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Involvement of epithelial CD146 in severe asthma 上皮CD146在严重哮喘中的参与
IF 0.5 4区 医学 Q4 RESPIRATORY SYSTEM Pub Date : 2025-04-01 DOI: 10.1016/j.rmr.2025.02.049
F. Lepretre , L. Moreno , A. Joshkon , N. Bardin , M. Blot-Chabaud , P. Chanez , D. Gras

Introduction

Asthma is a chronic lung disease affecting 300 million people worldwide, 2-10 % of whom suffer from severe asthma. In asthma, the bronchial epithelium is dysregulated, contributing to the pathophysiology of the disease. CD146 is an adhesion molecule that is highly expressed on all the cells from the vascular system, including endothelial cells. It is also expressed by epithelial cells, but its functions in these cells are poorly understood, as is its role in severe asthma. The aim of our study is to elucidate the role of CD146 in the bronchial epithelium and its implication in severe asthma.

Methods

Bronchial epithelia of healthy controls and severe asthma patients were reconstituted in vitro using air-liquid interface culture. Measurements of CD146 expression were made on differentiated epithelium (n = 20 control and 20 severe asthma patients). Then, undifferentiated and differentiated bronchial epithelial cells were sorted based on the expression level of CD146. The sorted undifferentiated bronchial epithelial cells were cultured and monitored during the differentiation process until obtention of a fully differentiated epithelium (n = 3). The sorted differentiated bronchial epithelial cells were used to perform RNA-Seq experiments (n = 4).

Results

We showed that CD146 is highly expressed in severe asthma patients compared to healthy controls both at mRNA and protein levels in differentiated epithelium. Then, we have shown that CD146 expression is not ubiquitous in the differentiated bronchial epithelium. Cell sorting and RNA-seq experiments demonstrated that CD146 is mostly expressed by the basal epithelial cells in the differentiated epithelium. Finally, morphological analysis revealed that CD146 seems to play a role in the bronchial epithelium differentiation process. Indeed, fully differentiated epithelium obtained from CD146+ and CD146− sorted undifferentiated bronchial epithelial cells were different in morphology and cell composition.

Conclusion

Our results suggest that CD146 is only expressed by basal cells of the bronchial epithelium and supports an important role in the differentiation of this epithelium. Moreover, we demonstrated that CD146is overexpressed in severe asthma, suggesting a possible role of this molecule in this disease notably during repair epithelial process.
哮喘是一种慢性肺部疾病,影响全世界3亿人,其中2- 10%患有严重哮喘。在哮喘中,支气管上皮是失调的,有助于疾病的病理生理。CD146是一种粘附分子,在包括内皮细胞在内的所有血管系统细胞上高度表达。它也在上皮细胞中表达,但其在这些细胞中的功能以及在严重哮喘中的作用尚不清楚。我们的研究目的是阐明CD146在支气管上皮中的作用及其在严重哮喘中的意义。方法采用气液界面培养法体外重建健康对照和重症哮喘患者的支气管上皮。在分化上皮(对照组20例,重症哮喘患者20例)上检测CD146的表达。然后,根据CD146的表达水平对未分化和分化支气管上皮细胞进行分类。将经分选的未分化支气管上皮细胞培养并监测其分化过程,直至发现完全分化的支气管上皮细胞(n = 3)。将分选的已分化支气管上皮细胞进行RNA-Seq实验(n = 4)。结果我们发现CD146在重症哮喘患者的分化上皮中mRNA和蛋白水平均高于健康对照组。然后,我们发现CD146在分化的支气管上皮中并不普遍表达。细胞分选和RNA-seq实验表明CD146主要由分化上皮中的基底上皮细胞表达。最后,形态学分析显示CD146似乎在支气管上皮分化过程中发挥作用。事实上,从CD146+和CD146 -分选的未分化支气管上皮细胞中获得的完全分化上皮在形态和细胞组成上是不同的。结论CD146仅在支气管上皮基底细胞中表达,并在支气管上皮的分化中发挥重要作用。此外,我们证实cd146在严重哮喘中过表达,这表明该分子可能在这种疾病中发挥作用,特别是在修复上皮过程中。
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引用次数: 0
Are the behaviors of myogenic progenitors induced by mechanical stretch similar between the human quadriceps and diaphragm? 机械拉伸诱导的肌源性祖细胞的行为在人的股四头肌和横膈膜之间是否相似?
IF 0.5 4区 医学 Q4 RESPIRATORY SYSTEM Pub Date : 2025-04-01 DOI: 10.1016/j.rmr.2025.02.086
E. Lhospice , G. Hugon , F. Panaro , B. Al Taweel , S. Matecki , G. Carnac

Introduction

The stretch-induced behaviors of myogenic progenitors from the human diaphragm during mechanical ventilation are poorly understood. In all muscles, following injury, quiescent satellite cells (SCs) become activated, proliferate into myoblasts, and then merge and differentiate to form myotubes. Until now, SC adaptation to injury has been considered similar across various muscles. However, in animal models, transcriptional factors involved in maintaining the quiescent state, such as PAX3 and PAX7, are expressed differently between the diaphragm and quadriceps. In humans, no data currently exist to determine whether differences in stretch-induced behavior of myogenic progenitors during mechanical ventilation exist between these two muscles.

Methods

To address this issue, we purified and characterized human satellite cells from quadriceps and diaphragm biopsies from 11 patients. We then plan to culture these cells on a stretchable PDMS support to develop an in vitro model involving mechanical stress applied to human primary muscle-derived cells. A stretch of 12% of the initial length was applied using a FlexCell apparatus at a frequency of 0.3 Hz to mimic mechanical ventilation in the ICU as showed in Fig. 1.

Results

Our preliminary results (n = 6) show that the Pax7/Pax3 ratio at the myoblast stage, the fusion index, and the surface area at the myotube stage were higher in quadriceps compared to the diaphragm, indicating a higher quality of differentiation (Fig. 2). In a preliminary exploratory experiment, human diaphragm muscle cells from one patient were subjected to different stretching protocols, varying between 2 and 6 days, initiated at different stages of development. Our first results as indicated in Fig. 3 show that the quadriceps and diaphragm cells tolerate the stretching protocol and can proliferate and differentiate under these conditions.

