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Effect of synthetic analogue of ZP2 peptide, an active center of GM-CSF, upon antilysozyme activity of Candida GM-CSF活性中心ZP2肽类似物对念珠菌抗溶菌酶活性的影响
Pub Date : 2023-08-11 DOI: 10.46235/1028-7221-9645-eos
O. A. Pashinina, O. L. Kartashova, T. M. Pashkova, V. Gritsenko
Our aim was to analyze the effects of the ZP2 peptide, a synthetic analogue of active center of GM-CSF, upon antilysozyme activity (ALA) of Candida. 32 vaginal isolates of Candida spp were used in the work. Five species have been isolated from the vaginal secretions of the conditionally healthy pregnant women taken within a screening program. To study the effect of ZP2 on the ALA of the Candida fungi, the fungal cells were co-cultured with a ZP2 solution in Saburo broth medium at 37 oC for 24 hours. Thereafter, ALA of fungi was determined by photometric method. It was found that the ZP2 peptide caused a decreased expression of ALA of vaginal Candida spp. Isolates, i.e., loss of ALA in the isolates of C. glabrata, C. tropicalis, C. krusei and some isolates of C. albicans, as well as a decreased level of ALA in C. kefir and other C. albicans isolates. Thus, the synthetic analogue of ZP2 peptide (active center of GM-CSF) showed an inhibitory effect upon the antilysozyme activity of Candida.
本实验以32株假丝酵母菌阴道分离株为研究对象,分析了GM-CSF活性中心的合成类似物ZP2肽对假丝酵母菌抗溶菌酶活性(ALA)的影响。在筛选方案中,从有条件健康孕妇的阴道分泌物中分离出五种。为了研究ZP2对念珠菌ALA的影响,将真菌细胞与ZP2溶液在37℃的Saburo肉汤培养基中共培养24小时。然后用光度法测定真菌的ALA。结果发现,ZP2肽导致阴道念珠菌分离株ALA表达降低,即裸露念珠菌、热带念珠菌、克鲁塞念珠菌和部分白色念珠菌分离株ALA表达减少,克菲尔念珠菌和其他白色念珠菌分离株ALA表达降低。由此可见,合成的ZP2肽(GM-CSF的活性中心)类似物对念珠菌的抗溶菌酶活性具有抑制作用。
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引用次数: 0
Flow cytometry analysis of PD1 expression on rat blood CD3+ lymphocytes stimulated by CD3 antibodies CD3抗体刺激大鼠血CD3+淋巴细胞PD1表达的流式细胞术分析
Pub Date : 2023-08-11 DOI: 10.46235/1028-7221-9639-fca
T. Khramova, Liubov V. Beduleva, K. Fomina, N. Abisheva
The role of the PD-1/PD-L signaling pathway in the regulation of the immune response is currently the focus of research. Numerous studies have shown the key role of PD-1 molecules in the regulation of autoimmune, antitumor and antiviral reactions. The culture of rat and mice lymphocytes, as well as animal experimental models of immunopathologies are widely used in research. However, rat lymphocytes are almost not used to study the PD-1/PD-L pathway. There is no data on PD-1 expression or methods of its induction on rat lymphocytes. In human T-lymphocyte culture, PD-1 expression can be induced by NIB1412 anti-CD3 antibodies coated in the well of culture plates. In this study, we investigated the effect of G4.18 anti-CD3 antibody on PD-1 expression in peripheral blood lymphocyte of intact Wistar rats in vitro. According to some literature data, G4.18 anti-CD3 antibodies in immobilized form can activate isolated rat T cells, and according to others, inhibit allogeneic reactions in mixed lymphocyte culture and block cytotoxicity of cells obtained from rats with a developed graft rejection reaction. We found that incubation of rat blood lymphocytes with G4.18 anti-CD3 antibodies immobilized on plastic leads to a change in cell morphology and induction of PD-1 on CD3+ lymphocytes. After incubation with anti-CD3 antibodies, the proportion of PD-1+ lymphocytes among CD3+ lymphocytes was 12.056.04%, which is significantly higher than the proportion of such cells before incubation and during incubation in a cultural medium, which amounted to 2.602.62% and 4.595.81%, respectively. In the dot-plot graphs showing the distribution of cells according to the parameters of forward scatter and side scatter, PD-1+CD3+ lymphocytes induced by anti-CD3 antibodies are localized in the region of relatively lower forward scatter and greater side scatter. Perhaps these cells belong to apoptotic cells.
