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Patterns in the development of collective immunity to SARS-CoV-2 during the COVID-19 pandemic COVID-19大流行期间SARS-CoV-2集体免疫发展模式
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-pit-2867
A. Popova, V. S. Smirnov, S. Egorova, I. Drozd, A. M. Milichkina, A. M. Dashkevich, Z. Nurmatov, G. Melik-Andreasyan, M. Ruziev, A. Totolian
The ongoing coronavirus disease (COVID-19) pandemic over the past three years has caused close attention to the problem of herd immunity, which is understood as: "resistance to the spread of a contagious disease within a population or herd". Collective immunity is formed both as a result of infection (natural spread of the pathogen in a population of susceptible individuals) and as a result of the use of specific vaccines. During the COVID-19 pandemic, both mechanisms for the formation of collective immunity were realized. In the first wave, there was a natural formation of collective immunity to the virus following recoveries from COVID-19 caused by pandemic spread of SARS-CoV-2. Starting from December 2020, the widespread use of specific vaccines against SARS-CoV-2 began in the USA, Great Britain, China, Russia, and a number of other countries. This launched the process of post-vaccination collective immunity formation; its features have depended on the vaccine types implemented. Currently, in those countries where vaccination and revaccination of recovered patients is widely carried out, immunity is "hybrid" in nature. Several commonalities should be noted in the pandemic experience: a somewhat regular, periodic (wavelike) nature of the COVID-19 epidemic process; changes in pathogen genetics in variants in all countries; and expansive mass vaccination programs in many populations. From these, we can draw some conclusions about the general trend for all countries in the formation of collective immunity during the pandemic: At the beginning of the pandemic in 2020, overall population seroprevalence did not exceed 20%. Other findings were: the highest seroprevalence rates were noted in the children's age group; pronounced regional differences were revealed; and the highest indicators were noted among medical workers. Collective immunity developed as a result of infection or illness, and in the majority of seropositive volunteers, it was represented by antibodies to both antigens. At the height of the pandemic in the summer of 2021, population seroprevalence reached 50%. This was due to both a significant number of convalescents and the start of mass vaccination campaigns. In all countries, specific differences in seroprevalence (by age, region, profession) leveled out, leading to more uniformity. During this period, the formation of "hybrid" immunity is clearly prominent, and the proportion of individuals with antibodies to RBD alone increased (due to vaccination with vector vaccines).  Later, mass vaccination, as well as involvement of most of the population in the epidemic process due to the emergence of the highly contagious Omicron strain, raised the level of collective immunity to 80-90%. This led to a sharp decrease in COVID-19 incidence in the second half of 2022 in all countries participating in the study. In the later stages of the pandemic (2022-2023), almost 90% of seropositive volunteers had hybrid immunity, reflected as antibodies to
