数: 0
The Importance of Neuroendocrine Immunology Pathways in the Course of COVID-19. 神经内分泌免疫学途径在 COVID-19 病程中的重要性。
IF 2.4 4区 医学 Q2 Neuroscience Pub Date : 2024-01-01 Epub Date: 2024-02-06 DOI: 10.1159/000536661
Maurizio Cutolo, Emanuele Gotelli
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引用次数: 0
Impact of Sleep Deprivation on the Brain's Inflammatory Response Triggered by Lipopolysaccharide and Its Consequences on Spatial Learning and Memory and Long-Term Potentiation in Male Rats. 剥夺睡眠对脂多糖引发的大脑炎症反应的影响及其对雄性大鼠空间学习记忆和长期潜能的影响
IF 2.4 4区 医学 Q2 Neuroscience Pub Date : 2024-01-01 Epub Date: 2023-12-27 DOI: 10.1159/000535784
Maryam Salari, Khadijeh Esmaeilpour, Lily Mohammadipoor-Ghasemabad, Farahnaz Taheri, Mahmoud Hosseini, Vahid Sheibani

Introduction: Both sleep deprivation (SD) and inflammation can negatively affect cognitive function. This study aimed to investigate how SD impacts the brain's inflammatory response to lipopolysaccharide (LPS) and its subsequent effects on cognitive functions.

Methods: To this end, male rats were tested through a Morris water maze (MWM) to assess their spatial learning and memory. Also, in vivo field potential recordings (to evaluate synaptic plasticity) were done in the Saline, SD, LPS1 (1 mg/kg/7 days), and LPS1+SD groups. Cytokine levels were measured using an enzyme-linked immunosorbent assay (ELISA).

Results: Based on the results, the LPS1+SD group showed increased total distance and escape latency compared to the other groups in the MWM test. Besides, the LPS1+SD group exhibited a significant decrease in long-term potentiation (LTP) induction and maintenance in the CA1 area of the brain. Finally, the inflammatory cytokine interleukin-1β (IL-1β) levels were significantly higher in the LPS1+SD group than in the Saline group.

Conclusion: These findings suggest that the combined effects of SD and brain inflammatory response can have more harmful effects on cognitive function, LTP, and inflammatory factors than either SD or LPS1 alone.

简介睡眠不足(SD)和炎症都会对认知功能产生负面影响。本研究旨在探讨睡眠不足如何影响大脑对脂多糖(LPS)的炎症反应及其对认知功能的影响:为此,研究人员对雄性大鼠进行了莫里斯水迷宫(MWM)测试,以评估它们的空间学习和记忆能力。此外,还在盐水组、SD 组、LPS1(1 毫克/千克/7 天)组和 LPS1+SD 组进行了体内场电位记录(以评估突触可塑性)。使用酶联免疫吸附试验(ELISA)测量细胞因子水平:结果:在MWM测试中,LPS1+SD组的总距离和逃逸潜伏期都比其他组有所增加。此外,LPS1+SD组大脑CA1区的长期电位(LTP)诱导和维持能力显著下降。最后,LPS1+SD 组的炎症细胞因子白细胞介素-1β(IL-1β)水平明显高于生理盐水组:这些研究结果表明,SD 和脑部炎症反应的共同作用对认知功能、LTP 和炎症因子的危害比单独使用 SD 或 LPS1 更严重。
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引用次数: 0
Causal Histories of Psychological Factors and Cancer: From Psychosomatic Medicine to Neuroimmunomodulation. 心理因素与癌症的因果史:从心身医学到神经免疫调节。
IF 2.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-01-01 Epub Date: 2024-06-22 DOI: 10.1159/000539991
Iota Anastassis, Jan Pieter Konsman

Background: Establishing causal relationships is essential in biology and medicine. However, various notions of causality have been operationalized at different times in various fields of the life and health sciences. While this is expected from a history or sociology of science point of view, as different accounts may correspond to what is valued in terms of establishing causal relationships at different times as well as in different fields of biology and medicine, this may come as a surprise for a present-day actor in those fields. If, over time, causal accounts have not been fully dismissed, then they are likely to invite some form of, potentially salutary, explanatory pluralism.