Conclusion

Our preliminary results show that a comparative study between diaphragmatic and quadriceps cells will allow us in the future to assess the sensitivity of these two cell populations to mechanical stress.
在机械通气过程中,来自人体膈肌的肌源性祖细胞的拉伸诱导行为尚不清楚。在所有肌肉中,损伤后,静止卫星细胞(SCs)被激活,增殖成肌细胞,然后合并和分化形成肌管。到目前为止,SC对损伤的适应被认为是不同肌肉相似的。然而,在动物模型中,参与维持静止状态的转录因子,如PAX3和PAX7,在横膈膜和股四头肌之间表达不同。在人类中,目前还没有数据来确定这两种肌肉在机械通气时拉伸诱导的肌源性祖细胞行为是否存在差异。方法为了解决这一问题,我们从11例患者的股四头肌和膈肌活检中纯化并鉴定了人卫星细胞。然后,我们计划在可拉伸的PDMS支架上培养这些细胞,以建立一个体外模型,该模型涉及对人类原代肌肉来源细胞施加机械应力。如图1所示,使用FlexCell设备以0.3 Hz的频率施加初始长度12%的拉伸,以模拟ICU中的机械通气。我们的初步结果(n = 6)显示,与横膈膜相比,股四头肌在成肌细胞阶段的Pax7/Pax3比率、融合指数和肌管阶段的表面积更高,表明分化质量更高(图2)。在一项初步的探索性实验中,来自一名患者的人横膈膜细胞在不同的发育阶段进行了不同的拉伸,拉伸时间在2到6天之间。我们的第一个结果如图3所示,表明股四头肌和横膈膜细胞耐受拉伸方案,并能在这些条件下增殖和分化。我们的初步结果表明,横膈肌和股四头肌细胞之间的比较研究将使我们能够在未来评估这两个细胞群体对机械应力的敏感性。
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引用次数: 0
Consequences of exacerbation in old rats with emphysema 老年大鼠肺气肿加重的后果
IF 0.5 4区 医学 Q4 RESPIRATORY SYSTEM Pub Date : 2025-04-01 DOI: 10.1016/j.rmr.2025.02.055
Y. Colombani, P.E. Grillet, Y. Rourre, Q. Wynands, C. Roure, L. Alburquerque, F. Lopez, P. Pomies, E. Passerieux, A. Bourdin, O. Cazorla

Introduction

Chronic Obstructive Pulmonary Disease (COPD), is marked by chronic airflow limitation due to small airway obstruction and emphysema, which involves abnormal enlargement of lung air spaces and inflammation-induced tissue destruction. COPD often coexists with cardiovascular diseases, likely due to chronic inflammation. As an age-related disease, COPD's effects are worsened with aging, intensifying both lung and systemic impacts. However, the connection between age-related emphysema and cardiac issues remains unclear, indicating a need for more research on how aging affects COPD's impact on cardiovascular health.

Methods

Old male Wistar rats (18 months old, n = 9 control, 5 ELA-LPS) received weekly intra-tracheal instillations of elastase (ELA) over 4 weeks at a dose of 10 U. I to induce emphysema. In the fourth week, alongside elastase, bacterial lipopolysaccharide (LPS) derived from E. coli O55 B: 5 was delivered to mimic a bacterial exacerbation. We evaluated pulmonary, cardiac and muscular functions using various in-vivo and ex-vivo methods, including cardiorespiratory tests on a treadmill, whole-body plethysmography and echocardiography. The results in aged animals were compared with those from young animals (6–7 weeks-old).

Results

Preliminary results revealed significant alteration in cardiac systolic function, along by morphological changes in the left ventricular posterior wall during systole and diastole, compared to the young emphysema model, where a correlation between emphysema and diastolic dysfunction was noted. Unexpectedly, there was a trend of improvement in respiratory parameters, including Peak Inspiratory Flow, Peak Expiratory Flow, and tidal volume. The cardiorespiratory performance test showed a trend towards reduced O2 consumption and decreased exercise capacity, consistent with aging patterns. Then, the assessment of lung elastic properties (ex vivo pressure-volume curve) indicated a greater loss of pulmonary elasticity compared to the young emphysematous model. Additionally, ex vivo endurance and force tests on the soleus muscle showed a tendency toward reduced muscle endurance and strength, aligning with the findings from the treadmill test.

Conclusion

This multidisciplinary approach seeks to deepen our understanding of the age-related aspects of COPD-emphysema and its broader impact on human health. Initial results are promising, showing that aged rats exhibit a more severe phenotype than younger ones. Once confirmed, the underlying causes of these age-related dysfunctions compared to younger animals need to be determined to provide valuable insights into associated cardiac disorders.
慢性阻塞性肺疾病(COPD),以小气道阻塞和肺气肿引起的慢性气流限制为特征,包括肺间隙异常扩大和炎症诱导的组织破坏。慢性阻塞性肺病通常与心血管疾病共存,可能是由于慢性炎症。作为一种与年龄相关的疾病,COPD的影响随着年龄的增长而恶化,加剧了肺部和全身的影响。然而,年龄相关性肺气肿与心脏问题之间的联系尚不清楚,这表明需要更多的研究来研究衰老如何影响COPD对心血管健康的影响。方法雄性Wistar大鼠(18月龄,对照组9只,ELA- lps组5只)每周气管内注入弹性蛋白酶(ELA)诱导肺气肿,持续4周,剂量为10u / I。在第四周,与弹性蛋白酶一起,从大肠杆菌o55b: 5中提取的细菌脂多糖(LPS)被递送,以模拟细菌恶化。我们使用各种体内和离体方法评估肺、心脏和肌肉功能,包括在跑步机上的心肺测试、全身容积脉搏图和超声心动图。将老龄动物的结果与幼龄动物(6-7周龄)的结果进行比较。结果初步结果显示,与年轻肺气肿模型相比,心脏收缩功能明显改变,收缩和舒张期间左心室后壁形态学改变,肺气肿和舒张功能障碍之间存在相关性。出乎意料的是,呼吸参数有改善的趋势,包括吸气峰值流量、呼气峰值流量和潮气量。心肺功能测试显示出氧气消耗减少和运动能力下降的趋势,与衰老模式一致。然后,肺弹性特性评估(离体压力-容积曲线)显示,与年轻肺气肿模型相比,肺弹性损失更大。此外,对比目鱼肌进行的离体耐力和力量测试显示出肌肉耐力和力量降低的趋势,这与跑步机测试的结果一致。结论:这种多学科方法旨在加深我们对copd肺气肿年龄相关方面及其对人类健康的广泛影响的理解。最初的结果是有希望的,表明年老的老鼠比年轻的老鼠表现出更严重的表型。一旦得到证实,与年轻动物相比,这些与年龄相关的功能障碍的潜在原因需要确定,以提供有关心脏疾病的有价值的见解。
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引用次数: 0
Impact of cigarette smoke on inflammatory effect of Quinolinic acid during influenza infection 流感感染时吸烟对喹啉酸炎症作用的影响
IF 0.5 4区 医学 Q4 RESPIRATORY SYSTEM Pub Date : 2025-04-01 DOI: 10.1016/j.rmr.2025.02.064
G. Pamart, O. Le Rouzic, M. Pichavant, P. Gosset, O. Poulain-Godefroy

Introduction

La bronchopneumopathie chronique obstructive (BPCO) se caractérise par une inflammation chronique et une obstruction des voies respiratoires principalement dues à l’exposition au tabac. Les patients atteints de BPCO développent fréquemment des exacerbations principalement causées par des infections, souvent virales, associées à une inflammation pulmonaire, une progression de la maladie et une augmentation de la mortalité. La voie métabolique du tryptophane, permettant la formation de NAD (Nicotinamide Adénine Dinucléotide) est également affectée par la fumée de cigarette (CS) entraînant une modification de la production de l’acide quinolinique (QA), un métabolite possédant des propriétés immunomodulatrices dont les taux sont altérés chez les patients atteints de BPCO.