过去三年持续的冠状病毒病(COVID-19)大流行引起了人们对群体免疫问题的密切关注,群体免疫被理解为:“抵抗传染病在人群或群体中传播”。集体免疫是由于感染(病原体在易感人群中自然传播)和使用特定疫苗而形成的。在2019冠状病毒病大流行期间,这两种形成集体免疫的机制都实现了。在第一波浪潮中,由于SARS-CoV-2的大流行传播,人们从COVID-19中恢复过来,自然形成了对病毒的集体免疫力。从2020年12月开始,美国、英国、中国、俄罗斯和其他一些国家开始广泛使用针对SARS-CoV-2的特异性疫苗。这启动了疫苗接种后集体免疫形成的进程;它的特点取决于所使用的疫苗类型。目前,在那些广泛开展康复患者疫苗接种和再接种的国家,免疫是“混合型”的。在大流行经验中应该注意到几个共同点:COVID-19流行过程具有一定的规律性、周期性(波浪式);所有国家变异病原体遗传学的变化;以及在许多人群中扩大大规模疫苗接种计划。由此,我们可以得出关于大流行期间所有国家形成集体免疫的总体趋势的一些结论:在2020年大流行开始时,总体人群血清阳性率未超过20%。其他发现包括:儿童年龄组的血清患病率最高;明显的地区差异显露出来;医疗工作者的指标最高。集体免疫是由于感染或疾病而产生的,在大多数血清呈阳性的志愿者中,集体免疫表现为对这两种抗原的抗体。在2021年夏季大流行高峰期,人口血清阳性率达到50%。这是由于大量康复者和大规模疫苗接种运动的开始。在所有国家,血清患病率的具体差异(按年龄、地区、职业划分)趋于平稳,从而更加统一。在此期间,“混合”免疫的形成明显突出,单独具有RBD抗体的个体比例增加(由于接种了载体疫苗)。后来,大规模接种疫苗,以及由于高传染性欧米克隆菌株的出现而使大多数人口参与流行过程,将集体免疫水平提高到80-90%。这导致所有参与研究的国家在2022年下半年的COVID-19发病率急剧下降。在大流行的后期阶段(2022-2023年),几乎90%的血清阳性志愿者具有混合免疫,反映为对两种抗原(Nc, RBD)的抗体。
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引用次数: 0
Dynamics of cellular immunity indicators in the complex treatment of acute optic neuritis 细胞免疫指标在急性视神经炎综合治疗中的动态变化
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-doc-2741
D. Storozhilova, O. V. Kolenko, L. Danilova, L. P. Emanova, I. Vasilieva
An increase in the incidence of optic neuritis among the working-age population, as well as an unpromising prognosis for vision due to the development of optic nerve atrophy, determines the high social significance of this problem. The aim of the work is to analyze the effect of Imunofan at the parameters of cellular immunity and clinical symptoms of the disease in the complex treatment of optic neuritis associated with herpes virus infection. The study involved 37 people (37 eyes) with acute optic neuritis associated with herpes infection. The treatment regimen included the appointment of a dexamethasone solution according to a decreasing scheme, a 1% solution of the drug Emoxipin 0.5 mL and a 12.5% solution of the drug Dicynone 0.5 mL through an irrigation system implanted in the retrobulbar space, in combination with the neuroprotection drugs (Pikamilon and Semax) for 10 days. All patients were divided into 2 groups. The main group consisted of 20 patients who received Imunofan to the treatment regimen in addition. The comparison group included 17 patients who were treated only according to the method described above. The course of treatment lasted 10 days. The analysis of the data showed a more significant positive dynamics of cellular immunity parameters in those who received immunotherapy. Our studies showed the effectiveness of this drug in the complex treatment of optic neuritis associated with herpes infection, what is confirmed by the acceleration of inflammation relief, a more significant increase in visual functions of patients treated with Imunofan, and a lower percentage of optic nerve atrophy. In this group of patients, changes in the parameters of the cellular link of immunity occurred earlier and remained stable throughout the entire period of observation. According to our data, an intergroup assessment of the immunoregulatory index showed its faster increase in patients of the comparison group who received Imunofan, and reached normal values already 6 months after treatment. The clinical effectiveness of Imunofan in the complex therapy of optic neuritis associated with herpes infection was characterized by a reduction in the period of relief of signs of inflammation in the optic nerve by 2 times or more, by an increase in the maximum corrected visual acuity by 4.5 times, and by a decrease in the incidence of recurrence of optic neuritis by 2 times over a 12 months observation period.
