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Cellular senescence in the cholangiopathies: a driver of immunopathology and a novel therapeutic target. 胆管病变的细胞衰老:免疫病理的驱动因素和新的治疗靶点。
IF 9 2区 医学 Q1 IMMUNOLOGY Pub Date : 2022-07-01 DOI: 10.1007/s00281-022-00909-9
Christy E Trussoni, Steven P O'Hara, Nicholas F LaRusso

The cholangiopathies are a group of liver diseases that affect cholangiocytes, the epithelial cells that line the bile ducts. Biliary atresia (BA), primary biliary cholangitis (PBC), and primary sclerosing cholangitis (PSC) are three cholangiopathies with significant immune-mediated pathogenesis where chronic inflammation and fibrosis lead to obliteration of bile ducts and eventual liver cirrhosis. Cellular senescence is a state of cell cycle arrest in which cells become resistant to apoptosis and profusely secrete a bioactive secretome. Recent evidence indicates that cholangiocyte senescence contributes to the pathogenesis of BA, PBC, and PSC. This review explores the role of cholangiocyte senescence in BA, PBC, and PSC, ascertains how cholangiocyte senescence may promote a senescence-associated immunopathology in these cholangiopathies, and provides the rationale for therapeutically targeting senescence as a treatment option for BA, PBC, and PSC.

胆管病是一组影响胆管细胞的肝脏疾病,胆管上皮细胞排列在胆管上。胆道闭锁(BA)、原发性胆道炎(PBC)和原发性硬化性胆管炎(PSC)是三种具有显著免疫介导发病机制的胆管疾病,其中慢性炎症和纤维化导致胆管闭塞并最终导致肝硬化。细胞衰老是细胞周期停滞的一种状态,在这种状态下,细胞对凋亡产生抵抗,并大量分泌一种生物活性分泌组。最近的证据表明,胆管细胞衰老有助于BA, PBC和PSC的发病机制。本文探讨了胆管细胞衰老在BA、PBC和PSC中的作用,确定了胆管细胞衰老如何促进这些胆管疾病中与衰老相关的免疫病理,并为将衰老作为治疗BA、PBC和PSC的治疗选择提供了理论依据。
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引用次数: 17
Challenges and opportunities in achieving effective regulatory T cell therapy in autoimmune liver disease 实现自身免疫性肝病有效调节性T细胞治疗的挑战和机遇
IF 9 2区 医学 Q1 IMMUNOLOGY Pub Date : 2022-05-31 DOI: 10.1007/s00281-022-00940-w
N. Richardson, G. Wootton, A. Bozward, Y. Oo
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引用次数: 11
MAIT cells in liver inflammation and fibrosis MAIT细胞在肝脏炎症和纤维化中的作用
IF 9 2区 医学 Q1 IMMUNOLOGY Pub Date : 2022-05-31 DOI: 10.1007/s00281-022-00949-1
Hema Mehta, M. Lett, P. Klenerman, Magdalena Filipowicz Sinnreich
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引用次数: 9
Immuno-pathogenesis of neuromyelitis optica and emerging therapies 视神经脊髓炎的免疫发病机制及新兴疗法
IF 9 2区 医学 Q1 IMMUNOLOGY Pub Date : 2022-05-30 DOI: 10.1007/s00281-022-00941-9
N. Chihara, T. Yamamura
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引用次数: 3
Correction to: Narcolepsy: a model interaction between immune system, nervous system, and sleep-wake regulation 更正:嗜睡症:免疫系统、神经系统和睡眠-觉醒调节之间的模型相互作用
IF 9 2区 医学 Q1 IMMUNOLOGY Pub Date : 2022-05-26 DOI: 10.1007/s00281-022-00946-4
D. Latorre, F. Sallusto, C. Bassetti, U. Kallweit
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引用次数: 3
The intestinal and biliary microbiome in autoimmune liver disease—current evidence and concepts 自身免疫性肝病的肠道和胆道微生物组——最新证据和概念
IF 9 2区 医学 Q1 IMMUNOLOGY Pub Date : 2022-05-10 DOI: 10.1007/s00281-022-00936-6
T. Liwinski, Melina Heinemann, C. Schramm
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引用次数: 20
Harnessing the liver to induce antigen-specific immune tolerance 利用肝脏诱导抗原特异性免疫耐受
IF 9 2区 医学 Q1 IMMUNOLOGY Pub Date : 2022-05-05 DOI: 10.1007/s00281-022-00942-8
C. Gottwick, A. Carambia, J. Herkel
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引用次数: 4
Glial-mediated neuroinflammatory mechanisms in age-related macular degeneration 年龄相关性黄斑变性的胶质细胞介导的神经炎症机制
IF 9 2区 医学 Q1 IMMUNOLOGY Pub Date : 2022-05-05 DOI: 10.1007/s00281-022-00939-3
R. Dhodapkar, Diego Martell, B. Hafler
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引用次数: 5
Cell death in development, maintenance, and diseases of the nervous system 神经系统发育、维持和疾病中的细胞死亡
IF 9 2区 医学 Q1 IMMUNOLOGY Pub Date : 2022-05-04 DOI: 10.1007/s00281-022-00938-4
M. Mercau, Siraj Patwa, K. Bhat, Sourav Ghosh, C. Rothlin
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引用次数: 2
Clonal hematopoiesis and vascular disease. 克隆造血和血管疾病。
IF 7.9 2区 医学 Q1 IMMUNOLOGY Pub Date : 2022-05-01 Epub Date: 2022-02-04 DOI: 10.1007/s00281-022-00913-z
Kaushik Amancherla, John A Wells, Alexander G Bick

