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Shared inflammation in takotsubo syndrome and sepsis: Lipocalin-2 mediates neutrophil infiltration and cardiac damage takotsubo综合征和败血症的共同炎症:脂钙素-2介导中性粒细胞浸润和心脏损伤。
IF 3.7 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-30 DOI: 10.1016/j.cyto.2025.157102
Yuxi Huang , Piaorong Zeng , Tianmin Liu , Mei Xu , Wenyi Tang , Fangyuan Cheng , Zhijuan Zhou , Bairong Chen , Kan Liu , TouKun Chong , Jian Chen

Background

Takotsubo syndrome (TTS) and sepsis often co-occur with poor outcomes, yet their underlying molecular mechanisms remain to be elucidated. Transcriptomic analysis is employed to detect diagnostic biomarkers and reveal shared pathophysiological mechanisms in sepsis-associated TTS.

Methods

Myocardial gene expression data (TTS, sepsis, and controls) from GEO were analyzed to identify shared differentially expressed genes. WGCNA and PPI networks were used for candidate gene selection. Key genes were further refined using random forest and LASSO algorithms. Immune cell infiltration was assessed using CIBERSORT. Myocardial injury and gene expression in rat models were evaluated using HE staining, TUNEL assay, immunohistochemistry, qPCR, and Western blotting. Clinical validation was conducted using plasma samples from the China TTS Registry. t-tests and ANOVA were conducted via GraphPad Prism 8 software. A P-value < 0.05 was considered statistically significant.

Results

Lipocalin-2 (LCN2) was recognized as an important biomarker through WGCNA, PPI network analysis, and machine learning algorithms, showing strong predictive performance. Its expression was significantly associated with neutrophil infiltration and myocardial injury in TTS. Consistent with the bioinformatics findings, the TTS-sepsis comorbidity model showed elevated mRNA and protein levels of LCN2 in myocardial tissue, accompanied by increased neutrophil infiltration and severe cardiac injury. Clinical validation confirmed elevated plasma LCN2 levels in patients with sepsis-associated TTS, correlating with neutrophil counts, NT-proBNP, and cTnI levels.

