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Long non-coding RNAs — regulators of rubella virus infection and antiviral response 长非编码 RNA--风疹病毒感染和抗病毒反应的调控因子
Pub Date : 2024-07-28 DOI: 10.15789/2220-7619-lnr-16889
M. Gulimov, N. O. Kalyuzhnaya, Yulia I. Ammour, V. Zverev, O. A. Svitich
Introduction. Rubella virus is an RNA-containing virus capable of infecting human cells and causing infectious disease. Infection of pregnant women with rubella virus can lead to abortion or congenital rubella syndrome (CRS), a set of long-term birth defects including incomplete fetal organ development and mental retardation. There is no specific treatment for rubella and CRS. The regulation of antiviral immune response and viral reproduction by long non-coding RNAs is currently under active investigation. In this study, we evaluated the changes in the expression profile of long non-coding RNAs in rubella virus-infected A549 epithelial by RNA sequencing. Materials and Methods. A549 cells were infected with a wild-type variant of laboratory strain C-77 of rubella virus with a multiplicity of infection of 1.0 infectious units per cell and incubated for 72 hours. Virus titres were determined by the CCID method in the sensitive RK-13 cell culture. 48 h after infection, the cell monolayer was lysed, RNA was isolated, and libraries were prepared for sequencing. Sequencing was performed on the NextSeq500 platform (Illumina, USA) in paired-end reading mode. Validation of the obtained RNA sequencing data was performed using quantitative real-time PCR. Results. Rubella virus replication affects the production of some long non-coding RNAs by altering their expression profile. Thus, upon infection of A549 epithelial cells with rubella virus, there was a significant increase in the expression of such long non-coding RNAs as GAS5, NEAT1, LUCAT1, MIR210HG, MEG3, EPB41L4A-AS1, ZFAS1, and SNHG 1, 7, 12, 29, 32. DANCR, IGFL2-AS1, IGFL2-AS1, MIR1915HG, and SNHG14 were most significantly decreased in expression. Gene ontology (GO)-analysis revealed that long non-coding RNAs are involved at different levels in the mechanisms of immune response, in particular, RNA processing and nucleic acid metabolism; therefore, up- and down-regulation of these molecules leads to modulation of human antiviral immune response in response to rubella virus infection. Conclusion. Thus, the regulation of long non-coding RNA production by rubella virus has been shown for the first time. Differentially expressed long non-coding RNAs can be used as prognostic and diagnostic biomarkers of viral diseases.
导言。风疹病毒是一种含 RNA 的病毒,能够感染人体细胞并导致传染病。孕妇感染风疹病毒可导致流产或先天性风疹综合征(CRS),这是一种长期的先天缺陷,包括胎儿器官发育不全和智力迟钝。风疹和先天性风疹综合症没有特效治疗方法。目前,人们正在积极研究长非编码 RNA 对抗病毒免疫反应和病毒繁殖的调控作用。在本研究中,我们通过 RNA 测序评估了长非编码 RNA 在风疹病毒感染的 A549 上皮中的表达谱变化。材料与方法。用风疹病毒实验室株 C-77 的野生型变异株感染 A549 细胞,每个细胞的感染倍数为 1.0 感染单位,培养 72 小时。在敏感的 RK-13 细胞培养物中用 CCID 法测定病毒滴度。感染 48 小时后,裂解细胞单层,分离 RNA 并制备用于测序的文库。测序在 NextSeq500 平台(Illumina,美国)上以成对端读取模式进行。使用定量实时 PCR 对获得的 RNA 测序数据进行验证。结果风疹病毒的复制会通过改变一些长非编码 RNA 的表达谱来影响它们的产生。因此,风疹病毒感染 A549 上皮细胞后,GAS5、NEAT1、LUCAT1、MIR210HG、MEG3、EPB41L4A-AS1、ZFAS1 和 SNHG 1、7、12、29、32 等非编码长 RNA 的表达量显著增加。DANCR、IGFL2-AS1、IGFL2-AS1、MIR1915HG 和 SNHG14 的表达量下降最为明显。基因本体(GO)分析表明,长非编码 RNA 在不同水平上参与了免疫反应机制,特别是 RNA 处理和核酸代谢;因此,这些分子的上调和下调会导致风疹病毒感染时人类抗病毒免疫反应的调节。结论因此,风疹病毒对长非编码 RNA 生成的调控作用已首次得到证实。差异表达的长非编码 RNA 可用作病毒性疾病的预后和诊断生物标志物。
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引用次数: 0
Post-COVID-19 syndrome: a discussion of onset timing 后 COVID-19 综合征:发病时间讨论
Pub Date : 2024-07-28 DOI: 10.15789/2220-7619-pcs-16766
Olga V. Berdiugina
Introduction. Post-COVID syndrome (alternatively: chronic COVID syndrome, post-acute sequelae of COVID-19, long-haul COVID, long COVID, PASC, CCS) is a state of permanent or permanent presence of symptoms of a pathological process after COVID-19. Currently, there is no consensus on the timing of the onset of post-COVID-19 syndrome. The purpose of this study was to analyze the appearance of some post-COVID symptoms 1, 2 and 3 months after infection with the SARS-CoV-2 virus. Materials and methods. The analysis of clinical and laboratory data of 59 medical workers who had a mild or moderate form of COVID-19 was carried out. Three groups were formed: with the assessment of post-COVID-19 changes 1 month after the onset of the disease; with the detection of changes after 2 months; and with the detection of dysfunctions after 3 months. Results and discussion. It was found that 57.7% of respondents complained of fatigue, weakness, sleep disorders in the first month of observation. After 2 months, the frequency of complaints decreased by 42.3%, and by 3 months it increased again by 15.6%. A month after COVID-19, several cases were recorded when employees were unable to perform any, even very light, work. However, by 3 months of follow-up, 96.2% of the surveyed declared full recovery of efficiency. The appearance of muscle, joint, and spinal pain was reported more often in the first month after COVID-19, then the number of complaints decreased by half to 23–25% of the total number of observations. The assessment of the severity of the infection among the respondents of the three groups did not reveal significant differences between the data in 1, 2 and 3 months after COVID-19. Conclusion. An analysis of some post-COVID symptoms showed that in mild and moderate COVID-19, manifestations are observed 1, 2 and 3 months after infection with the SARS-CoV-2 virus. Multidirectional change dynamics were revealed, more often accompanied by a decrease in the manifestation of post-COVID syndrome 2 months after coronavirus infection, which may create a false impression of an absence of signs of post-COVID syndrome during this period.
