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IL-6 trans-signaling activates the TGF-β pathway via soluble factors in difficult-to-treat rheumatoid arthritis joint fluid IL-6反式信号通过可溶性因子激活难治性类风湿关节炎关节液中TGF-β通路
IF 3.7 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-03-01 Epub Date: 2026-01-10 DOI: 10.1016/j.cyto.2026.157113
Yang Bei-bei , Liu Ji-zan , Rui Hong-bing , Xue Juan , Xiao Hua

Objective

To explore the impact of joint fluid (JF) from difficult-to-treat (D2T)rheumatoid arthritis (RA) patients on joint inflammation.

Methods

We compared the clinical characteristics of D2T RA and non-D2T RA patients. Joint fluid samples from patients with various forms of chronic arthritis were analyzed. The activation of IL-6/STAT3 and TGF-β/SMAD3 pathways in normal Fibroblast-like synoviocytes (FLS) after exposure to D2T RA joint fluid was also evaluated, along with the effects of pathway inhibitors on cell proliferation, apoptosis, invasion, and migration.

Results

D2T RA joint fluid showed elevated levels of IL-6 and TGF-β1 compared to non-D2T RA, osteoarthritis, and ankylosing spondylitis samples. The IL-6/STAT3 pathway was directly activated in normal FLS upon exposure to D2T RA joint fluid, while the TGF-β/SMAD3 pathway was indirectly activated through IL-6 trans-signaling, resulting in increased proliferation, migration, invasion, and anti-apoptotic properties of FLS. The use of SMAD3 Inhibitory Selective 3 (SIS3) to block the TGF-β/SMAD3 pathway partially mitigated the effects of D2T RA joint fluid. Tocilizumab and the soluble glycoprotein 130 Fc fusion protein (sgp130Fc) successfully inhibited IL-6–associated pSMAD3 activation, highlighting a mediating role of IL-6.

Conclusion

The joint fluid milieu may contribute to persistent synovial activation in D2T RA, and highlights IL-6 trans-signaling as a potential therapeutic target in this context. In addition, timely aspiration of joint fluid from patients with D2T RA may help modulate the local inflammatory microenvironment and could represent a supportive strategy in disease management.
目的探讨难治性类风湿关节炎(RA)患者关节液(JF)对关节炎症的影响。方法比较D2T型RA与非D2T型RA患者的临床特点。分析了不同形式的慢性关节炎患者的关节液样本。我们还评估了暴露于D2T RA关节液后正常成纤维细胞样滑膜细胞(FLS)中IL-6/STAT3和TGF-β/SMAD3通路的激活情况,以及通路抑制剂对细胞增殖、凋亡、侵袭和迁移的影响。结果与非d2t RA、骨关节炎和强直性脊柱炎样本相比,d2t RA关节液中IL-6和TGF-β1水平升高。正常FLS暴露于D2T RA关节液后,IL-6/STAT3通路被直接激活,TGF-β/SMAD3通路通过IL-6反式信号间接激活,导致FLS的增殖、迁移、侵袭和抗凋亡特性增强。使用SMAD3 Inhibitory Selective 3 (SIS3)阻断TGF-β/SMAD3通路可部分减轻D2T RA关节液的作用。Tocilizumab和可溶性糖蛋白130fc融合蛋白(sgp130Fc)成功抑制了IL-6相关的pSMAD3激活,突出了IL-6的介导作用。结论关节液体环境可能有助于D2T RA的持续滑膜激活,并强调IL-6反式信号作为潜在的治疗靶点。此外,及时抽吸D2T类风湿性关节炎患者的关节液可能有助于调节局部炎症微环境,并可能代表疾病管理的支持策略。
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引用次数: 0
Urinary interleukin-37 as a suggested protective biomarker of renal prognosis in autosomal dominant polycystic kidney disease 尿白细胞介素-37作为常染色体显性多囊肾病肾脏预后的保护性生物标志物
IF 3.7 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-03-01 Epub Date: 2026-01-20 DOI: 10.1016/j.cyto.2026.157116
Kai Hu , Jiaxin Chen , Bo Yang , Lili Fu , Qing Yao , Jing Xu , Mengjin Li , Nanmei Liu , Cheng Xue , Zhiguo Mao

Background

Autosomal dominant polycystic kidney disease (ADPKD) is characterized by progressive cyst expansion and chronic inflammation. Interleukin-37 (IL-37) is an anti-inflammatory cytokine, but its role in ADPKD remains unclear. This study aimed to evaluate IL-37 expression in ADPKD patients and assess its clinical relevance in disease severity and renal prognosis.

Methods

IL-37 expression in kidney tissues and cell lines was examined by real-time PCR, Western blot, and immunofluorescence. IL-37 levels were measured by ELISA. This retrospective observational cohort study analyzed longitudinal follow-up data of ADPKD patients using Cox proportional hazards models to explore the prognostic value of IL-37 for progression to end-stage kidney disease (ESKD).

Results

78 ADPKD patients and 20 normal controls were included. IL-37 expression was significantly elevated in kidney tissues, cyst fluid, serum, and urine from ADPKD patients compared with normal controls. Urinary IL-37, adjusted for creatinine (uIL-37/uCr), rose with advancing CKD stages, and it showed a positive correlation with tubular injury markers—NGAL, L-FABP, MCP-1, and α1-MG—and a negative correlation with eGFR and hemoglobin levels. After adjusting for baseline eGFR, age, and inflammation-associated biomarkers (MCP1), elevated urinary IL-37 was independently associated with better kidney survival (HR = 0.954, 95% CI: 0.912–0.998, P = 0.041), suggesting a protective role in ADPKD progression.