Conclusion

LCN2 is identified as a key inflammatory mediator linking neutrophil-driven inflammation to myocardial injury in sepsis-associated TTS, with dual potential as a diagnostic biomarker and therapeutic target.
背景:Takotsubo综合征(TTS)和脓毒症通常同时发生,预后不良,但其潜在的分子机制仍有待阐明。转录组学分析用于检测诊断性生物标志物,揭示败血症相关TTS的共同病理生理机制。方法:分析GEO心肌基因表达数据(TTS、败血症和对照组),以确定共享的差异表达基因。利用WGCNA和PPI网络进行候选基因选择。使用随机森林和LASSO算法进一步细化关键基因。采用CIBERSORT评估免疫细胞浸润情况。采用HE染色、TUNEL法、免疫组化、qPCR、Western blotting等方法评价模型大鼠心肌损伤及基因表达。使用中国TTS注册中心的血浆样本进行临床验证。采用GraphPad Prism 8软件进行t检验和方差分析。结果:通过WGCNA、PPI网络分析和机器学习算法,Lipocalin-2 (LCN2)被认为是一种重要的生物标志物,具有较强的预测能力。其表达与TTS中性粒细胞浸润及心肌损伤有显著相关性。与生物信息学研究结果一致,tts -脓毒症共病模型显示心肌组织中LCN2 mRNA和蛋白水平升高,伴有中性粒细胞浸润增加和严重的心脏损伤。临床验证证实败血症相关TTS患者血浆LCN2水平升高,与中性粒细胞计数、NT-proBNP和cTnI水平相关。结论:LCN2被认为是脓毒症相关TTS中连接中性粒细胞驱动的炎症和心肌损伤的关键炎症介质,具有作为诊断生物标志物和治疗靶点的双重潜力。
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引用次数: 0
Integrated experimental and computational approaches to analyze TNF superfamily ligand–receptor interactions 综合实验和计算方法分析TNF超家族配体-受体相互作用
IF 3.7 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-02-01 Epub Date: 2026-01-03 DOI: 10.1016/j.cyto.2025.157100
Anne-Laure Favier , Cyril Salama , Chloé Cervera , Diane Riccobono , Krisztina Nikovics
The TNF superfamily, composed of cytokines and their receptors, plays a central role in regulating immune responses, apoptosis, inflammation, and tissue regeneration. TNF itself is a key orchestrator of the cytokine cascade in many diseases and is often described as a “master regulator.” It engages in complex ligand-receptor interactions, making the study of these dynamics essential for the development of new therapeutic strategies.
This review summarizes the current experimental and computational tools used to study ligand–receptor interactions within the TNF superfamily, highlighting both their strengths and limitations. Particular attention is given to methods for analyzing protein–protein interactions, which are fundamental to deciphering the regulatory functions of this family. While traditional in vitro, in vivo, and in situ approaches have confirmed numerous authentic ligand–receptor pairs, in silico analyses reveal a much broader landscape of predicted interactions. These computational predictions do not represent experimentally validated binding events; rather, they indicate possible ligand–receptor compatibilities based on structural homology, interface similarity, and docking-derived binding energies. Such predictions suggest that the TNF interaction network may be more extensive than previously recognized, underscoring the need for systematic experimental validation to uncover additional biologically relevant interactions.
TNF超家族由细胞因子及其受体组成,在调节免疫应答、细胞凋亡、炎症和组织再生中起核心作用。TNF本身是许多疾病中细胞因子级联的关键协调者,通常被描述为“主调节器”。它参与复杂的配体-受体相互作用,使得这些动力学的研究对于开发新的治疗策略至关重要。这篇综述总结了目前用于研究TNF超家族中配体-受体相互作用的实验和计算工具,强调了它们的优势和局限性。特别关注分析蛋白质-蛋白质相互作用的方法,这是破译该家族调控功能的基础。虽然传统的体外、体内和原位方法已经证实了许多真实的配体-受体对,但计算机分析揭示了预测相互作用的更广泛的前景。这些计算预测并不代表实验验证的结合事件;相反,它们表明了基于结构同源性、界面相似性和对接衍生的结合能的可能的配体-受体相容性。这些预测表明,TNF相互作用网络可能比以前认识到的更广泛,强调需要系统的实验验证来发现其他生物学相关的相互作用。
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引用次数: 0
SMAD signaling in cancer: integrative roles in tumor progression, immune evasion, and therapeutic resistance 肿瘤中的SMAD信号:肿瘤进展、免疫逃避和治疗抵抗的综合作用
IF 3.7 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-12 DOI: 10.1016/j.cyto.2025.157090
Hai Zhao , Fan Yang , Jiaxin Yang , Sheng Yang
