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The significance of notch signaling in the regulation of Тreg-lymphocyte differentiation in patients with infiltrative pulmonary tuberculosis notch信号在浸润性肺结核患者Тreg-lymphocyte分化调控中的意义
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-son-2676
A. E. Sanina, V. Serebryakova, O. Urazova, A. Gadzhiev, Т. E. Kononova
Data on the role of regulatory T lymphocytes (Treg) in the immunopathogenesis of tuberculosis are actively accumulating in the current literature. The overwhelming effect of Treg cells on the proliferation, functional activity of Th1 lymphocytes and antigen-presenting cells allows to consider this population as a possible target of modulation of the immune response in patients with tuberculosis. The Notch signaling pathway participates in the regulation of FoxP3 transcription factor expression and, therefore, is capable of supporting suppressor activity of Treg lymphocytes. A key role in the functioning of the Notch signaling cascade belongs to the enzyme γ-secretase that cleaves the intracellular domain of the receptor (Notch ICD), with the subsequent formation of a complex that regulates cell differentiation. The actively studied inhibitor of γ-secretase is DAPT – N-[N-(3.5-difluorophenacetyl)-L-alanyl]-S-phenylglycine tert-butyl ester). Mononuclear leukocytes isolated from the blood of patients with drug-sensitive and drug-resistant pulmonary tuberculosis by gradient centrifugation before the start of anti-tuberculosis therapy were used as the material for the study. The cells were cultured under conditions of stimulation with Mycobacterium tuberculosis antigens CFP10-ESAT6 or with the addition of γ-secretase inhibitor (DAPT) at doses of 5 μM/L and 10 μM/L in combination with CFP10-ESAT6 at 37 °C and 5% CO2 for 72 h to the incubation medium. The number of Treg lymphocytes was assessed by flow cytofluorimetry by determining the expression of the CD4 surface receptor (FITC) and the intracellular transcription factor FoxP3 (PE). In intact cell cultures of pulmonary tuberculosis patients, the relative number of Treg lymphocytes was statistically significantly (p < 0.001) higher than that of healthy donors. Stimulation of cells with CFP10-ESAT6 antigens was accompanied by an increase in the proportion of CD4+FoxP3+ cells in both groups of tuberculosis patients. Addition of γ-secretase inhibitor at a concentration of 5 μM/L to the incubation medium did not lead to statistically significant changes in the number of Treg lymphocytes. The increase in DAPT concentration up to 10 μM/L was accompanied by a decrease in the number of Treg lymphocytes in comparison with the corresponding indices upon stimulation with CFP10-ESAT6 antigens in all groups of the subjects. Regardless of cultivation conditions, the number of CD4+FoxP3+ cells in patients with drug-resistant mycobacteria exceeded their number in patients with drug-sensitive pulmonary tuberculosis. Inhibition of the Notch signaling pathway by a γ-secretase inhibitor (DAPT) at a concentration of 10 μM/L contributed to a decrease in the number of Treg lymphocytes in patients with drug-sensitive and drug-resistant pulmonary tuberculosis. Reduction of Treg lymphocyte number by γ-secretase inhibitor confirms the importance of Notch signaling cascade as a potential target for correction of Treg lymphocytes
目前文献中关于调节性T淋巴细胞(Treg)在结核病免疫发病机制中的作用的数据正在积极积累。Treg细胞对Th1淋巴细胞和抗原呈递细胞的增殖、功能活性的压倒性影响使我们可以考虑将这一群体作为结核病患者免疫反应调节的可能靶点。Notch信号通路参与FoxP3转录因子的表达调控,因此能够支持Treg淋巴细胞的抑制活性。Notch信号级联功能中的一个关键作用属于γ分泌酶,该酶可切割受体的细胞内结构域(Notch ICD),随后形成调节细胞分化的复合物。积极研究的γ-分泌酶抑制剂是DAPT - N-[N-(3.5-二氟苯乙酰基)- l -丙氨基]- s -苯甘氨酸叔丁基酯)。在抗结核治疗开始前,采用梯度离心法从药敏和耐药肺结核患者的血液中分离出单个核白细胞作为研究材料。以结核分枝杆菌抗原CFP10-ESAT6或γ-分泌酶抑制剂(DAPT)(剂量分别为5 μM/L和10 μM/L)与CFP10-ESAT6联合在37℃、5% CO2条件下培养72 h。流式细胞荧光法通过检测CD4表面受体(FITC)和细胞内转录因子FoxP3 (PE)的表达来评估Treg淋巴细胞的数量。在肺结核患者的完整细胞培养中,Treg淋巴细胞的相对数量明显高于健康供者(p < 0.001)。在两组结核病患者中,CFP10-ESAT6抗原刺激细胞的同时,CD4+FoxP3+细胞的比例增加。在培养液中加入浓度为5 μM/L的γ-分泌酶抑制剂,对Treg淋巴细胞数量的影响无统计学意义。与CFP10-ESAT6抗原刺激相比,各组受试者DAPT浓度升高至10 μM/L时,Treg淋巴细胞数量减少。无论培养条件如何,耐药分枝杆菌患者的CD4+FoxP3+细胞数量均超过药敏肺结核患者。γ-分泌酶抑制剂(DAPT)在10 μM/L浓度下抑制Notch信号通路可导致药敏和耐药肺结核患者Treg淋巴细胞数量减少。γ-分泌酶抑制剂对Treg淋巴细胞数量的减少证实了Notch信号级联作为纠正Treg淋巴细胞免疫抑制活性和结核病发病治疗的潜在靶点的重要性。
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引用次数: 0
Role of morphogenic proteins of the WNT signaling pathway in coronary artery disease WNT信号通路的形态发生蛋白在冠状动脉疾病中的作用
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-rom-2835
I. Snimshchikova, M. Plotnikova