Conclusions

IL-37 is elevated in ADPKD, reflecting inflammation and tubular injury in disease pathogenesis. Despite higher levels in advanced disease, urinary IL-37 independently predicts better renal survival, suggesting its potential as both a disease activity marker and prognostic indicator.
背景:常染色体显性多囊肾病(ADPKD)以进行性囊肿扩张和慢性炎症为特征。白细胞介素-37 (IL-37)是一种抗炎细胞因子,但其在ADPKD中的作用尚不清楚。本研究旨在评估IL-37在ADPKD患者中的表达,并评估其与疾病严重程度和肾脏预后的临床相关性。方法:采用实时荧光定量PCR、Western blot和免疫荧光法检测肾组织和细胞系中IL-37的表达。ELISA法检测IL-37水平。本回顾性观察队列研究使用Cox比例风险模型分析了ADPKD患者的纵向随访数据,以探讨IL-37对终末期肾病(ESKD)进展的预后价值。结果:ADPKD患者78例,正常对照20例。与正常对照相比,ADPKD患者肾组织、囊肿液、血清和尿液中IL-37的表达显著升高。经肌酐调整后的尿IL-37 (IL-37/uCr)随着CKD分期的进展而升高,与肾小管损伤标志物ngal、L-FABP、MCP-1和α1- mg呈正相关,与eGFR和血红蛋白水平呈负相关。在调整基线eGFR、年龄和炎症相关生物标志物(MCP1)后,尿IL-37升高与更好的肾脏生存独立相关(HR = 0.954, 95% CI: 0.912-0.998, P = 0.041),提示在ADPKD进展中具有保护作用。结论:IL-37在ADPKD中升高,反映了疾病发病机制中的炎症和小管损伤。尽管在晚期疾病中IL-37水平较高,但尿IL-37独立预测更好的肾脏生存,表明其作为疾病活动性标志物和预后指标的潜力。
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引用次数: 0
Danshensu sodium attenuates pyroptosis in ischemic stroke by targeting the HMGB1/RAGE axis and downstream NLRP3/GSDMD/ASC/Caspase-1 pathway 丹参素钠通过靶向HMGB1/RAGE轴和下游NLRP3/GSDMD/ASC/Caspase-1通路减轻缺血性脑卒中的焦亡
IF 3.7 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-03-01 Epub Date: 2026-01-10 DOI: 10.1016/j.cyto.2026.157109
Jing Zhang , Dandan Liu , Chuanyu Jia , Shuyang Wang , Yuhui Li

Background

Danshensu Sodium (DSS-S), the sodium salt of a principal water-soluble active compound from Salvia miltiorrhiza, was investigated for its effects on cerebral ischemic-reperfusion (I/R) injury and the underlying molecular mechanisms.

Methods

Neuroprotection by DSS-S was evaluated in vivo using a transient middle cerebral artery occlusion (tMCAO) model in male C57BL/6J mice and in vitro using an oxygen-glucose deprivation/reperfusion (OGD/R) model in Neuro-2a mouse neuroblastoma cells.

Results

High-mobility group box 1 (HMGB1) was identified as a key target of DSS-S. Following I/R or OGD/R, levels of IL-1β, IL-6, TNF-α, IL-18, and HMGB1 were significantly elevated in both mouse serum and cell culture supernatant, and these increases were substantially attenuated by DSS-S treatment. DSS-S reduced cytoplasmic HMGB1 accumulation, promoted its nuclear retention, down-regulated the receptor for advanced glycation end-products (RAGE), and weakened the HMGB1-RAGE interaction. Pyroptosis was activated in both tMCAO and OGD/R models, and DSS-S intervention effectively inhibited pyroptosis by suppressing the HMGB1/RAGE signaling pathway and NLRP3 inflammasome activation.

Conclusion

DSS-S exerts neuroprotective effects against cerebral I/R injury in vivo and reduces OGD/R-induced injury in vitro. The protection is mediated through inhibition of pyroptosis, achieved by targeting the HMGB1/RAGE axis and suppressing NLRP3 inflammasome activation.
研究丹参素钠(DSS-S)作为丹参中主要水溶性活性化合物的钠盐对大鼠脑缺血再灌注(I/R)损伤的影响及其分子机制。方法在体内采用雄性C57BL/6J小鼠短暂性大脑中动脉闭塞(tMCAO)模型,在体外采用神经母细胞瘤细胞氧糖剥夺/再灌注(OGD/R)模型,评价DSS-S对神经的保护作用。结果高迁移率组框1 (HMGB1)被确定为DSS-S的关键靶点。在I/R或OGD/R后,小鼠血清和细胞培养上清中IL-1β、IL-6、TNF-α、IL-18和HMGB1的水平均显著升高,DSS-S处理后这些升高明显减弱。DSS-S减少细胞质HMGB1积累,促进其核保留,下调晚期糖基化终产物受体(RAGE),减弱HMGB1-RAGE相互作用。tMCAO和OGD/R模型均可激活焦亡,DSS-S干预通过抑制HMGB1/RAGE信号通路和NLRP3炎性体激活有效抑制焦亡。结论dss - s在体内对脑I/R损伤具有神经保护作用,在体外可减轻OGD/R损伤。这种保护是通过抑制焦亡介导的,通过靶向HMGB1/RAGE轴和抑制NLRP3炎性体的激活来实现。
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引用次数: 0
Enhanced lymphotoxin alpha DNA hypermethylation and correlation with genetic polymorphism in rheumatoid arthritis among the Chinese population 中国人群类风湿关节炎中淋巴蛋白DNA高甲基化增强及其与遗传多态性的相关性
IF 3.7 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-03-01 Epub Date: 2026-01-17 DOI: 10.1016/j.cyto.2026.157117
Jingjing Song, Zhen Liu, Xiaohong Xu, Yanni Wang, Fan Yang, Ting Zhang, Yunqing Zhang, Yufei Bi, Zhenglun Pan