Méthode

Notre objectif est de déterminer le rôle potentiel de la voie du tryptophane, et plus particulièrement de QA, au cours des exacerbations de la BPCO. La production de QA et l’expression des enzymes de la voie des kynurénines ont été mesurées chez des souris C57Bl6 après une semaine d’infection par le virus de la grippe H3N2 (MOI 0,5). Des cellules épithéliales bronchiques (BEAS 2B) et des macrophages humains ont également été exposés à QA (100 μM) 1 heure avant une infection par H3N2. Les réponses antivirales et inflammatoires ont été évaluées 6 et 24 heures après l’infection par RT-qPCR et dosage ELISA des cytokines.

Résultats

L’infection virale a stimulé l’expression de certaines enzymes de la voie des kynurénines 24 h après l’infection viral, et à augmenter la concentration de QA au sein du tissu pulmonaire. La préexposition à QA augmente l’expression génique de molécules antivirales telles que IFNb et Mx1 24 heures après l’infection dans les cellules BEAS 2B mais à moduler la réponse antivirale dans les macrophages en stimulant l’IFNb, mais en diminuant l’expression des récepteurs TLR. QA a également modulé l’inflammation des macrophages en stimulant l’expression et la sécrétion de molécules telles que IL6, IL8, TNFa ou encore CXCL1.

Conclusion

L’infection grippale induit la voie des kynurénines, et augmente la concentration de l’acide quinolinique, qui semble impacter la réponse inflammatoire et antivirale de l’épithélium respiratoire et des macrophages, suggérant son rôle au cours des exacerbations de la BPCO.
慢性阻塞性肺疾病(COPD)的特点是主要由吸烟引起的慢性炎症和呼吸道阻塞。慢性阻塞性肺病患者经常出现主要由病毒感染引起的加重,并伴有肺部炎症、疾病进展和死亡率增加。色氨酸的代谢途径,能够形成NAD(烟酰胺腺嘌呤二核苷酸)也受到香烟烟雾会导致生产改造(CS) quinolinique酸代谢物(QA),一个拥有特性,其利率copd患者体内活性有影响。方法我们的目标是确定色氨酸通路,特别是QA在OPCO加重过程中的潜在作用。在感染H3N2流感病毒一周后,测量了C57Bl6大鼠的QA产生和kynurenine通路酶的表达(MOI 0.5)。支气管上皮细胞(BEAS 2B)和人类巨噬细胞也在H3N2感染前1小时暴露于QA (100 μM)。在接受RT-qPCR和ELISA细胞因子剂量后6小时和24小时评估了抗病毒和炎症反应。结果:病毒感染在病毒感染24小时后刺激了kynurenin通路某些酶的表达,增加了肺组织内QA的浓度。在BEAS 2B细胞中,预暴露于QA会增加感染后24小时内抗病毒分子如IFNb和Mx1的基因表达,但会通过刺激IFNb而降低TLR受体的表达来调节巨噬细胞中的抗病毒反应。QA还通过刺激IL6、IL8、TNFa和CXCL1等分子的表达和分泌来调节巨噬细胞的炎症。结论:流感感染诱导了kynurenin通路,并增加了奎宁酸的浓度,奎宁酸似乎影响了呼吸上皮和巨噬细胞的炎症和抗病毒反应,表明其在OPCO加重过程中发挥了作用。
{"title":"Impact of cigarette smoke on inflammatory effect of Quinolinic acid during influenza infection","authors":"G. Pamart,&nbsp;O. Le Rouzic,&nbsp;M. Pichavant,&nbsp;P. Gosset,&nbsp;O. Poulain-Godefroy","doi":"10.1016/j.rmr.2025.02.064","DOIUrl":"10.1016/j.rmr.2025.02.064","url":null,"abstract":"<div><h3>Introduction</h3><div>La bronchopneumopathie chronique obstructive (BPCO) se caractérise par une inflammation chronique et une obstruction des voies respiratoires principalement dues à l’exposition au tabac. Les patients atteints de BPCO développent fréquemment des exacerbations principalement causées par des infections, souvent virales, associées à une inflammation pulmonaire, une progression de la maladie et une augmentation de la mortalité. La voie métabolique du tryptophane, permettant la formation de NAD (Nicotinamide Adénine Dinucléotide) est également affectée par la fumée de cigarette (CS) entraînant une modification de la production de l’acide quinolinique (QA), un métabolite possédant des propriétés immunomodulatrices dont les taux sont altérés chez les patients atteints de BPCO.</div></div><div><h3>Méthode</h3><div>Notre objectif est de déterminer le rôle potentiel de la voie du tryptophane, et plus particulièrement de QA, au cours des exacerbations de la BPCO. La production de QA et l’expression des enzymes de la voie des kynurénines ont été mesurées chez des souris C57Bl6 après une semaine d’infection par le virus de la grippe H<sub>3</sub>N2 (MOI 0,5). Des cellules épithéliales bronchiques (BEAS 2B) et des macrophages humains ont également été exposés à QA (100<!--> <!-->μM) 1 heure avant une infection par H<sub>3</sub>N2. Les réponses antivirales et inflammatoires ont été évaluées 6 et 24<!--> <!-->heures après l’infection par RT-qPCR et dosage ELISA des cytokines.</div></div><div><h3>Résultats</h3><div>L’infection virale a stimulé l’expression de certaines enzymes de la voie des kynurénines 24<!--> <!-->h après l’infection viral, et à augmenter la concentration de QA au sein du tissu pulmonaire. La préexposition à QA augmente l’expression génique de molécules antivirales telles que IFNb et Mx1 24<!--> <!-->heures après l’infection dans les cellules BEAS 2B mais à moduler la réponse antivirale dans les macrophages en stimulant l’IFNb, mais en diminuant l’expression des récepteurs TLR. QA a également modulé l’inflammation des macrophages en stimulant l’expression et la sécrétion de molécules telles que IL6, IL8, TNFa ou encore CXCL1.</div></div><div><h3>Conclusion</h3><div>L’infection grippale induit la voie des kynurénines, et augmente la concentration de l’acide quinolinique, qui semble impacter la réponse inflammatoire et antivirale de l’épithélium respiratoire et des macrophages, suggérant son rôle au cours des exacerbations de la BPCO.</div></div>","PeriodicalId":21548,"journal":{"name":"Revue des maladies respiratoires","volume":"42 4","pages":"Page 213"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Kcnk3 deficiency aggravates right ventricular dysfunction induced by pulmonary artery banding Kcnk3缺乏可加重肺动脉束带引起的右心室功能障碍
IF 0.5 4区 医学 Q4 RESPIRATORY SYSTEM Pub Date : 2025-04-01 DOI: 10.1016/j.rmr.2025.02.020
K. El Jekmek , M. Gourmelon , A. Saint-Martin Willer , M. Dutheil , V. Capuano , O. Mercier , D. Montani , F. Antigny