PD-1/PD-L信号通路在免疫应答调控中的作用是目前研究的热点。大量研究表明,PD-1分子在自身免疫、抗肿瘤和抗病毒反应的调控中起着关键作用。大鼠和小鼠淋巴细胞的培养以及免疫病理动物实验模型被广泛应用于研究。然而,大鼠淋巴细胞几乎没有被用来研究PD-1/PD-L通路。PD-1在大鼠淋巴细胞上的表达及诱导方法尚无相关数据。在人t淋巴细胞培养中,NIB1412抗cd3抗体包被在培养板孔中可诱导PD-1表达。本实验研究了G4.18抗cd3抗体对体外完整Wistar大鼠外周血淋巴细胞PD-1表达的影响。根据一些文献资料,固定化形式的G4.18抗cd3抗体可以激活分离的大鼠T细胞,也有人认为,G4.18抗cd3抗体可以抑制混合淋巴细胞培养中的异体反应,并阻断移植排斥反应严重的大鼠获得的细胞的细胞毒性。我们发现,将G4.18抗CD3抗体固定在塑料上孵育大鼠血液淋巴细胞,可导致细胞形态的变化和CD3+淋巴细胞上PD-1的诱导。经抗CD3抗体孵育后,PD-1+淋巴细胞占CD3+淋巴细胞的比例为12.056.04%,显著高于孵育前和培养液中PD-1+淋巴细胞占CD3+淋巴细胞的比例(分别为2.602.62%和4.595.81%)。在根据正向散射和侧向散射参数绘制的细胞分布点图中,抗CD3抗体诱导的PD-1+CD3+淋巴细胞定位在正向散射相对较低和侧向散射较大的区域。这些细胞可能属于凋亡细胞。
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引用次数: 0
Role of myeloid-derived suppressor cells in prediction of the effectiveness of biologics in children with psoriasis 髓源性抑制细胞在预测银屑病儿童生物制剂疗效中的作用
Pub Date : 2023-08-11 DOI: 10.46235/1028-7221-9633-rom
Daria G. Kuptsova, T. Radygina, E. V. Freidlin, O. Kurbatova, N. Murashkin, S. Petrichuk
Psoriasis is a chronic inflammatory skin disease characterized by increased proliferation of epidermal cells, impaired keratinization, and an inflammatory reaction in the dermis due to activation of T-lymphocytes and synthesis of proinflammatory cytokines. Pathophysiology of psoriasis is associated not only with activation of proinflammatory reactions, but also with decreased anti-inflammatory functions of immunosuppressive cells. It is known that Treg, Breg and MDSCs do not perform their classical homeostatic functions in psoriasis. In recent years, there have been more and more cases of developing resistance to ongoing therapy with genetically engineered biological drugs (GEBD) in childhood, requiring replacement or discontinuation of the drug. The aim of our work was to estimate the content of MDSCs subpopulations and their functional activity in the peripheral blood of children with psoriasis at different effectiveness of biotherapeutic drugs. We examined 110 children with psoriasis vulgaris before the appointment of biologics, at 16 and 52 weeks of therapy with adalimumab, etanercept and ustikinumab, aged 6 to 18 years. Сomparison group consisted of 34 healthy children. The effectiveness of therapy was assessed by the achievement of PASI 75 by one year of therapy. Contents of myeloid-derived suppressor cells (MDSCs) and their subpopulations, and the activity of arginase-1 were assessed by multicolor flow cytometry. An increased content of MDSCs was found in children with psoriasis against the comparison group (p = 0.000). Analysis of the effectiveness of biologics in children with psoriasis, according to PASI, showed a significant reduction in disease severity in the group of patients with good effect, both at week 16 of therapy (p = 0.000) and by one year (p = 0.017). In the group of patients with good effect of biological therapy, percentage of total MDSCs population was higher, both before start of treatment and by 52nd week of therapy (p 0.01). Children with psoriasis showed increased immunosuppressive function of MDSCs by arginase-1 activity versus the comparison group (p = 0.000). The arginase-1 activity in patients with psoriasis at the stage of disease regression (PASI 10) was significantly increased relative to children in progressive stage of psoriasis (PASI10; p = 0.001). Thus, the content of MDSCs and their suppressive activity in children with psoriasis is an informative efficiency predictor of the biological drugs. Fading of biotherapy effect after the induction course is accompanied by decreased number of MDSCs and their functional activity.
银屑病是一种慢性炎症性皮肤病,其特征是表皮细胞增殖增加,角化受损,真皮因t淋巴细胞激活和促炎细胞因子合成而发生炎症反应。银屑病的病理生理不仅与促炎反应的激活有关,而且与免疫抑制细胞的抗炎功能下降有关。众所周知,Treg、Breg和MDSCs在牛皮癣中不发挥其经典的稳态功能。近年来,越来越多的儿童对正在进行的基因工程生物药物(GEBD)治疗产生耐药性,需要更换或停药。我们工作的目的是估计MDSCs亚群的含量及其在不同生物治疗药物有效性下银屑病患儿外周血中的功能活性。我们检查了110名患有寻常型银屑病的儿童,在指定生物制剂之前,接受阿达木单抗、依那西普和ustikinumab治疗16周和52周,年龄6至18岁。Сomparison组由34名健康儿童组成。通过一年的治疗达到PASI 75来评估治疗的有效性。采用多色流式细胞术检测骨髓源性抑制细胞(MDSCs)及其亚群的含量和精氨酸酶-1的活性。与对照组相比,银屑病患儿MDSCs含量增加(p = 0.000)。PASI对银屑病儿童生物制剂的疗效分析显示,在治疗第16周(p = 0.000)和1年后(p = 0.017),效果良好的患者组的疾病严重程度均显著降低。在生物治疗效果良好的患者中,治疗开始前和治疗第52周时,MDSCs总数的百分比较高(p < 0.01)。与对照组相比,牛皮癣患儿通过精氨酸酶-1活性显示MDSCs的免疫抑制功能增强(p = 0.000)。银屑病退行期(PASI10)患者精氨酸酶-1活性明显高于进展期(PASI10;P = 0.001)。因此,MDSCs的含量及其在牛皮癣患儿中的抑制活性是生物药物有效性的信息预测指标。诱导过程后生物治疗效果消退,伴有MDSCs数量和功能活性下降。
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引用次数: 0
Role of passive and active myostimulation for the changing levels of some cytokines 被动和主动肌刺激对某些细胞因子水平变化的作用
Pub Date : 2023-08-11 DOI: 10.46235/1028-7221-9907-rop
Rustam R. Ahmetyanov, Evgenia V. Davydovа, A. Sabiryanov, I. L. Shcherbakova
Injury to the anterior cruciate ligament (ACL) of the knee joint is complicated by development of arthrogenic muscle inhibition due to disregulating afferent influences on the excitability of the spinal and supraspinal tracts. The aim of our work was to study electromyography parameters, and myokine levels in the course of myostimulation in traumatic ACL injury. 28 male athletes with traumatic ACL injuries participated in the study. On admission to the clinic, all patients underwent electromyographic examination of the injured limb by the means of Viking Quest EMG/ EP apparatus (Nicolet, USA). Some patients, 10 days before starting the surgical treatment, underwent passive electrical myostimulation (EMS) of the quadriceps femoris muscle using the INTELECT Advanced device (Chattanooga (DJO), USA). Further on, all patients underwent arthroplasty using a Karl Storz arthroscope (Germany). In the postoperative period, during immobilization for 2-weeks, the patients received EMS. After removing the orthosis, the patients switched to active training. The cytokine levels were studied using ELISA reagent kits from Vector-Best, Novosibirsk (IL-6), or from Cloud-Clone Corp. (China) for TGF1assays. Statistical processing of the material was carried out using the Statistica package. vers.10.0 (StatSoft Inc., USA). The highest average amplitude (V) was recorded by electromyography in healthy individuals. In patients of the main group, significantly lower values of the average amplitude were recorded. After a 10-day EMS, a significant increase to the reference values of healthy individuals was noted. In the postsurgical dynamics, EMG indicators without EMS treatment remained at the same low levels. Meanwhile, the values following EMS treatment were comparable with those in healthy individuals, thus reflecting a faster and better muscle recovery after injury. The levels of IL-6 and TGF-1 cytokines (myokines) significantly exceeded the initial levels in the course of EMS. The biological significance of increased IL-6 levels during the muscle exercise may consist the activation of AMP kinase and/or phosphatidylinositol-3-kinase at the level of skeletal muscles thus providing more efficient supply of energy substrate to the muscles. TGF-1 promotes fibroblast proliferation, thus increasing collagen content. Passive and active EMS leads to an improvement in electromyography parameters, along with increased concentration of myokines (IL-6 and TGF-1) in peripheral blood, thus promoting improvement of energy balance, increasing the anti-inflammatory and repair potential of the damaged tissues.