Background

Rheumatoid arthritis (RA) is a multifactorial autoimmune disorder characterized by persistent inflammation and joint destruction. Despite advances in understanding RA's immunopathology, its epigenetic regulation remains underexplored, particularly in diverse populations. This study aims to bridge this gap by examining lymphotoxin alpha (LTA) DNA methylation in a Chinese cohort and exploring the relationship with gene polymorphism.

Methods

This study involved 145 RA patients and 140 age-matched healthy controls from Qingdao, China. We analyzed DNA methylation in the LTA gene using bisulfite sequencing and assessed SNP genotypes with high-resolution melting analysis. Statistical correlations were performed using SPSS to link methylation patterns with clinical indicators of RA severity.

Results

Significantly higher methylation levels were observed at several CpG sites within the LTA gene in RA patients compared to controls. These methylation patterns were positively correlated with clinical measures such as erythrocyte sedimentation rate, C-reactive protein and Disease Activity Score-28, suggesting their relevance in RA pathophysiology. The CC genotype of rs2009658 was associated with elevated methylation at multiple CpG sites within the LTA gene, as well as the TT genotype of rs2229094.

Conclusions

LTA DNA methylation is a potential inflammatory indicator and therapeutic target for RA. The rs2009658 CC genotype and rs2229094 TT genotype are susceptible genotypes associated with LTA hypermethylation.
背景:类风湿性关节炎(RA)是一种多因素自身免疫性疾病,以持续炎症和关节破坏为特征。尽管在了解类风湿性关节炎的免疫病理方面取得了进展,但其表观遗传调控仍未得到充分探索,特别是在不同的人群中。本研究旨在通过检测中国队列中淋巴蛋白α (LTA) DNA甲基化并探索其与基因多态性的关系来弥合这一空白。方法本研究纳入来自中国青岛的145例RA患者和140例年龄匹配的健康对照。我们使用亚硫酸盐测序分析了LTA基因的DNA甲基化,并使用高分辨率熔融分析评估了SNP基因型。使用SPSS进行统计相关性分析,将甲基化模式与RA严重程度的临床指标联系起来。结果与对照组相比,RA患者LTA基因中几个CpG位点的甲基化水平显著升高。这些甲基化模式与临床指标如红细胞沉降率、c反应蛋白和疾病活动评分-28呈正相关,表明它们与RA病理生理相关。rs2009658的CC基因型与LTA基因内多个CpG位点的甲基化升高有关,rs2229094的TT基因型也与此相关。结论slta DNA甲基化是RA的潜在炎症指标和治疗靶点。rs2009658 CC基因型和rs2229094 TT基因型是LTA高甲基化相关的易感基因型。
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引用次数: 0
IGF-1 upregulates IL-36α expression via NF-κB and p38 MAPK pathways to promote inflammation in thyroid eye disease IGF-1通过NF-κB和p38 MAPK通路上调IL-36α表达,促进甲状腺眼病炎症
IF 3.7 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-03-01 Epub Date: 2026-01-10 DOI: 10.1016/j.cyto.2026.157115
Jun Huang, Chao Wu, Yulan Zhang, Yifan Wu, Feiran Wang, Yi Zhou, Lu Shi

Background

Thyroid eye disease (TED), the most prevalent extrathyroidal manifestation of Graves' disease, involves insulin-like growth factor-1 (IGF-1) as a central pathogenic factor. Interleukin-36α (IL-36α), a key member of the IL-1 superfamily, has emerged as a critical regulator in autoimmune diseases.

Objective

To investigate the role of IL-36α in TED pathogenesis and elucidate the molecular mechanisms by which IGF-1 regulates IL-36α expression.

Methods

Specimens including serum and orbital connective tissues were obtained from TED subjects and controls. Orbital fibroblasts (OFs) were isolated from patients with TED. Enzyme-linked immunosorbent assay, immunohistochemistry, quantitative real-time PCR and Western blot analysis were performed.

Results

We demonstrated that IL-36α levels increased in the circulation and orbital connective tissues of patients with TED compared with controls, and levels were positively correlated with the clinical activity score. In vitro, IGF-1 induced IL-36α expression in OFs through NF-κB and p38 MAPK pathway activation. Furthermore, we revealed that IL-36α stimulation promoted robust pro-inflammatory cytokine production, which was effectively blocked by Interleukin-36 receptor antagonist (IL-36Ra) treatment.