Introduction

Right ventricular failure (RVF) is characterized by the inability of the right ventricle (RV) to maintain adequate blood flow and is the major predictor of mortality in pulmonary arterial hypertension (PAH). PAH is defined by a mean pulmonary arterial pressure greater than 20 mmHg at rest and is characterized by increased pulmonary vascular resistance, leading to right heart failure. Currently, no treatments specifically target RVF in PAH. However, slowing down the progression of RVF could delay the need for double lung transplantation and reduce PAH-related mortality. Loss-of-function mutations in the KCNK3 (Potassium channel subfamily K+ member 3) gene, which encodes the potassium channel known as TASK-1 (TWIK-related acid-sensitive K+ channel 1), have been identified in PAH patients. Our team has recently shown that KCNK3 dysfunction is involved in pulmonary vascular remodeling and contributes to the development of PAH [1]. They also demonstrated that reduced function and expression of KCNK3 is a hallmark of RV hypertrophy and dysfunction associated with pulmonary hypertension [2].
Our objective was to investigate whether the Kcnk3 deficiency exacerbates RV remodeling in a rat model of RV dysfunction induced independently of pulmonary vascular remodeling.

Methods

To address this, we subjected male and female Kcnk3-deficient rats (WT, heterozygous, and homozygous) to chronic RV pressure overload by pulmonary artery banding (PAB). 4 weeks after surgery, we analyzed the consequence of Kcnk3-deficiency on RV remodeling by performing echocardiography, right heart catheterization, and RV histology.

Results

Our results show that rats (males and females) subjected to PAB developed RV hypertrophy and RV dysfunction. In male homozygous Kcnk3-deficient rats, PAB led to an exacerbation of RV hypertrophy, RV dilatation, and a more pronounced increase in RV systolic pressure compared to WT-PAB rats. In contrast, no difference was observed in male heterozygous Kcnk3-deficient rats compared to WT-PAB male rats. Interestingly, RV dysfunction and hypertrophy were unchanged in female homozygous Kcnk3-deficient rats subjected to PAB compared to WT-PAB female rats.

Conclusion

In conclusion, our results suggest that KCNK3 dysfunction is a crucial event in the physiopathology of RV failure. Further studies are needed to understand underlying molecular and cellular mechanisms and to investigate sex differences linked to Kcnk3-deficiency in these experimental conditions.
右心室衰竭(RVF)的特征是右心室(RV)无法维持足够的血流量,是肺动脉高压(PAH)患者死亡率的主要预测指标。PAH的定义是静止时平均肺动脉压大于20mmhg,其特征是肺血管阻力增加,导致右心衰。目前,还没有针对裂谷热的PAH治疗方法。然而,减缓裂谷热的进展可能会推迟双肺移植的需要,并降低与多环芳烃相关的死亡率。KCNK3(钾通道亚家族K+成员3)基因编码钾通道TASK-1 (twik相关酸敏感K+通道1)的功能缺失突变已在PAH患者中被发现。我们的团队最近发现KCNK3功能障碍参与肺血管重塑,并有助于PAH[1]的发展。他们还证明,KCNK3的功能和表达降低是与肺动脉高压[2]相关的右心室肥大和功能障碍的标志。我们的目的是研究Kcnk3缺乏是否会在独立于肺血管重塑的大鼠右心室功能障碍模型中加剧右心室重塑。为了解决这个问题,我们通过肺动脉束带(PAB)对雄性和雌性kcnk3缺陷大鼠(WT、杂合和纯合)进行慢性右心室压力过载。术后4周,我们通过超声心动图、右心导管和右心室组织学分析kcnk3缺陷对右心室重构的影响。结果经PAB处理的大鼠(雄性和雌性)均出现右心室肥大和右心室功能障碍。在雄性纯合子kcnk3缺陷大鼠中,与WT-PAB大鼠相比,PAB导致右心室肥大、右心室扩张加剧,右心室收缩压升高更为明显。相比之下,雄性杂合kcnk3缺陷大鼠与WT-PAB雄性大鼠相比,没有观察到差异。有趣的是,与WT-PAB雌性大鼠相比,PAB雌性纯合子kcnk3缺陷大鼠的RV功能障碍和肥大没有变化。结论KCNK3功能障碍是右心室衰竭的重要生理病理事件。需要进一步的研究来了解潜在的分子和细胞机制,并调查在这些实验条件下与kcnk3缺乏症相关的性别差异。
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引用次数: 0
Combined cellular and gene therapy to treat primary ciliary dyskinesia 细胞与基因联合治疗原发性纤毛运动障碍
IF 0.5 4区 医学 Q4 RESPIRATORY SYSTEM Pub Date : 2025-04-01 DOI: 10.1016/j.rmr.2025.02.026
C. Bourdais , M. Nadaud , A. Coeur , F. Foisset , E. Ahmed , I. Vachier , A. Bourdin , S. Assou , J. De Vos
Primary Ciliary Dyskinesia (PCD) is a genetic disease caused by mutations that alter cilia beating, including in the respiratory airways. This results in poor mucus clearance, severe morbidity, and increased mortality. We hypothesized that bronchial cilia beating can be restored using genetically corrected iPSC differentiated into air - liquid interface bronchial epithelium model (iALI) for autologous cell therapy. We have previously demonstrated that corrected cells derived from a PCD patient iPS line can be differentiated into iALI with functional ciliary beating. The current aim of the project is to evaluate the engraftment potential of these corrected cells and their ability to repair the pathological model post-engraftment. Several key issues need to be addressed identifying competent cells for bronchial engraftment, exploring various strategies to pre-treat the bronchial epithelium, and assessing the recovery of the ciliary beating recovery to assure bronchial repair.
Our team has established the differentiation of iPSCs into iALI. We have generated a PCD patient iPSC line using Sendai viruses, a corresponding CRISPR/Cas9 corrected cell line, as well a wild-type iPSC line and its CRISPR/Cas9 mutated counterpart. We also generated a GFP-iPSC line that expresses the fluorescent GFP protein under the human elongation factor 1 alpha promoter (EF1a), which allows us to track the engraftment of GFP-labeled bronchial stem cells in both control and mutated iALI models. Our results suggest that lung progenitors at the ventralized anterior foregut endoderm stage could be the most efficient cells for engraftment. Their self-renewal capability and ability to differentiate into various cell types of the bronchial epithelium are promising for developing a long-term and effective therapy. Regarding bronchial erosion, we found that promoting cell engraftment is crucial due to the barrier function of the intact bronchial epithelium and the lack of selective advantage of corrected cells. Various chemical and enzymatic strategies have shown potential, but their safety for in-vivo use needs further assessment. Furthermore, GFP-expressing engrafted cells displaying cilia suggest successful differentiation into ciliated cells, though functional recovery still requires confirmation.
In conclusion, the engraftment of corrected lung progenitors into eroded bronchial epithelium appears to be a promising therapeutic strategy to PCD. Next step of the project involves developing this therapy for in-vivo application, assessing its safety and efficacy in an immunodeficient mini-pig model.
原发性纤毛运动障碍(PCD)是一种由改变纤毛跳动的突变引起的遗传性疾病,包括呼吸道。这导致粘液清除不良,严重发病率和死亡率增加。我们假设利用经基因校正的iPSC分化成气液界面支气管上皮模型(iALI)进行自体细胞治疗,可以恢复支气管纤毛的运动。我们之前已经证明,来自PCD患者iPS系的校正细胞可以分化为具有功能性纤毛跳动的iALI。该项目目前的目的是评估这些校正细胞的移植潜力及其移植后修复病理模型的能力。需要解决几个关键问题,确定适合支气管植入的细胞,探索各种策略来预处理支气管上皮,评估纤毛搏动恢复的恢复,以确保支气管修复。我们的团队已经建立了iPSCs向iALI的分化。我们使用仙台病毒、相应的CRISPR/Cas9校正细胞系、野生型iPSC细胞系及其CRISPR/Cas9突变细胞系,生成了PCD患者iPSC细胞系。我们还生成了一个GFP- ipsc细胞系,该细胞系在人延伸因子1 α启动子(EF1a)下表达荧光GFP蛋白,这使我们能够在对照和突变iALI模型中跟踪GFP标记支气管干细胞的植入。我们的结果表明,前肠前内胚层阶段的肺祖细胞可能是最有效的移植细胞。它们的自我更新能力和分化成支气管上皮各种细胞类型的能力有望开发出长期有效的治疗方法。对于支气管侵蚀,我们发现促进细胞植入是至关重要的,因为完整的支气管上皮具有屏障功能,而校正后的细胞缺乏选择优势。各种化学和酶的策略已经显示出潜力,但它们在体内使用的安全性需要进一步评估。此外,表达gfp的移植细胞显示纤毛,表明成功分化为纤毛细胞,尽管功能恢复仍有待证实。总之,将校正后的肺祖细胞移植到侵蚀的支气管上皮中似乎是一种很有希望的治疗PCD的策略。该项目的下一步是开发这种疗法的体内应用,评估其在免疫缺陷迷你猪模型中的安全性和有效性。
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引用次数: 0
Proteomic analysis of pulmonary fibrosis associated with lung cancer reveals dysregulation of the apoptotic pathway 肺纤维化与肺癌相关的蛋白质组学分析揭示了凋亡通路的失调
IF 0.5 4区 医学 Q4 RESPIRATORY SYSTEM Pub Date : 2025-04-01 DOI: 10.1016/j.rmr.2025.02.072
C. Guillois , H. Cazier , E. Guenzi , A. Chassac , P. Mordant , G. Zalcman , A. Mailleux , B. Crestani , A. Cazes , G. Chevreux , N. Poté