Somatic mutations in hematopoietic stem cells are common with aging and can result in expansion of clones harboring mutations, termed clonal hematopoiesis. This results in an increased risk of blood cancers but has also been linked with chronic inflammatory disease states. In recent years, clonal hematopoiesis has been established to have a causative role in atherogenesis and cardiovascular disease. Additionally, as the effector cells have been identified to be immune cells, there is ongoing interest in assessing whether dysregulated immune function plays a role in other chronic inflammatory conditions such as rheumatologic disease. Here, we summarize current understanding of clonal hematopoiesis with a focus on cardiovascular disease and inflammation while outlining the potential, yet unexplored, relationship between clonal hematopoiesis and autoimmune disease. Hematopoietic stem cells (HSCs) continually regenerate blood cells. Acquisition of a somatic mutation that provides a selective advantage, a driver mutation, can result in clonal expansion. Clonal hematopoiesis of indeterminate potential, where somatic mutations in certain cancer-associated genes result in clonal expansion in the absence of overt malignancy, can result in atherosclerotic cardiovascular disease in multiple vascular beds, inflammation, and may also contribute to the pathogenesis of autoimmune disease. Many questions remain unanswered regarding the relationship between clonal hematopoiesis and inflammatory disorders.

随着年龄的增长,造血干细胞中的体细胞突变很常见,并可能导致携带突变的克隆扩增,即克隆造血。这不仅增加了罹患血癌的风险,还与慢性炎症疾病有关。近年来,克隆造血已被证实在动脉粥样硬化和心血管疾病中具有致病作用。此外,由于效应细胞已被确认为免疫细胞,人们一直在关注评估免疫功能失调是否在风湿病等其他慢性炎症中发挥作用。在此,我们总结了目前对克隆性造血的理解,重点是心血管疾病和炎症,同时概述了克隆性造血与自身免疫性疾病之间尚未探索的潜在关系。造血干细胞不断再生血细胞。获得具有选择性优势的体细胞突变(即驱动突变)可导致克隆扩增。不确定潜能的克隆造血,即某些癌症相关基因的体细胞突变导致克隆扩增,但没有明显的恶性肿瘤,可导致多个血管床的动脉粥样硬化性心血管疾病、炎症,还可能导致自身免疫性疾病的发病机制。关于克隆性造血与炎症性疾病之间的关系,许多问题仍未得到解答。
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引用次数: 0
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Seminars in Immunopathology
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