视神经炎在劳动年龄人群中发病率的增加,以及视神经萎缩的发展导致视力预后不佳,决定了这一问题的高度社会意义。本工作的目的是分析免疫凡在细胞免疫和疾病临床症状参数下对疱疹病毒感染相关视神经炎的综合治疗效果。该研究涉及37人(37只眼睛)与疱疹感染相关的急性视神经炎。治疗方案包括:按减量方案使用地塞米松溶液,1%莫西平溶液0.5 mL和12.5%迪赛诺溶液0.5 mL,通过球后间隙灌洗系统植入,联合使用神经保护药物(pickamilon和Semax) 10天。所有患者分为两组。主要组为20例在治疗方案基础上加用免疫凡的患者。对照组17例患者仅按上述方法治疗。疗程为10 d。数据分析显示,在接受免疫治疗的患者中,细胞免疫参数有更显著的正动态变化。我们的研究表明,这种药物在疱疹感染相关视神经炎的复杂治疗中是有效的,这一点可以通过炎症缓解的加速、使用免疫凡治疗的患者视觉功能的更显着增加和视神经萎缩的比例更低来证实。在这组患者中,免疫细胞环节参数的变化发生得更早,并在整个观察期间保持稳定。根据我们的数据,免疫调节指数的组间评估显示,对照组接受免疫粉治疗的患者的免疫调节指数上升更快,并且在治疗6个月后已达到正常值。在12个月的观察期内,免疫凡对疱疹感染相关视神经炎综合治疗的临床效果表现为:视神经炎症症状缓解期缩短2倍或更多,最大矫正视力提高4.5倍,视神经炎复发率降低2倍。
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引用次数: 0
Changes in the composition of the intestinal microbiota, associated with IL-6 deficiency 肠道菌群组成的改变与IL-6缺乏有关
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-cit-2797
E. Gubernatorova, A. I. Polinova, T. Yurakova, S. Nedospasov, М. S. Drutskaya
Interleukin-6 (IL-6) is a broad-spectrum cytokine involved in the immune, nervous, and endocrine regulation of many biological processes. IL-6 performs both homeostatic and pathogenic functions. It is one of the key factors in the cytokine storm in COVID-19, and it also controls the production of acute phase proteins during inflammation. IL-6 is involved in the maintenance of intestinal homeostasis and is required for both the induction of inflammation and the repair of the injured intestinal tissue. In turn, the commensal microbiota, represented by eukaryotes, prokaryotes, and viruses, is one of the key factors modulating the immune response in the gut. The predominance of certain groups of commensal microorganisms is associated with the development of intestinal inflammation, while probiotics and antibiotics are successfully used to control inflammatory bowel disease. IL-6 is also necessary to maintain the barrier function of the intestine by modulating the proliferation of intestinal cells, which is necessary for their timely renewal both in homeostasis and inflammation. It has been established that the genetic inactivation of IL6 contributes to the development of intestinal inflammation, while the involvement of IL-6 in the control of the gut microbiota composition remains unclear. To investigate this issue, we analyzed stool samples from wild-type naive mice and mice deficient in IL6 (IL-6 KO) generated on the C57Bl/6 genetic background. It has been determined that IL-6 KO shows significant changes in some taxonomic groups of commensals, which may explain the sensitivity of IL-6 KO to the development of colitis. Interestingly, the relative contents of Firmicutes and Clostridiales are significantly reduced, whereas Bacteroides are increased in IL-6 KO as compared with wild-type mice. Our data on the reduction of Firmicutes, Lactobacillaceae, and other large taxa in IL-6 deficient mice suggest that the microbiota composition of IL-6 KO mice is somewhat similar to that of mice with chronic intestinal inflammation. Our study serves as a perspective for further research on the contribution of IL-6-mediated changes in the microbiota composition to the maintenance of intestinal homeostasis and the development of chronic gut inflammation.