Introduction

Pulmonary fibrosis (PF), especially idiopathic pulmonary fibrosis, is associated with a high risk of lung cancer (LC), but the mechanisms of carcinogenesis remains poorly understood. Combining Liquid Chromatography Mass Spectrometry (LC-MS/MS) and Mass Spectrometry Imaging (MSI), we compared the proteome of fibrotic areas from PF tissue samples with and without LC to identify altered signaling pathways.

Methods

34 Formalin Fixed Paraffin-Embedded (FFPE) surgical samples from patients with PF with LC (LC+, n = 17) and without LC (LC−, n = 17) were included. For each case, a representative FFPE block was selected for downstream analyses. After macrodissection of fibrotic areas, whole protein extracts were analyzed by LC-MS/MS. MSI was performed on tissue section after tryptic digestion, on selected regions of interest within fibrotic areas. In silico tryptic digestion of peptides of interest was further performed, and spatial localization of these peptides was visualized on ion maps.

Results

By LC-MS/MS analysis, we identified 72 out of 4901 proteins significantly differentially expressed between fibrotic areas of LC- and LC+ samples (P < 0.001). Pathway analysis suggested the involvement of oxidative stress metabolism and apoptosis, with significant downregulation of two mitochondrial proteins (BAX, Frataxin), known to activate apoptosis, in fibrotic areas adjacent to LC. After in silico tryptic digestion of BAX protein, MSI analysis revealed at least 2 unique peptides per protein that were significantly underexpressed in LC+ fibrotic areas. Complementary ion map analysis showed a specific expression of these mitochondrial peptides within metaplastic epithelial cells ligning honeycomb cysts.