导言。后 COVID 综合征(又称:慢性 COVID 综合征、COVID-19 急性后遗症、长程 COVID、长 COVID、PASC、CCS)是指 COVID-19 后永久或长期存在的病理过程症状状态。目前,关于 COVID-19 后综合征的发病时间尚未达成共识。本研究的目的是分析感染 SARS-CoV-2 病毒 1、2 和 3 个月后出现的一些 COVID 后症状。材料和方法对 59 名患有轻度或中度 COVID-19 的医务工作者的临床和实验室数据进行了分析。分为三组:评估 COVID-19 发病 1 个月后的变化;检测 2 个月后的变化;检测 3 个月后的功能障碍。结果与讨论。结果发现,57.7%的受访者在观察的第一个月抱怨疲劳、乏力、睡眠障碍。2 个月后,投诉频率下降了 42.3%,3 个月后又增加了 15.6%。COVID-19 项目实施一个月后,出现了几例员工无法从事任何工作,甚至是非常轻微的工作的情况。然而,在 3 个月的随访中,96.2% 的受访者表示完全恢复了工作效率。在 COVID-19 感染后的第一个月,出现肌肉、关节和脊柱疼痛的情况较多,随后投诉数量减少了一半,仅占观察总数的 23-25%。在对三组受访者的感染严重程度进行评估后发现,COVID-19 治疗后 1、2 和 3 个月的数据差异不大。结论对 COVID-19 后一些症状的分析表明,轻度和中度 COVID-19 在感染 SARS-CoV-2 病毒后 1、2 和 3 个月出现表现。结果显示,在感染冠状病毒 2 个月后,后 COVID 综合征的表现会有所减轻,这可能会造成在此期间没有后 COVID 综合征症状的假象。
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引用次数: 0
Blood cytokines as potential predictors of the development of SARS-CoV-2 associated pneumonia in patients with stage II ESSENTIAL hypertension 血液细胞因子作为易胜博网址高血压 II 期患者发生 SARS-CoV-2 相关肺炎的潜在预测因子
Pub Date : 2024-07-28 DOI: 10.15789/2220-7619-bca-16695
O. Radaeva, A. Simbirtsev, M. Iskandyarova, E. Negodnova, V. Kulyapkin, K. Krasnoglazova, V. V. Eremeev
The search for predictors of the severe course of COVID-19 was relevant both during the pandemic and at the present time. The aim of the study was to analyze the relationship of cytokine levels in patients with EН before SARS-CoV-2 infection with the incidence of coronavirus pneumonia. Materials and methods. From the database of 290 patients with stage II EAG who have been under observation for 8–12 years with annual blood sampling to determine cytokine levels, COVID-19 survivors were selected (mild without pneumonia and moderate to severe, pneumonia CT 1–2, CT-3). Anamnestic levels of IL-1β, IL-1α, IL-1ra, IL-18, IL-18 BP, IL-37, IL-6, sIL-6r, M-CSF, VEGF-A, IL-34 and HMGB1) in the blood serum of patients with stage II EH were analyzed (method ELISA). The analysis of the obtained results was carried out using Stat Soft Statistica 13.5. Results and discussion. Patients with EH and COVID-19 with pneumonia (CT I-II) after SARS-CoV-2 infection 2–6 months before the infectious disease had significantly higher serum levels: IL-1α (p 0.05) and a decrease in IL-37 (p 0.001). During multivariate correlation analysis, a statistically independent relationship between an increase in the incidence of viral pneumonia in patients with stage II EН was confirmed only for IL-37 with a blood level of less than 60.2 pg/ml (regression coefficient — 2.21, standard error — 0.28, t criterion — 6.12, relative risk — 2.52, criterion Walda — 7.92, p = 0.006). When studying circadian rhythms of cytokine content in blood serum in patients of the analyzed groups, calculating the strength of correlations of anamnestic evening IL-37 levels in patients with stage II EР at 19.00–20.00 with the frequency of pneumonia against the background of SARS-CoV-2 infection, it has greater specificity and sensitivity (specificity — 0.75, sensitivity — 0.82) than morning concentrations. Considering that data on circadian rhythms were obtained in a limited number of patients, further monitoring is necessary, which is carried out by our scientific group. It should be noted that patients with essential hypertension are pathogenetically heterogeneous, including in terms of cytokine regulation. The study of this area will make it possible to personalize cytokine phenotypes of the disease and develop new methods for calculating the prognosis of both cardiovascular complications and features of the course of infectious diseases.