In recent years, researchers’ attention has been directed to the WNT signaling pathway study, which regulates embryogenesis processes and is involved in pathological condition development. The role of morphogenic proteins of WNT signaling pathway in the cardiovascular pathology genesis is practically not clear. The research aim was a comprehensive study of the main proteins of WNT signaling pathway (β-catenin, sclerostin, GSK-3α, GSK-3β, WIF-1 and DVL-1) in the blood serum of 353 patients with coronary artery disease acute forms who were treated at the Orel regional vascular center from 2019 to 2021, and 50 healthy individuals. A comprehensive analysis included an assessment of clinical, laboratory and instrumental parameters in the framework of current clinical guidelines, as well as an immunological examination to determine the morphogenic proteins of WNT signaling by enzyme immunoassay. The results showed a wide variability in the values of morphogenic proteins of WNT signaling pathway in the patient’s blood serum. The levels of β-catenin, WIF-1 and DVL-1 significantly exceeded those obtained in healthy individuals, while the concentrations of sclerostin and GSK-3β did not differ significantly from them. The level of GSK-3α of patients was twice lower than in healthy individuals. The highest sclerostin concentrations were found in patients with existing calcification of the aortic valve leaflets and aortic walls. Acute coronary syndrome unfavorable course was observed in patients with both extremely high and extremely low WIF-1 levels. Significant correlations were established between the level of morphogenic proteins of WNT signaling pathway and lipid metabolism, as well as myocardial remodeling. The obtained data on changes in the protein production of WNT signaling pathway allow us to expand our understanding of the molecular aspects of the immunopathogenesis of myocardial remodeling in coronary artery disease, increase the predictive potential for cardiovascular disease diagnosis and determine the vector for further development of cardioimmunology determination.
近年来,研究人员将注意力转向了调控胚胎发生过程并参与病理状态发展的WNT信号通路的研究。WNT信号通路的形态发生蛋白在心血管病理发生中的作用目前尚不清楚。本研究旨在全面研究2019 - 2021年在Orel地区血管中心接受治疗的353例急性冠状动脉疾病患者血清中WNT信号通路主要蛋白(β-catenin、sclerostin、GSK-3α、GSK-3β、wi -1和DVL-1)的表达情况。综合分析包括当前临床指南框架下的临床、实验室和仪器参数评估,以及通过酶免疫分析法确定WNT信号的形态发生蛋白的免疫学检查。结果显示,患者血清中WNT信号通路的形态发生蛋白值存在广泛的差异。β-catenin、WIF-1和DVL-1的水平显著高于健康个体,而硬化蛋白和GSK-3β的浓度与健康个体无显著差异。患者GSK-3α水平较健康人群低2倍。在主动脉瓣小叶和主动脉壁存在钙化的患者中发现最高的硬化蛋白浓度。在极高和极低的患者中均观察到急性冠状动脉综合征的不良病程。WNT信号通路形态发生蛋白水平与脂质代谢及心肌重构呈显著相关。获得的WNT信号通路蛋白产生变化的数据使我们扩大了对冠状动脉疾病心肌重构免疫发病机制的分子方面的认识,增加了心血管疾病诊断的预测潜力,并为进一步发展心脏免疫学测定确定了载体。
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引用次数: 0
Blood platelets in chronic graft-versus-host disease: association with Th1/Th2 ratio 慢性移植物抗宿主病的血小板:与Th1/Th2比值的关系
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-bpi-2708
О. P. Kolesnikova, Е. V. Goiman, I. Orlovskaya, Е. N. Demchenko, N. Volskiy, Е. D. Gavrilova
As found in clinical and laboratory studies, platelets not only play a key role in the processes of coagulation and thrombosis, but are also able to actively participate in other pathophysiological processes, including the development of immune reactions. It has been shown that changes in the immune system leading to systemic lupus erythematosus (SLE) are often accompanied by changes in the number of platelets and their activity in the peripheral blood of SLE patients, which correlate with the severity of the clinical manifestations of the disease. Earlier we have studied the standard experimental model of SLE in detail, based on the induction of chronic graft-versus-host disease (cGVHD) in the semi-allogeneic system DBA/2 → (C57Bl/6 x DBA/2)F1. However, the participation of platelets in this immunopathological process has not been studied. There are no data in the literature on the behavior of platelets in cGVHD or on their relationship with the state of Th1/Th2 balance. It can been expected that the platelet count changes according to the development of cGVHD in the used experimental model by analogy with the development of SLE in humans.In the experiments, we used female mice of the DBA/2 strain and (C57Bl/6 × DBA/2)F1 hybrids. Chronic GVHD in a semi-allogeneic system was induced by injecting DBA/2 mouse splenocytes into B6D2F1 hybrid mice: 60-70 × 106 cells intravenously twice with an interval of 6 days. The studied parameters were evaluated three months after the start of the experiment and the formation of lupus-like glomerulonephritis in animals with Th2-dependent cGVHD variant.A decrease in the number of erythrocytes and hemoglobin, a decrease in hematocrit and a parallel increase in the number of reticulocytes in the blood of mice with cGVHD are in good agreement with our earlier conclusion that these animals have autoimmune hemolytic anemia. It was found that, platelets increase significantly with the development of cGVHD unlike other blood cells. Secondary thrombocytosis is observed in the case of the Th2-dependent variant of сGVHD in this model of SLE, while in the group with the Th1-dependent variant of сGVHD, the average number of platelets in the blood does not differ from the control group.