膝关节前交叉韧带(ACL)损伤由于传入神经对脊髓束和椎管上束兴奋性的失调影响而并发关节源性肌肉抑制。本研究的目的是研究外伤性前交叉韧带损伤肌刺激过程中的肌电参数和肌因子水平。28名患有外伤性前交叉韧带损伤的男性运动员参与了这项研究。入院时,所有患者均采用Viking Quest EMG/ EP仪(Nicolet, USA)对受伤肢体进行肌电图检查。一些患者在开始手术治疗前10天,使用智能先进装置(查塔努加(DJO),美国)对股四头肌进行被动肌电刺激(EMS)。此外,所有患者都使用Karl Storz关节镜(德国)进行了关节成形术。术后固定2周,接受EMS治疗。取下矫形器后,患者转为主动训练。采用Vector-Best, Novosibirsk (IL-6)和Cloud-Clone Corp.(中国)的ELISA试剂盒检测细胞因子水平。使用Statistica软件包对材料进行统计处理。vs .10.0 (StatSoft Inc., USA)。健康人肌电图记录最高平均振幅(V)。在主组患者中,记录到的平均振幅值明显较低。经过10天的EMS后,健康个体的参考值显著增加。在术后动态中,未进行EMS治疗的肌电指标保持在相同的低水平。同时,EMS治疗后的数值与健康个体相当,从而反映了损伤后肌肉恢复更快更好。在EMS过程中,IL-6和TGF-1细胞因子(肌因子)水平明显高于初始水平。肌肉运动过程中IL-6水平升高的生物学意义可能包括骨骼肌水平AMP激酶和/或磷脂酰肌醇-3激酶的激活,从而为肌肉提供更有效的能量底物供应。TGF-1促进成纤维细胞增殖,从而增加胶原含量。被动和主动EMS均可改善肌电参数,同时外周血中肌因子(IL-6和TGF-1)浓度升高,从而促进能量平衡改善,增强受损组织的抗炎和修复潜力。
{"title":"Role of passive and active myostimulation for the changing levels of some cytokines","authors":"Rustam R. Ahmetyanov, Evgenia V. Davydovа, A. Sabiryanov, I. L. Shcherbakova","doi":"10.46235/1028-7221-9907-rop","DOIUrl":"https://doi.org/10.46235/1028-7221-9907-rop","url":null,"abstract":"Injury to the anterior cruciate ligament (ACL) of the knee joint is complicated by development of arthrogenic muscle inhibition due to disregulating afferent influences on the excitability of the spinal and supraspinal tracts. The aim of our work was to study electromyography parameters, and myokine levels in the course of myostimulation in traumatic ACL injury. \u000028 male athletes with traumatic ACL injuries participated in the study. On admission to the clinic, all patients underwent electromyographic examination of the injured limb by the means of Viking Quest EMG/ EP apparatus (Nicolet, USA). Some patients, 10 days before starting the surgical treatment, underwent passive electrical myostimulation (EMS) of the quadriceps femoris muscle using the INTELECT Advanced device (Chattanooga (DJO), USA). Further on, all patients underwent arthroplasty using a Karl Storz arthroscope (Germany). In the postoperative period, during immobilization for 2-weeks, the patients received EMS. After removing the orthosis, the patients switched to active training. The cytokine levels were studied using ELISA reagent kits from Vector-Best, Novosibirsk (IL-6), or from Cloud-Clone Corp. (China) for TGF1assays. Statistical processing of the material was carried out using the Statistica package. vers.10.0 (StatSoft Inc., USA). \u0000The highest average amplitude (V) was recorded by electromyography in healthy individuals. In patients of the main group, significantly lower values of the average amplitude were recorded. After a 10-day EMS, a significant increase to the reference values of healthy individuals was noted. In the postsurgical dynamics, EMG indicators without EMS treatment remained at the same low levels. Meanwhile, the values following EMS treatment were comparable with those in healthy individuals, thus reflecting a faster and better muscle recovery after injury. The levels of IL-6 and TGF-1 cytokines (myokines) significantly exceeded the initial levels in the course of EMS. The biological significance of increased IL-6 levels during the muscle exercise may consist the activation of AMP kinase and/or phosphatidylinositol-3-kinase at the level of skeletal muscles thus providing more efficient supply of energy substrate to the muscles. TGF-1 promotes fibroblast proliferation, thus increasing collagen content. \u0000Passive and active EMS leads to an improvement in electromyography parameters, along with increased concentration of myokines (IL-6 and TGF-1) in peripheral blood, thus promoting improvement of energy balance, increasing the anti-inflammatory and repair potential of the damaged tissues.","PeriodicalId":21524,"journal":{"name":"Russian Journal of Immunology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88988345","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
Development of a model immunofiltration assay using a conjugate based on horseradish peroxidase 利用辣根过氧化物酶偶联物建立模型免疫过滤试验
Pub Date : 2023-08-11 DOI: 10.46235/1028-7221-8003-doa
Mariya D. Kropaneva, P. Khramtsov, Mariya S. Bochkova, M. Rayev
The aim of the study was to optimize the conditions for a model immunoassay in the immunofiltration format using diagnostic reagents based on horseradish peroxidase. Residual blood serum samples from patients in the red zone with a verified diagnosis of a new coronavirus infection were used as positive sera, and blood sera obtained before 2019 were used as negative samples. The procedure of immunofiltration analysis was carried out using a pool of negative and positive blood sera. Studies were carried out to optimize the analysis procedure and increase the significant characteristics of the test. Results. It has been shown that the addition of sodium dodecyl sulfate to a final concentration of 50 M in the substrate buffer makes it possible to achieve a higher analytical signal and a stable result 10 minutes after the end of the analysis procedure. Such conditions of immunofiltration analysis as dilutions of the diagnostic reagent, the volume of the introduced sample and the amount of the S-protein of the coronavirus applied to the nitrocellulose membrane were optimized. It has been determined that using immunofiltration analysis it is possible to detect antibodies against the coronavirus S-protein in a dilution of a serum sample of more than 1/1000. The results of immunofiltration analysis reproduce the results of ELISA.