寻找 COVID-19 严重病程的预测因子在大流行期间和现在都很重要。本研究旨在分析 SARS-CoV-2 感染前 EН 患者体内细胞因子水平与冠状病毒肺炎发病率的关系。材料和方法从 290 例二期 EAG 患者的数据库中挑选出 COVID-19 存活者(轻度无肺炎和中重度,肺炎 CT 1-2、CT-3),这些患者已接受了 8-12 年的观察,每年抽血测定细胞因子水平。分析了 EH II 期患者血清中 IL-1β、IL-1α、IL-1ra、IL-18、IL-18 BP、IL-37、IL-6、sIL-6r、M-CSF、VEGF-A、IL-34 和 HMGB1 的国内水平(ELISA 方法)。使用 Stat Soft Statistica 13.5 对所得结果进行了分析。结果与讨论感染 SARS-CoV-2 后 2-6 个月的 EH 患者和 COVID-19 肺炎患者(CT I-II)的血清中 IL-1α (0.05-1.0)水平明显较高:IL-1α(P 0.05)和 IL-37 下降(P 0.001)。在多变量相关分析中,只有血药浓度低于 60.2 pg/ml 的 IL-37 被证实与 EН II 期患者病毒性肺炎发病率的增加有统计学上的独立关系(回归系数 - 2.21,标准误差 - 0.28,t 标准 - 6.12,相对风险 - 2.52,标准 Walda - 7.92,p = 0.006)。在研究分析组患者血清中细胞因子含量的昼夜节律时,计算 19:00-20:00 时Ⅱ期Р患者晚间 IL-37 水平与 SARS-CoV-2 感染背景下肺炎发病率的相关性,其特异性和敏感性(特异性 - 0.75,敏感性 - 0.82)均高于早晨的浓度。考虑到有关昼夜节律的数据是在有限的患者中获得的,因此有必要进行进一步的监测,我们的科研小组正在开展这项工作。应该指出的是,原发性高血压患者在病理上具有异质性,包括细胞因子调节方面。通过对这一领域的研究,将有可能对该疾病的细胞因子表型进行个性化分析,并开发出计算心血管并发症预后和传染病病程特征的新方法。
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引用次数: 0
Variability of changes in proand antiinflammatory cytokines due to IFNα and IFNγ deficiency in patients with post-covid syndrome associated with activation of chronic herpes viral infections 与慢性疱疹病毒感染激活相关的后病毒综合征患者因 IFNα 和 IFNγ 缺乏而导致的促炎和抗炎细胞因子变化的差异性
Pub Date : 2024-07-28 DOI: 10.15789/2220-7619-voc-16749
M. G. Atazhakhova, G. A. Chudilova, L. Lomtatidze, E. A. Poezzhaev
Post-COVID syndrome (PCS) is characterized by long-term complications and conditions accompanied by neuroimmunoinflammation, and includes chronic fatigue syndrome (CFS) and cognitive disorders (CD), which are often associated with activation of chronic herpesvirus infections (HVI). Timely detection of symptoms and immunodiagnosis of PCS are a priority and are of undoubted interest. Objective: to clarify the levels of serum proand anti-inflammatory cytokines, alpha and gamma interferons in patients with post-COVID syndrome associated with confirmed activation of chronic herpesvirus infections. Patients (n = 60) aged from 18 to 65 years with complaints of manifestations of PCS associated with HVI were studied — the study group (SG). A survey was conducted using a modified scale-questionnaire to assess the severity of PCS symptoms in points from 0 to 4, real-time PCR of HVI (EBV, HSV1/2, VCH6, VCH8, CMV) in saliva and scrapings from the tonsils, determination of the level of IFNα and IFNγ, pro- (TNFα, IL-18, IL-1β, IL-6, IL-17A, IL-8) and anti-inflammatory (IL-4 and IL-10) cytokines in blood serum. Comparison group (CG) — 60 apparently healthy individuals. SG patients with mixed HVI with EBV dominance noted the most pronounced and persistent clinical manifestations of PCS, among which the leading place was occupied by longterm sensations of CFS and CD. A persistent multisystem inflammatory response was identified, confirmed by elevated levels of IL-6 and IL-17A, which caused severe PCS. In post-COVID period, hyperproduction of IL-1β was detected, which was accompanied by clinical manifestations of persistent neuroimmunoinflammation. At the same time, the identified deficiency of IFNα, IFNγ and dysregulatory disorders in the antiviral defense of the immune system in patients with PCS contributed to the activation of HVI. Data on the imbalance of proand anti-inflammatory cytokines in the SG were obtained, which confirms the presence of a persistent multisystem inflammatory reaction with dominance of persistent neuroimmunoinflammation, which causes severe PCS. An imbalance of the cytokine system with IFNα and IFNγ deficiency, associated with the activation of chronic HVI with EBV dominance in the post-COVID period, contributes to the development of neuroimmunoinflammation, which is accompanied by the leading clinical signs of PCS: CFS and CD.
后疱疹病毒综合征(PCS)的特点是伴随神经免疫炎症的长期并发症和病症,包括慢性疲劳综合征(CFS)和认知障碍(CD),这通常与慢性疱疹病毒感染(HVI)的激活有关。及时发现 PCS 的症状并进行免疫诊断是当务之急,无疑具有重要意义。目的:明确确诊为慢性疱疹病毒感染激活的后 COVID 综合征患者血清促炎和抗炎细胞因子、α 和γ 干扰素的水平。研究对象是年龄在 18 至 65 岁之间、主诉与 HVI 相关的 PCS 表现的患者(n = 60)--研究组(SG)。采用改良的量表--调查问卷进行调查,以 0 至 4 分评估 PCS 症状的严重程度;对唾液和扁桃体刮片中的 HVI(EBV、HSV1/2、VCH6、VCH8、CMV)进行实时 PCR 检测;测定血清中 IFNα 和 IFNγ、促炎细胞因子(TNFα、IL-18、IL-1β、IL-6、IL-17A、IL-8)和抗炎细胞因子(IL-4 和 IL-10)的水平。对比组(CG)--60 名表面健康的人。混合型 HVI 并以 EBV 为主导的 SG 患者具有最明显和最持久的 PCS 临床表现,其中最主要的是 CFS 和 CD 的长期感觉。IL-6和IL-17A水平的升高证实了持续的多系统炎症反应,这导致了严重的PCS。在 COVID 后阶段,检测到 IL-1β 分泌过多,并伴有持续性神经免疫炎症的临床表现。与此同时,在 PCS 患者体内发现的 IFNα、IFNγ 缺乏和免疫系统抗病毒防御失调也导致了 HVI 的激活。有关 SG 中促炎症细胞因子和抗炎症细胞因子失衡的数据证实,存在持续的多系统炎症反应,其中以持续的神经免疫炎症为主,这导致了严重的 PCS。细胞因子系统失衡,IFNα和IFNγ缺乏,与COVID后EBV占主导地位的慢性HVI激活有关,导致神经免疫炎症的发展,并伴有PCS的主要临床症状:CFS 和 CD。
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引用次数: 0
Preparation of monoclonal antibodies for detection of recombinant flagellin C from Pseudomonas Aeruginosa 制备检测绿脓杆菌重组鞭毛蛋白 C 的单克隆抗体
Pub Date : 2024-07-28 DOI: 10.15789/2220-7619-pom-16865
A. P. Zherebtsov, I. V. Yakovleva, N. F. Gavrilova, N. A. Mikhailova
An important virulence factor in the pathogenesis of infections caused by Pseudomonas aeruginosa is flagellin: it serves as the main structural component of the bacterial flagellum and an acceptor for the TLR5 receptor of the innate immune system. Toll-like receptor 5 is able to bind bacterial flagellin and activate the anti-inflammatory transcription factor NF-kB through the adapter protein MyD88, which induces the production of anti-inflammatory cytokines. The inclusion of flagellin in recombinant proteins increased the ability to stimulate the production of anti-inflammatory cytokines and activate antigen-presenting cells. A number of experiments have shown that the use of flagellin as a molecular adjuvant in vaccines increases the expression of CD80, CD83, CD86 and MHC II molecules on the surface of dendritic cells, and also leads to an increase in the secretion of IFNγ and α-defensins by dendritic and NK cells; T cell proliferation and activation of antigen-specific cytotoxic T lymphocytes, as well as increased induction of antigen-specific IgG and IgA antibodies. Due to the natural and acquired resistance of P. aeruginosa to antibiotics, the available choice of antipseudomonas drugs is decreasing, and therefore the problem of developing effective therapeutic drugs to protect against this infection is of high medical and social importance. For this purpose, it seems promising to study the immunobiological properties of P. aeruginosa flagellin as a possible vaccine component. Based on this, in the Laboratory of Protective Antigens of the I. Mechnikov Research Institute of Vaccines and Sera, recombinant flagellin C (FliC) of P. aeruginosa was obtained, and its immunogenicity and protective properties were proven. However, the question of standardizing methods for screening and monitoring the resulting recombinant FliC protein remains open. To solve this issue, hybridomas producing monoclonal antibodies (mAb) of a given specificity were obtained, the basic immunochemical properties of mAbs were studied, and the possibility of using them as reagents in constructing a test system for identifying and standardizing the recombinant FliC protein upon its production was assessed. Purpose of the work: to obtain monoclonal antibodies to the recombinant flagellin C protein of P. aeruginosa; to study their basic immunochemical properties and to evaluate the possibility of using the recombinant FliC protein for screening and control.
