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The Acute Inflammatory Potential of Particles From the Echinococcus granulosus Laminated Layer Is Moderated by Its Calcium Inositol Hexakisphosphate Component. 棘球蚴层压微粒的急性炎症潜能受其肌醇六磷酸钙成分的调节
IF 2.2 4区 医学 Q4 IMMUNOLOGY Pub Date : 2024-05-01 DOI: 10.1111/pim.13040
Leticia Grezzi, Carlos González, Álvaro Díaz, Cecilia Casaravilla

Cystic echinococcosis is caused by the tissue-dwelling larva (hydatid) of Echinococcus granulosus sensu lato. A salient feature is that this larva is protected by the acellular laminated layer (LL). As the parasite grows, the LL sheds abundant particles that can accumulate in the parasite's vicinity. The potential of LL particles to induce inflammation in vivo has not been specifically analysed. It is not known how each of its two major components, namely highly glycosylated mucins and calcium inositol hexakisphosphate (InsP6) deposits, impacts inflammation induced by the LL as a whole. In this work, we show that LL particles injected intraperitoneally cause infiltration of eosinophils, neutrophils and monocytes/macrophages as well as the disappearance of resident (large peritoneal) macrophages. Strikingly, the absence of calcium InsP6 enhanced the recruitment of all the inflammatory cell types analysed. In contrast, oxidation of the mucin carbohydrates caused decreased recruitment of neutrophils. The carbohydrate-oxidised particles caused cell influx nonetheless, which may be explained by possible receptor-independent effects of LL particles on innate immune cells, as suggested by previous works from our group. In summary, LL particles can induce acute inflammatory cell recruitment partly dependent on its mucin glycans, and this recruitment is attenuated by the calcium InsP6 component.

囊性棘球蚴病是由普通棘球蚴的组织栖息幼虫(包虫)引起的。其显著特点是,这种幼虫受到无细胞分层(LL)的保护。随着寄生虫的生长,LL 会脱落大量颗粒,这些颗粒会积聚在寄生虫附近。目前尚未对 LL 颗粒在体内诱发炎症的潜力进行具体分析。它的两个主要成分,即高度糖基化的粘蛋白和肌醇六磷酸钙(InsP6)沉积物,如何影响 LL 整体诱发的炎症尚不清楚。在这项研究中,我们发现腹腔注射 LL 颗粒会导致嗜酸性粒细胞、中性粒细胞和单核细胞/巨噬细胞的浸润以及常驻(大腹膜)巨噬细胞的消失。令人吃惊的是,InsP6钙的缺失增强了所分析的所有炎症细胞类型的招募。相比之下,粘蛋白碳水化合物的氧化会导致中性粒细胞的招募减少。尽管如此,碳水化合物氧化的颗粒还是会导致细胞流入,这可能是由于 LL 颗粒对先天性免疫细胞的作用可能与受体无关,这也是我们研究小组之前的工作所提出的。总之,LL 颗粒能诱导急性炎症细胞的集聚,部分依赖于其粘蛋白聚糖,而这种集聚会因钙质 InsP6 成分而减弱。
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引用次数: 0
Apolipoprotein E Is Upregulated in Blood and Circulating Monocytes of Indian Patients With Visceral Leishmaniasis. 印度内脏利什曼病患者血液和循环单核细胞中载脂蛋白 E 上调。
IF 1.4 4区 医学 Q4 IMMUNOLOGY Pub Date : 2024-05-01 DOI: 10.1111/pim.13036
Gulafsha Kausar, Shashi B Chauhan, Ritirupa Roy, Shashi Kumar, Christian Engwerda, Susanne Nylen, Rajiv Kumar, Mary E Wilson, Shyam Sundar

Apolipoprotein E (ApoE) has been associated with several diseases including Parkinson's disease, Alzheimer's and multiple sclerosis. ApoE also has documented immunomodulatory functions. We investigated gene expression in circulating monocytes and in bone marrows of patients with visceral leishmaniasis (VL) living in an endemic area in Bihar, India, and contrasted these with control healthy subjects or other diagnostic bone marrows from individuals in the same region. Samples from VL patients were obtained prior to initiating treatment. Our study revealed significant upregulated expression of the apoE transcript in patients with VL. Furthermore, the levels of ApoE protein were elevated in serum samples of subjects with VL compared with healthy endemic controls. These observations may provide clues regarding the complex interactions between lipid metabolism and immunoregulation of infectious and inflammatory diseases.