白细胞介素-6 (IL-6)是一种广谱细胞因子,参与免疫、神经和内分泌等许多生物过程的调节。IL-6具有稳态和致病功能。它是COVID-19细胞因子风暴的关键因素之一,也控制炎症期间急性期蛋白的产生。IL-6参与维持肠道内稳态,是诱导炎症和修复受损肠道组织所必需的。反过来,以真核生物、原核生物和病毒为代表的共生微生物群是调节肠道免疫反应的关键因素之一。某些群体的共生微生物的优势与肠道炎症的发展有关,而益生菌和抗生素被成功地用于控制炎症性肠病。IL-6也是维持肠道屏障功能所必需的,通过调节肠道细胞的增殖,这是肠道细胞在稳态和炎症状态下及时更新所必需的。已经确定IL-6的基因失活有助于肠道炎症的发展,而IL-6参与肠道微生物群组成的控制尚不清楚。为了研究这一问题,我们分析了野生型幼稚小鼠和C57Bl/6遗传背景下产生的IL-6 (IL-6 KO)缺失小鼠的粪便样本。已确定IL-6 KO在共生植物的某些分类群中表现出显著的变化,这可能解释了IL-6 KO对结肠炎发展的敏感性。有趣的是,与野生型小鼠相比,IL-6 KO中厚壁菌门(Firmicutes)和梭菌门(Clostridiales)的相对含量显著降低,而拟杆菌门(Bacteroides)的相对含量升高。我们关于IL-6缺乏小鼠中厚壁菌门、乳酸杆菌科和其他大型类群减少的数据表明,IL-6 KO小鼠的微生物群组成与慢性肠道炎症小鼠的微生物群组成有些相似。我们的研究为进一步研究il -6介导的微生物群组成变化对肠道稳态维持和慢性肠道炎症发展的贡献提供了一个视角。
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引用次数: 0
Comparative analysis of the expression of the soluble IL-7 receptor in patients with arthropathy 可溶性IL-7受体在关节病患者中表达的比较分析
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-cao-2758
A. V. Kolerova, O. A. Angelskaya, O. Chumasova, A. Sizikov, I. Shirinsky, V. Shirinsky, E. Blinova
Arthropathy is one of the most prevalent diseases, which are based on the destruction and remodeling of cartilage and bone tissue. The inflammation that precedes destruction can be caused by mechanical stress on the joints, or by autoimmune reactions. Recently, IL-7 is considered as one of the key cytokines that promote the production of matrix metalloproteinases, catabolic enzymes, T cell-mediated activation of monocytes, and maturation of osteoclasts. The soluble form of the IL-7 receptor can help prolong the lifespan of IL-7 and thereby it ensures the bioavailability of the cytokine and mediates effect of IL-7 on cells. The aim of this study was to determine the soluble form of the IL-7 receptor (sIL-7R) in the blood plasma of patients with rheumatoid arthritis (RA), osteoarthritis (OA), psoriatic arthritis (PsA) and psoriasis vulgaris (PS), as well as healthy individuals. The RA patients included in the study had moderate to high disease activity according to the DAS28 index. Patients with PsA predominantly had moderate and low disease activity (DAS28) and were characterized by mild to moderate disease severity (PASI). In accordance with the PASI index, patients with PS with mild and severe severity of the disease were included in the study. All patients with OA had a metabolic phenotype that is accompanied by an elevated body mass index.sIL-7R was determined in blood plasma by enzyme-linked immunosorbent assay. It was found that in patients with arthropathy, the level of soluble form of IL-7 was increased relative to healthy individuals, with the exception of the group of patients with PsA. Also, a high concentration of sIL-7R was observed in patients with PS. Analyzing the clinical characteristics of the patients, we found that sIL-7R levels were elevated in RA and PsA patients with high disease activity by DAS28. In addition, positive correlations were found between the concentration of sIL-7R and DAS28 in RA and PsA. In patients with PsA with moderate severity of the disease (PASI), the concentration of sIL-7R was also increased relative to donor's values. On the contrary, in patients with PS, a high level of sIL-7R was noted regardless of the severity of the disease. In patients with OA, no relationship was found between sIL-7R levels and clinical parameters.Thus, an elevated level of sIL-7R in patients with arthropathy may indicate the involvement of IL-7 and its receptor system in the pathogenesis of joint diseases. The IL-7 receptor may become a promising target both in the treatment of joint diseases and other autoimmune diseases, including psoriasis.