铜绿假单胞菌感染发病机制中的一个重要毒力因子是鞭毛蛋白:它是细菌鞭毛的主要结构成分,也是先天性免疫系统 TLR5 受体的接受体。Toll 样受体 5 能够与细菌鞭毛蛋白结合,并通过适配器蛋白 MyD88 激活抗炎转录因子 NF-kB,从而诱导产生抗炎细胞因子。在重组蛋白中加入鞭毛蛋白,可提高刺激产生抗炎细胞因子和激活抗原递呈细胞的能力。大量实验表明,在疫苗中使用鞭毛蛋白作为分子佐剂可增加树突状细胞表面 CD80、CD83、CD86 和 MHC II 分子的表达,还可导致树突状细胞和 NK 细胞分泌更多的 IFNγ 和 α-防御素;T 细胞增殖和激活抗原特异性细胞毒性 T 淋巴细胞,以及诱导更多的抗原特异性 IgG 和 IgA 抗体。由于铜绿假单胞菌对抗生素的天然和后天耐药性,可供选择的抗假单胞菌药物越来越少,因此,开发有效的治疗药物来预防这种感染具有重要的医学和社会意义。为此,研究作为疫苗成分的铜绿假单胞菌鞭毛蛋白的免疫生物学特性似乎很有希望。在此基础上,I. Mechnikov 疫苗和血清研究所的保护性抗原实验室获得了铜绿微囊藻重组鞭毛蛋白 C (FliC),并证明了其免疫原性和保护特性。然而,如何规范筛选和监测重组 FliC 蛋白的方法仍然是个问题。为了解决这个问题,我们获得了产生特定特异性单克隆抗体(mAb)的杂交瘤,研究了 mAb 的基本免疫化学性质,并评估了使用它们作为试剂构建检测系统的可能性,以便在重组 FliC 蛋白产生后对其进行鉴定和标准化。工作目的:获得铜绿假单胞菌重组鞭毛蛋白 C 蛋白的单克隆抗体;研究其基本免疫化学特性,并评估使用重组 FliC 蛋白进行筛选和控制的可能性。
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引用次数: 0
Mice microglia cytokine profile changes under the influence of HSV-1 小鼠小胶质细胞细胞因子谱在 HSV-1 影响下的变化
Pub Date : 2024-07-28 DOI: 10.15789/2220-7619-mmc-16772
Irina D. Bulgakova, V. V. Zverev, E. O. Kravtsova, G. N. Usatova, D. A. Shoichet, E. A. Zadvornykh, A. A. Shumkina
Introduction. Today, prevalence of neurodegenerative diseases increases. In recent years, more studies have revealed a new knowledge about the role of microglia in the development of these diseases. Animal experiments showed that peripheral inflammation causes activation of microglia in brain. All this points to the essential role of the cells in the development of neurodegeneration. Under the influence of various factors, microglia can change the phenotype and participate in both repair and damage to brain cells. Chronic herpesvirus infection caused by HSV-1 is another known factor in the development of neurodegenerative pathology. However, the exact pathogenetic mechanisms are still unknown, nevertheless, studying the virus effect on microglia has great potential. The goal of our study in this connection was to assess the effect of HSV-1 on microglia polarization in mouse strain with normal susceptibility to this virus and in strain which is more resistant to the action of HSV-1. For this purpose, changes in the cytokine profile were detected. A comparison of interstrain differences in the expression of cytokine genes was also compared in control groups. Materials and methods. The study involved infecting C57BL/6 and BALB/c mice with herpes simplex virus type 1, an isolation of microglia was based on separation steps using a discontinuous gradient density, the cytokine profile was assessed by gene expression levels using a real-time reverse transcription PCR. To calculate the relative fold gene expression of samples the 2–ΔΔCt method was used. Statistical significance was determined using the Mann–Whitney U-test. Results. There were found no interstrain differences in cytokine gene expression in control groups of different mouse strains. At the same time, gene expression differed in the experimental groups: in BALB/c mice, the expression of genes for both pro-inflammatory and anti-inflammatory cytokines increased; in C57BL/6 mice, a slight increase in the expression of IL-1β genes was observed. Conclusion. The data indicate the formation of different microglial phenotypes after HSV-1 infection in different mouse strains. Apparently, in BALB/c mice there is a switch from the pro-inflammatory M1 phenotype of microglia to the anti-inflammatory M2 phenotype, while in C57BL/6 mice the attenuation of the infectious process occurs through a return to the original M0 phenotype.