载脂蛋白 E(ApoE)与多种疾病相关,包括帕金森病、阿尔茨海默氏症和多发性硬化症。载脂蛋白 E 还具有免疫调节功能。我们研究了生活在印度比哈尔邦流行区的内脏利什曼病(VL)患者循环单核细胞和骨髓中的基因表达,并将其与健康对照组或同一地区其他诊断性骨髓进行了对比。VL 患者的样本是在开始治疗前获得的。我们的研究发现,VL 患者体内载脂蛋白 E 转录本的表达明显升高。此外,与健康的地方病对照组相比,VL 患者血清样本中的载脂蛋白水平也有所升高。这些观察结果可能为传染性和炎症性疾病的脂质代谢与免疫调节之间复杂的相互作用提供了线索。
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引用次数: 0
Immunotherapy Combining Mimotopes Selected by Phage Display Plus Amphotericin B Is Effective for Treatment Against Visceral Leishmaniasis. 噬菌体展示法筛选出的拟态物与两性霉素 B相结合的免疫疗法对治疗内脏利什曼病有效
IF 2.2 4区 医学 Q4 IMMUNOLOGY Pub Date : 2024-05-01 DOI: 10.1111/pim.13037
Tauane Gonçalves Soyer, Raquel Soares Bandeira Câmara, Isabela Amorim Gonçalves Pereira, Fernanda Fonseca Ramos, Marcelo Moreira de Jesus, Fernanda Ludolf, Guilherme de Paula Costa, Daniela Pagliara Lage, Camila Simões de Freitas, Danniele Luciana Vale, Breno Luiz Pimenta, Vívian Tamietti Martins, Alexsandro Sobreira Galdino, Miguel Angel Chávez-Fumagalli, Bruno Mendes Roatt, Grasiele de Sousa Vieira Tavares, Eduardo Antonio Ferraz Coelho

The treatment for visceral leishmaniasis (VL) causes toxicity in patients, entails high cost and/or leads to the emergence of resistant strains. No human vaccine exists, and diagnosis presents problems related to the sensitivity or specificity of the tests. Here, we tested two phage clones, B1 and D11, which were shown to be protective against Leishmania infantum infection in a murine model as immunotherapeutics to treat mice infected with this parasite species. The phages were used alone or with amphotericin B (AmpB), while other mice received saline, AmpB, a wild-type phage (WTP) or WTP/AmpB. Results showed that the B1/AmpB and D11/AmpB combinations induced polarised Th1-type cellular and humoral responses, which were primed by high levels of parasite-specific IFN-γ, IL-12, TNF-α, nitrite and IgG2a antibodies, which reflected in significant reductions in the parasite load in distinct organs of the animals when analyses were performed 1 and 30 days after the treatments. Reduced organic toxicity was also found in these animals, as compared with the controls. In conclusion, preliminary data suggest the potential of the B1/AmpB and D11/AmpB combinations as immunotherapeutics against L. infantum infection.