临床和实验室研究发现,血小板不仅在凝血和血栓形成过程中发挥关键作用,而且能够积极参与其他病理生理过程,包括免疫反应的发生。研究表明,免疫系统的变化导致系统性红斑狼疮(SLE)的发生,往往伴随着SLE患者外周血血小板数量及其活性的变化,这与疾病临床表现的严重程度相关。前期我们在半异体系统DBA/2→(C57Bl/6 × DBA/2)F1诱导慢性移植物抗宿主病(cGVHD)的基础上,详细研究了SLE的标准实验模型。然而,血小板在这一免疫病理过程中的参与尚未得到研究。目前文献中没有关于cGVHD患者血小板行为及其与Th1/Th2平衡状态关系的资料。可以预期,在实验模型中,血小板计数随着cGVHD的发展而变化,类似于人类SLE的发展。在实验中,我们使用雌性小鼠DBA/2菌株和(C57Bl/6 × DBA/2)F1杂交。采用半同种异体系统,将DBA/2小鼠脾细胞注射到B6D2F1杂交小鼠体内:60-70 × 106个细胞,静脉注射2次,间隔6天。在实验开始3个月后评估研究参数以及th2依赖性cGVHD变异动物狼疮样肾小球肾炎的形成情况。cGVHD小鼠血液中红细胞和血红蛋白数量减少,红细胞压积减少,网状红细胞数量增加,这与我们先前的结论一致,即这些动物患有自身免疫性溶血性贫血。结果发现,与其他血细胞不同,血小板随着cGVHD的发展而显著增加。在该SLE模型中,在 gvhd - th2依赖性变体的情况下观察到继发性血小板增多,而在 gvhd - th1依赖性变体的组中,血液中血小板的平均数量与对照组没有差异。
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引用次数: 0
Hypoxia-induced factor-1α and markers of inflammation in patients with ischemic stroke 缺血性脑卒中患者缺氧诱导因子-1α与炎症标志物的关系
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-hif-2740
L. Pivovarova, I. Voznyuk, I. V. Osipova, O. Ariskina, E. A. Gogoleva, M. V. Prokhorova, N. G. Karpova
Ischemic stroke (IS) occurs as a result of local disturbance of hemocirculation and hypoxia in the brain tissue. Hypoxia-inducible factor-1α (HIF-1α), which is involved in the regulation of tissue oxygen levels, plays an important role in the pathophysiology of stroke, including neuronal survival, neuroinflammation, angiogenesis, glucose metabolism, blood-brain barrier permeability, and is important in IS outcomes. The purpose of the study was to determine the relationship between blood levels of HIF-1α and the degree of neurological deficit in the acute period of IS and the outcome of the disease. We examined 58 people with IS aged 73 (67-81) years. Patients were divided into two groups – discharged and dead. The severity of stroke (NIHSS), neurological deficit, comorbidity index, blood levels of HIF-1α, p53 protein, interleukin-6, cystatin C, CRP, creatinine, hematological parameters were determined at admission, on days 3 and 10 of the disease. At admission the blood levels of HIF-1α was lower than in the comparison group and remained reduced until the 10th day. On day 10 the association of HIF-1α with neurological deficit, comorbidity index and disease outcome was determined. We observed a feedback of HIF-1α with the content of erythrocytes, hemoglobin and hematocrit, which can be regarded as a reflection of the hemic component of mixed hypoxia. In dead patients, an increased blood level of cystatin C was detected, which was associated with HIF-1α concentrations. In all periods of observation of IS, a correlation between cystatin C and creatinine and CRP levels was noted. These results may indicate dysfunction of endotheliocytes, inflammation associated with hypoxia in IS. The prognostic significance of the blood level of HIF-1α on the 10th day for the outcome of IS was AUC = 0.900. Blood levels of HIF-1α in the acute period was associated with the severity of IS and the outcome of the disease.