导言如今,神经退行性疾病的发病率越来越高。近年来,越来越多的研究揭示了小胶质细胞在这些疾病发展过程中的作用。动物实验表明,外周炎症会导致大脑中的小胶质细胞活化。所有这些都表明,小胶质细胞在神经变性的发展过程中起着至关重要的作用。在各种因素的影响下,小胶质细胞可改变表型,参与脑细胞的修复和损伤。由 HSV-1 引起的慢性疱疹病毒感染是神经退行性病理发展的另一个已知因素。尽管如此,研究病毒对小胶质细胞的影响具有很大的潜力。在这方面,我们的研究目标是评估 HSV-1 对小鼠品系小胶质细胞极化的影响,这些小鼠品系对 HSV-1 病毒有正常的易感性,而对 HSV-1 的作用有较强的抵抗力。为此,我们检测了细胞因子谱的变化。还比较了对照组中不同品系细胞因子基因表达的差异。材料和方法研究使用 1 型单纯疱疹病毒感染 C57BL/6 和 BALB/c 小鼠,使用非连续梯度密度分离步骤分离小胶质细胞,使用实时反转录 PCR 通过基因表达水平评估细胞因子谱。采用 2-ΔΔCt 法计算样本基因表达的相对折叠。统计意义采用 Mann-Whitney U 检验。结果不同品系小鼠对照组的细胞因子基因表达没有品系间差异。同时,实验组的基因表达也存在差异:在 BALB/c 小鼠中,促炎和抗炎细胞因子基因的表达均有所增加;在 C57BL/6 小鼠中,IL-1β 基因的表达略有增加。结论数据表明,不同品系的小鼠在感染 HSV-1 后会形成不同的小胶质细胞表型。显然,在 BALB/c 小鼠中,小胶质细胞的促炎 M1 表型转换为抗炎 M2 表型,而在 C57BL/6 小鼠中,感染过程的减弱是通过恢复到原来的 M0 表型实现的。
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引用次数: 0
Balance of pro- and anti-inflammatory cytokines in young patients who passed active Immunization against SARS-CoV-2 during the COVID-19 Pandemic COVID-19 大流行期间通过 SARS-CoV-2 主动免疫的年轻患者体内促炎和抗炎细胞因子的平衡情况
Pub Date : 2024-07-28 DOI: 10.15789/2220-7619-bop-16848
Yulia A. Li, M. N. Dmitrachenko, E. V. Markelova, I. B. Korolev, M. P. Kostinov, L. I. Bondar
In 2019, the COVID-19 pandemic began and changed the world. Coronavirus SARS-CoV-2 has caused widespread illness and death around the world. In this regard, vaccination become the most important tool for creating herd immunity. Our study analyzed the dynamics of pro- and anti-inflammatory cytokines and antibodies to SARS-CoV-2 in the blood serum of young patients before and after vaccination against COVID-19. The study group included 76 young men. Determination of IL-1β, IL-4, IL-6, IL-8, IL-10, IL-17, IFNγ, TNFα and IgM and IgG antibodies to COVID-19 in venous blood sera was carried out twice, by ELISA using the test systems of Vector-Best Company, Novosibirsk. The first blood samples were carried out before vaccination, the second — 1 month after vaccination against COVID-19. The results were processed using STATISTICA 8.0. The vaccinated people were monitored for 6 months after vaccination. Levels of indices before vaccination: IL-1β (5.6 pg/ml (Q₂₅–Q₇₅ = 3.1–14.2); IL-4 (1.02 pg/ml (Q₂₅–Q₇₅ = 0.75–1.28); IL-6 (27.8 pg/ml (Q₂₅–Q₇₅ = 7.1–59.9); IL-8 (29.9 pg/ml (Q₂₅–Q₇₅ = 19.51–32.14); IL-10 (4.47 pg/ ml (Q₂₅–Q₇₅ = 1.84–14.75); IL-17 (7.33 pg/ml (Q₂₅–Q₇₅ = 6.82–8.58); IFNγ (0.7 pg/ml (Q₂₅–Q₇₅ = 0.4–0.9); TNFα (3.9 pg/ml (Q₂₅–Q₇₅ = 2.2–6.4). Levels of indices after vaccination: IL-1β (1.6 pg/ml (Q₂₅–Q₇₅ = 1.4- 2.2); IL-4 (0.84 pg/ml (Q₂₅–Q₇₅ = 0.59–1.12); IL-6 (1.2 pg/ml (Q₂₅–Q₇₅ = 0.6–1.7); IL-8 (10.1 pg/ml (Q₂₅–Q₇₅ = 3.8–28.9); IL-10 (5.84 pg/ml (Q₂₅–Q₇₅ = 1–9.99); IFNγ (0.6 pg /ml (Q₂₅–Q₇₅ = 0.3–0.8); TNFα (0.6 pg/ml (Q₂₅–Q₇₅ = 0.3–1.9). Both before and after vaccination against SARS-CoV-2, different distributions of cytokine levels were identified with a downward trend, but despite this, strong correlations were observed between many of them, which indicates an increase in the tension of the immune system in response to vaccination. When calculating the ratio of pro- and anti-inflammatory cytokines, its two-fold decrease was revealed, which reflects a decrease in the levels of pro-inflammatory cytokines after vaccination. The level of IgG antibodies to COVID-19 exceeded the protective level: more than 14 times in 98% of subjects. Further research into the impact of SARS-CoV-2 vaccination on innate immunity will allow us to reconsider the current vaccination strategy and determine the best approach to preventing COVID-19.