内脏利什曼病(VL)的治疗会给患者带来毒性、高昂的费用和/或导致耐药菌株的出现。目前还没有人用疫苗,诊断也存在检测灵敏度或特异性方面的问题。在这里,我们测试了两种噬菌体克隆(B1 和 D11),它们在小鼠模型中对幼年利什曼原虫感染具有保护作用,可作为免疫疗法治疗感染这种寄生虫的小鼠。这些噬菌体单独使用或与两性霉素 B(AmpB)一起使用,而其他小鼠则接受生理盐水、AmpB、野生型噬菌体(WTP)或 WTP/AmpB。结果表明,B1/AmpB 和 D11/AmpB 组合诱导了极化的 Th1 型细胞和体液反应,这些反应由高水平的寄生虫特异性 IFN-γ、IL-12、TNF-α、亚硝酸盐和 IgG2a 抗体引发,在治疗后 1 天和 30 天进行分析时,动物不同器官中的寄生虫数量显著减少。与对照组相比,这些动物体内的有机物毒性也有所降低。总之,初步数据表明,B1/AmpB 和 D11/AmpB 组合具有作为抗幼虫感染免疫疗法的潜力。
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引用次数: 0
Interleukin 17F Gene Polymorphism as a Potential Protective Factor in the Immunopathology of Ocular Toxoplasmosis. 白细胞介素 17F 基因多态性是眼弓形虫病免疫病理学的潜在保护因素
IF 1.4 4区 医学 Q4 IMMUNOLOGY Pub Date : 2024-05-01 DOI: 10.1111/pim.13038
Danilo Donizete da Silva, Fábio Batista Frederico, Mariana Previato, Rubens Camargo Siqueira, Claudia Regina Bonini-Domingos, Victor Hugo de Souza, Lilian Castiglioni, Cinara Cássia Brandão, Luiz Carlos de Mattos, Christiane Maria Ayo

Ocular toxoplasmosis (OT) is characterised by intraocular inflammation due to Toxoplasma gondii infection. Studies have found that interleukin 17 (IL-17) plays a central role in the pathology of OT. However, nucleotide variability in IL17 and interleukin 17 receptor (IL17R) genes has not been characterised in OT. As cytokine gene polymorphisms may influence the expression of these molecules, the aim of this study was to verify whether IL17A (rs2275913), IL17F (rs763780), IL17RA (rs4819554) and IL17RC (rs708567) polymorphisms are associated with OT in a Brazilian population. This study enrolled 214 patients seropositive for T. gondii (110 with OT and 104 without) and 107 controls. Polymorphisms were identified by PCR-restriction fragment length polymorphism analysis, validated by DNA sequencing with chi-square and multivariate analyses being used to assess possible associations between polymorphisms and OT. Logistic regression under the dominant model revealed a protection factor against OT of the C mutant allele of the IL17F (rs763780) polymorphism. The T/C-C/C genotypes were significantly more common in patients without OT compared to those with OT (p value = 0.0066) and controls (p value = 0.014). Findings from this study suggest that the IL17F polymorphism may have an influence in the immunopathology of OT in Brazilian individuals.

眼弓形虫病(OT)的特征是由弓形虫感染引起的眼内炎症。研究发现,白细胞介素 17(IL-17)在眼弓形虫病的病理过程中起着核心作用。然而,IL17 和白细胞介素 17 受体(IL17R)基因的核苷酸变异尚未在 OT 中得到描述。由于细胞因子基因多态性可能影响这些分子的表达,本研究旨在验证巴西人群中的 IL17A (rs2275913)、IL17F (rs763780)、IL17RA (rs4819554) 和 IL17RC (rs708567) 多态性是否与 OT 相关。这项研究招募了 214 名淋病双球菌血清阳性患者(其中 110 人患有 OT,104 人没有 OT)和 107 名对照者。通过PCR-限制性片段长度多态性分析确定了多态性,并通过DNA测序进行了验证,采用卡方和多变量分析评估了多态性与OT之间可能存在的关联。显性模型下的逻辑回归显示,IL17F(rs763780)多态性的C突变等位基因是OT的保护因子。与 OT 患者(P 值 = 0.0066)和对照组(P 值 = 0.014)相比,T/C-C/C 基因型在无 OT 患者中更为常见。本研究结果表明,IL17F 多态性可能对巴西人 OT 的免疫病理学有影响。
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引用次数: 0
Recombinant CD5 and CD6 Ectodomains Induce Antiparasitic and Immunomodulatory Effects in Secondary Cystic Echinococcosis 重组 CD5 和 CD6 外显子在继发性囊性棘球蚴病中诱导抗寄生虫和免疫调节作用
IF 2.2 4区 医学 Q4 IMMUNOLOGY Pub Date : 2024-04-16 DOI: 10.1111/pim.13034
Joaquín García-Luna, Florencia Rivero-Osorio, María Clara González-Porcile, Paula Arbildi, Sebastián Miles, Javier Magnone, María Velasco-De-Andrés, Sylvia Dematteis, Francisco Lozano, Gustavo Mourglia-Ettlin