缺血性中风是由于局部血液循环障碍和脑组织缺氧而发生的。缺氧诱导因子-1α (Hypoxia-inducible factor-1α, HIF-1α)参与组织氧水平的调节,在脑卒中的病理生理中发挥重要作用,包括神经元存活、神经炎症、血管生成、葡萄糖代谢、血脑屏障通透性,并在is预后中发挥重要作用。本研究的目的是确定IS急性期血液中HIF-1α水平与神经功能缺损程度及疾病结局之间的关系。我们检查了58例73岁(67-81)的IS患者。患者分为出院组和死亡组。测定患者入院时、发病第3天和第10天脑卒中严重程度(NIHSS)、神经功能缺损、合并症指数、HIF-1α、p53蛋白、白细胞介素-6、胱抑素C、CRP、肌酐、血液学参数。入院时血液中HIF-1α水平低于对照组,并持续降低至第10天。第10天测定HIF-1α与神经功能缺损、合并症指数和疾病结局的关系。我们观察到HIF-1α与红细胞、血红蛋白和红细胞压积的含量呈反馈关系,这可以看作是混合缺氧的血液成分的反映。在死亡患者中,检测到胱抑素C血药浓度升高,这与HIF-1α浓度有关。在观察IS的所有时期,胱抑素C、肌酐和CRP水平之间的相关性被注意到。这些结果可能表明内皮细胞功能障碍,炎症与缺氧相关。第10天血HIF-1α水平对IS预后的预测意义AUC = 0.900。急性期血液中HIF-1α水平与IS的严重程度和疾病结局相关。
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引用次数: 0
Effect of pregnancy-specific β1-glycoprotein on myeloid-derived suppressor cell differentiation 妊娠特异性β1-糖蛋白对髓源性抑制细胞分化的影响
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-eop-2838
V. Timganova, K. Shardina, M. Bochkova, S. Uzhviyuk, D. Usanina, S. Zamorina
Myeloid-derived suppressor cells (MDSCs) are a heterogeneous cell population that primarily suppress T lymphocytes in healthy pregnancies and pathologies. MDSCs are one of the key regulators of immune responses. Finding ways to control them is important for the treatment of cancer, autoimmune diseases, miscarriage, and post-transplant complications. The mechanisms of immune suppression by MDSC are: expression of CD73, ADAM17, PD -L1, production of Arg 1, iNOS, IDO, IL -10 and TGF-b1.Pregnancy-specific b1-glycoprotein (PSG) has modulatory effects on dendritic cells and macrophages that mediate the shift of T cell phenotypes toward Th2 and Treg. We have previously shown that native PSG suppresses Th17 differentiation and cytokine production, stimulates the production of IDO by monocytes and the differentiation of Tregs.Considering the immunomodulatory properties of PSG and the key role of MDSCs in pathologies, the aim of our work was to investigate the effect of native and recombinant PSG on the differentiation of MDSCs in vitro.MDSCs were differentiated from CD11b+ peripheral blood cells. Cells were cultured for 7 days and received stepwise GM-CSF, IL-1b, and LPS. Native (n) (1; 10 and 100 mg/mL) and recombinant (r) (1 and 10 mg/mL) PSG were introduced into the cultures three days before the end of incubation. Flow cytometry was used to determine the percentage of MDSC among the cells in culture and the percentage of M-, PMN-, and e-MDSC among the total number of MDSCs.It was found that rPSG (1 mg/mL) increased the percentage of MDSCs in culture. Both nPSG (1 and 10 mg/mL) and rPSG (10 mg/mL) increased the proportion of M-MDSC, whereas rPSG (10 mg/mL) decreased the number of PMN-MDSC.Thus, the cytokine background in CD11b+ cell cultures favored the differentiation of predominantly M-MDSC, similar to the tumor microenvironment, whereas native and recombinant PSG enhanced this effect. Thus, nPSG and rPSG are able to modulate the differentiation of MDSCs by increasing their number, mainly due to the monocytic subpopulation. This fact opens perspectives for new research on targeted manipulation of MDSCs.
髓源性抑制细胞(MDSCs)是一种异质细胞群,主要在健康妊娠和病理中抑制T淋巴细胞。MDSCs是免疫反应的关键调节因子之一。找到控制它们的方法对于治疗癌症、自身免疫性疾病、流产和移植后并发症非常重要。MDSC的免疫抑制机制为:表达CD73、ADAM17、PD -L1,产生Arg 1、iNOS、IDO、IL -10和TGF-b1。妊娠特异性b1糖蛋白(PSG)对树突状细胞和巨噬细胞具有调节作用,介导T细胞表型向Th2和Treg的转移。我们之前的研究表明,天然PSG抑制Th17分化和细胞因子的产生,刺激单核细胞产生IDO和treg的分化。考虑到PSG的免疫调节特性和MDSCs在病理中的关键作用,我们的工作目的是研究天然和重组PSG对MDSCs体外分化的影响。MDSCs由CD11b+外周血细胞分化而来。细胞培养7天,并逐步接受GM-CSF、IL-1b和LPS。本地(n) (1;10和100 mg/mL)和重组(r)(1和10 mg/mL)的PSG在培养结束前3天引入培养液。流式细胞术检测MDSC在培养细胞中的百分比,M-、PMN-、e-MDSC在MDSC总数中的百分比。结果发现,rPSG (1mg /mL)可提高培养MDSCs的百分比。nPSG(1、10 mg/mL)和rPSG (10 mg/mL)均增加了M-MDSC的比例,而rPSG (10 mg/mL)减少了PMN-MDSC的数量。因此,CD11b+细胞培养中的细胞因子背景有利于M-MDSC的主要分化,类似于肿瘤微环境,而天然和重组PSG增强了这种作用。因此,nPSG和rPSG能够通过增加其数量来调节MDSCs的分化,主要是由于单核细胞亚群。这一事实为靶向操纵MDSCs的新研究开辟了前景。
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引用次数: 0
Role of proinflammatory cytokines in Hashimoto's thyroiditis associated with psychiatric disorders 促炎细胞因子在桥本甲状腺炎相关精神疾病中的作用
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-rop-2812
P. Sobolevskaia, A. N. Gvozdeckii, I. Kudryavtsev, V. Chereshnev, L. P. Сhurilov
Mental disorders often accompany autoimmune diseases, for example, since 1949 it has been known about “myxedematous madness”, a psychosis caused by hypothyroidism. The most common cause of hypothyroidism is Hashimoto's autoimmune thyroiditis. It is also known about another neuropsychiatric disorder associated with autoimmune thyroiditis, Hashimoto's encephalopathy. It is a severe dysfunction of the central nervous system, the pathogenesis of which is not associated with hormonal disorders. Cytokines are regulators and participants of inflammation, including autoimmune. Certainly, when we are talking about high concentrations cytokines, we mean systemic inflammation. The minimal or mediocre fluctuations in cytokines within the ranges that are characteristic of healthy status or normergic acute phase response in disease cannot be interpreted from the point of view of binary endocrinological logic. In the CNS, cytokines are able to influence on the neuroendocrine control of systemically regulated functions. It is also important that glial cells (astroglia, microglia) are capable of producing a number of cytokines and can affect neurons and develop behavioral changes. In addition, the ability of a number of cytokines outside the CNS itself to act on vagal afferents and through them to convey information to the CNS, affecting its state and functions, has been proven. It is reasonable to assume that minimal fluctuations in cytokine levels may also affect the state and function of the CNS. The aim of the study was to investigate the levels of cytokines in patients with thyroiditis; in patients with thyroiditis associated with mental disorders; in a group of healthy individuals; and evaluate the effect of cytokine levels on clinical manifestations. In the group of patients with thyroiditis and mental disorders, the levels of CCL20/MIP3α, IL-13, IL-2, IL-27, IL-5 were significantly higher than in other groups. At the same time, no positive correlation was found between the clinical manifestations of mental disorders and the levels of cytokines. A positive correlation was found between the levels of some cytokines and free triiodothyronine, as well as the level of antithyroid antibodies. Mental disorders associated with autoimmune thyroiditis may be associated with changes in the cytokine profile and result from neuroinflammation.