Transforming growth factor-beta (TGF-β)/SMAD signaling exerts pleiotropic effects in cancer, orchestrating epithelial–mesenchymal transition (EMT), immune evasion, stemness, and therapeutic resistance. While canonically regarded as tumor-suppressive, emerging data reposition SMAD proteins, particularly SMAD2, SMAD3, and SMAD4, as central effectors of pro-tumorigenic reprogramming in advanced malignancies. Here, we delineate the multifaceted contributions of SMAD signaling across tumor-intrinsic and microenvironmental contexts, highlighting post-translational regulation, immune remodeling, and crosstalk with non-coding RNAs. We show how SMADs mediate dynamic EMT programs, modulate innate and adaptive immune landscapes, and drive chemoresistance through transcriptional and metabolic rewiring. In the tumor microenvironment (TME), SMAD-driven axes involving macrophages, neutrophils, and CAFs reinforce immune suppression and metastasis. Moreover, engineering SMAD pathways in CAR-T and NK cells enhances immunotherapeutic efficacy. We also identify SMAD-based transcriptional and epigenetic signatures with prognostic and predictive utility across multiple tumor types. This integrative review provides a unified framework for understanding the SMAD signaling network as both a mechanistic driver and therapeutic vulnerability in cancer.
转化生长因子-β (TGF-β)/SMAD信号在癌症中发挥多效作用,协调上皮-间质转化(EMT)、免疫逃避、干性和治疗抗性。虽然通常被认为是肿瘤抑制,但新出现的数据重新定位SMAD蛋白,特别是SMAD2, SMAD3和SMAD4,作为晚期恶性肿瘤中致瘤性重编程的中心效应物。在这里,我们描述了SMAD信号在肿瘤内在和微环境背景下的多方面贡献,强调了翻译后调控、免疫重塑和与非编码rna的串扰。我们展示了smad如何介导动态EMT程序,调节先天和适应性免疫景观,并通过转录和代谢重新布线驱动化学耐药。在肿瘤微环境(TME)中,涉及巨噬细胞、中性粒细胞和CAFs的smad驱动轴加强了免疫抑制和转移。此外,在CAR-T和NK细胞中设计SMAD通路可以提高免疫治疗效果。我们还发现基于smad的转录和表观遗传特征在多种肿瘤类型中具有预后和预测效用。这一综合综述为理解SMAD信号网络作为癌症的机制驱动和治疗易感性提供了一个统一的框架。
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引用次数: 0
Unlocking potentials of a prenylated flavonoid: Xanthohumol's role in combating inflammatory conditions and Rhematic diseases 解锁烯酰化类黄酮的潜力:黄腐酚在对抗炎症条件和血液疾病中的作用。
IF 3.7 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-21 DOI: 10.1016/j.cyto.2025.157092
Farag M.A. Altalbawy , Ahmed Hussein Zwamel , Ashok Kumar Bishoyi , Suhas Ballal , Rishiv Kalia , Kamal Kant Joshi , Subhashree Ray , Atreyi Pramanik , Jasur Rizaev , Khursheed Muzammil
Xanthohumol, a prenylated flavonoid derived from hops (Humulus lupulus), has garnered significant attention for its multifaceted therapeutic potential. This review highlights xanthohumol's ability to modulate key signaling pathways, including NF-κB, STAT3, and Nrf2, which are central to inflammation, oxidative stress, and cancer progression. As a flavonoid, xanthohumol exhibits potent antioxidant and anti-inflammatory properties, making it effective in alleviating inflammatory conditions such as osteoarthritis, rheumatoid arthritis, and inflammatory bowel disease. In cancer, xanthohumol demonstrates remarkable efficacy by inhibiting tumor growth, angiogenesis, and metastasis through the suppression of critical pathways like CXCR4 and STAT3. Preclinical studies have shown that xanthohumol selectively targets cancer cells while sparing normal cells, underscoring its potential as a safe and effective anticancer agent. Beyond its anti-inflammatory and anticancer effects, xanthohumol also plays a significant role in metabolic regulation. It improves glucose homeostasis, lipid metabolism, and gut microbiota composition, offering therapeutic benefits for metabolic syndrome and diabetes. Clinical trials and preclinical research further validate xanthohumol's safety and efficacy, with emerging evidence supporting its use in managing chronic diseases. This review provides a comprehensive overview of xanthohumol's mechanisms of action, therapeutic applications, and future directions in clinical research, positioning it as a promising natural compound for the prevention and treatment of a wide range of diseases.