本研究的目的是利用基于辣根过氧化物酶的诊断试剂,优化免疫滤过式模型免疫测定的条件。确诊为新型冠状病毒感染的红色区域患者的剩余血清样本作为阳性血清,2019年之前获得的血清样本作为阴性样本。使用阴性和阳性血清池进行免疫滤过分析。研究进行了优化分析程序和增加显著特征的测试。结果。实验表明,在底物缓冲液中加入终浓度为50 M的十二烷基硫酸钠,可以在分析过程结束后10分钟获得更高的分析信号和稳定的结果。对诊断试剂的稀释度、进样量、新冠病毒s蛋白在硝化纤维素膜上的用量等免疫滤过分析条件进行优化。已经确定,使用免疫过滤分析可以在血清样本稀释1/1000以上时检测到针对冠状病毒s蛋白的抗体。免疫滤过分析结果与酶联免疫吸附试验结果吻合。
{"title":"Development of a model immunofiltration assay using a conjugate based on horseradish peroxidase","authors":"Mariya D. Kropaneva, P. Khramtsov, Mariya S. Bochkova, M. Rayev","doi":"10.46235/1028-7221-8003-doa","DOIUrl":"https://doi.org/10.46235/1028-7221-8003-doa","url":null,"abstract":"The aim of the study was to optimize the conditions for a model immunoassay in the immunofiltration format using diagnostic reagents based on horseradish peroxidase. Residual blood serum samples from patients in the red zone with a verified diagnosis of a new coronavirus infection were used as positive sera, and blood sera obtained before 2019 were used as negative samples. The procedure of immunofiltration analysis was carried out using a pool of negative and positive blood sera. Studies were carried out to optimize the analysis procedure and increase the significant characteristics of the test. Results. It has been shown that the addition of sodium dodecyl sulfate to a final concentration of 50 M in the substrate buffer makes it possible to achieve a higher analytical signal and a stable result 10 minutes after the end of the analysis procedure. Such conditions of immunofiltration analysis as dilutions of the diagnostic reagent, the volume of the introduced sample and the amount of the S-protein of the coronavirus applied to the nitrocellulose membrane were optimized. It has been determined that using immunofiltration analysis it is possible to detect antibodies against the coronavirus S-protein in a dilution of a serum sample of more than 1/1000. The results of immunofiltration analysis reproduce the results of ELISA.","PeriodicalId":21524,"journal":{"name":"Russian Journal of Immunology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91531187","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
Phases of systemic inflammation in septic and haemorrhagic shocks 脓毒性休克和出血性休克时全身性炎症的分期
Pub Date : 2023-08-11 DOI: 10.46235/1028-7221-9974-pos
Liliya V. Solmatina, N. Zotova, Yu. A. Zhuravleva, A. Brazhnikov, E. Gusev
Shocks of different origin (both septic and aseptic) be be considered clinical equivalents of systemic inflammation (SI) with following main manifestations : pronounced hypercytokinemia, other markers of systemic inflammatory response (SIR), coagulopathy, multiple organ failure (MOF), hypothalamic-pituitary-adrenal (HPA) distress, systemic tissue alteration. In general, these phenomena are directly and inversely related to systemic microcirculatory disturbances which determine the pathogenesis of distinct shock states. The aim of our study was to identify the features of SI phases in the development of two variants of septic shock, i.e., acute course (first week of the process) and prolonged/subacute sepsis (2 to 6 weeks from the onset of manifestations), as well as haemorrhagic shock studied 4-12 hours from the onset of massive blood loss. To verify the SI phases, we used the previously proposed SI scale, including the value of six SIR levels (RL-0-5), as well as additional criteria of SI, i.e., evaluation of clinical MOF grade (SOFA scale), plasma D-dimers ( 500 ng/mL), cortisol ( 1380 nmol/mL), tissue alteration markers, e.g., myoglobin ( 800 ng/mL) and/or troponin I ( 0.2 ng/mL). To calculate RL in SIR, plasma CRP and four cytokines (IL-6, IL-8, IL-10, TNF) were determined. The presence of SI was established if the SI scale exceeded 5 points (numerical RL values + presence of additional criteria, each equal to 1 point). The time and severity of the developing critical state, as well as the RL scores, were taken into account when reviewing the phases. There were three main SI phases: (1) evolving condition, (2) cytokine storm/phlogogenic hit (SD-4-5), and depressive (exhausting) phase. The latter was characterized by relatively low SIR values (RL-2-3). The lethality rate for shock in the presence of acute sepsis (n = 13) was 71.4%, reaching 94.1% in prolonged sepsis (n = 17). For haemorrhagic shock after massive blood loss, if not resolved within 24 hoursm the mortality rates was 53.8% (n = 13). Development of shock in acute sepsis, and haemorrhagic shock (within 4 to 12 hours after the onset of massive blood loss) is accompanied by the severity of critical-phase cytokine storm/PPS with a predominance of RL-5 in cases of lethal outcomes, and by a depression phase (RL-2-3) in prolonged sepsis. Overall mortality (for all groups) was 66.7% in the PS phase, 89.5% in the depressive phase and 15.4% in the evolvingl phase of haemorrhagic shock (with possible transition from this phase to the more critical SI phases until lethal outcome). Shock states of both septic and aseptic origin are based on a typical pathological process of SI, which should be distinguished from the signs of SIR characteristic of high-intensity canonical inflammation. It is characterized by higher cytokinemia (cytokine storm phase) or by the presence of additional SI phenomena with relatively moderate SIR levels (depressive SI phase). Thus, the depressive phase of SI is more