Conclusions

IGF-1 upregulates IL-36α expression via NF-κB and p38 MAPK pathways to promote inflammation in TED, with IL-36α levels significantly correlating with disease activity. These findings identify IL-36α as a promising biomarker and therapeutic target for TED management.
甲状腺眼病(TED)是Graves病最常见的甲状腺外表现,涉及胰岛素样生长因子-1 (IGF-1)作为中心致病因子。白细胞介素-36α (IL-36α)是IL-1超家族的关键成员,在自身免疫性疾病中发挥着重要的调节作用。目的探讨IL-36α在TED发病中的作用,阐明IGF-1调控IL-36α表达的分子机制。方法分别采集TED患者和对照组的血清和眼眶结缔组织标本。眼眶成纤维细胞(OFs)从TED患者中分离出来。进行酶联免疫吸附试验、免疫组织化学、实时荧光定量PCR和Western blot分析。结果我们发现,与对照组相比,TED患者循环和眼眶结缔组织中的IL-36α水平升高,且水平与临床活动评分呈正相关。在体外,IGF-1通过激活NF-κB和p38 MAPK通路诱导OFs中IL-36α的表达。此外,我们发现IL-36α刺激促进了促炎细胞因子的产生,这一过程被白细胞介素-36受体拮抗剂(IL-36Ra)治疗有效阻断。结论sigf -1通过NF-κB和p38 MAPK通路上调IL-36α表达,促进TED炎症,IL-36α水平与疾病活动性显著相关。这些发现表明IL-36α是一种有前途的生物标志物和治疗靶点。
{"title":"IGF-1 upregulates IL-36α expression via NF-κB and p38 MAPK pathways to promote inflammation in thyroid eye disease","authors":"Jun Huang,&nbsp;Chao Wu,&nbsp;Yulan Zhang,&nbsp;Yifan Wu,&nbsp;Feiran Wang,&nbsp;Yi Zhou,&nbsp;Lu Shi","doi":"10.1016/j.cyto.2026.157115","DOIUrl":"10.1016/j.cyto.2026.157115","url":null,"abstract":"<div><h3>Background</h3><div>Thyroid eye disease (TED), the most prevalent extrathyroidal manifestation of Graves' disease, involves insulin-like growth factor-1 (IGF-1) as a central pathogenic factor. Interleukin-36α (IL-36α), a key member of the IL-1 superfamily, has emerged as a critical regulator in autoimmune diseases.</div></div><div><h3>Objective</h3><div>To investigate the role of IL-36α in TED pathogenesis and elucidate the molecular mechanisms by which IGF-1 regulates IL-36α expression.</div></div><div><h3>Methods</h3><div>Specimens including serum and orbital connective tissues were obtained from TED subjects and controls. Orbital fibroblasts (OFs) were isolated from patients with TED. Enzyme-linked immunosorbent assay, immunohistochemistry, quantitative real-time PCR and Western blot analysis were performed.</div></div><div><h3>Results</h3><div>We demonstrated that IL-36α levels increased in the circulation and orbital connective tissues of patients with TED compared with controls, and levels were positively correlated with the clinical activity score. In vitro, IGF-1 induced IL-36α expression in OFs through NF-κB and p38 MAPK pathway activation. Furthermore, we revealed that IL-36α stimulation promoted robust pro-inflammatory cytokine production, which was effectively blocked by Interleukin-36 receptor antagonist (IL-36Ra) treatment.</div></div><div><h3>Conclusions</h3><div>IGF-1 upregulates IL-36α expression via NF-κB and p38 MAPK pathways to promote inflammation in TED, with IL-36α levels significantly correlating with disease activity. These findings identify IL-36α as a promising biomarker and therapeutic target for TED management.</div></div>","PeriodicalId":297,"journal":{"name":"Cytokine","volume":"199 ","pages":"Article 157115"},"PeriodicalIF":3.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145923711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Sennoside A alleviates fungal keratitis by modulating inflammation and immune responses through the caspase-1/GSDMD pathway Sennoside A通过caspase-1/GSDMD通路调节炎症和免疫反应,减轻真菌性角膜炎
IF 3.7 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-03-01 Epub Date: 2026-01-22 DOI: 10.1016/j.cyto.2026.157120
Mengzhu Liu , Nan Jiang , Shiqi Song , Qiang Xu, Ling Wang, Fenglei Wang, Xiaomei Wan, Xiaoyan Sun, Chengye Che

Purpose

This study was designed to systematically investigate the therapeutic efficacy and mechanistic underpinnings of the natural plant-derived anthraquinone glycoside, sennoside A (SA), in fungal keratitis.

Methods

We rigorously assessed the safety and therapeutic efficacy of SA in primary peripheral blood neutrophils, THP-1 macrophages, and mouse corneas. Safety was evaluated using CCK-8 viability assays and corneal fluorescein sodium staining. Therapeutic outcomes and immune responses were determined through clinical scoring, hematoxylin–eosin (H&E) staining, immunofluorescence (IF), myeloperoxidase (MPO) activity assays, and flow cytometry. Anti-inflammatory mechanisms were investigated by quantifying caspase-1 and GSDMD protein expression, together with downstream IL-1β and IL-18 mRNA and protein levels, using quantitative real-time PCR (qRT-PCR), Western blotting, and IF. Meanwhile, we explored the translational potential of combining SA with the antifungal agent natamycin.