黄腐酚(Xanthohumol)是一种从啤酒花(Humulus lupulus)中提取的烯酰化类黄酮,因其多方面的治疗潜力而受到广泛关注。这篇综述强调了黄腐酚调节关键信号通路的能力,包括NF-κB、STAT3和Nrf2,它们是炎症、氧化应激和癌症进展的核心。作为一种黄酮类化合物,黄腐酚显示出有效的抗氧化和抗炎特性,使其有效缓解炎症,如骨关节炎、类风湿关节炎和炎症性肠病。在癌症中,黄腐酚通过抑制CXCR4和STAT3等关键通路抑制肿瘤生长、血管生成和转移,显示出显著的疗效。临床前研究表明,黄腐酚选择性靶向癌细胞而不影响正常细胞,强调其作为一种安全有效的抗癌药物的潜力。除了抗炎和抗癌作用,黄腐酚还在代谢调节中起着重要作用。它可以改善葡萄糖稳态,脂质代谢和肠道微生物群组成,为代谢综合征和糖尿病提供治疗益处。临床试验和临床前研究进一步验证了黄腐酚的安全性和有效性,越来越多的证据支持其用于治疗慢性疾病。本文综述了黄腐酚的作用机制、治疗应用和临床研究方向,并将其定位为一种有前景的天然化合物,用于预防和治疗多种疾病。
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引用次数: 0
The role of HMGB1 in central nervous system (CNS) diseases: mechanisms and therapeutic perspectives HMGB1在中枢神经系统(CNS)疾病中的作用:机制和治疗前景
IF 3.7 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-26 DOI: 10.1016/j.cyto.2025.157099
Ou Du, Yi-Jin Wu, Meng-Yang Li, Jun-Rong Du
Central nervous system (CNS) diseases represent a major global health burden and are among the leading causes of disability and mortality worldwide. The pathological mechanisms underlying CNS disorders are complex and multifactorial, involving processes such as neuroinflammation, oxidative stress, neuronal damage, and synaptic dysfunction. High-mobility group box 1 (HMGB1), a member of the high-mobility group box (HMGB) protein family, is predominantly localized in the nucleus under physiological conditions, where it contributes to DNA repair, transcriptional regulation, and other cellular functions. However, in various CNS pathologies—including stroke, traumatic brain injury (TBI), Alzheimer’s disease (AD), Parkinson’s disease (PD), amyotrophic lateral sclerosis (ALS), glioblastoma (GBM), epilepsy, depression, multiple sclerosis (MS), and schizophrenia—HMGB1 is released or secreted into the extracellular space. There, it plays a key role in regulating neuroinflammation, cell death, cell migration, and tissue damage and repair, thereby contributing to disease pathogenesis and progression. HMGB1 not only functions as a critical regulator in the progression of CNS diseases but also serves as a biomarker for predicting poor clinical outcomes. Moreover, a growing body of evidence indicates that therapeutic strategies targeting HMGB1 can significantly alleviate pathological damage in various CNS disorders, highlighting its potential as a promising therapeutic target. This review comprehensively summarizes the structure, post-translational modifications, release mechanisms, and receptor systems of HMGB1, along with its roles and mechanisms in CNS diseases. It also discusses the potential of HMGB1 as a biomarker and examines emerging HMGB1-targeted therapeutic strategies, aiming to provide a theoretical foundation for the treatment and drug development of CNS disorders.