不同来源的休克(感染性和无菌性)被认为是全身性炎症(SI)的临床表现,具有以下主要表现:明显的高细胞因子血症、其他全身性炎症反应(SIR)标志物、凝血功能障碍、多器官功能衰竭(MOF)、下丘脑-垂体-肾上腺(HPA)窘迫、全身性组织改变。一般来说,这些现象与决定不同休克状态发病机制的系统微循环紊乱直接或负相关。我们研究的目的是确定感染性休克的两种变异发展中的SI阶段的特征,即急性病程(过程的第一周)和延长/亚急性脓毒症(从表现开始2至6周),以及从大量失血开始4-12小时研究的失血性休克。为了验证SI阶段,我们使用了先前提出的SI量表,包括6个SIR水平(RL-0-5)的值,以及SI的其他标准,即评估临床MOF等级(SOFA量表),血浆d -二聚体(500 ng/mL),皮质醇(1380 nmol/mL),组织改变标志物,例如肌红蛋白(800 ng/mL)和/或肌钙蛋白I (0.2 ng/mL)。为了计算SIR的RL,检测血浆CRP和4种细胞因子(IL-6、IL-8、IL-10、TNF)。如果SI量表超过5分(数值RL值+存在附加标准,每等于1分),则确定存在SI。在审查阶段时,考虑了发展临界状态的时间和严重程度以及RL分数。SI有三个主要阶段:(1)进化状态,(2)细胞因子风暴/促炎冲击(SD-4-5)和抑郁(耗尽)阶段。后者的特点是相对较低的SIR值(RL-2-3)。急性脓毒症患者休克致死率为71.4% (n = 13),延长脓毒症患者休克致死率为94.1% (n = 17)。大量失血后的失血性休克,如果在24小时内得不到解决,死亡率为53.8% (n = 13)。急性脓毒症和出血性休克(大量失血后4至12小时内)的休克发展伴随着致命结果的关键期细胞因子风暴/PPS的严重程度,以及长期脓毒症的抑郁期(RL-2-3)。总死亡率(所有组)在PS期为66.7%,在抑郁期为89.5%,在失血性休克的发展期为15.4%(可能从这一阶段过渡到更关键的SI期,直到致命的结果)。脓毒性和无菌性休克状态都是基于SI的典型病理过程,应与SIR的高强度典型炎症特征区分开来。其特征是较高的细胞因子血症(细胞因子风暴期)或存在额外的SI现象,SIR水平相对中等(抑郁SI期)。因此,与SIR强度较高的细胞因子风暴期相比,SI的抑郁期对疾病结局更致命。
{"title":"Phases of systemic inflammation in septic and haemorrhagic shocks","authors":"Liliya V. Solmatina, N. Zotova, Yu. A. Zhuravleva, A. Brazhnikov, E. Gusev","doi":"10.46235/1028-7221-9974-pos","DOIUrl":"https://doi.org/10.46235/1028-7221-9974-pos","url":null,"abstract":"Shocks of different origin (both septic and aseptic) be be considered clinical equivalents of systemic inflammation (SI) with following main manifestations : pronounced hypercytokinemia, other markers of systemic inflammatory response (SIR), coagulopathy, multiple organ failure (MOF), hypothalamic-pituitary-adrenal (HPA) distress, systemic tissue alteration. In general, these phenomena are directly and inversely related to systemic microcirculatory disturbances which determine the pathogenesis of distinct shock states. The aim of our study was to identify the features of SI phases in the development of two variants of septic shock, i.e., acute course (first week of the process) and prolonged/subacute sepsis (2 to 6 weeks from the onset of manifestations), as well as haemorrhagic shock studied 4-12 hours from the onset of massive blood loss. To verify the SI phases, we used the previously proposed SI scale, including the value of six SIR levels (RL-0-5), as well as additional criteria of SI, i.e., evaluation of clinical MOF grade (SOFA scale), plasma D-dimers ( 500 ng/mL), cortisol ( 1380 nmol/mL), tissue alteration markers, e.g., myoglobin ( 800 ng/mL) and/or troponin I ( 0.2 ng/mL). To calculate RL in SIR, plasma CRP and four cytokines (IL-6, IL-8, IL-10, TNF) were determined. The presence of SI was established if the SI scale exceeded 5 points (numerical RL values + presence of additional criteria, each equal to 1 point). The time and severity of the developing critical state, as well as the RL scores, were taken into account when reviewing the phases. \u0000There were three main SI phases: (1) evolving condition, (2) cytokine storm/phlogogenic hit (SD-4-5), and depressive (exhausting) phase. The latter was characterized by relatively low SIR values (RL-2-3). The lethality rate for shock in the presence of acute sepsis (n = 13) was 71.4%, reaching 94.1% in prolonged sepsis (n = 17). For haemorrhagic shock after massive blood loss, if not resolved within 24 hoursm the mortality rates was 53.8% (n = 13). Development of shock in acute sepsis, and haemorrhagic shock (within 4 to 12 hours after the onset of massive blood loss) is accompanied by the severity of critical-phase cytokine storm/PPS with a predominance of RL-5 in cases of lethal outcomes, and by a depression phase (RL-2-3) in prolonged sepsis. Overall mortality (for all groups) was 66.7% in the PS phase, 89.5% in the depressive phase and 15.4% in the evolvingl phase of haemorrhagic shock (with possible transition from this phase to the more critical SI phases until lethal outcome). \u0000Shock states of both septic and aseptic origin are based on a typical pathological process of SI, which should be distinguished from the signs of SIR characteristic of high-intensity canonical inflammation. It is characterized by higher cytokinemia (cytokine storm phase) or by the presence of additional SI phenomena with relatively moderate SIR levels (depressive SI phase). Thus, the depressive phase of SI is more ","PeriodicalId":21524,"journal":{"name":"Russian Journal of Immunology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88473995","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
Characteristics of the phagocyte effector indexes and effect of local cytokine therapy on their parameters in inflammatory diseases of the maxillofacial region 颌面部炎症性疾病吞噬效应指标的特点及局部细胞因子治疗对其参数的影响
Pub Date : 2023-08-11 DOI: 10.46235/1028-7221-8690-cot
L. Latyushina, L. Y. Malysheva, A. V. Piotrovich, Elena Berezhnaya, Anastasia V. Lapteva
Odontogenic inflammatory diseases and injuries take a leading place in the structure of surgical dental pathology. They often proceed with inflammatory complications. The aim of the present work was to analyze the effector indexes of phagocytic cells at the local area of inflammation (secretions from purulent wounds, tooth socket and mixed saliva), and to evaluate the effect of topical cytokine therapy on the studied parameters in patients with inflammatory dental diseases (chronic periodontitis, odontogenic phlegmon) complicated by mandibular fractures. As a part of a two-stage research, 236 people were comprehensively examined, divided into groups depending on their clinical disease and method of treatment. This group included 74 patients (classified as K 04.5 K 04.9), divided into subgroups by the types of periodontitis (chronic fibrous, granulating and granulomatous form); 102 patients with phlegmon (classified as L03.2, K12.2), who, at the second stage of basic therapy, received topical cytokine treatment