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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 : 2024-12-01 Epub 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
Comparison of Gene Polymorphisms of ACE1 and ACE2 and the Level of Total ACE Activity in the Blood of Afghans and Iranians with COVID-19 and Its Relationship with Disease Severity. 阿富汗和伊朗新冠肺炎患者血液中ACE1、ACE2基因多态性及总ACE活性水平的比较及其与病情严重程度的关系
IF 1.5 4区 医学 Q4 IMMUNOLOGY Pub Date : 2024-12-01 Epub Date: 2024-12-05 DOI: 10.1089/vim.2024.0071
Amin Morshedi Shahrebabaki, Mahsa Nikseresht, Mehdi Mahmoodi, Sadegh Zarei, Reza Hosseiniara, Ozra Sadat Esmaeili, Mohammad Reza Mirzaei, Mahmood Kahnooji, Mohammad Reza Hajizadeh

Field evidence indicates differences in the rate and severity of COVID-19 infection among Afghans and Iranians, potentially influenced by individual genomic variances. Therefore, investigating the potential causes of these disparities holds significant clinical importance. This study aims to explore and compare variations in the genes encoding angiotensin-converting enzyme 1 (ACE1) and angiotensin-converting enzyme 2 (ACE2), along with total ACE activity levels in the blood of Afghans and Iranians with COVID-19, to assess any potential correlation with disease severity. In this case-control study, 124 Afghans and 124 Iranians with COVID-19 residing in Rafsanjan city, Iran, were examined. Blood samples were collected from all subjects, and serum was isolated for measuring total ACE activity using the kinetic method. DNA extraction was performed using the salting-out method, and gene polymorphisms of ACE1 and ACE2 were determined through polymerase chain reaction (PCR) and PCR-restriction fragment length polymorphism techniques. The DD genotype and D allele, as well as the GG genotype and G allele, were more prevalent among individuals with severe COVID-19 cases compared with those with mild symptoms, indicating an increased risk of severe infection. Although the Iranian group exhibited higher levels of these genetic components, along with longer hospital stays, intensive care unit admissions, and mortality rates than the Afghan group, the differences were not statistically significant. Furthermore, individuals with the DD genotype displayed double the total ACE activity levels compared with those with the II genotype, with the ID genotype falling in between. The presence of the DD genotype and D allele, as well as the GG genotype and G allele, likely serves as a significant risk factor for COVID-19 susceptibility, potentially heightening the risk of severe infection among Iranians compared with Afghans.

现场证据表明,阿富汗人和伊朗人的COVID-19感染率和严重程度存在差异,可能受到个体基因组差异的影响。因此,研究这些差异的潜在原因具有重要的临床意义。本研究旨在探索和比较阿富汗和伊朗COVID-19患者血液中编码血管紧张素转换酶1 (ACE1)和血管紧张素转换酶2 (ACE2)基因的变异,以及ACE总活性水平,以评估其与疾病严重程度的潜在相关性。在这项病例对照研究中,对居住在伊朗拉夫桑詹市的124名感染COVID-19的阿富汗人和124名伊朗人进行了调查。所有受试者均采集血样,分离血清,用动力学法测定总ACE活性。采用盐析法提取DNA,采用聚合酶链反应(PCR)和限制性片段长度多态性技术检测ACE1和ACE2基因多态性。DD基因型和D等位基因以及GG基因型和G等位基因在COVID-19重症病例中比在症状较轻的患者中更为普遍,表明重症感染的风险增加。尽管与阿富汗人相比,伊朗人的这些基因成分水平更高,住院时间更长,重症监护病房住院时间更长,死亡率也更高,但差异在统计上并不显著。此外,DD基因型个体的ACE总活性水平是II基因型个体的两倍,而ID基因型则介于两者之间。DD基因型和D等位基因以及GG基因型和G等位基因的存在可能是COVID-19易感性的重要风险因素,与阿富汗人相比,伊朗人严重感染的风险可能会增加。
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引用次数: 0
Maintenance of Long-Term Effective Humoral Immune Response in Patients with COVID-19 with Homologous or Heterologous Booster Vaccines: A Retrospective Study. 同源或异源加强疫苗维持COVID-19患者长期有效体液免疫反应的回顾性研究
IF 1.5 4区 医学 Q4 IMMUNOLOGY Pub Date : 2024-12-01 Epub Date: 2024-12-05 DOI: 10.1089/vim.2024.0076
Xin Zhang, Li Li, Yongmei Liu, Haoting Zhan, Muwei Dai, Kun Zhang, Huimin Yan, Huixia Gao, Jingwen Liu, Shifu Liu, Weina Lu, Yongzhe Li, Aidong Feng, Erhei Dai, Junying Zhou

Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and first identified in Wuhan, China, in December 2019, has led to global efforts in vaccination to mitigate rising morbidity and mortality, with vaccines proving crucial in controlling the pandemic. This study evaluated the humoral responses to the inactivated virus vaccine Sinopharm or Koxing Kerlafor, the protein subunit vaccine ZF001, and the adenoviral vector vaccine Convidecia after 18 months of inactivated virus vaccination by heterologous and homologous booster vaccination in patients with previous SARS-CoV-2 infection and healthy individuals. We discovered that patients who had recovered from the infection and then received a third vaccine dose (booster) exhibited durable immunity. Furthermore, the heterologous booster vaccine induced higher neutralizing antibody responses compared with the homologous booster. These findings offer valuable insights into the efficacy of different COVID-19 vaccine strategies following booster immunization.

由严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)引起的2019年冠状病毒病(COVID-19)于2019年12月在中国武汉首次发现,已导致全球努力进行疫苗接种,以减轻不断上升的发病率和死亡率,疫苗被证明对控制大流行至关重要。本研究评估了既往SARS-CoV-2感染患者和健康个体在异源和同源加强接种灭活病毒疫苗18个月后,对国药灭活病毒疫苗、科兴克拉福灭活病毒疫苗、蛋白亚单位疫苗ZF001和腺病毒载体疫苗Convidecia的体液应答。我们发现,从感染中恢复并接受第三剂疫苗(加强剂)的患者表现出持久的免疫力。此外,与同源加强疫苗相比,异源加强疫苗诱导了更高的中和抗体反应。这些发现为加强免疫后不同COVID-19疫苗策略的有效性提供了有价值的见解。
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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 : 2024-12-01 Epub 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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Viral immunology
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