精神障碍往往伴随着自身免疫性疾病,例如,自1949年以来,人们已经知道了“黏液性水肿性疯狂”,这是一种由甲状腺功能减退引起的精神病。甲状腺功能减退症最常见的原因是桥本氏自身免疫性甲状腺炎。另一种与自身免疫性甲状腺炎相关的神经精神疾病桥本脑病也是已知的。这是一种中枢神经系统的严重功能障碍,其发病机制与激素紊乱无关。细胞因子是炎症的调节者和参与者,包括自身免疫。当然,当我们谈论高浓度细胞因子时,我们指的是全身性炎症。细胞因子在健康状态或疾病正常急性期反应范围内的微小或中等波动不能从二元内分泌逻辑的角度来解释。在中枢神经系统中,细胞因子能够影响系统调节功能的神经内分泌控制。同样重要的是,神经胶质细胞(星形胶质细胞、小胶质细胞)能够产生许多细胞因子,并能影响神经元并产生行为改变。此外,CNS自身之外的许多细胞因子作用于迷走神经传入事件并通过它们向CNS传递信息,影响其状态和功能的能力已被证实。我们有理由认为,细胞因子水平的微小波动也可能影响中枢神经系统的状态和功能。该研究的目的是调查甲状腺炎患者的细胞因子水平;甲状腺炎伴精神障碍患者;在一群健康的个体中;并评价细胞因子水平对临床表现的影响。甲状腺炎合并精神障碍患者CCL20/MIP3α、IL-13、IL-2、IL-27、IL-5水平显著高于其他组。同时,精神障碍的临床表现与细胞因子水平无正相关关系。一些细胞因子水平与游离三碘甲状腺原氨酸水平以及抗甲状腺抗体水平呈正相关。与自身免疫性甲状腺炎相关的精神障碍可能与细胞因子谱的变化有关,并且是神经炎症的结果。
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引用次数: 0
Cholecalciferol as a means of nonspecific immunoprophylaxis against COVID-19 胆骨化醇作为COVID-19非特异性免疫预防手段的研究
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-caa-2849
O. V. Berdiugina, E. Gusev
The current direction of scientific research in recent years has been the study of the immunobiological properties of vitamin D. The purpose of this work was to analyze the results of oral administration of cholecalciferol in order to prevent infection with the SARS-CoV-2 virus in the first wave of the COVID-19 pandemic. The study was performed in the period from October 07 to December 29, 2020, when there were no immunobiological drugs for specific prevention of COVID-19. The total number of respondents was 73 people; all had been ill with coronavirus only once. The etiological diagnosis of the disease included molecular genetic testing of samples of two localizations obtained by the conventional method (nasopharynx, oropharynx). The concentration of antibodies to the virus was determined on average 2 months after the disease using a set of reagents SARS-CoV-2-IgG quantitative-ELISA-Best (JSC Vector-Best, Russia). An approximate assessment of IgM concentration was carried out using a set of SARS-CoV-2-IgM-ELISA-Best from the same manufacturer. Among the study participants were those who used immunobiological drugs for the prevention of infection (riamilovir, umifenovir hydrochloride monohydrate, human recombinant interferon alpha-2b, zinc acetate, vitamin C). In particular, 28 people (38.4%) took cholecalciferol (group No. 1) and 45 people (61.6%) did not use this (group No. 2). Statistical processing of the obtained data was performed using the statistical package STATISTICA v.12.5.192.5 (StatSoft, Inc., USA). We applied the analysis of basic statistics, Linear Discriminant Analysis, Kolmogorov–Smirnov test, Chi-Square test, Wald–Wolfowitz Runs Test, Kruskal– Wallis test. Differences in the incidence of respiratory distress syndrome of the two studied groups were revealed: in patients taking cholecalciferol, the syndrome did not develop at all; in group No. 2, it was registered in 20.0% of cases (Chi-Square = 5.242, p = 0.02). In addition, in patients of group No. 1, the concentration of IgG 2 months after the disease was 3.8 times higher than the values in group No. 2 (Chi-Square = 9.268, p = 0.003). Similar differences were found for the IgM level (Wilks' Lambda: 0.659 approx. F (7.32) = 2.367 p < 0.045). It was known that in both groups there were respondents who used other immuno-active substances for preventive purposes. In the first group there were 18 people (24.7% of all); in the second, there were 13 people (17.8% of all). It was found that those who used other immuno-active substances and did not take vitamin D suffered the disease more easily than everyone else. The respondents who did not use any immunoprophylactic agents were the next in terms of the severity of the infection. The respondents who took cholecalciferol mainly assessed the severity of the infection as average. The study participants who took both vitamin D and used other means of prevention suffered the most from COVID-19. Respondents who took cholecalciferol more oft