with betaleukin (recombinant IL- 1) and roncoleukin (recombinant IL-2). Fifty patients with fractures of the lower jaw (classified as S 02.6) underwent immunotherapy with betaleukin at the second stage of treatment. Examination of patients with inflammatory dental diseases at the first stage of study and analysis of the effector indexes of neutrophilic granulocytes and macrophages from the local inflammatory foci revealed some immunological predictive signs of lacking efficiency of the inflammatory response, manifesting as aberrant functional activity of phagocytes, e.g., inhibition of all studied parameters along with sufficiently reduced functional reserve of phagocytic cells in the patients with phlegmon; high ability to produce reactive oxygen species with a decreased functional reserve of neutrophils in the patients with fractures, and signs of activated chronic inflammation in the patients with periapical lesions. The second stage of our research associated with topical therapy with recombinant cytokines and analysis of the obtained data, ebabled us to detect different effects of drugs on the studied parameters and register the integral effect of immunotherapy, which represents normalization of altered functional indexes. Hence, the data obtained may indicate that, in patients with inflammatory processes in the maxillofacial region, a higher adaptive effector potential of phagocytes was formed at the affected focus following the topical cytokine therapy.
牙源性炎症性疾病和损伤在口腔外科病理结构中占据主导地位。它们通常伴有炎性并发症。本研究的目的是分析炎症局部吞噬细胞(脓性伤口分泌物、牙槽分泌物和混合唾液)的效应指标,并评价局部细胞因子治疗对炎症性牙病(慢性牙周炎、牙源性痰)合并下颌骨折患者吞噬细胞效应指标的影响。作为两阶段研究的一部分,对236人进行了全面检查,并根据他们的临床疾病和治疗方法进行了分组。本组74例患者(分类为k04.5 ~ k04.9),按牙周炎类型(慢性纤维性、肉芽肿型和肉芽肿型)分为亚组;102例痰疹患者(分类L03.2, K12.2),在基础治疗的第二阶段,局部使用白细胞介素(重组IL- 1)和白细胞介素(重组IL-2)进行细胞因子治疗。50例下颌骨折患者(分类s02.6)在治疗的第二阶段接受了β -白细胞素免疫治疗。对炎性牙病患者进行第一阶段的检查,分析局部炎症灶中性粒细胞和巨噬细胞的效应指标,发现炎症反应效率低下的一些免疫学预测迹象,表现为吞噬细胞功能活性异常,例如:痰病患者所有研究参数的抑制以及吞噬细胞功能储备的充分减少;骨折患者产生活性氧的能力高,中性粒细胞的功能储备减少,根尖周围病变患者有慢性炎症的迹象。我们研究的第二阶段与重组细胞因子局部治疗和获得的数据分析相关,使我们能够检测药物对研究参数的不同影响,并记录免疫治疗的整体效果,这代表了改变的功能指标的正常化。因此,获得的数据可能表明,在颌面部有炎症过程的患者中,局部细胞因子治疗后,吞噬细胞在受影响的病灶形成了更高的适应性效应电位。
{"title":"Characteristics of the phagocyte effector indexes and effect of local cytokine therapy on their parameters in inflammatory diseases of the maxillofacial region","authors":"L. Latyushina, L. Y. Malysheva, A. V. Piotrovich, Elena Berezhnaya, Anastasia V. Lapteva","doi":"10.46235/1028-7221-8690-cot","DOIUrl":"https://doi.org/10.46235/1028-7221-8690-cot","url":null,"abstract":"Odontogenic inflammatory diseases and injuries take a leading place in the structure of surgical dental pathology. They often proceed with inflammatory complications. The aim of the present work was to analyze the effector indexes of phagocytic cells at the local area of inflammation (secretions from purulent wounds, tooth socket and mixed saliva), and to evaluate the effect of topical cytokine therapy on the studied parameters in patients with inflammatory dental diseases (chronic periodontitis, odontogenic phlegmon) complicated by mandibular fractures. As a part of a two-stage research, 236 people were comprehensively examined, divided into groups depending on their clinical disease and method of treatment. This group included 74 patients (classified as K 04.5 K 04.9), divided into subgroups by the types of periodontitis (chronic fibrous, granulating and granulomatous form); 102 patients with phlegmon (classified as L03.2, K12.2), who, at the second stage of basic therapy, received topical cytokine treatment with betaleukin (recombinant IL- 1) and roncoleukin (recombinant IL-2). Fifty patients with fractures of the lower jaw (classified as S 02.6) underwent immunotherapy with betaleukin at the second stage of treatment. Examination of patients with inflammatory dental diseases at the first stage of study and analysis of the effector indexes of neutrophilic granulocytes and macrophages from the local inflammatory foci revealed some immunological predictive signs of lacking efficiency of the inflammatory response, manifesting as aberrant functional activity of phagocytes, e.g., inhibition of all studied parameters along with sufficiently reduced functional reserve of phagocytic cells in the patients with phlegmon; high ability to produce reactive oxygen species with a decreased functional reserve of neutrophils in the patients with fractures, and signs of activated chronic inflammation in the patients with periapical lesions. The second stage of our research associated with topical therapy with recombinant cytokines and analysis of the obtained data, ebabled us to detect different effects of drugs on the studied parameters and register the integral effect of immunotherapy, which represents normalization of altered functional indexes. Hence, the data obtained may indicate that, in patients with inflammatory processes in the maxillofacial region, a higher adaptive effector potential of phagocytes was formed at the affected focus following the topical cytokine therapy.","PeriodicalId":21524,"journal":{"name":"Russian Journal of Immunology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79724639","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
Content of myeloid-derived suppressor cells in autoimmune diseases in children 儿童自身免疫性疾病中髓源性抑制细胞的含量
Pub Date : 2023-08-11 DOI: 10.46235/1028-7221-10044-com
T. Radygina, Daria G. Kuptsova, S. Petrichuk, A. Potapov, N. Murashkin, L. M. Abdullaeva, O. Kurbatova, V. Tsvetkova