中枢神经系统(CNS)疾病是全球主要的健康负担,也是全球致残和死亡的主要原因之一。中枢神经系统疾病的病理机制是复杂和多因素的,涉及神经炎症、氧化应激、神经元损伤和突触功能障碍等过程。高迁移率组盒1 (HMGB1)是高迁移率组盒(HMGB)蛋白家族的一员,在生理条件下主要定位于细胞核,参与DNA修复、转录调控等细胞功能。然而,在各种中枢神经系统病理中——包括中风、创伤性脑损伤(TBI)、阿尔茨海默病(AD)、帕金森病(PD)、肌萎缩性侧索硬化症(ALS)、胶质母细胞瘤(GBM)、癫痫、抑郁症、多发性硬化症(MS)和精神分裂症——hmgb1被释放或分泌到细胞外空间。在那里,它在调节神经炎症、细胞死亡、细胞迁移和组织损伤和修复中起关键作用,从而促进疾病的发病和进展。HMGB1不仅在中枢神经系统疾病的进展中起着关键的调节作用,而且还可以作为预测不良临床结果的生物标志物。此外,越来越多的证据表明,靶向HMGB1的治疗策略可以显著减轻各种中枢神经系统疾病的病理损伤,突出了其作为有前景的治疗靶点的潜力。本文综述了HMGB1的结构、翻译后修饰、释放机制、受体系统及其在中枢神经系统疾病中的作用和机制。本文还讨论了HMGB1作为生物标志物的潜力,并探讨了新兴的HMGB1靶向治疗策略,旨在为中枢神经系统疾病的治疗和药物开发提供理论基础。
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引用次数: 0
Group 2 innate lymphoid cells (ILC2s) in childhood allergic diseases: A review of the mechanisms and therapeutic advances 2组先天淋巴样细胞(ILC2s)在儿童变应性疾病中的作用机制及治疗进展
IF 3.7 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-27 DOI: 10.1016/j.cyto.2025.157101
Yun Zhang , Yaling Wu , Yingying Wang , Haoquan Zhou
Recent advances in pediatric immunology have clarified the pivotal role of group 2 innate lymphoid cells (ILC2s) in the pathophysiology of childhood allergic diseases. As key components of the innate immune system, ILC2s mediate the initiation and progression of these disorders. Their activation is triggered primarily by epithelial-derived cytokines, whose expression is highly elevated in children with allergies. Upon activation, ILC2s rapidly secrete type 2 cytokines, driving disease-specific pathogenesis. In allergic asthma, airway ILC2 expansion exacerbates eosinophilic inflammation, airway hyperresponsiveness, and remodeling; in allergic rhinitis, nasal mucosal ILC2 activation induces typical symptoms; and in food allergies, intestinal mucosal ILC2s cause epithelial damage and increased permeability, promoting allergic progression. These mechanistic insights have underpinned the development of innovative therapies. Clinical trials have confirmed the efficacy of treatments targeting ILC2-derived cytokines or their receptors: anti-IL-5 monoclonal antibodies (targeting the IL-5 ligand), anti-IL-13 monoclonal antibodies (targeting the IL-13 ligand), and anti-IL-4Rα monoclonal antibodies (targeting IL-4 receptor α and blocking IL-4/IL-13 signaling) are promising treatments for specific childhood allergic diseases. Emerging strategies targeting ILC2 activation pathways and modulating the microbiome to regulate ILC2 activity are under active investigation. Collectively, the past five years of research have improved the understanding of the mechanisms underlying childhood allergic diseases and established new treatment paradigms, with great potential to optimize clinical management and improve the outcomes of pediatric patients with allergies.
儿童免疫学的最新进展明确了2组先天淋巴样细胞(ILC2s)在儿童变应性疾病病理生理中的关键作用。作为先天免疫系统的关键组成部分,ILC2s介导这些疾病的发生和发展。它们的激活主要由上皮源性细胞因子触发,其表达在过敏儿童中高度升高。激活后,ILC2s迅速分泌2型细胞因子,驱动疾病特异性发病机制。在过敏性哮喘中,气道ILC2扩张加剧嗜酸性粒细胞炎症、气道高反应性和重塑;变应性鼻炎中,鼻黏膜ILC2激活可诱发典型症状;在食物过敏中,肠黏膜ILC2s引起上皮损伤和通透性增加,促进过敏进展。这些机制的洞见为创新疗法的发展奠定了基础。临床试验已经证实了针对ilc2来源的细胞因子或其受体的治疗的有效性:抗IL-5单克隆抗体(靶向IL-5配体)、抗IL-13单克隆抗体(靶向IL-13配体)和抗il - 4r α单克隆抗体(靶向IL-4受体α并阻断IL-4/IL-13信号传导)是治疗特定儿童过敏性疾病的有希望的治疗方法。针对ILC2激活途径和调节微生物组来调节ILC2活性的新兴策略正在积极研究中。总的来说,过去五年的研究提高了对儿童过敏疾病机制的理解,建立了新的治疗范式,具有优化临床管理和改善儿科过敏患者预后的巨大潜力。
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引用次数: 0
Promoter variants of tumor necrosis factor-alpha (G-308 a: rs1800629 and C-857 T:rs1799724) are linked to type 1 diabetes: A meta-analysis and trial sequential analysis 肿瘤坏死因子α启动子变异(G-308 a: rs1800629和C-857 T:rs1799724)与1型糖尿病有关:一项荟萃分析和试验序列分析
IF 3.7 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-04 DOI: 10.1016/j.cyto.2025.157082
Shengnan Zhang, Zhenyu Li, Xiaodong Yang