关节病是最常见的疾病之一,其基础是软骨和骨组织的破坏和重塑。破坏之前的炎症可能是由关节上的机械应力或自身免疫反应引起的。近年来,IL-7被认为是促进基质金属蛋白酶、分解代谢酶、T细胞介导的单核细胞活化和破骨细胞成熟的关键细胞因子之一。IL-7受体的可溶性形式可以帮助延长IL-7的寿命,从而确保细胞因子的生物利用度,并介导IL-7对细胞的作用。本研究的目的是确定IL-7受体(sIL-7R)在类风湿关节炎(RA)、骨关节炎(OA)、银屑病关节炎(PsA)和寻常型银屑病(PS)患者以及健康个体血浆中的可溶性形式。根据DAS28指数,纳入研究的RA患者具有中度至高度的疾病活动性。PsA患者主要有中度和低疾病活动性(DAS28),并以轻至中度疾病严重程度(PASI)为特征。按照PASI指数,将病情轻重的PS患者纳入研究。所有OA患者都有代谢表型,伴有体重指数升高。采用酶联免疫吸附法测定血浆中sIL-7R的含量。结果发现,在关节病变患者中,除了PsA患者组外,可溶性IL-7水平相对于健康个体增加。此外,在PS患者中也观察到高浓度的sIL-7R。分析患者的临床特征,我们发现在疾病活动性高的RA和PsA患者中,DAS28使sIL-7R水平升高。此外,RA和PsA中sIL-7R和DAS28的浓度呈正相关。在具有中度疾病严重程度(PASI)的PsA患者中,sIL-7R的浓度相对于供者的值也有所增加。相反,在PS患者中,无论疾病的严重程度如何,都注意到高水平的sIL-7R。在OA患者中,sIL-7R水平与临床参数没有关系。因此,关节病变患者sIL-7R水平升高可能提示IL-7及其受体系统参与关节疾病的发病机制。IL-7受体可能成为治疗关节疾病和其他自身免疫性疾病(包括牛皮癣)的有希望的靶点。
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引用次数: 0
Characteristics of immune-active and immune-silent phenotypes of early-stage cervical carcinoma as revealed by transcriptome sequencing 转录组测序揭示早期宫颈癌免疫活性和免疫沉默表型的特征
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-coi-2800
O. Kurmyshkina, P. Kovchur, T. Volkova
Molecular classification, immuneheterogeneity, and the existence of distinct immunophenotypes of virus-associated cervical cancer (CeCa) remain as-yet weakly explored issues, and this is particularly true of its earliest clinical stages and pre-invasive forms: cervical intraepithelial neoplastic (CIN) lesions. The goal of the study was to identify transcriptomic landscapes of invasive CeCa at its initial progression that differ substantially in their immune-related characteristics, patterns of signaling pathways and composition of the microenvironment. Transcriptome profiling was carried out using RNA-sequencing on Illumina platform. A panel of surgical-derived tissue samples comprised human papillomavirus-positive CIN grade 1-3, cancer of FIGO IA1-IIB stages, and morphologically normal epithelium. Transcriptomic profiles were analyzed with the use of bioinformatics tools, such as gene set enrichment (GAGE) for signaling pathways, xCell enrichment for cell composition identification, and PREDA positional analysis of genomic data. Hierarchical clustering revealed heterogeneity of transcriptomic profiles within the early-stage CeCa, namely, the existence of two clusters of tumor samples and three functional patterns of genes showing coordinately altered expression. Pathway enrichment analysis on genes differently expressed between the two clusters/groups of CeCa samples (‘A' and ‘B') and CIN (group ‘C') suggested that invasive tumor progression in groups ‘A' and ‘B' might rely on immunologically dissimilar mechanisms. xCell analysis confirmed heterogeneity of changes in the abundancies of cell populations when comparing CeCa sample groups and CIN, along with differences in immune and stromal scores. PREDA demonstrated that these transcriptomic differences could be linked to different chromosomal regions and co-localized with particular gene families and potentially the reported virus integration hotspots. Overall, the existence and detectability of different transcriptomic immune-based phenotypes of invasive CeCa at its initial stages of progression is shown, which may provide new options to broaden the knowledge and applicability of target and immune anti-cancer therapy.