Results

SA (100 μg/mL) showed no toxicity to cells, corneas, or organs. It significantly reduced corneal clouding, swelling, and clinical severity scores in infected mice. Treatment also decreased the recruitment of pathogenic immune cells (neutrophils/macrophages) and shifted macrophages toward a repair-promoting phenotype. SA inhibited the caspase-1/GSDMD inflammatory pathway, leading to reduced levels of key inflammatory cytokines (IL-1β, IL-18). When combined with natamycin, SA provided better protection than either treatment alone.

Conclusion

SA effectively mitigated fungal keratitis-induced damage by suppressing harmful inflammation and modulating immune responses. Its synergistic action with existing antifungal therapies underscores its promising clinical potential.
目的系统研究天然植物源蒽醌苷sennoside A (SA)对真菌性角膜炎的治疗作用及其机制基础。方法严格评估SA对原代外周血中性粒细胞、THP-1巨噬细胞和小鼠角膜的安全性和治疗效果。采用CCK-8活力测定和角膜荧光素钠染色评估安全性。通过临床评分、苏木精-伊红(H&;E)染色、免疫荧光(IF)、髓过氧化物酶(MPO)活性测定和流式细胞术来确定治疗结果和免疫反应。通过定量实时荧光定量PCR (qRT-PCR)、Western blotting和IF检测caspase-1和GSDMD蛋白表达以及下游IL-1β和IL-18 mRNA和蛋白水平,研究抗炎机制。同时,我们探索了SA与抗真菌药物纳他霉素联用的翻译潜力。结果sa (100 μg/mL)对细胞、角膜、脏器均无毒性。它显著降低了感染小鼠的角膜混浊、肿胀和临床严重程度评分。治疗还减少了致病性免疫细胞(中性粒细胞/巨噬细胞)的募集,并将巨噬细胞转向促进修复的表型。SA抑制caspase-1/GSDMD炎症通路,导致关键炎症细胞因子(IL-1β, IL-18)水平降低。当与纳他霉素联合时,SA比单独治疗提供更好的保护。结论sa可通过抑制有害炎症和调节免疫反应,有效减轻真菌性角膜炎的损害。它与现有抗真菌疗法的协同作用强调了其良好的临床潜力。
{"title":"Sennoside A alleviates fungal keratitis by modulating inflammation and immune responses through the caspase-1/GSDMD pathway","authors":"Mengzhu Liu ,&nbsp;Nan Jiang ,&nbsp;Shiqi Song ,&nbsp;Qiang Xu,&nbsp;Ling Wang,&nbsp;Fenglei Wang,&nbsp;Xiaomei Wan,&nbsp;Xiaoyan Sun,&nbsp;Chengye Che","doi":"10.1016/j.cyto.2026.157120","DOIUrl":"10.1016/j.cyto.2026.157120","url":null,"abstract":"<div><h3>Purpose</h3><div>This study was designed to systematically investigate the therapeutic efficacy and mechanistic underpinnings of the natural plant-derived anthraquinone glycoside, sennoside A (SA), in fungal keratitis.</div></div><div><h3>Methods</h3><div>We rigorously assessed the safety and therapeutic efficacy of SA in primary peripheral blood neutrophils, THP-1 macrophages, and mouse corneas. Safety was evaluated using CCK-8 viability assays and corneal fluorescein sodium staining. Therapeutic outcomes and immune responses were determined through clinical scoring, hematoxylin–eosin (H&amp;E) staining, immunofluorescence (IF), myeloperoxidase (MPO) activity assays, and flow cytometry. Anti-inflammatory mechanisms were investigated by quantifying caspase-1 and GSDMD protein expression, together with downstream IL-1β and IL-18 mRNA and protein levels, using quantitative real-time PCR (qRT-PCR), Western blotting, and IF. Meanwhile, we explored the translational potential of combining SA with the antifungal agent natamycin.</div></div><div><h3>Results</h3><div>SA (100 μg/mL) showed no toxicity to cells, corneas, or organs. It significantly reduced corneal clouding, swelling, and clinical severity scores in infected mice. Treatment also decreased the recruitment of pathogenic immune cells (neutrophils/macrophages) and shifted macrophages toward a repair-promoting phenotype. SA inhibited the caspase-1/GSDMD inflammatory pathway, leading to reduced levels of key inflammatory cytokines (IL-1β, IL-18). When combined with natamycin, SA provided better protection than either treatment alone.</div></div><div><h3>Conclusion</h3><div>SA effectively mitigated fungal keratitis-induced damage by suppressing harmful inflammation and modulating immune responses. Its synergistic action with existing antifungal therapies underscores its promising clinical potential.</div></div>","PeriodicalId":297,"journal":{"name":"Cytokine","volume":"199 ","pages":"Article 157120"},"PeriodicalIF":3.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146035402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Th2-M2 polarization in the pathogenesis of adenoid hypertrophy is predominantly characterized by type 2 inflammation Th2-M2极化在腺样体肥大的发病机制中主要以2型炎症为特征
IF 3.7 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-03-01 Epub Date: 2026-01-08 DOI: 10.1016/j.cyto.2026.157108
Zheng Gu , Zong-tong Lin , Zhong-jie Yang , Qi-Yuan Zou , En-Mei Liu , Wei Kou , Ping Wei

Background

Adenoid hypertrophy (AH) is a common condition in children that can lead to various complications and significantly affect their growth and development. However, the underlying pathogenesis is not fully understood. This study aims to investigate Th2-M2 polarization in the pathogenesis of AH, focusing on a predominant type 2 inflammatory pattern.