Scavenger receptors participate in a wide range of biological functions after binding to multiple non-self or altered self-ligands. Among them, CD5 and CD6 are lymphocyte scavenger receptors known to interact with different microbial-associated molecular patterns, and the administration of the recombinant soluble ectodomains of human CD5 (rshCD5) and/or CD6 (rshCD6) has shown therapeutic/prophylactic potential in experimental models of fungal, bacterial and echinococcal infections. The latter is a zoonosis caused by the larval stage of the cestode parasite Echinococcus granulosus sensu lato, which in humans can induce secondary cystic echinococcosis (CE) after the spillage of protoscoleces contained within fertile cysts, either spontaneously or during surgical removal of primary hydatid cysts. Herein, we have analysed the mechanisms behind the significant protection observed in the mouse model of secondary CE following prophylactic administration of rshCD5 or rshCD6. Our results show that both molecules exhibit intrinsic antiparasitic activities in vitro, as well as immunomodulatory functions during early secondary CE, mainly through Th1/Th17 cytokine bias and promotion of peritoneal polyreactive antibodies. These data support the relevance of the parasite components bound by rshCD5 and rshCD6, as well as the potential of their prophylactic administration as a useful strategy to reduce secondary CE in patients.
清道夫受体与多种非自身配体或改变的自身配体结合后,可参与多种生物功能。其中,CD5 和 CD6 是已知能与不同微生物相关分子模式相互作用的淋巴细胞清道夫受体,在真菌、细菌和棘球蚴感染的实验模型中,服用重组的人 CD5(rshCD5)和/或 CD6(rshCD6)可溶性外显子已显示出治疗/预防潜力。后者是一种人畜共患病,由普通棘球蚴寄生虫的幼虫阶段引起,人类在自发或在原发性包虫囊肿手术切除过程中,可因可育囊肿内的原孢子溢出而诱发继发性囊性棘球蚴病(CE)。在此,我们分析了预防性服用 rshCD5 或 rshCD6 后,在继发性包虫病小鼠模型中观察到的显著保护作用背后的机制。我们的研究结果表明,这两种分子在体外均表现出内在的抗寄生虫活性,并在早期继发性CE期间表现出免疫调节功能,主要是通过Th1/Th17细胞因子偏向和促进腹膜多反应性抗体。这些数据证明了 rshCD5 和 rshCD6 结合的寄生虫成分的相关性,以及预防性服用这两种药物作为减少患者继发性 CE 的有效策略的潜力。
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引用次数: 0
Unveiling the Role of Endoplasmic Reticulum Stress Pathways in Canine Demodicosis 揭示内质网应激途径在犬脱毛症中的作用
IF 2.2 4区 医学 Q4 IMMUNOLOGY Pub Date : 2024-04-12 DOI: 10.1111/pim.13033
Pamela A. Kelly, Gillian P. McHugo, Caitriona Scaife, Susan Peters, M. Lynn Stevenson, Jennifer S. McKay, David E. MacHugh, Irene Lara Saez, Rory Breathnach
Canine demodicosis is a prevalent skin disease caused by overpopulation of a commensal species of Demodex mite, yet its precise cause remains unknown. Research suggests that T‐cell exhaustion, increased immunosuppressive cytokines, induction of regulatory T cells and increased expression of immune checkpoint inhibitors may contribute to its pathogenesis. This study aimed to gain a deeper understanding of the molecular changes occurring in canine demodicosis using mass spectrometry and pathway enrichment analysis. The results indicate that endoplasmic reticulum stress promotes canine demodicosis through regulation of three linked signalling pathways: eIF2, mTOR, and eIF4 and p70S6K. These pathways are involved in the modulation of Toll‐like receptors, most notably TLR2, and have been shown to play a role in the pathogenesis of skin diseases in both dogs and humans. Moreover, these pathways are also implicated in the promotion of immunosuppressive M2 phenotype macrophages. Immunohistochemical analysis, utilising common markers of dendritic cells and macrophages, verified the presence of M2 macrophages in canine demodicosis. The proteomic analysis also identified immunological disease, organismal injury and abnormalities and inflammatory response as the most significant underlying diseases and disorders associated with canine demodicosis. This study demonstrates that Demodex mites, through ER stress, unfolded protein response and M2 macrophages contribute to an immunosuppressive microenvironment, thereby assisting in their proliferation.
