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Epstein-Barr Virus Antibodies and Autoimmune Diseases: A Bidirectional Mendelian Randomization Analysis. 爱泼斯坦-巴氏病毒抗体与自身免疫性疾病:双向孟德尔随机化分析
IF 1.5 4区 医学 Q4 IMMUNOLOGY Pub Date : 2024-11-20 DOI: 10.1089/vim.2024.0056
Meiling Xu, Meihua Su, Guangyong Chen

This study aims to evaluate the estimate of causal relationship between Epstein-Barr virus (EBV) antibody levels and autoimmune diseases (AIDs), such as rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE), through bidirectional two-sample Mendelian randomization (MR) analysis. Despite 50 years of research into the link between EBV infection and AIDs, inconsistent results persist due to the complex mechanisms of EBV within the body. We utilized large-scale genome-wide association studies (GWAS) data from the Integrative Epidemiology Unit (IEU) Open GWAS Project database to conduct rigorous MR analysis, incorporating various sensitivity analyses to assess potential impacts and ensure robustness. EBV antibodies (including VCA-IgG, ZEBRA-IgG, EBNA-1-IgG, and EA-D-IgG) were used as exposure variables, whereas RA and SLE served as outcome variables. In the reverse analysis, RA and SLE were treated as exposure variables and EBV antibodies as outcome variables. When EBV antibodies are designated as the exposure variables, the random-effects inverse-variance weighted (IVW) analysis indicated a significant negative genetic causal relationship between EBV EA-D antibody levels and RA (p = 0.007, odds ratio [OR] = 0.700, 95% confidence interval [CI] = [0.539-0.907]). No significant genetic causal relationship was found between SLE and EBV antibody levels. When RA and SLE are designated as the exposure variables, the random-effects IVW analysis revealed significant positive genetic causal relationships between SLE and EBV ZEBRA antibody levels (p = 0.009, OR = 1.028, 95% CI = [1.007-1.050]) and EBV EA-D antibody levels (p = 0.005, OR = 1.032, 95% CI = [1.009-1.054]). No significant genetic causal relationship was observed between RA and EBV antibody levels. This study offers compelling evidence of a causal relationship between EBV antibody levels and AIDs through MR analysis. Our findings lay a new foundation and perspective for future research directions, clinical prognosis, and treatment.

本研究旨在通过双向双样本孟德尔随机化(MR)分析,评估爱泼斯坦-巴氏病毒(EBV)抗体水平与类风湿性关节炎(RA)和系统性红斑狼疮(SLE)等自身免疫性疾病(AIDs)之间因果关系的估计值。尽管对 EBV 感染与艾滋病之间的联系进行了 50 年的研究,但由于 EBV 在体内的复杂机制,研究结果始终不一致。我们利用整合流行病学单位(IEU)开放式 GWAS 项目数据库中的大规模全基因组关联研究(GWAS)数据进行了严格的 MR 分析,并结合各种敏感性分析来评估潜在的影响并确保稳健性。EB病毒抗体(包括VCA-IgG、ZEBRA-IgG、EBNA-1-IgG和EA-D-IgG)被用作暴露变量,而RA和系统性红斑狼疮被用作结局变量。在反向分析中,RA 和系统性红斑狼疮作为暴露变量,EBV 抗体作为结果变量。当 EBV 抗体被指定为暴露变量时,随机效应逆方差加权(IVW)分析表明,EBV EA-D 抗体水平与 RA 之间存在显著的负遗传因果关系(p = 0.007,比值比 [OR] = 0.700,95% 置信区间 [CI] = [0.539-0.907])。在系统性红斑狼疮和 EBV 抗体水平之间没有发现明显的遗传因果关系。当 RA 和系统性红斑狼疮被指定为暴露变量时,随机效应 IVW 分析显示,系统性红斑狼疮与 EBV ZEBRA 抗体水平(p = 0.009,OR = 1.028,95% CI = [1.007-1.050])和 EBV EA-D 抗体水平(p = 0.005,OR = 1.032,95% CI = [1.009-1.054])之间存在显著的正遗传因果关系。在 RA 和 EBV 抗体水平之间没有观察到明显的遗传因果关系。本研究通过磁共振分析提供了令人信服的证据,证明 EBV 抗体水平与艾滋病之间存在因果关系。我们的发现为未来的研究方向、临床预后和治疗奠定了新的基础和视角。
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引用次数: 0
Profile of Cytokines and T Cell Subsets Transcription Factors in Cerebrospinal Fluid of Patients with Viral Encephalitis. 病毒性脑炎患者脑脊液中细胞因子和 T 细胞亚群转录因子的概况
IF 1.5 4区 医学 Q4 IMMUNOLOGY Pub Date : 2024-11-11 DOI: 10.1089/vim.2024.0058
Khadija Tebibi, Rafika Ben Laamari, Zakaria Saied, Olfa Maghrebi, Henda Touzi, Zina Meddeb, Samia Ben Sassi, Henda Triki, Meriam Belghith, Dorra Rezig