2019 年,COVID-19 大流行开始并改变了世界。冠状病毒 SARS-CoV-2 在全球造成了大范围的疾病和死亡。在这方面,接种疫苗成为产生群体免疫力的最重要工具。我们的研究分析了接种 COVID-19 疫苗前后年轻患者血清中促炎和抗炎细胞因子以及 SARS-CoV-2 抗体的动态变化。研究小组包括 76 名年轻男性。静脉血清中的 IL-1β、IL-4、IL-6、IL-8、IL-10、IL-17、IFNγ、TNFα 以及 COVID-19 的 IgM 和 IgG 抗体的测定采用新西伯利亚 Vector-Best 公司的检测系统,通过 ELISA 方法进行了两次。第一次血样检测在接种疫苗前进行,第二次在接种 COVID-19 疫苗 1 个月后进行。结果使用 STATISTICA 8.0 进行处理。疫苗接种后对接种者进行了 6 个月的监测。接种前的指数水平:IL-1β(5.6 pg/ml(Q₂₅-Q₇₅ = 3.1-14.2);IL-4(1.02 pg/ml(Q₂₅-Q₇₅ = 0.75-1.28);IL-6(27.8 pg/ml(Q₂₅-Q₇₅ = 7.1-59.9);IL-8(29.9 pg/ml(Q₂₅-Q₇₅ = 19.51-32.14);IL-10(4.47 pg/ml (Q₂₅-Q₇₅ = 1.84-14.75);IL-17(7.33 pg/ml (Q₂₅-Q₇₅ = 6.82-8.58);IFNγ(0.7 pg/ml (Q₂₅-Q₇₅ = 0.4-0.9);TNFα(3.9 pg/ml (Q₂₅-Q₇₅ = 2.2-6.4)。接种疫苗后的指数水平:IL-1β(1.6 pg/ml (Q₂₅-Q₇₅ = 1.4- 2.2);IL-4(0.84 pg/ml (Q₂₅-Q₇₅ = 0.59-1.12);IL-6(1.2 pg/ml (Q₂₅-Q₇₅ = 0.6-1.7);IL-8(10.1 pg/ml (Q₂₅-Q₇₅ = 3.8-28.9); IL-10 (5.84 pg/ml (Q₂₅-Q₇₅ = 1-9.99); IFNγ (0.6 pg /ml (Q₂₅-Q₇₅ = 0.3-0.8); TNFα (0.6 pg/ml (Q₂₅-Q₇₅ = 0.3-1.9).在接种 SARS-CoV-2 疫苗前后,细胞因子水平的分布不同,呈下降趋势,但尽管如此,许多细胞因子之间仍存在很强的相关性,这表明接种疫苗后免疫系统的紧张度增加。在计算促炎细胞因子和抗炎细胞因子的比率时,发现其下降了两倍,这反映了接种疫苗后促炎细胞因子水平的下降。在 98% 的受试者中,COVID-19 的 IgG 抗体水平超过了保护水平:超过了 14 倍。进一步研究 SARS-CoV-2 疫苗接种对先天性免疫的影响将使我们能够重新考虑目前的疫苗接种策略,并确定预防 COVID-19 的最佳方法。
{"title":"Balance of pro- and anti-inflammatory cytokines in young patients who passed active Immunization against SARS-CoV-2 during the COVID-19 Pandemic","authors":"Yulia A. Li, M. N. Dmitrachenko, E. V. Markelova, I. B. Korolev, M. P. Kostinov, L. I. Bondar","doi":"10.15789/2220-7619-bop-16848","DOIUrl":"https://doi.org/10.15789/2220-7619-bop-16848","url":null,"abstract":"In 2019, the COVID-19 pandemic began and changed the world. Coronavirus SARS-CoV-2 has caused widespread illness and death around the world. In this regard, vaccination become the most important tool for creating herd immunity. Our study analyzed the dynamics of pro- and anti-inflammatory cytokines and antibodies to SARS-CoV-2 in the blood serum of young patients before and after vaccination against COVID-19. The study group included 76 young men. Determination of IL-1β, IL-4, IL-6, IL-8, IL-10, IL-17, IFNγ, TNFα and IgM and IgG antibodies to COVID-19 in venous blood sera was carried out twice, by ELISA using the test systems of Vector-Best Company, Novosibirsk. The first blood samples were carried out before vaccination, the second — 1 month after vaccination against COVID-19. The results were processed using STATISTICA 8.0. The vaccinated people were monitored for 6 months after vaccination. Levels of indices before vaccination: IL-1β (5.6 pg/ml (Q₂₅–Q₇₅ = 3.1–14.2); IL-4 (1.02 pg/ml (Q₂₅–Q₇₅ = 0.75–1.28); IL-6 (27.8 pg/ml (Q₂₅–Q₇₅ = 7.1–59.9); IL-8 (29.9 pg/ml (Q₂₅–Q₇₅ = 19.51–32.14); IL-10 (4.47 pg/ ml (Q₂₅–Q₇₅ = 1.84–14.75); IL-17 (7.33 pg/ml (Q₂₅–Q₇₅ = 6.82–8.58); IFNγ (0.7 pg/ml (Q₂₅–Q₇₅ = 0.4–0.9); TNFα (3.9 pg/ml (Q₂₅–Q₇₅ = 2.2–6.4). Levels of indices after vaccination: IL-1β (1.6 pg/ml (Q₂₅–Q₇₅ = 1.4- 2.2); IL-4 (0.84 pg/ml (Q₂₅–Q₇₅ = 0.59–1.12); IL-6 (1.2 pg/ml (Q₂₅–Q₇₅ = 0.6–1.7); IL-8 (10.1 pg/ml (Q₂₅–Q₇₅ = 3.8–28.9); IL-10 (5.84 pg/ml (Q₂₅–Q₇₅ = 1–9.99); IFNγ (0.6 pg /ml (Q₂₅–Q₇₅ = 0.3–0.8); TNFα (0.6 pg/ml (Q₂₅–Q₇₅ = 0.3–1.9). Both before and after vaccination against SARS-CoV-2, different distributions of cytokine levels were identified with a downward trend, but despite this, strong correlations were observed between many of them, which indicates an increase in the tension of the immune system in response to vaccination. When calculating the ratio of pro- and anti-inflammatory cytokines, its two-fold decrease was revealed, which reflects a decrease in the levels of pro-inflammatory cytokines after vaccination. The level of IgG antibodies to COVID-19 exceeded the protective level: more than 14 times in 98% of subjects. Further research into the impact of SARS-CoV-2 vaccination on innate immunity will allow us to reconsider the current vaccination strategy and determine the best approach to preventing COVID-19.","PeriodicalId":21412,"journal":{"name":"Russian Journal of Infection and Immunity","volume":"2 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141796477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neutrophil extracellular traps as markers of infectious and aseptic inflammation 作为感染性和无菌性炎症标志物的中性粒细胞胞外捕获器
Pub Date : 2024-07-28 DOI: 10.15789/2220-7619-net-16602
A. Kazimirskii, J. Salmasi, G. Poryadin, M. Panina, A. E. Kim, L. S. Rogozhina
One of the important problems of medicine is the search for new reliable markers of inflammation that would allow us to determine the type of inflammatory process. The aim of the study was to identify specific markers of infectious and aseptic inflammation based on the analysis of morphological variants of neutrophil extracellular traps (NETs). The study included 26 patients with various nosological forms of inflammation in the abdominal cavity (12 with acute appendicitis, 8 with acute cholecystitis, 6 with a diagnosis of pancreatitis/ pancreonecrosis) after surgery. The study also included 20 patients with post-COVID and a group of 10 volunteers no clinical manifestations of the disease, but at the same time had contacts with flu patients. Neutrophils were isolated using gradient centrifugation. Fluorescence microscopies with the dye SYBR Green (JSC “Evrogen”, Russia) were used for NET visualization and counting. NETs in the morphological form of neutrophils web structure were found in the blood of surgical patients with acute appendicitis who had a favorable course of the postoperative period. In a group of volunteers who were exposed to influenza but did not have symptoms of an infectious disease, we also found neutrophils web structure. In all patients with abdominal inflammation complicated by abdominal abscess, in addition to neutrophil web structure, abnormal forms of NETs were recorded, in particular, NETs in the form of single filaments. In the post-COVID patients an absolute absence of neutrophilis web structure was revealed. In all post-COVID patients, NETs are found only in the form of single filaments. The results of subsequent experiments showed that collagen peptides are inducers of the formation of NETs in the form of single filaments. The detection of neutrophils web structure is a sign of an infectious inflammatory process. NETs in the morphological form of single filaments are markers of aseptic inflammation, as well as a sign of endothelial damage.