犬脱毛症是一种流行性皮肤病,由一种共生的脱毛螨过度繁殖引起,但其确切病因仍不清楚。研究表明,T 细胞衰竭、免疫抑制细胞因子增加、调节性 T 细胞诱导和免疫检查点抑制剂表达增加可能是其发病机制。本研究旨在利用质谱法和通路富集分析深入了解犬脱皮病的分子变化。结果表明,内质网应激通过调控三个相关信号通路促进犬去势病的发生:eIF2、mTOR、eIF4 和 p70S6K。这些通路参与了对 Toll 样受体(最显著的是 TLR2)的调节,并已被证明在犬和人类皮肤病的发病机制中发挥作用。此外,这些途径还与促进免疫抑制性 M2 表型巨噬细胞有关。免疫组化分析利用树突状细胞和巨噬细胞的共同标记物,证实了犬脱皮病中存在 M2 型巨噬细胞。蛋白质组分析还发现,免疫疾病、机体损伤和异常以及炎症反应是与犬脱皮病相关的最重要的潜在疾病和紊乱。这项研究表明,蜕皮螨通过ER应激、未折叠蛋白反应和M2巨噬细胞造成免疫抑制微环境,从而帮助其增殖。
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引用次数: 0
Antibody response to malaria vaccine candidates in pregnant women with Plasmodium falciparum and Schistosoma haematobium infections 恶性疟原虫和血吸虫感染孕妇对候选疟疾疫苗的抗体反应
IF 2.2 4区 医学 Q4 IMMUNOLOGY Pub Date : 2024-04-08 DOI: 10.1111/pim.13027
Naa Adjeley Frempong, Atikatou Mama, Bright Adu, Kwadwo Asamoah Kusi, Michael F. Ofori, Charity Ahiabor, William K. Anyan, Alex Yaw Debrah, Abraham A. Anang, Nicaise T. Ndam, David Courtin
Malaria in pregnancy has severe consequences for the mother and foetus. Antibody response to specific malaria vaccine candidates (MVC) has been associated with a decreased risk of clinical malaria and its outcomes. We studied Plasmodium falciparum (Pf) and Schistosoma haematobium (Sh) infections and factors that could influence antibody responses to MVC in pregnant women. A total of 337 pregnant women receiving antenatal care (ANC) and 139 for delivery participated in this study. Pf infection was detected by qPCR and Sh infection using urine filtration method. Antibody levels against CSP, AMA‐1, GLURP‐R0, VAR2CSA and Pfs48/45 MVC were quantified by ELISA. Multivariable linear regression models identified factors associated with the modulation of antibody responses. The prevalence of Pf and Sh infections was 27% and 4% at ANC and 7% and 4% at delivery. Pf infection, residing in Adidome and multigravidae were positively associated with specific IgG response to CSP, AMA‐1, GLURP‐R0 and VAR2CSA. ITN use and IPTp were negatively associated with specific IgG response to GLURP‐R0 and Pfs48/45. There was no association between Sh infection and antibody response to MVC at ANC or delivery. Pf infections in pregnant women were positively associated with antibody response to CSP, GLURP‐R0 and AMA‐1. Antibody response to GLURP‐R0 and Pfs48/45 was low for IPTp and ITN users. This could indicate a lower exposure to Pf infection and low malaria prevalence observed at delivery.