This study investigates the demographic, clinical characteristics, virological profiles, and immunological responses of patients with viral encephalitis (VE) compared with a control group. The VE group displayed a wide range of neurological symptoms. Virological analysis revealed the predominance of Herpesviridae family viruses. Immune responses in cerebrospinal fluid (CSF) from patients with VE were examined, highlighting an immunological shift toward T helper 1 (Th1) cells dominance, altered T helper 17 cells/regulatory T cells (Th17/Tregs) balance, and high interleukin-6 expression. These findings provide insights into the complex immunological landscape of VE, highlighting the role of specific cytokines and T cell subsets in its pathogenesis and potentially guiding targeted therapeutic strategies.

本研究调查了病毒性脑炎(VE)患者与对照组相比在人口统计学、临床特征、病毒学特征和免疫学反应方面的差异。病毒性脑炎组患者表现出多种神经系统症状。病毒学分析显示,主要是疱疹病毒科病毒。对 VE 患者脑脊液(CSF)中的免疫反应进行了研究,结果表明免疫学转向 T 辅助细胞 1(Th1)占优势、T 辅助细胞 17 细胞/调节性 T 细胞(Th17/Tregs)平衡发生改变以及白细胞介素-6 高表达。这些发现有助于深入了解 VE 复杂的免疫学特征,突出了特定细胞因子和 T 细胞亚群在其发病机制中的作用,并有可能为靶向治疗策略提供指导。
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引用次数: 0
Ubiquitination of P53 Regulated by Ubiquitin-Specific Protease 14 Delays the Invasion of Hepatitis B Virus and the Development of Hepatitis. 由泛素特异性蛋白酶 14 调控的 P53 泛素化能延缓乙型肝炎病毒的入侵和肝炎的发展
IF 1.5 4区 医学 Q4 IMMUNOLOGY Pub Date : 2024-11-01 DOI: 10.1089/vim.2024.0066
Tao Bai, Rong-Yun Mai, Zhi-Hong Tang, Xiao-Bo Wang, Jie Chen, Jia-Zhou Ye, Meng Wei, Bin Zhang, Kai Li, Zhao-Min Gu, Fei-Xiang Wu, Le-Qun Li

This study aims to explore the mechanism underlying the role of ubiquitin-specific protease 14 (USP14) in regulating P53 expression and influencing the development of hepatitis B. The animal and cell models of hepatitis B were constructed. The mRNA and protein expression of USP14, mouse double minute 2 (MDM2), and P53 were detected by western blot and qPCR. The USP14 overexpression vector was constructed. The pathological changes of liver tissue were detected by HE and Masson staining. Protein immunoprecipitation was used to detect the interaction between MDM2 and P53, as well as between MDM2 and USP14. The ubiquitination levels of P53 after USP14 overexpression were detected. qPCR and western blot were used to detect the expression of MDM2, Bcl-2, P53, Bax, and Caspase-1 in vivo and in vitro. Compared with the control group, the model group showed increased cell proliferation, increased expression of MDM2 and Bcl-2 in cells and liver tissue, and decreased expression of P53, Bax, and Caspase-1. Compared with the model group, overexpression of USP14 resulted in a decrease in MDM2 expression and an increase in P53 expression. After transfection with the USP14 overexpression plasmid, cell proliferation was inhibited, and the expression of MDM2 and Bcl-2 was decreased in cells and liver tissue, while the expression of P53, Bax, and Caspase-1 was increased. In the model of hepatitis B, USP14 upregulation downregulated MDM2 and promoted P53 deubiquitination to delay the invasion of hepatitis B virus and the development of hepatitis.