Summary: In the decades following WWII, psychosomatic medicine could propose that psychological factors cause somatic diseases. But today, most medicine has to meet the standard of a randomized clinical trial before any causal relationship can be proposed. Instead, in biology, mechanisms seem to be the most-valued causal discourse to explain how phenomena of interest are brought about. Here, the focus will be on how psychoneuroimmunology, an interdisciplinary research field addressing interactions between the nervous system and immune system, and between behavior and health, has considered causal relationships between psychological factors and cancer.

Key messages: When it comes to causal explanations of links between psychological factors and cancer, psychoneuroimmunology is invited to consider the question of the directionality of these links as well as what and how factors causally contribute to cancer.

背景:在生物学和医学中,建立因果关系至关重要。然而,在生命科学和健康科学的各个领域,不同时期有不同的因果关系概念。虽然从科学史或科学社会学的角度来看,这在意料之中,因为不同的说法可能符合不同时期以及不同生物学和医学领域对建立因果关系的重视程度,但对于这些领域的当今参与者来说,这可能是一个惊喜。小结:在二战后的几十年里,心身医学可以提出心理因素导致躯体疾病。但如今,大多数医学都必须达到随机临床试验的标准,才能提出任何因果关系。相反,在生物学中,机制似乎是最有价值的因果论述,可以解释相关现象是如何产生的。心理神经免疫学是一个研究神经系统与免疫系统之间以及行为与健康之间相互作用的跨学科研究领域,这里将重点讨论心理神经免疫学是如何考虑心理因素与癌症之间的因果关系的:在对心理因素与癌症之间的因果关系进行解释时,心理神经免疫学应考虑这些联系的方向性问题,以及哪些因素和如何对癌症产生因果关系。
{"title":"Causal Histories of Psychological Factors and Cancer: From Psychosomatic Medicine to Neuroimmunomodulation.","authors":"Iota Anastassis, Jan Pieter Konsman","doi":"10.1159/000539991","DOIUrl":"10.1159/000539991","url":null,"abstract":"<p><strong>Background: </strong>Establishing causal relationships is essential in biology and medicine. However, various notions of causality have been operationalized at different times in various fields of the life and health sciences. While this is expected from a history or sociology of science point of view, as different accounts may correspond to what is valued in terms of establishing causal relationships at different times as well as in different fields of biology and medicine, this may come as a surprise for a present-day actor in those fields. If, over time, causal accounts have not been fully dismissed, then they are likely to invite some form of, potentially salutary, explanatory pluralism.</p><p><strong>Summary: </strong>In the decades following WWII, psychosomatic medicine could propose that psychological factors cause somatic diseases. But today, most medicine has to meet the standard of a randomized clinical trial before any causal relationship can be proposed. Instead, in biology, mechanisms seem to be the most-valued causal discourse to explain how phenomena of interest are brought about. Here, the focus will be on how psychoneuroimmunology, an interdisciplinary research field addressing interactions between the nervous system and immune system, and between behavior and health, has considered causal relationships between psychological factors and cancer.</p><p><strong>Key messages: </strong>When it comes to causal explanations of links between psychological factors and cancer, psychoneuroimmunology is invited to consider the question of the directionality of these links as well as what and how factors causally contribute to cancer.</p>","PeriodicalId":19133,"journal":{"name":"Neuroimmunomodulation","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141458362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Retraction Statement. 撤回声明。
IF 2.2 4区 医学 Q2 Neuroscience Pub Date : 2024-01-01 Epub Date: 2024-06-20 DOI: 10.1159/000539845
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引用次数: 0
Inflammatory Role of CCR1 in the Central Nervous System. CCR1 在中枢神经系统中的炎症作用
IF 2.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-01-01 Epub Date: 2024-08-08 DOI: 10.1159/000540460
Qi Tian, Ziang Yan, Yujia Guo, Zhibiao Chen, Mingchang Li