Myeloid-derived suppressor cells (MDSCs) play an important role in regulation of immune response. An increase in their number in adult patients with autoimmune diseases has been reported. G-MDSCs, M-MDSCs, and MDSCs(M-G-) at different stages of autoimmune disease may both activate T cell proliferation, leading to disease progression, or inhibit it, thus promoting Treg differentiation. Arginase-1 (Arg- 1) is an enzyme in MDSCs that reduces the concentration of arginine required for T lymphocyte proliferation. Our aim was to evaluate the content of MDSCs populations and functional activity of MDSCs in children with autoimmune diseases. 75 children with inflammatory bowel diseases (IBD), 60 children with multiple sclerosis (MS), 69 children with psoriasis (PS), 62 healthy age-matched children were included into the study. The content of MDSCs ((CD3, CD19, CD56, HLA-DR)-, CD11b+ and CD33+), subpopulations of MDSCs (M-MDSCs, G-MDSCs expressing CD14 and CD15), assessment of Arg-1 activity were performed by flow cytometry techniques. The content of MDSCs in patients with IBD, MS and PS was significantly higher than in the comparison group and depended on the state of exacerbation/remission. In exacerbation and remission of IBD, MS and PS, a significant increase of MDSCs was revealed when compared with healthy children; the highest values were found in children in exacerbation of MS (Me-3.5 (2.5-5.6) % MNC against Me-1.6 (0.9-2.5) % MNC, p 0.001). In patients with MS, the content of G-MDSC, M-MDSC was significantly higher, and MDSC(M-G-) was lower than in healthy children. An increase in absolute amounts of G-MDSCs was shown in MS exacerbation compared to the disease remission state (p = 0.022). For patients with IBD, a significant increase in percentage of MDSCs and M-MDSCs (p = 0.014 and p = 0.045, respectively) was obtained in exacerbation of the disease relative to remission state. In patients with IBD, MS, and PS, a significant increase in Arg-1 activity in MDSCs was found, with a decreased number of MDSCs in patients in remission compared to exacerbation phase of the disease. In children with autoimmune diseases, an increase in the MDSC populations was found. The activity of arginase-1 in MDSCs is increased in remission, along with a decrease in their numbers.
髓源性抑制细胞(Myeloid-derived suppressor cells, MDSCs)在免疫应答调控中发挥重要作用。据报道,在患有自身免疫性疾病的成年患者中,它们的数量有所增加。自身免疫性疾病不同阶段的G-MDSCs、M-MDSCs和MDSCs(M-G-)都可能激活T细胞增殖,导致疾病进展,也可能抑制T细胞增殖,从而促进Treg分化。精氨酸酶-1 (Arg- 1)是MDSCs中的一种酶,可降低T淋巴细胞增殖所需的精氨酸浓度。我们的目的是评估自身免疫性疾病儿童中MDSCs群体的含量和MDSCs的功能活性。75名炎症性肠病(IBD)儿童,60名多发性硬化症(MS)儿童,69名牛皮癣(PS)儿童,62名年龄匹配的健康儿童纳入研究。采用流式细胞术检测MDSCs (CD3、CD19、CD56、HLA-DR)-、CD11b+和CD33+)、MDSCs亚群(表达CD14和CD15的M-MDSCs、G-MDSCs)的含量和Arg-1活性。IBD、MS和PS患者的MDSCs含量显著高于对照组,且与加重/缓解状态有关。在IBD、MS和PS的加重和缓解期,与健康儿童相比,MDSCs显著增加;在多发性硬化症加重的儿童中发现了最高的值(Me-3.5 (2.5-5.6) % MNC对Me-1.6 (0.9-2.5) % MNC, p 0.001)。MS患儿G-MDSC、M-MDSC含量明显高于健康儿童,MDSC(M-G-)含量明显低于健康儿童。与疾病缓解状态相比,MS加重时G-MDSCs的绝对数量增加(p = 0.022)。对于IBD患者,相对于缓解状态,MDSCs和M-MDSCs的百分比在病情加重时显著增加(p = 0.014和p = 0.045)。在IBD、MS和PS患者中,发现MDSCs中Arg-1活性显著增加,与疾病加重期相比,缓解期患者的MDSCs数量减少。在患有自身免疫性疾病的儿童中,发现MDSC人群增加。MDSCs中精氨酸酶-1的活性在缓解期增加,同时其数量减少。
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引用次数: 0
Some results of riamilovir (triazavirine) usage in medical staff for prevention and treatment of COVID-19 医务人员预防和治疗新型冠状病毒肺炎使用利米洛韦的一些结果
Pub Date : 2023-08-11 DOI: 10.46235/1028-7221-9410-sro
O. V. Berdiugina, Evgeniy Yu. Gusev
Riamilovir, a drug registered in Russia (chemical formula: methylthionitrooxodihydrotriazolotriazinide sodium, trade name: Triazavirin) is a synthetic analogue of guanine and a drug of direct antiviral action. Currently, there are conflicting data regarding usage of riamilovir as a preventive and therapeutic agent in coronavirus infections. The purpose of this study was to analyze some results of riamilovir usage, both for prevention of the SARS-CoV-2 infection and for the treatment of COVID-19 during the first wave of the new coronavirus pandemic. The analysis was based on a survey of 62 medical staff workers at a single medical institution in Ekaterinburg who was ill with COVID-19, being divided into 4 groups: (1) those who did not receive riamilovir (control), (2) persons who received riamilovir only as a disease prevention, (3) subjects who received the drug as a therapeutic agent, (4) those who received riamilovir before and during the disease. The data concerning usage of riamilovir for the prevention of infection with the SARS-CoV-2 virus have shown the following consequences: increased duration of hospitalization, an increased incidence of COVID-19 complications, i.e., fever, shortness of breath, pulmonary insufficiency, pneumonia, higher frequency of neurological disorders, which were not reported elsewhere. Severe clinical course of the disease was observed much more often in cases of prophylactic riamilovir administration, and the rehabilitation period was incomplete 2 months after the disease. Clinical symptoms of muscle and joint pain were documented at later terms in all persons who received riamilovir to prevent a new coronavirus infection. Usage of riamilovir for therapeutic purposes made it possible to avoid the development of pulmonary insufficiency, severe course of the infectious disease, and entirely restore the state of health. The study did not reveal the usefulness of riamilovir for prevention of COVID-19 complications when taking the drug before infection with the SARS-CoV-2 virus. However, the use of riamilovir for therapeutic purposes prevents development of severe clinical cases and is associated with 4-fold reduced risk of pain in muscles, joints, and spine among the COVID-19 patients.