本研究旨在探讨泛素特异性蛋白酶 14(USP14)在调控 P53 表达和影响乙型肝炎发生发展中的作用机制。通过Western印迹和qPCR检测了USP14、小鼠双分化2(MDM2)和P53的mRNA和蛋白表达。构建了 USP14 的过表达载体。通过 HE 和 Masson 染色检测肝组织的病理变化。蛋白免疫沉淀用于检测 MDM2 与 P53 之间以及 MDM2 与 USP14 之间的相互作用。采用 qPCR 和 western 印迹法检测 MDM2、Bcl-2、P53、Bax 和 Caspase-1 在体内和体外的表达。与对照组相比,模型组细胞增殖增加,细胞和肝组织中MDM2和Bcl-2的表达增加,P53、Bax和Caspase-1的表达减少。与模型组相比,过表达 USP14 会导致 MDM2 表达下降,P53 表达上升。转染 USP14 过表达质粒后,细胞增殖受到抑制,细胞和肝组织中 MDM2 和 Bcl-2 的表达减少,而 P53、Bax 和 Caspase-1 的表达增加。在乙型肝炎模型中,上调 USP14 可下调 MDM2,促进 P53 去泛素化,从而延缓乙型肝炎病毒的入侵和肝炎的发展。
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引用次数: 0
Memory T Cells Subpopulations in a Cohort of COVID-19 Vaccinated or Recovered Subjects. COVID-19疫苗接种者或康复者群体中的记忆T细胞亚群
IF 1.5 4区 医学 Q4 IMMUNOLOGY Pub Date : 2024-11-01 Epub Date: 2024-10-30 DOI: 10.1089/vim.2024.0065
Marco Iuliano, Roberta Maria Mongiovì, Alberico Parente, Lorenzo Grimaldi, Blerta Kertusha, Anna Carraro, Raffaella Marocco, Giulia Mancarella, Cosmo Del Borgo, Maria Dorrucci, Miriam Lichtner, Giorgio Mangino, Giovanna Romeo

Following viral infection, antigen-restricted T lymphocytes are activated and recognize infected cells to eliminate them. A subset of T cells differentiates into memory lymphocytes able to counteract viral rechallenge in a faster and enhanced way. SARS-CoV-2 can escape immune responses leading to a poor clinical outcome. Immune escape can be associated with the failure of the development of T cell memory compartments. The aim of this study is to characterize the T memory subsets and to test the immune response against class I- and II-restricted immunodominant epitopes shared by ancestral and SARS-CoV-2 variants strains. T memory subsets and recognition of SARS-CoV-2S Spike-specific epitopes were analyzed by flow cytometry on 14 fully vaccinated healthy donors (HDV) and 18 COVID-19 recovered patients (CD). The results obtained showed that CD8+ T naïve subset numbers decreased in association with a significant increase of the effector memory T cell subset whereas there was a small increase in the percentage of SARS-CoV-2 antigen-restricted T clones in both CD4+ and CD8+ subset in the CD compared to HDV sample. Collectively, these features may reflect a broader cytotoxic T cell repertoire stimulated by the virus during the natural infection compared to the spike-restricted response activated during vaccination.