病毒相关性宫颈癌(CeCa)的分子分类、免疫异质性和不同免疫表型的存在仍然是尚未充分探讨的问题,特别是在其早期临床阶段和侵袭前形式:宫颈上皮内肿瘤(CIN)病变。该研究的目的是确定侵袭性CeCa在其初始进展阶段的转录组学景观,这些转录组学景观在其免疫相关特征、信号通路模式和微环境组成方面存在很大差异。在Illumina平台上使用rna测序进行转录组分析。一组手术来源的组织样本包括人乳头瘤病毒CIN 1-3级阳性、FIGO IA1-IIB期癌和形态正常的上皮。转录组学分析使用生物信息学工具,如基因集富集(GAGE)用于信号通路,xCell富集用于细胞组成鉴定,PREDA定位分析基因组数据。分层聚类揭示了早期CeCa中转录组谱的异质性,即存在两类肿瘤样本和三种协调改变表达的基因功能模式。两组CeCa样本(“A”和“B”)和CIN(“C”组)中不同表达基因的途径富集分析表明,“A”组和“B”组的浸润性肿瘤进展可能依赖于不同的免疫机制。xCell分析证实,在比较CeCa样本组和CIN时,细胞群丰度的变化具有异质性,以及免疫和基质评分的差异。PREDA表明,这些转录组差异可能与不同的染色体区域有关,并与特定的基因家族共定位,并可能与已报道的病毒整合热点共定位。综上所述,浸润性CeCa在其发展的初始阶段存在不同的转录组免疫表型并可检测,这可能为扩大靶向和免疫抗癌治疗的知识和适用性提供新的选择。
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引用次数: 0
Identification of Th1-polarized Th17 cells: solving the problem th1极化Th17细胞的鉴定:解决问题
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-iot-2770
E. Kuklina, N. Glebezdina
Helper T cells producing IL-17 (Th17) have high plasticity: restimulation of lymphocytes in an inflammatory environment can induce their transformation into cells with another phenotype, and a shift towards Th1 is the most common. The result of this transformation is the appearance of cells expressing along with the classical markers of Th17 cells key Th1-associated molecules. In its most general form, this population is represented by CD4+CD161+CCR6+CXCR3+IL-17+IFNγ+Т cells, and in the current literature it is most often referred to as Th17.1. Some Th17.1 cells can completely lose the production of IL-17, while maintaining the expression of other Th17-associated molecules; these are the so-called ex-Th17 cells (CD4+CD161+CCR6+CXCR3+IL-17- IFNγ+Т cells). Consequently, the population of Th1-polarized Th17 includes Th17.1, ex-Th17 cells and a number of additional transitional forms. It has unique functional properties – an increased pro-inflammatory potential and the ability to overcome histohematic barriers. It is these cells that are currently assigned a key role in the pathogenesis of many autoimmune diseases, and the process of Th17 redifferentiation into Th1 is considered as a promising therapeutic target. However, the development of this direction is complicated by the weak comparability of data on the size of such a population. The analysis of methods for determining Th1-polarized Th17 in vivo and in vitro, carried out in this work, made it possible to resolve these contradictions and develop optimal approaches to identifying this population. In most studies, especially clinical ones, it is identified by co-expression of key cytokines (IL-17/IFNγ) or chemokine receptors (CCR6/CXCR3), rarely by their combination. In this approach, co-expression of CCR6/ CXCR3 marks the total population of Th1-like Th17, including both Th17.1 and ex-Th17, while co-expression of IL-17/IFNγ cytokines identifies only Th17.1 cells, and the subpopulation of ex-Th17 is misclassified as classic Th1 in this case. Such “underestimation” of the ex-Th17 subpopulation significantly marks down the results, since it is ex-Th17 that accounts for the bulk of Th1-like Th17. And only a simultaneous assessment of the co-expression of cytokines and Th17-associated membrane molecules allows identification Th17.1 and exTh17 cells separately, which is important to consider when interpreting data on the problem and when planning clinical trials.