近年来的科学研究方向是维生素d的免疫生物学特性的研究,本工作的目的是分析口服胆钙化醇在COVID-19大流行第一波中预防SARS-CoV-2病毒感染的结果。研究时间为2020年10月07日至12月29日,这段时间没有特异性预防COVID-19的免疫生物学药物。调查对象总数为73人;所有人都只感染过一次冠状病毒。本病的病因诊断包括对常规方法(鼻咽部、口咽部)获得的两个定位样本进行分子基因检测。使用SARS-CoV-2-IgG定量elisa - best(俄罗斯JSC Vector-Best)试剂盒,平均在发病后2个月测定病毒抗体浓度。使用同一制造商的一套sars - cov -2-IgM- best elisa试剂盒对IgM浓度进行近似评估。研究对象中使用免疫生物学预防感染药物(利亚米洛韦、盐酸一水合乌米诺韦、人重组干扰素α -2b、醋酸锌、维生素C),其中28人(38.4%)使用胆钙化醇(1组),45人(61.6%)未使用胆钙化醇(2组)。使用统计软件包STATISTICA v.12.5.192.5 (StatSoft, Inc., USA)对获得的数据进行统计处理。我们运用了基本统计分析、线性判别分析、Kolmogorov-Smirnov检验、卡方检验、Wald-Wolfowitz运行检验、Kruskal - Wallis检验。两组呼吸窘迫综合征发生率的差异显示:服用胆骨化醇的患者,呼吸窘迫综合征根本没有发生;第2组有20.0%的病例登记(χ 2 = 5.242, p = 0.02)。另外,1组患者发病后2个月IgG浓度是2组的3.8倍(χ 2 = 9.268, p = 0.003)。在IgM水平上也发现了类似的差异(Wilks’Lambda: 0.659)。F (7.32) = 2.367, p < 0.045)。众所周知,在这两组中,都有应答者出于预防目的使用其他免疫活性物质。第一组18人(占总人数的24.7%);第二组有13人(17.8%)。研究发现,那些使用其他免疫活性物质而不服用维生素D的人比其他人更容易患这种疾病。未使用任何免疫预防药物的应答者感染严重程度次之。服用胆骨化醇者主要评估感染严重程度为平均。服用维生素D并使用其他预防手段的研究参与者患COVID-19的风险最大。服用胆钙化醇的应答者比其他人更常报告长期疲劳、慢性疾病加重和新疾病的出现(高血压、心绞痛、支气管哮喘、过敏、视力下降),以及首次出现的肌肉、关节和脊椎疼痛。我们之前描述了COVID-19患者的关节痛等大关节病变现象。其他作者的研究也报告了频繁的疲劳和关节疼痛。与此同时,维生素D的作用完全是从新型冠状病毒感染中维生素缺乏的角度来考虑的,以及它在抑制高炎症反应、加速受影响部位(特别是肺组织)愈合过程中的潜在作用。研究发现,维生素D的摄入并不影响发烧的发生率、肺炎的发生率、肺组织损伤的体积(基于计算机断层扫描数据)、住院时间和整个疾病,也没有阻止嗅觉缺失和嗅觉障碍的发展。使用维生素D作为预防SARS-CoV-2病毒感染的保护剂,对减少疾病期间呼吸窘迫综合征病例的频率/预防产生了影响。此外,服用维生素D的人在感染2个月后对SARS-CoV-2病毒的IgG形成增加,比不服用胆钙化醇的人高3.8倍。服用胆骨化醇的参与者感染更严重,特别是如果他们使用任何其他保护性物质。此外,随着COVID-19后预防性摄入维生素D,疲劳感持续时间更长,慢性病的出现和激活以及首次出现的肌肉、关节和椎体疼痛的报告频率更高,这与我们之前收到的数据相关。
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引用次数: 0
Features of changes in the expression level of TNFα receptors and the functional response of cell lines upon stimulation with various doses of cytokine 不同剂量细胞因子刺激下细胞TNFα受体表达水平的变化特征及功能反应
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-foc-2718
Yu. A. Lopatnikova, Y. Zhukova, A. Alshevskaya, I. Obleukhova, F. Kireev, I. Belomestnova, S. Sennikov
TNFa is a pro-inflammatory cytokine that is signaled through type 1 (TNFR1) and type 2 (TNFR2) receptors. TNFR1 normally mediates apoptosis, cell survival, and cytokine secretion, while TNFR2 selectively mediates cell survival and cytokine secretion. But in some cases, when receptors are activated, the functional response of cells changes to the opposite. Activation of signaling pathways has its own triggers, which differ in the interaction between different forms of cytokine and different forms of receptor complexes, as well as changes in the ratio of different types of receptors. The study of the mechanisms of regulation in the ligand-receptor system is a priority task for many studies. This work shows the dose-dependent effect of TNFa on the expression of cytokine receptors and changes in the functional response of tumor cell lines of various origins. For this, a comparative assessment of the expression and co-expression of receptors, cell cycle phases and apoptosis of cell lines without stimulation and stimulated with TNFa at concentrations of 5 and 50 ng/mL was carried out. It was found that the K562 cell line was characterized by more pronounced changes in receptor co-expression, which were observed at a TNFa concentration of 50 ng/mL compared to both the control group and the 5 ng/mL group. The decrease in the relative content of cells expressing only TNFR1 was combined with a decrease in the percentage of cells in apoptosis, which confirms the literature data on the role of this receptor in the development of apoptosis. At the same time, no changes in expression density were observed for this cell line. For the ZR75-1 cell line, the largest number of effects was also found for a TNFa concentration of 50 ng/mL. An increase in the relative content of cells expressing only TNFR2 was combined with an increase in apoptosis; however, the expression density of this type of receptor was low, which could affect the switching of signaling pathways towards proapoptotic ones. Thus, our study allowed us to reveal the features of changes in the expression and co-expression of TNFa receptors characteristic of cell lines of various origins, as well as changes in the functional response of cells in response to stimulation with different doses of cytokine. All this allows us to expand our understanding of the regulatory mechanisms in the cytokine-receptor system.