利阿米洛韦是一种在俄罗斯注册的药物(化学式:甲基硫硝基氧二氢三氮唑三嗪钠,商品名:Triazavirin),是鸟嘌呤的合成类似物,是一种直接抗病毒作用的药物。目前,关于利米洛韦作为冠状病毒感染的预防和治疗药物的使用,存在相互矛盾的数据。本研究的目的是分析在新型冠状病毒大流行第一波期间,利米洛韦用于预防SARS-CoV-2感染和治疗COVID-19的一些结果。该分析基于对叶卡捷琳堡一家医疗机构62名感染COVID-19的医务人员的调查,这些医务人员被分为4组:(1)未接受利阿米洛韦治疗的(对照组),(2)仅将利阿米洛韦作为预防疾病的人,(3)接受利阿米洛韦治疗的受试者,(4)在发病前和发病期间接受利阿米洛韦治疗的受试者。有关使用利米洛韦预防SARS-CoV-2病毒感染的数据显示了以下后果:住院时间延长,COVID-19并发症(即发烧、呼吸短促、肺功能不全、肺炎)发生率增加,神经系统疾病的发病率更高,这些在其他地方未见报道。预防性给予利米洛韦的病例更常观察到严重的临床病程,并且在发病后2个月康复期不完全。所有接受利米洛韦预防新型冠状病毒感染的患者均在后期记录了肌肉和关节疼痛的临床症状。利米洛韦用于治疗目的,可以避免肺部功能不全的发展,传染病的严重过程,并完全恢复健康状态。该研究没有揭示在感染SARS-CoV-2病毒之前服用利米洛韦对预防COVID-19并发症的有效性。然而,出于治疗目的使用利阿米洛韦可防止出现严重临床病例,并可将COVID-19患者肌肉、关节和脊柱疼痛的风险降低4倍。
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引用次数: 0
Some immunological aspects of targeted therapy in polypous rhinosinusitis 多囊鼻鼻窦炎靶向治疗的一些免疫学方面
Pub Date : 2023-08-11 DOI: 10.46235/1028-7221-8955-sia
M. Korkmazov, M. A. Lengina, I. Dubinets, Anna Yu. Kravchenko, Semyon V. Klepikov
Over the past decade, targeted therapy with various monoclonal antibodies has become particularly relevant for the treatment of chronic polypous rhinosinusitis (PR). This is primarily due to the high incidence rate, polyetiological origin and pathogenetic features of polyposis development, low effectiveness of existing treatment approaches, the tendency for relapse, and comorbid conditions. The article provides a brief historical background concerning various predictors of the mucous membrane remodeling in the nasal cavity and paranasal sinuses at the stages of the polyposis formation thus justifying the need for implementation of monoclonal antibodies in the treatment schedules. Considering the leading role of Th2-inflammation in immunopathogenesis of developing polypous vegetations, the influence of targeted therapy upon treatment of chronic polypous rhinosinusitis is theoretically evaluated, and we highlight some important issues that should be further specified. Undoubtedly, inhibition of the synthesis of necessary interleukins leads to improvement in clinical symptoms and reduced size of polypous vegetations. At the same time, the real biochemical transformations of the nasal mucosa have been scarcely studied. E.g., an attempt to inhibit some cytokine may lead to indirect blockage of other pro-inflammatory cytokines. In future, it is necessary to study the pharmacodynamics of targeted drugs in order to clarify distinct contraindications to their use.
在过去的十年中,各种单克隆抗体的靶向治疗已成为治疗慢性息肉性鼻窦炎(PR)的特别相关的方法。这主要是由于息肉病的高发病率、多变性起源和发病特点、现有治疗方法的低有效性、复发倾向和合并症。本文简要介绍了在息肉形成阶段鼻腔和鼻窦粘膜重塑的各种预测因素的历史背景,从而证明了在治疗计划中实施单克隆抗体的必要性。考虑到th2炎症在发生息肉性植被的免疫发病机制中的主导作用,从理论上评价靶向治疗对慢性息肉性鼻窦炎治疗的影响,并强调一些需要进一步明确的重要问题。毫无疑问,抑制必要的白细胞介素的合成会导致临床症状的改善和息肉植物的缩小。同时,对鼻黏膜真正的生化转化研究甚少。例如,试图抑制某些细胞因子可能导致其他促炎细胞因子的间接阻断。今后,有必要对靶向药物的药效学进行研究,以明确其使用的不同禁忌症。
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引用次数: 0
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Russian Journal of Immunology
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