Methods

We recruited control participants without AH and patients with AH combined with allergic rhinitis (AR), and investigated the predominant inflammatory type in AH with concomitant AR by measuring the Th cell sub-populations and the expression of their key transcription factors, and the levels of type 2 inflammatory factors IL-4 and IL-13 in the adenoid tissue. Additionally, the distribution and quantity of M2 macrophages (M2) in the adenoid tissue were detected to determine their involvement in the pathogenesis of type 2 inflammation-predominant AH. Finally, differentially expressed genes were identified through transcriptome RNA sequencing, followed by their functional validation. A co-culture system of CD68+ macrophages and CD4+ T cells was established, with IL-4 and dermatophagoides farinae intervention used to explore the role of Th2-M2 polarization in the pathogenesis of type 2 inflammatory predominant AH.

Results

We found that the predominant inflammatory subtypes in AH with concomitant AR were type 2 inflammation and Th17-type inflammation. Further investigation revealed that M2 is involved in the pathogenesis of type 2 inflammation- predominant AH. Transcriptome RNA sequencing identified differentially expressed genes CHI3L2, SOCS1, and STAT6. Functional validation revealed that the Th2-M2 polarization crosstalk promote M2 polarization and may participate in the pathogenesis of AH through the STAT6/SOCS1 pathway. Furthermore, CHI3L2 was found to be highly expressed in the adenoid tissue with a predominant type 2 inflammatory profile. The co-culture of CD68+ macrophages and CD4+ T cells along with IL-4 and dermatophagoides farina intervention further validated the sequencing results.

Conclusion

The Th2-M2 polarization may be involved in the pathogenesis of type 2 inflammatory predominant AH, possibly through the STAT6/SOCS1 pathway, which promotes the polarization of M2 macrophages, increases cellular proliferation in the adenoid tissue, and drives the disease process. CHI3L2 was highly expressed in type 2 inflammation–predominant AH and may serve as a promising biomarker candidate for this inflammatory subtype. Further studies are required to determine whether CHI3L2 functionally contributes to adenoid hypertrophy or immune-cell proliferation, which could serve as a therapeutic target.
垂体样腺肥大(AH)是儿童的一种常见疾病,可导致各种并发症并显著影响其生长发育。然而,其潜在的发病机制尚不完全清楚。本研究旨在探讨Th2-M2极化在AH发病机制中的作用,重点关注主要的2型炎症模式。方法招募非AH对照组和AH合并变应性鼻炎(AR)患者,通过检测Th细胞亚群及其关键转录因子的表达,以及腺样体组织中2型炎症因子IL-4和IL-13的水平,探讨AH合并AR的主要炎症类型。此外,我们检测了腺样体组织中M2巨噬细胞(M2)的分布和数量,以确定它们在2型炎症为主的AH发病机制中的作用。最后,通过转录组RNA测序鉴定差异表达基因,然后对其进行功能验证。建立CD68+巨噬细胞与CD4+ T细胞共培养系统,利用IL-4和棘球蚴干预,探讨Th2-M2极化在2型炎性优势AH发病机制中的作用。结果AH合并AR的主要炎症亚型为2型炎症和th17型炎症。进一步的研究表明M2参与了2型炎症为主的AH的发病机制。转录组RNA测序鉴定出差异表达基因CHI3L2、SOCS1和STAT6。功能验证表明Th2-M2极化串扰促进M2极化,可能通过STAT6/SOCS1通路参与AH的发病。此外,CHI3L2在以2型炎症为主的腺样组织中高度表达。CD68+巨噬细胞和CD4+ T细胞的共培养以及IL-4和类皮噬蛋白的干预进一步验证了测序结果。结论Th2-M2极化可能通过STAT6/SOCS1通路参与2型炎性优势AH的发病,促进M2巨噬细胞极化,增加腺样组织细胞增殖,驱动疾病进程。CHI3L2在2型炎症为主的AH中高度表达,可能作为这种炎症亚型的有希望的生物标志物候选物。需要进一步的研究来确定CHI3L2是否在功能上有助于腺样体肥大或免疫细胞增殖,这可能是一个治疗靶点。
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引用次数: 0
Interferon-γ (IFNγ), a double-edge sword that affects prognoses in critically ill patients: A prospective study 干扰素-γ (IFNγ):影响危重患者预后的双刃剑:一项前瞻性研究
IF 3.7 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-03-01 Epub Date: 2026-01-12 DOI: 10.1016/j.cyto.2026.157110
Guangjian Wang , Hui Lian , Hongmin Zhang , Xiaoting Wang , Shuyang Zhang , Xuefeng Ni

Background

Abnormal inflammatory responses and viral infections play a critical role in the pathogenesis of critical illnesses. Critically ill patients frequently develop multiple organ dysfunction syndrome (MODS), a key determinant of clinical outcomes and a marker of poor prognosis. Interferon-γ (IFNγ), an important inflammatory regulatory cytokine, may serve as a more accurate indicator of viral infection severity and holds potential as a predictor of MODS and prognosis in critically ill patients.