妊娠期疟疾会对母亲和胎儿造成严重后果。对特定疟疾疫苗候选物(MVC)的抗体反应与临床疟疾风险的降低及其结果有关。我们研究了恶性疟原虫(Pf)和血吸虫(Sh)感染以及可能影响孕妇对 MVC 产生抗体反应的因素。共有 337 名孕妇接受了产前检查(ANC),139 名孕妇进行了分娩。用 qPCR 检测 Pf 感染,用尿液过滤法检测 Sh 感染。用酶联免疫吸附法对 CSP、AMA-1、GLURP-R0、VAR2CSA 和 Pfs48/45 MVC 的抗体水平进行了量化。多变量线性回归模型确定了与抗体反应调节相关的因素。在产前检查时,Pf和Sh感染率分别为27%和4%,在分娩时分别为7%和4%。Pf感染、居住在Adidome和多胎妊娠与对CSP、AMA-1、GLURP-R0和VAR2CSA的特异性IgG反应呈正相关。使用 ITN 和 IPTp 与对 GLURP-R0 和 Pfs48/45 的特异性 IgG 反应呈负相关。Sh 感染与产前检查或分娩时对 MVC 的抗体反应没有关联。孕妇的 Pf 感染与 CSP、GLURP-R0 和 AMA-1 的抗体反应呈正相关。使用 IPTp 和 ITN 的孕妇对 GLURP-R0 和 Pfs48/45 的抗体反应较低。这可能表明孕妇在分娩时受到的疟原虫感染较少,疟疾流行率较低。
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引用次数: 0
High level of C3 is associated with Th2 immune response and liver fibrosis in patients with schistosomiasis. 高水平的 C3 与血吸虫病患者的 Th2 免疫反应和肝纤维化有关。
IF 2.2 4区 医学 Q4 IMMUNOLOGY Pub Date : 2024-03-01 DOI: 10.1111/pim.13029
Xianmo Wang, Quan Gong, Hao Nie, Jiancheng Tu, Wen Fan, Xiaoping Tan

Long-term infection of schistosomiasis will seriously affect the liver health of patients. The serum of 334 chronic Schistosoma japonicum patients and 149 healthy volunteers was collected. Compared with heathy people, the level of C4 (complement 4) was increased, and the level of C3 (complement 3) was in an obvious skewed distribution. ELISA was performed to detect the serum cytokines, the results showed that the levels of IFN-γ (interferon-γ), IL (interleukin)-2 and TNF-α (tumour necrosis factor-α) were reduced, while the levels of Th2 cytokines (IL-4, IL-6 and IL-10) were increased. In the serum of patients with high C3, the secretion of HA (hyaluronic acid), LN (laminin), IV-C (type IV collagen) and PCIII (type III procollagen) were increased, the activation of hepatic stellate cells was promoted. Exogenous human recombinant C3 made mice liver structure of the mice damaged and collagen deposition. IFN-γ and IFN-γ/IL-4 were decreased, while HA, LN, PCIII and IV-C were increased, and the expressions of α-SMA and TGF-β1 in liver tissues were up-regulated. However, the addition of IFN-γ partially reversed the effect of C3 on promoting fibrosis. High level of C3 is associated with Th2 immune response and liver fibrosis in patients with schistosomiasis.