病毒感染后,抗原受限的 T 淋巴细胞会被激活,识别受感染的细胞并将其清除。一部分 T 细胞分化成记忆淋巴细胞,能够以更快和更强的方式对抗病毒的再次侵袭。SARS-CoV-2 可逃避免疫反应,导致不良的临床结果。免疫逃逸可能与 T 细胞记忆区发育失败有关。本研究的目的是确定 T 记忆亚群的特征,并测试针对祖先株和 SARS-CoV-2 变异株共有的 I 类和 II 类限制性免疫优势表位的免疫反应。流式细胞术分析了 14 名完全接种疫苗的健康供体(HDV)和 18 名 COVID-19 恢复期患者(CD)的 T 记忆亚群和对 SARS-CoV-2S Spike 特异性表位的识别。结果显示,与 HDV 样本相比,CD 样本中 CD4+ 和 CD8+ 亚群中 SARS-CoV-2 抗原受限 T 克隆的百分比略有增加。总的来说,这些特征可能反映了与疫苗接种期间激活的尖峰限制反应相比,自然感染期间病毒刺激的细胞毒性 T 细胞更广泛。
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引用次数: 0
Involvement of E3 Ubiquitin Ligases in Viral Infections of the Human Host. E3 泛素连接酶参与病毒对人类宿主的感染
IF 1.5 4区 医学 Q4 IMMUNOLOGY Pub Date : 2024-11-01 Epub Date: 2024-10-29 DOI: 10.1089/vim.2024.0068
Suchanda Verma, Archana Ghatak

Viral infections are one of the principal causes of global primary health crises, with increased rate of infection and mortality demonstrated by the newer progeny of viruses. Viral invasion of the host involves utilization of various cellular machinery. Ubiquitination is one of a few central regulatory systems used by viruses for establishment of the infections in the host. Members of the ubiquitination system are involved in carrying out proteasomal degradation or functional modification of proteins in numerous cellular processes. E3 ubiquitin ligases play a major role in this system through recognition and recruitment of protein substrates and catalyzing the transfer of ubiquitin to these substrates. The versatility of ubiquitin ligases frequently makes them useful tools for the viruses, for either utilizing or degrading other cellular machineries, for carrying out their multiplication or inactivating the defensive strategies of the host. Therefore, these ligases are important targets for aiming at major pathways causing viral protein degradation or functional modification of the infection process. In this review, we have discussed the role and mechanism of different types of ubiquitin ligases in the context of infections of mainly human viruses, highlighting the viral proteins directly interacting with the ligases. Knowledge about these direct interactions is central in understanding the ubiquitin-dependent processes. This comprehensive account may also be beneficial for pharmaceutical exploration of E3 ligase-based broad-spectrum antiviral treatment.

病毒感染是造成全球初级健康危机的主要原因之一,病毒的后代表现出更高的感染率和死亡率。病毒入侵宿主需要利用各种细胞机制。泛素化是病毒用于在宿主体内建立感染的几个核心调节系统之一。泛素化系统的成员参与了许多细胞过程中的蛋白酶体降解或蛋白质功能修饰。E3 泛素连接酶通过识别和招募蛋白质底物,并催化泛素向这些底物的转移,在这一系统中发挥着重要作用。泛素连接酶的多功能性使其经常成为病毒的有用工具,可以利用或降解其他细胞机制,进行繁殖或使宿主的防御策略失效。因此,这些连接酶是针对导致病毒蛋白质降解或感染过程功能改变的主要途径的重要目标。在这篇综述中,我们讨论了不同类型的泛素连接酶在主要是人类病毒感染中的作用和机制,重点介绍了与连接酶直接相互作用的病毒蛋白。了解这些直接相互作用对于理解泛素依赖过程至关重要。这种全面的阐述可能也有利于探索基于 E3 连接酶的广谱抗病毒药物治疗。
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引用次数: 0
Correlation Between TWEAK Serum Level and HTLV-1 Proviral Load in HAM/TSP. HAM/TSP中TWEAK血清水平与HTLV-1病毒载量的相关性
IF 1.5 4区 医学 Q4 IMMUNOLOGY Pub Date : 2024-11-01 Epub Date: 2024-11-06 DOI: 10.1089/vim.2024.0070
Nafiseh Taheri, Mona Fani, Hashem Khanbabaei, Zohreh Vahidi, Fariba Zemorshidi, Reza Boostani, Houshang Rafatpanah, Saeedeh Ebrahimi