Conclusion

Using an original proteomic approach integrating LC-MS/MS and MSI, we show that, in patients with PF, fibrotic areas have distinct proteomic profiles depending on the presence of LC. Fibrotic areas adjacent to LC exhibit a significant downregulation of pro-apoptotic mitochondrial proteins. Interestingly, spatial analysis by MSI show that these proteins are expressed by metaplastic epithelial cells within fibrotic areas, suggesting that dysregulation of apoptosis in these cells might be involved in lung carcinogenesis in patients with PF.
肺纤维化(PF),尤其是特发性肺纤维化,与肺癌(LC)的高风险相关,但其致癌机制尚不清楚。结合液相色谱-质谱(LC-MS/MS)和质谱成像(MSI),我们比较了有和没有LC的PF组织样品的纤维化区域的蛋白质组,以确定改变的信号通路。方法选取有LC (LC+, n = 17)和无LC (LC -, n = 17) PF患者的34例福尔马林固定石蜡包埋(FFPE)手术标本。对于每种情况,选择一个具有代表性的FFPE块进行下游分析。对纤维化区进行宏观解剖后,采用LC-MS/MS分析全蛋白提取物。在胰蛋白酶消化后的组织切片上进行MSI,在纤维化区域内选择感兴趣的区域。在硅胰蛋白酶消化感兴趣的肽进一步进行,并在离子图上可视化这些肽的空间定位。结果通过LC-MS/MS分析,我们鉴定出4901个蛋白中有72个在LC-和LC+样品的纤维化区域中表达显著差异(P <;0.001)。通路分析提示氧化应激代谢与细胞凋亡有关,在LC附近的纤维化区域,两种已知激活细胞凋亡的线粒体蛋白(BAX, Frataxin)显著下调。在对BAX蛋白进行硅胰蛋白酶消化后,MSI分析显示每个蛋白至少有2个独特的肽在LC+纤维化区域显著低表达。互补离子图谱分析显示,这些线粒体肽在连接蜂窝囊肿的化生上皮细胞中特异性表达。通过结合LC-MS/MS和MSI的原始蛋白质组学方法,我们发现,在PF患者中,纤维化区域具有不同的蛋白质组学特征,这取决于LC的存在。LC附近的纤维化区表现出促凋亡线粒体蛋白的显著下调。有趣的是,MSI的空间分析显示,这些蛋白在纤维化区域的化生上皮细胞中表达,这表明这些细胞凋亡的失调可能参与了PF患者的肺癌发生。
{"title":"Proteomic analysis of pulmonary fibrosis associated with lung cancer reveals dysregulation of the apoptotic pathway","authors":"C. Guillois ,&nbsp;H. Cazier ,&nbsp;E. Guenzi ,&nbsp;A. Chassac ,&nbsp;P. Mordant ,&nbsp;G. Zalcman ,&nbsp;A. Mailleux ,&nbsp;B. Crestani ,&nbsp;A. Cazes ,&nbsp;G. Chevreux ,&nbsp;N. Poté","doi":"10.1016/j.rmr.2025.02.072","DOIUrl":"10.1016/j.rmr.2025.02.072","url":null,"abstract":"<div><h3>Introduction</h3><div>Pulmonary fibrosis (PF), especially idiopathic pulmonary fibrosis, is associated with a high risk of lung cancer (LC), but the mechanisms of carcinogenesis remains poorly understood. Combining Liquid Chromatography Mass Spectrometry (LC-MS/MS) and Mass Spectrometry Imaging (MSI), we compared the proteome of fibrotic areas from PF tissue samples with and without LC to identify altered signaling pathways.</div></div><div><h3>Methods</h3><div>34 Formalin Fixed Paraffin-Embedded (FFPE) surgical samples from patients with PF with LC (LC+, <em>n</em> <!-->=<!--> <!-->17) and without LC (LC−, <em>n</em> <!-->=<!--> <!-->17) were included. For each case, a representative FFPE block was selected for downstream analyses. After macrodissection of fibrotic areas, whole protein extracts were analyzed by LC-MS/MS. MSI was performed on tissue section after tryptic digestion, on selected regions of interest within fibrotic areas. <em>In silico</em> tryptic digestion of peptides of interest was further performed, and spatial localization of these peptides was visualized on ion maps.</div></div><div><h3>Results</h3><div>By LC-MS/MS analysis, we identified 72 out of 4901 proteins significantly differentially expressed between fibrotic areas of LC- and LC+ samples (<em>P</em> <!-->&lt;<!--> <!-->0.001). Pathway analysis suggested the involvement of oxidative stress metabolism and apoptosis, with significant downregulation of two mitochondrial proteins (BAX, Frataxin), known to activate apoptosis, in fibrotic areas adjacent to LC. After <em>in silico</em> tryptic digestion of BAX protein, MSI analysis revealed at least 2 unique peptides per protein that were significantly underexpressed in LC+ fibrotic areas. Complementary ion map analysis showed a specific expression of these mitochondrial peptides within metaplastic epithelial cells ligning honeycomb cysts.</div></div><div><h3>Conclusion</h3><div>Using an original proteomic approach integrating LC-MS/MS and MSI, we show that, in patients with PF, fibrotic areas have distinct proteomic profiles depending on the presence of LC. Fibrotic areas adjacent to LC exhibit a significant downregulation of pro-apoptotic mitochondrial proteins. Interestingly, spatial analysis by MSI show that these proteins are expressed by metaplastic epithelial cells within fibrotic areas, suggesting that dysregulation of apoptosis in these cells might be involved in lung carcinogenesis in patients with PF.</div></div>","PeriodicalId":21548,"journal":{"name":"Revue des maladies respiratoires","volume":"42 4","pages":"Pages 217-218"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact de l’activation de la GTPase Rac dans la dégranulation des éosinophiles au cours de l’asthme sévère 在严重哮喘中激活Rac GTPase对嗜酸性粒细胞脱粒细胞的影响
IF 0.5 4区 医学 Q4 RESPIRATORY SYSTEM Pub Date : 2025-04-01 DOI: 10.1016/j.rmr.2025.02.032
H. Bergereau , D. Hassoun , Q. Marquant , M. Rousselle , A. Magnan , G. Loirand , V. Sauzeau

Introduction

L’asthme est une pathologie chronique caractérisée par une inflammation exacerbée, une hyperréactivité bronchique et un remodelage des voies aériennes. Récemment, nous avons démontré que la GTPase Rac est activée au sein des éosinophiles dans un modèle murin d’asthme sévère. Notre objectif a été d’identifier le rôle de Rac dans la fonction principale des éosinophiles au cours de l’asthme : la dégranulation.

Méthodes

Les cellules progénitrices hématopoïétiques provenant de la moelle osseuse de souris sont mises en culture en présence de Stem Cell Factor (SCF) et de Fms-Like Tyrosine kinase 3 (FLT3-L) pour induire leur expansion. Au 4e jour de culture, l’ajout d’interleukine 5 permet la différenciation des cellules progénitrices en éosinophiles. In vitro, la dégranulation des éosinophiles est induite par le Platelet Activating Factor (PAF). Le trafic des granules de sécrétion a été analysé par immunofluorescence et par microscopie électronique. Les voies de signalisation intracellulaire ont été analysées par western-blot.

Résultats

Nous avons observé que le traitement des éosinophiles au PAF induit une libération d’éosinophile peroxydase (EPX) mais également une activation de la protéine Rac. L’inhibition pharmacologique de Rac (A41, 10-5 M) prévient la libération d’EPX des éosinophiles murins et également des éosinophiles humains. Par immunofluorescence et microscopie électronique, nous avons observé que l’activation de Rac par le PAF joue un rôle majeur dans la migration des granules de sécrétion du cytoplasme vers la membrane plasmique des éosinophiles, aboutissant à la libération des médiateurs cytotoxiques. Par une approche biochimique, nous avons démontré que l’activation de Rac par le PAF favorise la formation du complexe protéique Rac/PLCß2 (phospholipase C ß2) permettant la production d’IP3 et ainsi l’augmentation de la concentration calcique intracellulaire nécessaire à la dégranulation. Pour valider in vivo le rôle de Rac dans les éosinophiles, nous avons développé un modèle expérimental d’asthme sévère allergique. Nous avons observé que la libération d’EPX par les cellules inflammatoires présentes dans les poumons des souris asthmatiques est inhibée par l’A41.