Introduction

Tumor necrosis factor-alpha (TNF-α) is associated with type 1 diabetes through complex immunological and metabolic pathways, highlighting its multifaceted role. Genetic differences, particularly in the TNF-α gene promoter region, influence individual susceptibility to type 1 diabetes by altering gene expression. Numerous studies have examined the link between TNF-α polymorphisms and type 1 diabetes in various populations, yielding inconsistent results. This research explores the relationship between TNF-α and type 1 diabetes through a detailed meta-analysis of existing studies.

Materials and methods

This meta-analysis examined four SNPs in the TNF-α gene promoter region: G-238 A, G-308 A, C-587 T, and T-1031C. Literature searches were conducted using PubMed, ScienceDirect, Google Scholar, Embase, Web of Science, and Scopus. Relevant articles were systematically reviewed, and qualifying studies were selected based on specific inclusion and exclusion criteria. The analysis was performed using Comprehensive Meta-Analysis software, version 4.

Results

Twenty-four case-control studies were suitable for examining the link between TNF-α polymorphisms and T1D susceptibility. Genetic comparison models showed an association between the TNF-α G-308 A and C-857 T variants and T1D risk, and sensitivity analysis confirmed these findings. Trial sequential analysis further validated the genetic relationship between TNF-α promoter variants (G-308 A and C-857 T) and indicated that sufficient studies were available for a conclusive meta-analysis. Conversely, no significant association was found between the promoter polymorphisms G-238 A and T-1031C and T1D onset, and TSA suggested the need for further research across diverse populations.

Conclusions

Variations in the TNF-α promoter at positions G-308 A and C-857 T are linked to an increased risk of T1D.
肿瘤坏死因子-α (TNF-α)通过复杂的免疫和代谢途径与1型糖尿病相关,突出了其多方面的作用。遗传差异,特别是在TNF-α基因启动子区域,通过改变基因表达影响个体对1型糖尿病的易感性。许多研究已经在不同人群中检测了TNF-α多态性与1型糖尿病之间的联系,但结果不一致。本研究通过对现有研究的详细荟萃分析,探讨了TNF-α与1型糖尿病之间的关系。材料和方法本荟萃分析检测了TNF-α基因启动子区域的四个snp: G-238 A, G-308 A, C-587 T和T- 1031c。文献检索使用PubMed、ScienceDirect、b谷歌Scholar、Embase、Web of Science和Scopus进行。系统地回顾相关文献,并根据特定的纳入和排除标准选择符合条件的研究。分析使用综合元分析软件,版本4。结果24项病例对照研究适合探讨TNF-α多态性与T1D易感性之间的关系。遗传比较模型显示TNF-α G-308 A和C-857 T变异与T1D风险之间存在关联,敏感性分析证实了这些发现。试验序列分析进一步验证了TNF-α启动子变异(G-308 A和C-857 T)之间的遗传关系,并表明有足够的研究可用于结论性荟萃分析。相反,没有发现启动子多态性G-238 A和T-1031C与T1D发病有显著关联,TSA提示需要在不同人群中进一步研究。结论TNF-α启动子g - 308a和c - 857t位点的变异与T1D风险增加有关。
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引用次数: 0
Clinical observation of anti-PD-1/PD-L1 immunotherapy plus concurrent chemoradiotherapy for locally advanced esophageal squamous cell carcinoma 抗pd -1/PD-L1免疫联合同步放化疗治疗局部晚期食管鳞状细胞癌的临床观察
IF 3.7 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-24 DOI: 10.1016/j.cyto.2025.157096
Xudong Sun , Dongmei Wu , Guangcheng Ding , Xueying Zhang , Changli Shi , Yulong Tian

Objective

This study analyzed the efficacy of the PD-1 inhibitor Sintilimab combined with concurrent chemoradiotherapy (CCRT) in patients with unresectable locally advanced esophageal squamous cell carcinoma (ESCC).

Methods

A retrospective study involved 177 individuals with unresectable advanced ESCC, treated with anti-PD-1/PD-L1 immunotherapy combined with CCRT. Patients were categorized into three groups: combined positive score (CPS) ≥ 50, 1 < CPS < 50, and CPS < 1. Clinical data and laboratory markers (carcinoembryonic antigen [CEA] and squamous cell carcinoma antigen [SCC-Ag]) were collected at baseline, 6, 12, and 24 months. PET/CT and CT scans assessed tumor response, ORR, and DCR. Kaplan-Meier curves analyzed the impact of CPS scores on progression-free survival (PFS) and overall survival (OS). Baseline data were matched at a 1:1 ratio by propensity score matching, followed by Cox regression analyses.

Results

No noticeable differences were present among the groups regarding gender, tumor location, prior chemotherapy, prior radiotherapy, or laboratory markers. After treatment, CEA and SCC-Ag levels significantly decreased, with the lowest levels observed at 24 months post-treatment. Higher CPS scores were associated with reduced CEA and SCC-Ag levels. PD-L1-positive groups (CPS > 1) had higher ORR and DCR than the PD-L1-negative group. As CPS scores increased, PFS and OS were significantly prolonged. Serum fibrinogen, CEA and SCC-Ag were identified as independent risk factors for OS; Serum CEA and SCC-Ag were independent risk factors affecting PFS.