血吸虫病的长期感染会严重影响患者的肝脏健康。研究人员采集了 334 名慢性日本血吸虫病患者和 149 名健康志愿者的血清。与健康人相比,C4(补体4)水平升高,C3(补体3)水平呈明显的倾斜分布。用 ELISA 检测血清细胞因子,结果显示 IFN-γ(干扰素-γ)、IL(白细胞介素)-2 和 TNF-α(肿瘤坏死因子-α)水平降低,而 Th2 细胞因子(IL-4、IL-6 和 IL-10)水平升高。在高 C3 患者的血清中,HA(透明质酸)、LN(层粘连蛋白)、IV-C(IV 型胶原蛋白)和 PCIII(III 型胶原蛋白)的分泌增加,肝星状细胞的活化也得到促进。外源性人重组 C3 使小鼠肝脏结构受损,胶原沉积。IFN-γ和IFN-γ/IL-4减少,而HA、LN、PCIII和IV-C增加,肝组织中α-SMA和TGF-β1的表达上调。然而,IFN-γ的加入部分逆转了C3促进纤维化的作用。高水平的C3与血吸虫病患者的Th2免疫反应和肝纤维化有关。
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引用次数: 0
Status of B-Lymphocyte Subsets and Their Homing Markers in Patients With Post-Kala-Azar Dermal Leishmaniasis. 卡拉-阿扎尔病后皮肤利什曼病患者的 B 淋巴细胞亚群及其归巢标志物的状况。
IF 2.2 4区 医学 Q4 IMMUNOLOGY Pub Date : 2024-03-01 DOI: 10.1111/pim.13031
Shilpa Sengupta, Deep Goswami, Bidhan Chakraborty, Surya Jyati Chaudhuri, Manab K Ghosh, Mitali Chatterjee

In visceral leishmaniasis, the Type II helper T cell predominance results in B cell modulation and enhancement of anti-leishmanial IgG. However, information regarding its dermal sequel, post-kala-azar dermal leishmaniasis (PKDL), remains limited. Accordingly, this study aimed to elucidate the B cell-mediated antibody-dependent/independent immune profiles of PKDL patients. In the peripheral blood of PKDL patients, immunophenotyping of B cell subsets was performed by flow cytometry and by immunohistochemistry at lesional sites. The functionality of B cells was assessed in terms of skin IgG by immunofluorescence, while the circulating levels of B cell chemoattractants (CCL20, CXCL13, CCL17, CCL22, CCL19, CCL27, CXCL9, CXCL10 and CXCL11) were evaluated by a multiplex assay. In patients with PKDL as compared with healthy controls, there was a significant decrease in pan CD19+ B cells. However, within the CD19+ B cell population, there was a significantly raised proportion of switched memory B cells (CD19+IgD-CD27+) and plasma cells (CD19+IgD-CD38+CD27+). This was corroborated at lesional sites where a higher expression of CD20+ B cells and CD138+ plasma cells was evident; they were Ki67 negative and demonstrated a raised IgG. The circulating levels of B cell chemoattractants were raised and correlated positively with lesional CD20+ B cells. The increased levels of B cell homing markers possibly accounted for their enhanced presence at the lesional sites. There was a high proportion of plasma cells, which accounted for the increased presence of IgG that possibly facilitated parasite persistence and disease progression.

在内脏利什曼病中,II 型辅助性 T 细胞占主导地位,导致 B 细胞调节和抗利什曼病 IgG 的增强。然而,有关其皮肤后遗症--卡拉紮后皮肤利什曼病(PKDL)的信息仍然有限。因此,本研究旨在阐明 PKDL 患者 B 细胞介导的抗体依赖性/非依赖性免疫特征。在 PKDL 患者的外周血中,通过流式细胞术和病变部位的免疫组织化学对 B 细胞亚群进行了免疫分型。用免疫荧光法评估了皮肤 IgG 中 B 细胞的功能,同时用多重检测法评估了 B 细胞趋化物(CCL20、CXCL13、CCL17、CCL22、CCL19、CCL27、CXCL9、CXCL10 和 CXCL11)的循环水平。与健康对照组相比,PKDL 患者的泛 CD19+ B 细胞显著减少。然而,在 CD19+ B 细胞群中,切换记忆 B 细胞(CD19+IgD-CD27+)和浆细胞(CD19+IgD-CD38+CD27+)的比例明显升高。病变部位也证实了这一点,那里的 CD20+ B 细胞和 CD138+ 浆细胞表达明显增多;它们的 Ki67 阴性,并显示出升高的 IgG。循环中的 B 细胞趋化物水平升高,并与病变部位的 CD20+ B 细胞呈正相关。B 细胞归巢标记物水平的升高可能是它们在病变部位出现增多的原因。浆细胞所占比例很高,这可能是IgG增加的原因,而IgG可能会促进寄生虫的持续存在和疾病的进展。