TNFa是一种促炎细胞因子,通过1型(TNFR1)和2型(TNFR2)受体发出信号。TNFR1通常介导细胞凋亡、细胞存活和细胞因子分泌,TNFR2选择性介导细胞存活和细胞因子分泌。但在某些情况下,当受体被激活时,细胞的功能反应会发生相反的变化。信号通路的激活有其自身的触发因素,不同形式的细胞因子与不同形式的受体复合物的相互作用不同,不同类型受体的比例也不同。对配体-受体系统的调控机制的研究是许多研究的重点。这项工作显示了tnf对不同来源肿瘤细胞系细胞因子受体表达和功能反应变化的剂量依赖性作用。为此,对未受5和50 ng/mL浓度TNFa刺激和未受TNFa刺激的细胞系的受体表达和共表达、细胞周期期和凋亡进行了比较评估。结果发现,与对照组和5 ng/mL组相比,在TNFa浓度为50 ng/mL时,K562细胞系的受体共表达发生了更明显的变化。仅表达TNFR1的细胞相对含量的下降与凋亡细胞百分比的下降相结合,证实了文献中关于该受体在细胞凋亡发生中的作用。同时,该细胞系的表达密度未见变化。对于ZR75-1细胞系,TNFa浓度为50 ng/mL时也发现了最多的影响。仅表达TNFR2的细胞相对含量的增加与凋亡的增加相结合;然而,这种受体的表达密度较低,可能影响信号通路向促凋亡通路的转换。因此,我们的研究揭示了不同来源细胞系TNFa受体的表达和共表达变化特征,以及细胞在不同剂量细胞因子刺激下的功能反应变化。所有这些都使我们能够扩大对细胞因子受体系统调节机制的理解。
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引用次数: 0
Features of parameters of cellular immune depending on the activity of foci of demyelination in children with multiple sclerosis 多发性硬化症儿童脱髓鞘病灶活动对细胞免疫参数的影响
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-fop-2777
T. Radygina, D. Kuptsova, O. Kurbatova, S. Petrichuk, E. Semikina, A. Fisenko, L. M. Abdullaeva, B. Bursagova
MS is a common disease of the central nervous system that leads to disability and reduced quality of life. The debut of disease in 3-5% of patients occurs in childhood and has a less favorable course compared to adults. MS is caused by the activation of autoreactive T cells in the breakdown of peripheral tolerance, which is normally controlled by regulatory T cells (Tregs). It is promising to study expression of CD39 and CD73 in Treg and Th17 populations to assess their suppressive activity. Aim is to evaluate content of major and minor lymphocyte populations and expression of CD39 and CD73 in CD4+ lymphocyte population in children with MS. 111 children with MS were examined, 66 with contrast-negative lesions on MRI (Group 1), 45 with contrast-positive lesions (Group 2). The comparison group consisted of 46 healthy children (Group 3). Content of T, B, NK lymphocytes, Treg (CD4+CD25highCD127low), Thact (CD4+CD25highCD127high), Th17 cells (CD3+CD4+CD161+); expression of CD39 and CD73 in Treg, Th17 and Thact was performed by flow cytometry. An increase in content of T helpers, a decrease in NK cells in patients in group 2 was revealed. An increase in number of Thact and Th17 lymphocytes was obtained in patients of both groups with MS. Number of Tregs in group 1 was significantly higher than in group 3. Ratio of cells expressing CD39 and CD73 in MS patients depended on lymphocyte population as well as in the group 3. The highest content of CD39+ cells was observed in Treg population, and the lowest in Thact population. For CD73 expression, on the contrary, the highest expression of CD73 was observed in Thact cells, the lowest in Treg. When comparing groups of patients, it was found that in patients of group 1, number of cells expressing CD39 ectonucleotidase was significantly increased, and number of supTh17 was comparable with group 3. In both groups of MS patients, an increase in CD73 counts in Treg, Thact and Th17 was observed. Thus, informative populations of lymphocytes (CD4+ cells, Treg, CD39+Treg, supTh17) have been identified, which can be used to monitor condition of children with multiple sclerosis.