Conclusion

Higher CPS scores are associated with improved PFS and OS in patients with locally advanced ESCC receiving anti-PD-1/PD-L1 immunotherapy combined with CCRT.
目的:分析PD-1抑制剂辛替单抗联合同步放化疗(CCRT)治疗无法切除的局部晚期食管鳞状细胞癌(ESCC)的疗效。方法:回顾性研究纳入177例不可切除的晚期ESCC患者,接受抗pd -1/PD-L1免疫治疗联合CCRT治疗。将患者分为三组:联合阳性评分(CPS)≥50,1。结果:各组在性别、肿瘤部位、既往化疗、放疗或实验室标志物方面无显著差异。治疗后,CEA和SCC-Ag水平显著降低,治疗后24个月最低。较高的CPS评分与较低的CEA和SCC-Ag水平相关。pd - l1阳性组(CPS >1)的ORR和DCR均高于pd - l1阴性组。随着CPS评分的增加,PFS和OS明显延长。血清纤维蛋白原、CEA和SCC-Ag被确定为OS的独立危险因素;血清CEA和SCC-Ag是影响PFS的独立危险因素。结论:接受抗pd -1/PD-L1免疫治疗联合CCRT治疗的局部晚期ESCC患者,CPS评分较高与PFS和OS改善相关。
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引用次数: 0
Advances in lipid nanoparticle delivery systems for targeted cytokine immunotherapy in autoimmune disorders 脂质纳米颗粒递送系统在自身免疫性疾病靶向细胞因子免疫治疗中的研究进展。
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.2025.157098
Dilpreet Singh
Autoimmune diseases result from dysregulated immune responses, primarily driven by CD4+ T cell imbalances, leading to chronic inflammation and tissue destruction. Conventional cytokine-based therapies, including IL-2 for regulatory T cell (Treg) expansion and IL-6 or IL-17 inhibition for inflammation suppression, have shown promise in modulating immune responses. However, challenges such as systemic toxicity, short half-life, and off-target effects limit their therapeutic efficacy. Lipid nanoparticles (LNPs) have emerged as a next-generation drug delivery platform, offering enhanced cytokine stability, targeted cellular uptake, and controlled release, thereby overcoming limitations associated with free cytokine administration. Preclinical studies have demonstrated that LNP-IL-2 selectively expands Tregs in type 1 diabetes models, while IL-10-loaded LNPs suppress synovial inflammation in rheumatoid arthritis more effectively than conventional cytokine therapies. Optimization of ligand density and affinity on LNP surfaces is emerging as a key determinant of CD4+ T cell targeting efficiency. Additionally, LNP-encapsulated siRNA targeting IL-6 and IL-23 has shown superior suppression of inflammatory pathways in lupus and psoriasis. These findings underscore the potential of LNP-mediated cytokine delivery to precisely modulate CD4+ T cell function, restoring immune homeostasis in autoimmune diseases. Despite promising preclinical and early clinical data, challenges remain, including optimizing biodistribution, ensuring selective T cell targeting, and mitigating immune activation risks. This review provides an in-depth analysis of CD4+ T cell subsets in autoimmunity, the advantages of LNP-based cytokine therapies, and their translational potential. The integration of LNP technology into cytokine immunotherapy offers a novel, minimally toxic, and durable approach to reprogramming immune responses, paving the way for precision medicine in autoimmune disease management.