医学界的一个重要问题是寻找新的可靠的炎症标记物,以便确定炎症过程的类型。这项研究的目的是根据对中性粒细胞胞外捕获物(NET)形态变异的分析,确定感染性炎症和无菌性炎症的特异性标志物。研究对象包括 26 名手术后腹腔出现各种命名形式炎症的患者(12 名急性阑尾炎患者、8 名急性胆囊炎患者、6 名胰腺炎/胰腺坏死患者)。研究还包括20名COVID后患者和10名无临床表现但同时与流感患者有接触的志愿者。使用梯度离心法分离中性粒细胞。使用染料 SYBR Green(JSC "Evrogen",俄罗斯)进行荧光显微镜观察和计数中性粒细胞。在术后恢复良好的急性阑尾炎手术患者血液中发现了形态为中性粒细胞网状结构的 NET。在一组接触过流感但没有传染病症状的志愿者中,我们也发现了中性粒细胞网状结构。在所有腹部炎症并发腹腔脓肿的患者中,除了中性粒细胞网状结构外,还记录到异常形态的 NETs,特别是单丝形态的 NETs。在后 COVID 患者中,完全没有发现中性粒细胞网状结构。在所有后 COVID 患者中,NET 只以单丝的形式存在。随后的实验结果表明,胶原蛋白肽是以单丝形式形成 NET 的诱导剂。中性粒细胞网状结构的检测是感染性炎症过程的标志。形态为单丝的嗜中性粒细胞是无菌性炎症的标志,也是内皮损伤的标志。
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引用次数: 0
Study of the adjuvant properties of beta-glucans from Saccharomyces Cerevisiae yeast 来自酿酒酵母的β-葡聚糖的佐剂特性研究
Pub Date : 2024-07-28 DOI: 10.15789/2220-7619-sot-16685
E. Volosnikova, D. N. Shcherbakov, N. V. Volkova, T. I. Esina, A. V. Zaikovskaya, G. G. Shimina, E. D. Danilenko
To increase the effectiveness and immunogenicity of modern vaccines, especially subunit ones, it is required to use adjuvants. Polysaccharides, due to their safety and biocompatibility, are desirable candidates for the creation of vaccine adjuvants. The aim of our study was to develop a method for obtaining beta-Glucans from the yeast Saccharomyces cerevisiae cell wall, and evaluate their adjuvant properties. The high purity and non-toxicity of the resulting preparation was achieved by using enzyme complexes of cellulase and protease in combination with ultrasound (22 kHz) at the purification stage. The developed scheme allows for the yield of beta-Glucans up to 2 g from 100 g of the biomass of wet cells. The adjuvant properties of beta-Glucans were studied in 50 male BALB/c mice, weighing 16–18 g. Immunization was performed twice, with a 14-day interval, intramuscularly, 200 μl per animal. The recombinant receptor-binding domain (RBD) of the surface S protein of the SARS-CoV-2 virus (Wuhan-Hu-1 and B.1.617.2 (Delta)) was used as an antigen, at a dose of 50 μg per animal. A positive control group was administered with the antigen combined with aluminum hydroxide. As a negative control, mice injected with the saline solution were used. The titers of specific antibodies in the blood sera were determined by ELISA assays. RBD (Wuhan-Hu-1 and Delta), and S protein (Wuhan-Hu-1, Delta and Omicron) were used as antigens. The titers of virus-neutralizing antibodies were measured in neutralization tests using SARS-CoV-2 virus strains Wuhan-Hu-1, Delta (B.1.617.2) and Omicron (B.1.1.529). The results of the study have shown that beta-Glucans have the ability to enhance the production of specific and virus-neutralizing antibodies in mice immunized with RBD. The titers of specific and virus neutralizing antibodies are comparable to their levels in the group immunized with RBD and Al(OH)₃. It has been found in the experiments in white outbred ICR mice that the preparation belongs to practically non-toxic substances. Therefore, it can be concluded that the use of beta-Glucans could become a preferable alternative to the conventional adjuvants based on aluminum salts, being biocompatible, biodegradable and non-toxic substances of low labor-intensive production.