Human T-cell lymphotropic virus type-I (HTLV-I)-associated myelopathy/tropical spastic paraparesis (HAM/TSP), the main neurological manifestation of HTLV-I, is a chronic inflammatory disease. Viral-host interaction and host genetics are two important contributors to the development of the HAM/TSP. This study was conducted to measure the serum level of tumor necrosis factor-alpha-like weak inducer of apoptosis (TWEAK) by ELISA method in three groups of participants including 34 HAM/TSP patients (HAM/TSP), 35 asymptomatic HTLV-1 carriers (ACs), and 20 healthy controls (HCs). Also, the titer of the proviral load in two groups of HAM/TSP and ACs was assessed by the real-time polymerase chain reaction (PCR). The statistical results showed that, there is no significant difference between the three groups in TWEAK cytokine level (p = 0.667). Also, there was no significant difference in proviral load titer between groups of HAM/TSP and ACs (p = 0.08). Furthermore, no significant difference was observed between proviral load and TWEAK cytokine concentration between groups of HAM/TSP and ACs. Our findings showed that despite the inflammatory nature of HAM/TSP disease, the expression level of TWEAK in HAM/TSP patients is not significantly different from the groups of ACs and HCs. Therefore, the involvement of other factors in causing HAM/TSP is not unexpected.

人类 T 细胞淋巴细胞增多病毒 I 型(HTLV-I)相关脊髓病/热带痉挛性截瘫(HAM/TSP)是 HTLV-I 的主要神经系统表现,是一种慢性炎症性疾病。病毒-宿主相互作用和宿主遗传是导致 HAM/TSP 发病的两个重要因素。本研究采用酶联免疫吸附法测定了 34 名 HAM/TSP 患者(HAM/TSP)、35 名无症状 HTLV-1 携带者(AC)和 20 名健康对照者(HC)等三组参与者血清中肿瘤坏死因子-α-样细胞凋亡弱诱导因子(TWEAK)的水平。此外,还通过实时聚合酶链反应(PCR)评估了两组 HAM/TSP 和 AC 的病毒载量滴度。统计结果显示,三组之间的 TWEAK 细胞因子水平无显著差异(P = 0.667)。此外,HAM/TSP 组和 AC 组的病毒载量滴度也无明显差异(p = 0.08)。此外,HAM/TSP 组和 AC 组之间的病毒载量和 TWEAK 细胞因子浓度也无明显差异。我们的研究结果表明,尽管 HAM/TSP 疾病具有炎症性,但 HAM/TSP 患者体内 TWEAK 的表达水平与 ACs 和 HCs 组并无明显差异。因此,其他因素参与导致 HAM/TSP 并不意外。
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引用次数: 0
The Potential of mRNA Vaccines to Fight Against Viruses. mRNA 疫苗对抗病毒的潜力。
IF 1.5 4区 医学 Q4 IMMUNOLOGY Pub Date : 2024-10-01 DOI: 10.1089/vim.2024.0047
Xinyi Wang

Vaccines have always been a critical tool in preventing infectious diseases. However, the development of traditional vaccines often takes a long time and may struggle to address the challenge of rapidly mutating viruses. The emergence of mRNA technology has brought revolutionary changes to vaccine development, particularly in rapidly responding to the threat of emerging viruses. The global promotion of mRNA vaccines against severe acute respiratory syndrome coronavirus 2 has demonstrated the importance of mRNA technology. Also, mRNA vaccines targeting viruses such as influenza, respiratory syncytial virus, and Ebola are under development. These vaccines have shown promising preventive effects and safety profiles in clinical trials, although the duration of immune protection is still under evaluation. However, the development of mRNA vaccines also faces many challenges, such as stability, efficacy, and individual differences in immune response. Researchers adopt various strategies to address these challenges. Anyway, mRNA vaccines have shown enormous potential in combating viral diseases. With further development and technological maturity, mRNA vaccines are expected to have a profound impact on public health and vaccine equity. This review discussed the potential of mRNA vaccines to fight against viruses, current progress in clinical trials, challenges faced, and future prospects, providing a comprehensive scientific basis and reference for future research.