Purpose

To evaluate the association between IFNγ levels and clinical outcomes in critically ill patients.

Methods

This prospective study, conducted from January 1 to May 31, 2023, at Peking Union Medical College Hospital, used data from electronic medical records to collect baseline characteristics, ICU parameters, laboratory tests, and clinical outcomes. MODS was diagnosed on the basis of Sequential Organ Failure Assessment (SOFA) scores. Generalized Additive Models were employed to explore linear and nonlinear associations, while survival analyses were performed using the Kaplan–Meier method.

Results

A total of 208 patients were analyzed. IFNγ levels demonstrated a significant positive linear correlation with MODS in both sepsis (odds ratio [OR] 1.041, 95% confidence interval [CI]: 0.962–1.126) and non-sepsis (OR 1.025, 95% CI: 0.907–1.157) subgroups (intergroup P < 0.001). The relationship between IFNγ levels and 28-day mortality followed a U-shaped curve, with a threshold of 5.3 ng/mL. In the sepsis subgroup, patients with low IFNγ levels exhibited poorer prognoses compared with those with high IFNγ levels (P = 0.021). No significant difference in prognosis was observed between procalcitonin (PCT) subgroups (P = 0.087). Among patients with elevated IFNγ levels, a positive correlation between PCT and 28-day mortality was identified (OR 1.098, 95% CI: 0.815–1.481).

Conclusion

IFNγ is strongly associated with MODS and prognosis in critically ill patients, highlighting its potential as a biomarker for predicting MODS occurrence and patient outcomes. These findings underscore the clinical value of IFNγ in critical care, providing a foundation for further research in this area.
背景:异常的炎症反应和病毒感染在重大疾病的发病机制中起着至关重要的作用。危重患者经常出现多器官功能障碍综合征(MODS),这是临床结果的关键决定因素,也是预后不良的标志。干扰素-γ (IFNγ)是一种重要的炎症调节细胞因子,可以作为一种更准确的病毒感染严重程度的指标,并有可能作为危重患者MODS和预后的预测因子。目的:探讨IFNγ水平与危重患者临床结局的关系。方法:本前瞻性研究于2023年1月1日至5月31日在北京协和医院进行,使用电子病历数据收集基线特征、ICU参数、实验室检查和临床结果。MODS的诊断是基于顺序器官衰竭评估(SOFA)评分。采用广义加性模型来探索线性和非线性关联,而生存分析则使用Kaplan-Meier方法进行。结果:共分析208例患者。IFNγ水平在脓毒症(比值比[OR] 1.041, 95%可信区间[CI]: 0.962-1.126)和非脓毒症(比值比[OR] 1.025, 95% CI: 0.907-1.157)亚组(组间P)中均与MODS呈显著的线性正相关。结论:IFNγ与危重患者MODS和预后密切相关,突出了其作为预测MODS发生和患者预后的生物标志物的潜力。这些发现强调了IFNγ在重症监护中的临床价值,为该领域的进一步研究提供了基础。
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引用次数: 0
Relationship between IL-17_A and pneumococcal carriage in children aged under two years: data from a randomised controlled trial in Vietnam IL-17_A与两岁以下儿童肺炎球菌携带的关系:来自越南一项随机对照试验的数据
IF 3.7 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-23 DOI: 10.1016/j.cyto.2025.157094
Zheng Quan Toh , Yi Ying Ma , Beth Temple , Jeremy Anderson , Hani Hosseini Far , Thanh V. Phan , Vo Thi Trang Dai , Tran Ngoc Huu , Nguyen Trong Toan , Kathryn Bright , Monica Larissa Nation , Belinda D. Ortika , Cattram Nguyen , Heidi Smith-Vaughan , Catherine Satzke , Kim Mulholland , Paul V. Licciardi

Objective

Pneumococcal carriage is a prerequisite for invasive pneumococcal disease (IPD). Interleukin (IL)-17 A and IL-17 A-producing cells are involved in the clearance of pneumococcal carriage in adults, but their role in children is unclear. This study aims to examine the relationship between IL-17 A, IL-17 A-related cytokines (IL-22, IL-23, IFNγ) and IL-17 A-producing cells and pneumococcal carriage in children aged under two years.

Methods

Blood samples (n = 143) collected from unvaccinated children at 18 months (m) of age and nasopharyngeal swabs collected from unvaccinated children at 2, 6, 9, 12, 18, 24 m in the Vietnam Pneumococcal Project (ClinicalTrials.gov, NCT01953510) were included in this analysis. Pneumococcal carriage was previously determined. Plasma cytokine concentrations were measured by multiplex bead array or ELISA. Flow cytometry was used to measure IL-17 A/IFNγ-producing cells in peripheral blood mononuclear cells.