Conclusions

Nos résultats démontrent que la dégranulation des éosinophiles induite par le PAF au cours de l’asthme est dépendante de l’activation de Rac. Ainsi, la GTPase apparaît comme une nouvelle cible thérapeutique d’intérêt pour lutter contre l’inflammation au cours de l’asthme allergique.
哮喘是一种以炎症加剧、支气管过度反应和气道重塑为特征的慢性疾病。最近,我们在一个严重哮喘小鼠模型中发现Rac GTPase在嗜酸性粒细胞中被激活。我们的目标是确定Rac在哮喘中嗜酸性粒细胞的主要功能:脱粒中的作用。来自小鼠骨髓的造血祖细胞在干细胞因子(SCF)和fms样酪氨酸激酶3 (FLT3-L)的存在下培养,以诱导其扩张。在培养的第4天,添加白细胞介素5使祖细胞分化为嗜酸性粒细胞。在体外,嗜酸性粒细胞的脱粒是由Platelet Activating Factor (PAF)诱导的。用免疫荧光和电子显微镜分析了分泌颗粒的流量。细胞内信号通路由西部印迹分析。我们观察到,用PAF治疗嗜酸性粒细胞可诱导嗜酸性粒细胞过氧化酶(EPX)的释放,但也可激活Rac蛋白。Rac (A41, 10-5 M)的药理抑制可防止小鼠和人类嗜酸性粒细胞中EPX的释放。通过免疫荧光和电子显微镜,我们观察到PAF对Rac的激活在细胞质分泌颗粒向嗜酸性粒细胞的质膜迁移中起着重要作用,导致细胞毒性介质的释放。通过生化方法,我们已经证明,PAF激活Rac有利于蛋白质复合物Rac/PLCß2(磷脂酶Cß2)的形成,允许IP3的产生,从而增加细胞内钙浓度,这是脱粒所必需的。为了验证Rac在嗜酸性粒细胞中的作用,我们开发了一个严重过敏性哮喘的实验模型。我们观察到,哮喘小鼠肺部炎症细胞释放的EPX受到A41的抑制。我们的研究结果表明,在哮喘中,PAF诱导的嗜酸性粒细胞脱粒细胞依赖于Rac的激活。因此,GTPase成为过敏性哮喘中对抗炎症的一个有趣的新治疗靶点。
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引用次数: 0
Impact de la matrice extracellulaire sur le canal mécanosensible PIEZO1 dans les cellules musculaires lisses pulmonaires 细胞外基质对肺平滑肌细胞PIEZO1机械敏感通道的影响
IF 0.5 4区 医学 Q4 RESPIRATORY SYSTEM Pub Date : 2025-04-01 DOI: 10.1016/j.rmr.2025.02.021
A. Leriche , A. Gaubert , C. Guibert , T. Ducret , JF. Quignard

Introduction

L’hypertension pulmonaire est une pathologie caractérisée par un remodelage important des artères intra-pulmonaires ayant pour conséquence d’augmenter le travail cardiaque conduisant à la mort. Dans cette pathologie, les contraintes mécaniques exercées sur les cellules musculaires lisses vasculaires sont modifiées. Ces contraintes mécaniques sont perçues par des canaux ioniques membranaires mécano-sensibles tels que Piezo1 qui convertissent les différents stimuli mécaniques en influx calcique et en réponses biologiques. La rigidité de la matrice extracellulaire est une contrainte mécanique majeure et elle augmente au cours de la pathologie. Nous avons investigué les effets de la rigidité matricielle sur l’activité de Piezo1.

Méthodes

Des cellules musculaires lisses d’artères intra-pulmonaires ont été cultivées sur des hydrogels Bola Bis Urée (BBU) de différentes rigidités (1 à 10 KPa). Cette matrice synthétique ne contient pas de protéines pouvant interagir avec des récepteurs membranaires. La concentration calcique intracellulaire et le potentiel transmembranaire ont été mesurés grâce aux sondes fluorescentes Cal520® et FLIPR®. La prolifération cellulaire a été estimé avec CyQUANT®.

Résultats

Une forte rigidité matricielle (10 kPa) augmente l’expression de Piezo1. Elle induit une diminution l’amplitude et un ralentissement de la cinétique des signaux calciques intracellulaires après stimulation de Piezo1 par son agoniste Yoda1. Par contre, cette forte rigidité augmente l’activité basale de Piezo1 induisant une augmentation de la concentration calcique intracellulaire basale. Elle induit aussi une dépolarisation cellulaire liée à Piezo1. L’augmentation de la rigidité induit une augmentation de la prolifération cellulaire mais qui est indépendante de Piezo1.

Conclusion

Ainsi la rigidité matricielle pourrait jouer un rôle de stimulus mécanique sur Piezo1 entraînant une altération de son activité en adéquation avec le contexte d’hypertension pulmonaire.
肺动脉高压是一种以肺内动脉严重重塑为特征的疾病,导致心脏工作增加,导致死亡。在这种病理中,对平滑肌细胞施加的机械应力发生了变化。这些机械应力由机械敏感的膜离子通道感知,如压电1,它将各种机械刺激转化为钙流入和生物反应。细胞外基质的刚性是一个主要的机械约束,并在病理过程中增加。我们研究了矩阵刚度对压电活性的影响。方法在不同硬度(1 - 10KPa)的Bola Bis Uree水凝胶(BBU)上培养肺内动脉平滑肌细胞。这种合成基质不含能与膜受体相互作用的蛋白质。使用荧光探针Cal520®和FLIPR®测量细胞内钙浓度和跨膜电位。使用CyQUANT®估计细胞增殖。结果:高基质刚度(10kPa)增加压电1的表达。在Piezo1被其激动剂Yoda1刺激后,它会导致细胞内钙信号的振幅降低和动力学减慢。然而,这种高刚性增加了Piezo1的碱性活性,导致碱性细胞内钙浓度的增加。它还诱导与压电1相关的细胞去极化。刚度的增加导致细胞增殖的增加,但这与压电无关。因此,基质刚度可能对压电1起到机械刺激的作用,导致其活性的改变,与肺动脉高压的背景相适应。
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引用次数: 0
Activation locale des lymphocytes B dans la fibrose pulmonaire idiopathique 特发性肺纤维化中B淋巴细胞的局部激活
IF 0.5 4区 医学 Q4 RESPIRATORY SYSTEM Pub Date : 2025-04-01 DOI: 10.1016/j.rmr.2025.02.075
Y. Bertrand , T. Planté-Bordeneuve , L. Schmit , M. Lecocq , C. Pilette , A. Froidure

Introduction

La fibrose pulmonaire idiopathique (FPI) est une pathologie interstitielle sévère, caractérisée par un remodelage hétérogène du tissu pulmonaire distal. Il a été observé que des agrégats lymphoïdes s’accumulaient dans le tissu fibreux mais également que les taux élevés d’IgA, ainsi que de facteur d’activation des lymphocytes B (BAFF) dans le sérum des patients étaient corrélés à une baisse de la survie. De plus, des auto-anticorps circulants dirigés contre des cibles variées ont été identifiés dans le sérum et le lavage bronchoalvéolaire (LBA) des patients FPI. Toutefois, à l’heure actuelle, l’activation locale des lymphocytes B (LyB), leur distribution et leur environnement restent encore à caractériser dans la FPI.