Background: Chemokine ligands and their corresponding receptors are essential for regulating inflammatory responses. Chemokine receptors can stimulate immune activation or inhibit/promote signaling pathways by binding to specific chemokine ligands. Among these receptors, CC chemokine receptor 1 (CCR1) is extensively studied as a G protein-linked receptor target, predominantly expressed in various leukocytes, and is considered a promising target for anti-inflammatory therapy. Furthermore, CCR1 is essential for monocyte extravasation and transportation in inflammatory conditions. Its involvement in inflammatory diseases of the central nervous system (CNS), including multiple sclerosis, Alzheimer's disease, and stroke, has been extensively studied along with its ligands. Animal models have demonstrated the beneficial effects resulting from inhibiting CCR1 or its ligands.

Summary: This review demonstrates the significance of CCR1 in CNS inflammatory diseases, the molecules implicated in the inflammatory pathway, and potential drugs or molecules for treating CNS diseases. This evidence may offer new targets or strategies for treating inflammatory CNS diseases.

趋化因子配体及其同源受体在调节炎症反应方面发挥着重要作用。与相应的趋化因子配体结合后,趋化因子受体可刺激免疫激活,抑制或促进信号通路。CC 趋化因子受体 1(CCR1)是一个被广泛研究的与 G 蛋白相连的受体靶点,它主要在多种白细胞中表达,被认为是自身炎症治疗的良好靶点。此外,CCR1 在炎症条件下的单核细胞外渗和转运过程中发挥着重要作用,CCR1 及其配体在一系列中枢神经系统(CNS)炎症性疾病(包括多发性硬化症、阿尔茨海默病和中风)中也得到了广泛研究。动物模型表明,抑制 CCR1 或其配体会产生有益的影响。本综述总结了 CCR1 在中枢神经系统炎症性疾病中的作用、参与炎症通路的分子以及在中枢神经系统疾病后发挥作用的相应药物或分子。这些证据可能为治疗中枢神经系统炎症性疾病提供可能的靶点或新策略。
{"title":"Inflammatory Role of CCR1 in the Central Nervous System.","authors":"Qi Tian, Ziang Yan, Yujia Guo, Zhibiao Chen, Mingchang Li","doi":"10.1159/000540460","DOIUrl":"10.1159/000540460","url":null,"abstract":"<p><strong>Background: </strong>Chemokine ligands and their corresponding receptors are essential for regulating inflammatory responses. Chemokine receptors can stimulate immune activation or inhibit/promote signaling pathways by binding to specific chemokine ligands. Among these receptors, CC chemokine receptor 1 (CCR1) is extensively studied as a G protein-linked receptor target, predominantly expressed in various leukocytes, and is considered a promising target for anti-inflammatory therapy. Furthermore, CCR1 is essential for monocyte extravasation and transportation in inflammatory conditions. Its involvement in inflammatory diseases of the central nervous system (CNS), including multiple sclerosis, Alzheimer's disease, and stroke, has been extensively studied along with its ligands. Animal models have demonstrated the beneficial effects resulting from inhibiting CCR1 or its ligands.</p><p><strong>Summary: </strong>This review demonstrates the significance of CCR1 in CNS inflammatory diseases, the molecules implicated in the inflammatory pathway, and potential drugs or molecules for treating CNS diseases. This evidence may offer new targets or strategies for treating inflammatory CNS diseases.</p>","PeriodicalId":19133,"journal":{"name":"Neuroimmunomodulation","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141907224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Retraction Statement. 撤回声明。
IF 2.4 4区 医学 Q2 Neuroscience Pub Date : 2024-01-01 Epub Date: 2024-04-02 DOI: 10.1159/000538504
{"title":"Retraction Statement.","authors":"","doi":"10.1159/000538504","DOIUrl":"https://doi.org/10.1159/000538504","url":null,"abstract":"","PeriodicalId":19133,"journal":{"name":"Neuroimmunomodulation","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140853662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Thymus-Brain Connections in T-Cell Acute Lymphoblastic Leukemia. T 细胞急性淋巴细胞白血病中胸腺与大脑的联系。
IF 2.4 4区 医学 Q2 Neuroscience Pub Date : 2024-01-01 Epub Date: 2024-02-16 DOI: 10.1159/000536419
Daniella Arêas Mendes-da-Cruz, Elizabeth Pinto Belorio, Vinicius Cotta-de-Almeida