为了提高现代疫苗(尤其是亚单位疫苗)的有效性和免疫原性,需要使用佐剂。多糖具有安全性和生物相容性,是制作疫苗佐剂的理想候选物质。我们的研究旨在开发一种从酵母细胞壁中获取β-葡聚糖的方法,并评估其佐剂特性。通过在纯化阶段使用纤维素酶和蛋白酶的酶复合物并结合超声波(22 千赫),制备出了高纯度和无毒性的制剂。根据所开发的方案,从 100 克湿细胞生物质中可获得高达 2 克的β-葡聚糖。对 50 只体重为 16-18 克的雄性 BALB/c 小鼠进行了β-葡聚糖佐剂特性的研究。免疫接种两次,每次间隔 14 天,每只小鼠肌肉注射 200 μl。以 SARS-CoV-2 病毒(武汉-Hu-1 和 B.1.617.2(Delta))表面 S 蛋白的重组受体结合域(RBD)为抗原,每只动物剂量为 50 微克。阳性对照组注射抗原和氢氧化铝。阴性对照组为注射生理盐水的小鼠。血清中特异性抗体的滴度通过 ELISA 方法测定。以 RBD(武汉-胡-1 和 Delta)和 S 蛋白(武汉-胡-1、Delta 和 Omicron)为抗原。用 SARS-CoV-2 病毒株武汉-胡-1、Delta(B.1.617.2)和 Omicron(B.1.1.529)进行中和试验,测定病毒中和抗体的滴度。研究结果表明,β-葡聚糖能提高用 RBD 免疫的小鼠产生特异性抗体和病毒中和抗体的能力。特异性抗体和病毒中和抗体的滴度与用 RBD 和 Al(OH)₃ 免疫组的水平相当。在白色近交系 ICR 小鼠的实验中发现,该制剂属于几乎无毒的物质。因此,可以得出结论:β-葡聚糖是一种生物相容性好、可生物降解、无毒、生产劳动密集型低的物质,可以替代传统的铝盐佐剂。
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引用次数: 0
The role of сhemokine CX3CL1/Fractalkine in chronic viral hepatitis B CX3CL1/Fractalkine造血因子在慢性乙型病毒性肝炎中的作用
Pub Date : 2024-07-28 DOI: 10.15789/2220-7619-ccr-16721
N. A. Arsentieva, O. K. Batsunov, N. Liubimova, V. V. Basina, E. Esaulenko, A. A. Totolian
Hepatitis B is an infectious disease resulting from infection with the hepatitis B virus. Chronic hepatitis B (CHB) is characterized by prolonged inflammation in the liver, the development of fibrosis, liver cirrhosis and hepatocellular carcinoma. Factors of the immune system play a critical role in the pathogenesis of CHB. Thanks to chemokines, immune cells migrate to the site of inflammation to implement their effector functions. The CX3CL1/Fractalkine chemokine is the only member of the CX3C family of chemokines with unique structural and functional properties. Its receptor CX3CR1 is expressed mainly on the surface of cytotoxic effector lymphocytes such as NK cells, TNK and cytotoxic T lymphocytes. The purpose of our study was to analyze the content of CX3CL1/Fractalkine in the blood plasma of patients with CHB and the analysis of this chemokine with liver fibrosis. The concentration of CX3CL1/Fractalkine was determined in the blood plasma of patients with CHB using a multiplex assay based on xMAP technology. Blood plasma from patients with chronic viral hepatitis C (CHC) and autoimmune liver diseases (AILD) was used as a comparison group. The control group consisted of healthy individuals. For statistical analysis of data, nonparametric statistics methods were used: Kruskal–Wallis test, Spearman correlation coefficient ROC-analysis. It was shown a reduced level of CX3CL1/Fractalkine in patients with CHB compared with the control group (p = 0.0003) and with the comparison groups of CHC (p 0.0001) and AILD (p = 0.0005). A reduced concentration of CX3CL1/Fractalkine was shown in the blood plasma of CHB patients with initial fibrosis (p = 0.0092) and severe fibrosis/cirrhosis (p = 0.0009), while in patients with severe fibrosis/cirrhosis, a significantly reduced level of this chemokine was established compared with the initial degree of liver fibrosis (p = 0.0081). Correlation analysis revealed a highly significant inverse relationship between the severity of liver fibrosis and the content of CX3CL1/Fractalkine in the blood plasma of patients with CHB (Spearman r = –0.33; p = 0.02). Thus, the chemokine CX3CL1/Fractalkine is included in the immunopathogenesis of CHB; its reduced content is characteristic only of CHB and does not change in other chronic liver diseases. It is involved in the processes of liver fibrosis during infection with the hepatitis B virus. The concentration of the chemokine CX3CL1/Fractalkine depends on the stage of liver fibrosis in CHB, and a decrease in the level of CX3CL1/Fractalkine in the blood plasma can serve as a negative factor in the development of CHB.
乙型肝炎是一种由乙型肝炎病毒感染引起的传染性疾病。慢性乙型肝炎(CHB)的特征是肝脏长期发炎、纤维化、肝硬化和肝细胞癌。免疫系统的各种因素在慢性乙型肝炎的发病机制中起着至关重要的作用。在趋化因子的作用下,免疫细胞迁移到炎症部位,发挥其效应功能。CX3CL1/Fractalkine 趋化因子是 CX3C 趋化因子家族中唯一具有独特结构和功能特性的成员。其受体 CX3CR1 主要表达在细胞毒性效应淋巴细胞(如 NK 细胞、TNK 和细胞毒性 T 淋巴细胞)表面。我们的研究旨在分析 CHB 患者血浆中 CX3CL1/Fractalkine 的含量以及该趋化因子与肝纤维化的关系。我们采用基于 xMAP 技术的多重检测法测定了慢性乙型肝炎患者血浆中 CX3CL1/Fractalkine 的浓度。慢性丙型病毒性肝炎(CHC)和自身免疫性肝病(AILD)患者的血浆作为对比组。对照组由健康人组成。数据统计分析采用非参数统计方法:Kruskal-Wallis检验、Spearman相关系数ROC分析。结果显示,与对照组(P = 0.0003)、CHC 组(P 0.0001)和 AILD 组(P = 0.0005)相比,CHB 患者的 CX3CL1/Fractalkine 水平降低。初步肝纤维化(p = 0.0092)和严重肝纤维化/肝硬化(p = 0.0009)的慢性乙型肝炎患者血浆中的 CX3CL1/Fractalkine浓度降低,而严重肝纤维化/肝硬化患者血浆中的该趋化因子水平与初步肝纤维化程度相比显著降低(p = 0.0081)。相关分析表明,肝纤维化的严重程度与慢性阻塞性肺疾病患者血浆中 CX3CL1/Fractalkine 的含量之间存在非常显著的反比关系(Spearman r = -0.33; p = 0.02)。因此,趋化因子 CX3CL1/Fractalkine 包含在慢性阻塞性肺病的免疫发病机制中;其含量的减少仅是慢性阻塞性肺病的特征,在其他慢性肝病中并无变化。它参与了乙型肝炎病毒感染过程中的肝纤维化过程。趋化因子 CX3CL1/Fractalkine 的浓度取决于慢性阻塞性肺病肝纤维化的阶段,血浆中 CX3CL1/Fractalkine 水平的降低可作为慢性阻塞性肺病发展的不利因素。
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Russian Journal of Infection and Immunity
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