Méthodes

Des immunomarquages sur des lames FFPE de biopsies et d’explants FPI ont été réalisés pour marquer l’IgA, BAFF, CD 19, XBP1, proSP-C, et Krt5. Un dosage de BAFF et APRIL a été effectué dans le LBA et le sérum d’individus FPI et contrôles. Des tests d’immunofluorescence HEp2 ont été réalisés dans les LBA des mêmes individus pour évaluer la présence d’anticorps auto-réactifs d’isotype IgA.

Résultats

Les agrégats de lymphocytes B sont observables dans les régions remodelées du parenchyme pulmonaire. On observe que les lymphocytes B sont présents non seulement dans ces agrégats mais également à un niveau sub-épithélial, à proximité de structures ectopiques (proSP-C+ et Krt5+). Un marquage modéré de BAFF est visible au niveau de ces structures. Toutefois, l’on ne détecte pas de différence dans les taux circulants de BAFF ni d’APRIL entre les individus FPI et contrôle. On n’observe pas non plus de différence significative entre l’intensité de la fluorescence des HEp2 entre ces deux groupes. L’intensité de la fluorescence des anticorps auto-réactifs corrèle avec le taux d’APRIL dans le LBA des individus FPI.

Conclusion

Cette étude met en évidence plusieurs localisations des lymphocytes B au sein du tissu remodelé. On observe non seulement leur présence dans les agrégats lymphoïdes mais également sous les structures épithéliales ectopiques. Ces structures sont également positivement marquées pour BAFF, ce qui suggère une potentielle stimulation de la production d’anticorps ainsi qu’un class-switch favorisé localement vers l’IgA. Dans les LBA, on observe la présence d’auto-anticorps dont les taux corrèlent avec ceux de APRIL. Ces résultats suggèrent que, pour une sous-population de patients, une suractivation locale des lymphocytes B avec une production d’auto-anticorps serait déjà présente au moment du diagnostic.
特发性肺纤维化(IPF)是一种严重的间质性疾病,其特征是远端肺组织的异质性重塑。淋巴细胞聚集在纤维组织中,但患者血清中IgA和B淋巴细胞激活因子(BAFF)水平高与生存率低相关。此外,在FPI患者的血清和支气管肺泡冲洗(LBA)中发现了针对不同靶点的循环自身抗体。然而,就目前而言,B淋巴细胞(LyB)的局部活化、分布和环境仍有待在PI中表征。方法对活检和FPI植入物的FFPE叶片进行免疫标记,以标记IgA、BAFF、CD 19、XBP1、proSP-C和Krt5。在FPI和对照个体的LBA和血清中进行了BAFF和APRIL的剂量。在同一个体的LBA中进行了Hep2免疫荧光测试,以评估IgA型自身反应抗体的存在。结果B淋巴细胞聚集在肺副膜重塑区域。B淋巴细胞不仅存在于这些聚集物中,而且也存在于上皮亚水平,靠近异位结构(proSP-C+和Krt5+)。在这些结构中可以看到适度的BAFF标记。然而,FPI和对照组之间的BAFF或APRIL循环率没有差异。两组Hep2的荧光强度也没有显著差异。自反应抗体的荧光强度与FPI个体LBA中的APRIL水平相关。结论:本研究揭示了重塑组织中B淋巴细胞的几个位置。它们不仅存在于淋巴结中,也存在于异位上皮结构中。这些结构对BAFF也有积极的标记,暗示抗体产生的潜在刺激,以及局部有利于IgA的分类转换。在LBA中观察到自身抗体的存在,其水平与4月的水平相关。这些结果表明,对于一个亚人群的患者,局部B淋巴细胞过度激活,产生自身抗体,可能在诊断时就已经存在。
{"title":"Activation locale des lymphocytes B dans la fibrose pulmonaire idiopathique","authors":"Y. Bertrand ,&nbsp;T. Planté-Bordeneuve ,&nbsp;L. Schmit ,&nbsp;M. Lecocq ,&nbsp;C. Pilette ,&nbsp;A. Froidure","doi":"10.1016/j.rmr.2025.02.075","DOIUrl":"10.1016/j.rmr.2025.02.075","url":null,"abstract":"<div><h3>Introduction</h3><div>La fibrose pulmonaire idiopathique (FPI) est une pathologie interstitielle sévère, caractérisée par un remodelage hétérogène du tissu pulmonaire distal. Il a été observé que des agrégats lymphoïdes s’accumulaient dans le tissu fibreux mais également que les taux élevés d’IgA, ainsi que de facteur d’activation des lymphocytes B (BAFF) dans le sérum des patients étaient corrélés à une baisse de la survie. De plus, des auto-anticorps circulants dirigés contre des cibles variées ont été identifiés dans le sérum et le lavage bronchoalvéolaire (LBA) des patients FPI. Toutefois, à l’heure actuelle, l’activation locale des lymphocytes B (LyB), leur distribution et leur environnement restent encore à caractériser dans la FPI.</div></div><div><h3>Méthodes</h3><div>Des immunomarquages sur des lames FFPE de biopsies et d’explants FPI ont été réalisés pour marquer l’IgA, BAFF, CD 19, XBP1, proSP-C, et Krt5. Un dosage de BAFF et APRIL a été effectué dans le LBA et le sérum d’individus FPI et contrôles. Des tests d’immunofluorescence HEp2 ont été réalisés dans les LBA des mêmes individus pour évaluer la présence d’anticorps auto-réactifs d’isotype IgA.</div></div><div><h3>Résultats</h3><div>Les agrégats de lymphocytes B sont observables dans les régions remodelées du parenchyme pulmonaire. On observe que les lymphocytes B sont présents non seulement dans ces agrégats mais également à un niveau sub-épithélial, à proximité de structures ectopiques (proSP-C<sup>+</sup> et Krt5<sup>+</sup>). Un marquage modéré de BAFF est visible au niveau de ces structures. Toutefois, l’on ne détecte pas de différence dans les taux circulants de BAFF ni d’APRIL entre les individus FPI et contrôle. On n’observe pas non plus de différence significative entre l’intensité de la fluorescence des HEp2 entre ces deux groupes. L’intensité de la fluorescence des anticorps auto-réactifs corrèle avec le taux d’APRIL dans le LBA des individus FPI.</div></div><div><h3>Conclusion</h3><div>Cette étude met en évidence plusieurs localisations des lymphocytes B au sein du tissu remodelé. On observe non seulement leur présence dans les agrégats lymphoïdes mais également sous les structures épithéliales ectopiques. Ces structures sont également positivement marquées pour BAFF, ce qui suggère une potentielle stimulation de la production d’anticorps ainsi qu’un class-switch favorisé localement vers l’IgA. Dans les LBA, on observe la présence d’auto-anticorps dont les taux corrèlent avec ceux de APRIL. Ces résultats suggèrent que, pour une sous-population de patients, une suractivation locale des lymphocytes B avec une production d’auto-anticorps serait déjà présente au moment du diagnostic.</div></div>","PeriodicalId":21548,"journal":{"name":"Revue des maladies respiratoires","volume":"42 4","pages":"Page 219"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Revue des maladies respiratoires
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