Background: T-cell acute lymphoblastic leukemia (T-ALL) is a malignant hematologic disease caused by the transformation and uncontrolled proliferation of T-cell precursors. T-ALL is generally thought to originate in the thymus since lymphoblasts express phenotypic markers comparable to those described in thymocytes in distinct stages of development. Although around 50% of T-ALL patients present a thymic mass, T-ALL is characterized by peripheral blood and bone marrow involvement, and central nervous system (CNS) infiltration is one of the most severe complications of the disease.

Summary: The CNS invasion is related to the expression of specific adhesion molecules and receptors commonly expressed in developing T cells, such as L-selectin, CD44, integrins, and chemokine receptors. Furthermore, T-ALL blasts also express neurotransmitters, neuropeptides, and cognate receptors that are usually present in the CNS and can affect both the brain and thymus, participating in the crosstalk between the organs.

Key messages: This review discusses how the thymus-brain connections, mediated by innervation and common molecules and receptors, can impact the development and migration of T-ALL blasts, including CNS infiltration.

背景:T 细胞急性淋巴细胞白血病(T-ALL)是一种恶性血液病,由 T 细胞前体转化和不受控制的增殖引起。一般认为 T-ALL 起源于胸腺,因为淋巴母细胞表达的表型标记与处于不同发育阶段的胸腺细胞所表达的表型标记相似。虽然约 50%的 T-ALL 患者出现胸腺肿块,但 T-ALL 的特点是外周血和骨髓受累,中枢神经系统(CNS)浸润是该病最严重的并发症之一。摘要:CNS 侵袭与发育中的 T 细胞通常表达的特定粘附分子和受体有关,如 L-选择素、CD44、整合素和趋化因子受体。此外,T-ALL 血块还表达通常存在于中枢神经系统的神经递质、神经肽和同源受体,并可影响大脑和胸腺,参与器官间的串联:这篇综述讨论了胸腺与大脑之间的联系如何通过神经支配、共同分子和受体介导,影响T-ALL胚泡的发育和迁移,包括中枢神经系统浸润。
{"title":"Thymus-Brain Connections in T-Cell Acute Lymphoblastic Leukemia.","authors":"Daniella Arêas Mendes-da-Cruz, Elizabeth Pinto Belorio, Vinicius Cotta-de-Almeida","doi":"10.1159/000536419","DOIUrl":"10.1159/000536419","url":null,"abstract":"<p><strong>Background: </strong>T-cell acute lymphoblastic leukemia (T-ALL) is a malignant hematologic disease caused by the transformation and uncontrolled proliferation of T-cell precursors. T-ALL is generally thought to originate in the thymus since lymphoblasts express phenotypic markers comparable to those described in thymocytes in distinct stages of development. Although around 50% of T-ALL patients present a thymic mass, T-ALL is characterized by peripheral blood and bone marrow involvement, and central nervous system (CNS) infiltration is one of the most severe complications of the disease.</p><p><strong>Summary: </strong>The CNS invasion is related to the expression of specific adhesion molecules and receptors commonly expressed in developing T cells, such as L-selectin, CD44, integrins, and chemokine receptors. Furthermore, T-ALL blasts also express neurotransmitters, neuropeptides, and cognate receptors that are usually present in the CNS and can affect both the brain and thymus, participating in the crosstalk between the organs.</p><p><strong>Key messages: </strong>This review discusses how the thymus-brain connections, mediated by innervation and common molecules and receptors, can impact the development and migration of T-ALL blasts, including CNS infiltration.</p>","PeriodicalId":19133,"journal":{"name":"Neuroimmunomodulation","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139564610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Neuroimmunomodulation
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