疫苗一直是预防传染病的重要工具。然而,传统疫苗的开发往往需要很长时间,而且可能难以应对病毒快速变异的挑战。mRNA 技术的出现为疫苗研发带来了革命性的变化,尤其是在快速应对新出现病毒的威胁方面。针对严重急性呼吸系统综合征冠状病毒 2 的 mRNA 疫苗在全球的推广证明了 mRNA 技术的重要性。此外,针对流感、呼吸道合胞病毒和埃博拉病毒等病毒的 mRNA 疫苗也正在开发中。这些疫苗在临床试验中显示出良好的预防效果和安全性,但免疫保护的持续时间仍在评估中。然而,mRNA 疫苗的开发也面临着许多挑战,如稳定性、有效性和免疫反应的个体差异。研究人员采取了各种策略来应对这些挑战。无论如何,mRNA 疫苗在抗击病毒性疾病方面已显示出巨大的潜力。随着进一步发展和技术成熟,mRNA 疫苗有望对公共卫生和疫苗公平性产生深远影响。本综述探讨了 mRNA 疫苗在抗病毒方面的潜力、目前的临床试验进展、面临的挑战以及未来前景,为未来研究提供了全面的科学依据和参考。
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引用次数: 0
The Effects of Severe Symptoms of SARS-CoV-2 Infections on the Anti/Proapoptotic Molecules: A 6-Month Cohort Study. SARS-CoV-2 感染的严重症状对抗/凋亡分子的影响:为期6个月的队列研究
IF 1.5 4区 医学 Q4 IMMUNOLOGY Pub Date : 2024-10-01 Epub Date: 2024-09-25 DOI: 10.1089/vim.2024.0060
Masoud Karimi-Googheri, Zahra Madjd, Jafar Kiani, Ziba Shabani, Mohammad Kazemi Arababadi, Mazaher Gholipourmalekabadi

The plausible effects of SARS-CoV-2 infection on the expression of anti/proapoptotic molecules have been suspected. This cohort study examined the expression of p53, Bcl-2, Bid, Bak, and Bax molecules, the genes associated with induction or inhibition of apoptosis, in the SARS-CoV-2-infected patients with severe and mild symptoms in an Iranian population. In this 6-month cohort study, the expression of p53, Bcl-2, Bid, Bak, and Bax molecules was evaluated at onset of diagnosis, 24 h after symptom onset, and 6 months later in the nasopharyngeal cells of SARS-CoV-2-infected hospitalized patients and outpatients in comparison with healthy controls using the real-time PCR technique. At the onset of the study, the relative expression of p53, Bcl-2, Bid, Bak, and Bax significantly increased in the SARS-CoV-2-infected hospitalized patients and decreased after 6 months. The healthy controls showed potential positive correlations among the molecules, but the patients did not show these correlations. Since SARS-CoV-2 needs host cell survival, it appears that the virus induces the expression of Bcl-2 as an antiapoptotic molecule, and the host cells upregulate the proapoptotic molecules to neutralize the effects. Dysregulation of correlation expression of the molecules among the patients proved that SARS-CoV-2 affects the expression of the molecules involved in apoptosis. SARS-CoV-2 could be considered an important factor that regulates the expression of several molecules participating in cancer pathogenesis.