Significance

Autoimmune disorders are characterized by chronic inflammation driven by dysregulated cytokine activity. Traditional cytokine therapies often suffer from systemic toxicity and limited targeting precision. This manuscript highlights recent advancements in lipid nanoparticle (LNP) technology for the targeted delivery of cytokines, offering enhanced therapeutic efficacy and safety. By enabling precise modulation of immune responses at disease sites, LNP-based delivery systems represent a transformative approach in immunotherapy. This review underscores the potential of LNPs to overcome current limitations in autoimmune treatment, paving the way for next-generation precision medicine strategies.
自身免疫性疾病是由免疫反应失调引起的,主要由CD4+ T细胞失衡驱动,导致慢性炎症和组织破坏。传统的基于细胞因子的疗法,包括用于调节性T细胞(Treg)扩增的IL-2和用于炎症抑制的IL-6或IL-17抑制,在调节免疫反应方面显示出前景。然而,诸如全身毒性、半衰期短和脱靶效应等挑战限制了它们的治疗效果。脂质纳米颗粒(LNPs)已成为新一代药物输送平台,提供增强的细胞因子稳定性,靶向细胞摄取和控制释放,从而克服了与游离细胞因子给药相关的局限性。临床前研究表明,LNP-IL-2选择性地扩大1型糖尿病模型中的Tregs,而装载il -10的LNPs比常规细胞因子治疗更有效地抑制类风湿关节炎的滑膜炎症。LNP表面配体密度和亲和力的优化正成为CD4+ T细胞靶向效率的关键决定因素。此外,lnp包封的靶向IL-6和IL-23的siRNA在狼疮和牛皮癣的炎症途径中显示出优越的抑制作用。这些发现强调了lnp介导的细胞因子递送在自身免疫性疾病中精确调节CD4+ T细胞功能,恢复免疫稳态方面的潜力。尽管临床前和早期临床数据很有希望,但挑战仍然存在,包括优化生物分布、确保选择性T细胞靶向和减轻免疫激活风险。这篇综述深入分析了CD4+ T细胞亚群在自身免疫中的作用,基于lnp的细胞因子疗法的优势,以及它们的转化潜力。LNP技术与细胞因子免疫治疗的整合提供了一种新的、毒性最小的、持久的方法来重新编程免疫反应,为自身免疫性疾病管理的精准医学铺平了道路。意义:自身免疫性疾病的特征是由细胞因子活性失调驱动的慢性炎症。传统的细胞因子治疗方法往往存在全身毒性和靶向精度有限的问题。这篇论文强调了脂质纳米颗粒(LNP)技术在细胞因子靶向递送方面的最新进展,提供了增强的治疗效果和安全性。通过精确调节疾病部位的免疫反应,基于lnp的递送系统代表了免疫治疗的一种变革方法。这篇综述强调了LNPs克服自身免疫治疗当前局限性的潜力,为下一代精准医学策略铺平了道路。
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引用次数: 0
IL-8-, IL-12-, and VEGF-producing peripheral blood mononuclear cells enable differentiation between vertebral osteomyelitis and degenerative spinal diseases 白细胞介素-8-、白细胞介素-12-和产生vegf的外周血单个核细胞能够区分椎体骨髓炎和退行性脊柱疾病。
IF 3.7 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-30 DOI: 10.1016/j.cyto.2025.157104
Julia Schenk , Martin Thelen , Hans Anton Schlößer , Esther Mahabir
Vertebral osteomyelitis (VO) is a rare but serious spinal infection that presents significant challenges in early diagnosis and treatment. Diagnostic delays can result in severe complications, including neurological deficits, sepsis, organ failure, and death. In this study, we investigated the immune cell source of candidate cytokines – IL-6, IL-8, IL-12, and VEGF – with the aim of distinguishing VO from degenerative spinal diseases. Peripheral blood samples were collected pre-operatively and 40 to 56 days post-operatively. Cytokine production by major immune cell subsets within peripheral blood mononuclear cells (PBMCs) was analyzed using intracellular flow cytometry. Our findings indicate that pre-operative differentiation between VO and degenerative spinal diseases is feasible, particularly based on IL-8-positive CD8+ T-cells, IL-12-positive CD45+ lymphocytes, and VEGF-positive cells (including CD45+ cells, B-cells, T-cells, and CD8+ T-cells).
椎体骨髓炎(VO)是一种罕见但严重的脊柱感染,在早期诊断和治疗方面提出了重大挑战。诊断延误可导致严重的并发症,包括神经功能缺损、败血症、器官衰竭和死亡。在这项研究中,我们研究了候选细胞因子IL-6、IL-8、IL-12和VEGF的免疫细胞来源,目的是区分VO和退行性脊柱疾病。术前及术后40 ~ 56 d采集外周血标本。采用细胞内流式细胞术分析外周血单核细胞(PBMCs)内主要免疫细胞亚群产生的细胞因子。我们的研究结果表明术前区分VO和退行性脊柱疾病是可行的,特别是基于il -8阳性CD8+ t细胞、il -12阳性CD45+淋巴细胞和vegf阳性细胞(包括CD45+细胞、b细胞、t细胞和CD8+ t细胞)。
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引用次数: 0
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Cytokine
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