多发性硬化症是一种常见的中枢神经系统疾病,会导致残疾和生活质量下降。3-5%的患者发病于儿童期,病程较成人差。MS是由自身反应性T细胞在破坏外周耐受性时激活引起的,这通常由调节性T细胞(Tregs)控制。研究CD39和CD73在Treg和Th17群体中的表达,以评估它们的抑制活性是有希望的。目的评价多发性硬化症患儿主要淋巴细胞群和次要淋巴细胞群的含量及CD4+淋巴细胞群中CD39和CD73的表达,共检测111例多发性硬化症患儿,其中MRI造影阴性66例(1组),造影阳性45例(2组)。对照组为健康儿童46例(3组),T、B、NK淋巴细胞、Treg (CD4+ cd25high - cd127low)、Thact (CD4+ cd25high - cd127high)、Th17细胞(CD3+CD4+CD161+)的含量;流式细胞术检测Treg、Th17和Thact中CD39和CD73的表达。2组患者辅助T细胞含量增加,NK细胞减少。两组ms患者Thact和Th17淋巴细胞数量均增加,1组treg数量明显高于3组。MS患者中表达CD39和CD73的细胞比例依赖于淋巴细胞群和对照组。CD39+细胞在Treg群体中含量最高,Thact群体中含量最低。对于CD73的表达,相反,CD73在Thact细胞中表达最高,在Treg细胞中表达最低。在患者组间比较时,发现1组患者表达CD39外核苷酸酶的细胞数量明显增加,而supTh17的数量与3组相当。在两组MS患者中,观察到Treg, Thact和Th17中的CD73计数增加。因此,淋巴细胞(CD4+细胞,Treg, CD39+Treg, supTh17)的信息性群体已被确定,可用于监测多发性硬化症儿童的状况。
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引用次数: 0
Itaconate-mediated inhibition of succinate dehydrogenase regulates cytokine production in LPS-induced inflammation itaconate介导的琥珀酸脱氢酶抑制lps诱导炎症中细胞因子的产生
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-imi-2841
D. E. Anisov, M. Drutskaya, M. A. Nosenko, S. Nedospasov
Itaconate is an immunoregulatory metabolite produced by myeloid cells and plays a key role in the regulation of the immune response. Itaconate, on the one hand, is able to suppress the activity of succinate dehydrogenase (SDH), thereby making a significant contribution to the metabolic reprogramming of the cell. On the other hand, itaconate can regulate the activity of a number of transcription factors and transcription regulators, thereby affecting gene expression. In most experimental studies, itaconate has been characterized predominantly as an anti-inflammatory agent. In particular, itaconate produced by activated macrophages inhibits the production of cytokines TNF, IL-1b, IL-6, IL-10. However, some evidence suggests a pro- inflammatory role for itaconate in a number of mouse disease models. Thus, the deletion of the Acod1 gene responsible for the production of itaconate leads to the suppression of the production of TNF and IL-6 in the mouse polymicrobial sepsis model, which means that in the context of inflammation in vivo, itaconate can act as an inducer of pro-inflammatory cytokines. The mechanism of itaconate regulation of cytokine production in systemic inflammation remains unexplored. In this work, we have shown that injection of itaconate and its derivative dimethyl itaconate into mice, followed by induction of inflammation by bacterial lipopolysaccharide (LPS), leads to changes in the content of cytokines in the blood. Interestingly, the systemic production of IL-6 and IL-10 in response to itaconate is increased, contrary to the results previously obtained in cell cultures. At the same time, IFNg production, on the contrary, is suppressed. Apparently, itaconate regulates the production of cytokines in vivo by suppressing the activity of SDH. Injection of the SDH inhibitor, dimethylmalonate, followed by induction of inflammation in mice, results in similar changes in blood cytokines observed in response to itaconate: increased production of IL-6, IL-10 and suppression of IFNg production. On the contrary, the addition of succinate, a SDH substrate, leads to the opposite effect on cytokine production. Thus, it can be assumed that the observed effects of itaconate on cytokine production in the model of LPS-induced inflammation are mediated by its ability to inhibit SDH. These results help to understand the controversial role of itaconate in inflammation and shed light on a previously undescribed relationship between SDH and cytokine production in inflammation in vivo.
衣康酸是一种由骨髓细胞产生的免疫调节代谢物,在调节免疫应答中起关键作用。衣康酸一方面能够抑制琥珀酸脱氢酶(SDH)的活性,从而对细胞的代谢重编程做出重要贡献。另一方面,衣康酸可以调节多种转录因子和转录调节剂的活性,从而影响基因表达。在大多数实验研究中,衣康酸主要被认为是一种抗炎剂。特别是,活化的巨噬细胞产生衣康酸抑制细胞因子TNF, IL-1b, IL-6, IL-10的产生。然而,一些证据表明衣康酸在许多小鼠疾病模型中具有促炎作用。因此,在小鼠多微生物脓毒症模型中,衣康酸产生的Acod1基因缺失导致TNF和IL-6的产生受到抑制,这意味着在体内炎症的背景下,衣康酸可以作为促炎细胞因子的诱诱剂。衣康酸调节全身性炎症中细胞因子产生的机制尚不清楚。在这项工作中,我们已经证明,将衣康酸及其衍生物二甲基衣康酸注射到小鼠体内,然后通过细菌脂多糖(LPS)诱导炎症,导致血液中细胞因子含量的变化。有趣的是,与之前在细胞培养中获得的结果相反,衣康酸的全身IL-6和IL-10的产生增加了。与此同时,IFNg的生产反而受到抑制。显然,衣康酸通过抑制SDH活性来调节体内细胞因子的产生。注射SDH抑制剂二甲基丙二酸酯,然后在小鼠中诱导炎症,结果在对衣康酸的反应中观察到类似的血液细胞因子变化:IL-6、IL-10的产生增加,IFNg的产生受到抑制。相反,添加琥珀酸盐(SDH底物)会对细胞因子产生相反的影响。因此,我们可以假设,在lps诱导的炎症模型中,衣康酸对细胞因子产生的影响是通过其抑制SDH的能力介导的。这些结果有助于理解衣康酸在炎症中的有争议的作用,并阐明了先前描述的体内炎症中SDH和细胞因子产生之间的关系。
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Medical Immunology (Russia)
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