人们怀疑 SARS-CoV-2 感染对抗/凋亡分子的表达有可能产生影响。这项队列研究检测了伊朗人群中感染 SARS-CoV-2 的重症和轻症患者体内与诱导或抑制细胞凋亡相关的 p53、Bcl-2、Bid、Bak 和 Bax 分子的表达情况。在这项为期 6 个月的队列研究中,使用实时 PCR 技术评估了 SARS-CoV-2 感染住院患者和门诊患者鼻咽细胞中 p53、Bcl-2、Bid、Bak 和 Bax 分子的表达情况,并与健康对照组进行了比较。在研究开始时,SARS-CoV-2 感染住院患者的 p53、Bcl-2、Bid、Bak 和 Bax 的相对表达量明显增加,6 个月后则有所下降。健康对照组的各分子之间存在潜在的正相关性,但患者并不存在这些相关性。由于 SARS-CoV-2 需要宿主细胞存活,因此病毒似乎诱导了作为抗凋亡分子的 Bcl-2 的表达,而宿主细胞则上调促凋亡分子以中和其影响。患者体内这些分子的相关表达失调证明,SARS-CoV-2 影响了参与细胞凋亡的分子的表达。可以认为,SARS-CoV-2 是调节参与癌症发病机制的多种分子表达的一个重要因素。
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引用次数: 0
Unveiling Immunological and Hematological Markers in COVID-19: Insights from a Clinical Study. 揭示 COVID-19 的免疫学和血液学标志物:临床研究的启示。
IF 1.5 4区 医学 Q4 IMMUNOLOGY Pub Date : 2024-10-01 Epub Date: 2024-10-02 DOI: 10.1089/vim.2024.0049
Hassan Imran, Muslim Bin Aqeel, Sidra Gull, Fiza Saleem, Zaman Khan

The COVID-19 pandemic has affected the global health system and economies largely. Therefore, knowledge about the clinical and laboratory profiles of patients with COVID-19 would help in the management and prognosis of the disease. The immunological and hematological indices have emerged as critical determinants for the severity of the disease and the prognosis; however, association with COVID-19 is clouded. The present study is aimed to characterize the immunological and hematological profiles of patients with COVID-19 in correlation with the disease severity. The study included 1,019 polymerase chain reaction (PCR)-confirmed patients with COVID-19 who were classified into serious and nonserious groups, considering severity criteria. Clinical laboratory investigations included hematological, biochemical, and immunological parameters regarding leukocyte counts, hemoglobin levels, and inflammatory markers. Our analysis of immunological and hematological differences between serious and nonserious patients with COVID-19 indicates that serious cases reflected elevated levels of pro-inflammatory markers such as lactate dehydrogenase, C-reactive protein (CRP), D-dimer, and ferritin, representing immune system dysregulation and systemic inflammation. Furthermore, in serious cases, discrepancies had also been noticed for many hematological parameters than nonserious ones, which also contained leukocyte count and hemoglobin level. Additionally, the CRP, D-dimer, blood urea nitrogen, alanine transaminase, and albumin levels could be independent predictors of COVID-19 severity by multivariate logistic regression analysis. Cutoff values for these biomarkers were defined by receiver operating characteristic curve analysis defining optimal parameters for the risk stratification and prognostication. The current investigation provides a comprehensive understanding of immunological and hematological correlation with COVID-19 severity, refining clinical decision-making and therapeutic interventions to improve patient outcomes.