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引用次数: 0
Potential i-Nos/Arg-1 Switch with NLRP3 and Parasitic Load Down Regulation in Experimental Schistosoma mansoni Infection via Chloroquine Repurposing. 通过氯喹再利用,在实验性曼氏血吸虫感染中潜在的 i-Nos/Arg-1 开关与 NLRP3 和寄生虫负荷下调作用
IF 2.2 4区 医学 Q4 IMMUNOLOGY Pub Date : 2024-03-01 DOI: 10.1111/pim.13030
Marwa A Hasby Saad, Esraa G El-Saadi, Dareen A Ali, Mona M Watany, Mohammed M Eid

In previous studies, the inhibitory effect of chloroquine on NLRP3 inflammasome and heme production was documented. This may be employed as a double-bladed sword in schistosomiasis (anti-inflammatory and parasiticidal). In this study, chloroquine's impact on schistosomiasis mansoni was investigated. The parasitic load (worm/egg counts and reproductive capacity index [RCI]), i-Nos/Arg-1 expression, splenomegaly, hepatic insult and NLRP3-immunohistochemical expression were assessed in infected mice after receiving early and late repeated doses of chloroquine alone or dually with praziquantel. By early treatment, the least RCI was reported in dually treated mice (41.48 ± 28.58) with a significant reduction in worm/egg counts (3.50 ± 1.29/2550 ± 479.58), compared with either drug alone. A marked reduction in the splenic index was achieved by prolonged chloroquine administration (alone: 43.15 ± 5.67, dually: 36.03 ± 5.27), with significantly less fibrosis (15 ± 3.37, 14.25 ± 2.22) than after praziquantel alone (20.5 ± 2.65). Regarding inflammation, despite the praziquantel-induced significant decrease in NLRP3 expression, the inhibitory effect was marked after dual and chloroquine administration (liver: 3.13 ± 1.21/3.45 ± 1.23, spleen: 5.7 ± 1.6/4.63 ± 2.41). i-Nos RNA peaked with early/late chloroquine administration (liver: 68.53 ± 1.8/57.78 ± 7.14, spleen: 63.22 ± 2.06/62.5 ± 3.05). High i-Nos echoed with a parasiticidal and hepatoprotective effect and may indicate macrophage-1 polarisation. On the flip side, the chloroquine-induced low Arg-1 seemed to abate immune tolerance and probably macrophage-2 polarisation. Collectively, chloroquine synergised the praziquantel-schistosomicidal effect and minimised tissue inflammation, splenomegaly and hepatic fibrosis.

以往的研究表明,氯喹对 NLRP3 炎症小体和血红素的产生有抑制作用。这可能是血吸虫病的一把双刃剑(抗炎和杀寄生虫)。本研究调查了氯喹对曼氏血吸虫病的影响。研究人员评估了感染小鼠在单独或与吡喹酮同时接受早期和晚期重复剂量氯喹治疗后的寄生虫量(虫/卵计数和生殖能力指数[RCI])、i-Nos/Arg-1表达、脾肿大、肝损伤和NLRP3免疫组化表达。与单用氯喹或吡喹酮相比,早期治疗的小鼠RCI最低(41.48 ± 28.58),虫卵数显著减少(3.50 ± 1.29/2550 ± 479.58)。长期服用氯喹可显著降低脾脏指数(单用:43.15 ± 5.67,双用:36.03 ± 5.27),其纤维化程度(15 ± 3.37,14.25 ± 2.22)明显低于单用吡喹酮(20.5 ± 2.65)。在炎症方面,尽管吡喹酮诱导的 NLRP3 表达显著下降,但双联和氯喹给药后抑制作用明显(肝脏:3.13 ± 1.21/3.i-Nos RNA 在氯喹给药早期/晚期达到峰值(肝脏:68.53 ± 1.8/57.78 ± 7.14,脾脏:63.22 ± 2.06/62.5 ± 3.05)。高 i-Nos 与杀寄生虫和保肝作用相呼应,可能表明巨噬细胞-1 极化。另一方面,氯喹诱导的低 Arg-1 似乎会降低免疫耐受性,并可能导致巨噬细胞-2 极化。总之,氯喹可协同吡喹酮-杀螺囊虫作用,最大程度地减轻组织炎症、脾肿大和肝纤维化。
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Parasite Immunology
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