Results

IL-17 A, IL-22, IL-23 and IFNγ plasma cytokine concentrations were 1.7 to 2.6-fold higher among pneumococcal carriers at 18 m of age compared with non-carriers. Two-to four-fold higher IL-17 A, IL-22, IL-23 concentrations were observed in children carrying two or more pneumococcal serotypes at 18 m compared with children who only carried one pneumococcal serotype or non-carriers. Pneumococcal carriers at 18 m of age had 1.6 to 2-fold higher IL-17 A, IL-22, IL-23 compared with carriers at earlier timepoints (≤12 m). No differences in the frequencies of IL-17 A-producing cells were observed between carriers and non-carriers at 18 m of age. IL-17 A and related cytokines at 18 m of age did not appear to influence clearance of pneumococcus at 24 m of age.

Conclusion

Pneumococcal carriage is associated with higher plasma IL-17 A, IL-22 and IL-23 concentrations in children aged under two years.
目的:肺炎球菌携带是侵袭性肺炎球菌病(IPD)的先决条件。白细胞介素(IL)- 17a和产生IL- 17a的细胞参与成人肺炎球菌携带的清除,但它们在儿童中的作用尚不清楚。本研究旨在探讨2岁以下儿童IL-17 A、IL-17 A相关细胞因子(IL-22、IL-23、IFNγ)和IL-17 A产生细胞与肺炎球菌携带的关系。方法:本分析纳入越南肺炎球菌项目(ClinicalTrials.gov, NCT01953510)中18个月(m)时未接种疫苗儿童的血液样本(n = 143)和2、6、9、12、18、24 m时未接种疫苗儿童的鼻咽拭子。先前已确定肺炎球菌携带。血浆细胞因子浓度测定采用多重头阵列法或ELISA法。流式细胞术检测外周血单核细胞中IL-17 A/ ifn γ生成细胞。结果:18 m龄肺炎球菌携带者血浆细胞因子IL-17 A、IL-22、IL-23和IFNγ浓度比非携带者高1.7 ~ 2.6倍。在18米时,携带两种或两种以上肺炎球菌血清型的儿童的IL-17 A、IL-22、IL-23浓度比仅携带一种肺炎球菌血清型或非携带者的儿童高2至4倍。18 m年龄肺炎球菌携带者的IL-17 A、IL-22、IL-23水平较早年龄(≤12 m)携带者高1.6 ~ 2倍。在18岁时,携带者和非携带者之间IL-17 a产生细胞的频率没有差异。il - 17a和相关细胞因子在18岁时似乎不影响24岁时肺炎球菌的清除。结论:肺炎球菌携带与2岁以下儿童较高的血浆IL-17 A、IL-22和IL-23浓度相关。
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引用次数: 0
Functional impact of IL-36γ rs28947206/rs28947207 and IL-17 a rs2275913 polymorphisms in polycystic ovary syndrome: Novel insights from the Iraqi population IL-36γ rs28947206/rs28947207和IL-17 a rs2275913多态性在多囊卵巢综合征中的功能影响:来自伊拉克人群的新见解
IF 3.7 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-02-01 Epub Date: 2026-01-06 DOI: 10.1016/j.cyto.2026.157106
Halah Amer Abduljabbar , Methaq J. Al-Jboori , Manal Taha Al-Obeidi , Majid Mohammed Mahmood
Polycystic ovary syndrome (PCOS) affects 4–21 % of reproductive-aged women, with elevated prevalence in Iraq. It involves chronic inflammation and dysregulated pro-inflammatory cytokines. This study investigates serum IL-17 A levels and its rs2275913 polymorphism, alongside the novel relevance of IL-36γ and its rs28947206/rs28947207 variants in PCOS pathogenesis. A total of 178 women underwent clinical, hormonal, and cytokine profiling. Genetic analysis was performed on a subset (n = 63) using PCR-Sanger sequencing. PCOS patients showed significantly elevated IL-17 A (48.7 ± 12.3 vs 32.1 ± 8.9 pg/ml) and IL-36γ (142.6 ± 28.4 vs 58.9 ± 14.7 pg/ml) levels (p < 0.001), with IL-36γ demonstrating superior diagnostic accuracy (AUC = 0.970 vs 0.851). Hormonal dysregulation included reduced FSH and elevated testosterone, AMH, LH, LH/FSH ratio, prolactin, and BMI (P < 0.05). Clinical features such as hirsutism, acne, alopecia, menstrual irregularities, and poor pregnancy outcomes were more prevalent (P < 0.05). IL-36γ rs28947206/rs28947207 variants were monomorphic in all subjects, marking the first report of these SNPs in PCOS. IL-17 A rs2275913 was significantly associated with PCOS, with the A allele (OR = 4.71) and AA genotype (OR = 10.71) linked to altered AMH, prolactin, and LH/FSH levels. IL-36γ is a promising diagnostic biomarker, while IL-17 A rs2275913 represents a genetic risk factor for PCOS in the Iraqi population.
多囊卵巢综合征(PCOS)影响4- 21%的育龄妇女,在伊拉克患病率升高。它涉及慢性炎症和促炎细胞因子失调。本研究探讨了血清il - 17a水平及其rs2275913多态性,以及IL-36γ及其rs28947206/rs28947207变异与PCOS发病机制的新相关性。共有178名妇女接受了临床、激素和细胞因子分析。使用PCR-Sanger测序对一个子集(n = 63)进行遗传分析。PCOS患者IL-17 A(48.7±12.3 vs 32.1±8.9 pg/ml)和IL-36γ(142.6±28.4 vs 58.9±14.7 pg/ml)水平显著升高(p . 2)
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引用次数: 0
期刊
Cytokine
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