COVID-19 大流行在很大程度上影响了全球卫生系统和经济。因此,了解 COVID-19 患者的临床和实验室特征将有助于疾病的管理和预后。免疫学和血液学指标已成为决定疾病严重程度和预后的关键因素;然而,它们与 COVID-19 的关系还很模糊。本研究旨在分析 COVID-19 患者的免疫学和血液学特征与疾病严重程度的相关性。研究纳入了 1,019 名经聚合酶链反应(PCR)确诊的 COVID-19 患者,根据病情严重程度标准将其分为严重组和非严重组。临床实验室检查包括有关白细胞计数、血红蛋白水平和炎症标志物的血液学、生化和免疫学参数。我们对 COVID-19 重症和非重症患者的免疫学和血液学差异进行的分析表明,重症病例反映出乳酸脱氢酶、C 反应蛋白 (CRP)、D-二聚体和铁蛋白等促炎标志物水平升高,代表免疫系统失调和全身炎症。此外,在重症病例中,许多血液学指标也与非重症病例存在差异,其中还包括白细胞计数和血红蛋白水平。此外,通过多变量逻辑回归分析,CRP、D-二聚体、血尿素氮、丙氨酸转氨酶和白蛋白水平可以独立预测 COVID-19 的严重程度。通过接收器操作特征曲线分析,确定了这些生物标志物的临界值,从而为风险分层和预后确定了最佳参数。目前的研究全面了解了免疫学和血液学与 COVID-19 严重程度的相关性,从而完善了临床决策和治疗干预措施,改善了患者的预后。
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引用次数: 0
Investigation of SARS-CoV-2 IgG Binding Capability to Variants of the SARS-CoV-2 Virus. 调查 SARS-CoV-2 IgG 与 SARS-CoV-2 病毒变体的结合能力
IF 2.2 4区 医学 Q4 IMMUNOLOGY Pub Date : 2024-09-12 DOI: 10.1089/vim.2024.0064
Lucy Johnson,Cillian F De Gascun,Jaythoon Hassan
The SARS-CoV-2 pandemic has confirmed that the ability to rapidly mutate may be extremely beneficial for a virus. Not long after the first wave, new variants emerged with altered infectivity, disease severity, and mortality. These new strains most notably had numerous mutations of the spike (S) protein, a surface protein responsible for binding to and entering the host cell. The Delta and Omicron strains demonstrated increased immune evasion and improved binding affinity to the host cell receptor, angiotensin-converting enzyme 2 (ACE2). This study examines the ability of wild-type SARS-CoV-2 IgG to bind Delta and Omicron antigens, as well as their functional binding capabilities to two different S-ACE2 complexes. Twenty SARS-CoV-2 positive samples from patients who had recovered from infection with ancestral SARS-CoV-2 in the first wave of COVID-19 and 10 pre-pandemic control samples were studied. SARS-CoV-2 exposed patients showed significantly higher levels of IgG to SARS-CoV-2 S1/RBD (p < 0.001), N protein (p < 0.001), and Omicron spike variant (p = 0.01), but not to Delta spike variant (p = 0.966) when compared with controls. Furthermore, patient samples showed significantly greater inhibition of SARS-CoV-2 S1/RBD and E484K spike to ACE2 binding (p < 0.001 and p = 0.015, respectively). Conversely, there was no correlation between the binding inhibition of S1/RBD and E484K spike to ACE2 receptor. This study shows there is considerable cross-reactivity of IgG generated by wild-type SARS-CoV-2 infection to the Delta and Omicron variants.
SARS-CoV-2 大流行证实,快速变异的能力可能对病毒极为有利。在第一波变异后不久,又出现了新的变异株,其感染性、疾病严重程度和死亡率都有所改变。这些新毒株中最明显的是尖峰(S)蛋白发生了大量变异,这种表面蛋白负责与宿主细胞结合并进入宿主细胞。Delta和Omicron菌株的免疫逃避能力增强,与宿主细胞受体血管紧张素转换酶2(ACE2)的结合亲和力提高。本研究检测了野生型 SARS-CoV-2 IgG 与 Delta 和 Omicron 抗原的结合能力,以及它们与两种不同 S-ACE2 复合物的功能结合能力。我们研究了 20 份 SARS-CoV-2 阳性样本,这些样本来自 COVID-19 第一波中感染祖先 SARS-CoV-2 后康复的患者,以及 10 份疫情流行前的对照样本。与对照组相比,SARS-CoV-2 暴露患者对 SARS-CoV-2 S1/RBD(p < 0.001)、N 蛋白(p < 0.001)和 Omicron 穗状变异体(p = 0.01)的 IgG 含量明显更高,但对 Delta 穗状变异体(p = 0.966)的 IgG 含量则不高。此外,患者样本对 SARS-CoV-2 S1/RBD 和 E484K 穗状病毒与 ACE2 结合的抑制作用明显更大(分别为 p < 0.001 和 p = 0.015)。相反,S1/RBD 和 E484K 穗状病毒与 ACE2 受体的结合抑制率之间没有相关性。这项研究表明,野生型 SARS-CoV-2 感染产生的 IgG 与 Delta 和 Omicron 变体存在相当大的交叉反应。
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Viral immunology
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