产生IL-17 (Th17)的辅助性T细胞具有很高的可塑性:在炎症环境中对淋巴细胞的再刺激可以诱导它们转化为另一种表型的细胞,向Th1的转变是最常见的。这种转化的结果是出现了与Th17细胞关键th1相关分子的经典标记一起表达的细胞。在其最一般的形式中,该群体由CD4+CD161+CCR6+CXCR3+IL-17+IFNγ+Т细胞代表,在目前的文献中,它最常被称为Th17.1。一些Th17.1细胞可以完全失去IL-17的产生,同时保持其他th17相关分子的表达;这些是所谓的前th17细胞(CD4+CD161+CCR6+CXCR3+IL-17- IFNγ+Т细胞)。因此,th1极化的Th17细胞群包括Th17.1,前Th17细胞和一些额外的过渡形式。它具有独特的功能特性-增加的促炎潜能和克服组织血屏障的能力。正是这些细胞目前在许多自身免疫性疾病的发病机制中起着关键作用,Th17再分化为Th1的过程被认为是一个有希望的治疗靶点。然而,这一方向的发展由于这类人口规模的数据可比性较弱而变得复杂。本工作对体内和体外测定th1极化Th17的方法进行了分析,使解决这些矛盾成为可能,并开发出鉴定该群体的最佳方法。在大多数研究中,特别是临床研究中,主要通过关键细胞因子(IL-17/ ifn - γ)或趋化因子受体(CCR6/CXCR3)的共表达来鉴定,很少联合。在这种方法中,CCR6/ CXCR3的共表达标志着Th1样Th17的总体,包括Th17.1和前Th17,而IL-17/IFNγ细胞因子的共表达仅识别Th17.1细胞,并且前Th17的亚群在这种情况下被错误地归类为经典Th1。这种对前Th17亚群的“低估”显著降低了结果,因为前Th17占了th1样Th17的大部分。只有同时评估细胞因子和th17相关膜分子的共表达才能分别鉴定Th17.1和exTh17细胞,这在解释问题数据和计划临床试验时是很重要的考虑因素。
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引用次数: 0
Spatial characteristics of neutrophils and eosinophils in conducting airway mucosa of mice with induced allergic airway inflammation 致变应性气道炎症小鼠气道粘膜中性粒细胞和嗜酸性粒细胞的空间特征
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-sco-2830
M. Shevchenko, D. E. Murova, E. Servuli
Daily inhaled antigens induce cellular immune response in the airways. In case of allergens, allergic airway inflammation is usually represented by eosinophils, however, neutrophil infiltration is also observed during severe asthma. Animal models contribute to investigation of the mechanisms that involve the switching to eosinophil- or neutrophil-mediated inflammation. Data about the spatial location of eosinophils and neutrophils in the airways are necessary for both the understanding of allergic airway inflammation mechanisms and the drag potential estimation, however, not completely investigated. In the present study, we characterized the model of Aspergillus fumigatus extract-induced allergic airway inflammation that allowed investigating the early stage of inflammation development. The model adequacy was confirmed according to the blood and bronchoalveolar lavage eosinophilia. Using immunohistochemical staining of conducting airway as a whole-mount and confocal laser scanning microscopy, we estimated neutrophil and eosinophil spatial location: in the luminal side of the epithelium, in the airway wall or in the submucosal compartment close to the smooth muscle layer. An allergic airway response activation was detected upon significant elevation of blood eosinophil percentage compared to intact mice. Simultaneously, the number of eosinophils in the bronchoalveolar lavage was also significantly increased compared to the intact mice. At this time point, eosinophils predominated both in bronchoalveolar lavages and in conducting airway mucosa compared to neutrophils. Spatial location of conducting airway mucosal cell analysis demonstrated that eosinophils mostly located in the submucosal compartment, in a lesser extent in the airway wall, and a few eosinophils were detected in the luminal side of the epithelium. Neutrophils mainly infiltrated the luminal side of the epithelium, and a few neutrophils were detected in the submucosal compartment, while no neutrophils were detected in the airway wall. The data suggests that in response to the further allergen challenge, evidently eosinophils but not neutrophils will migrate through the airway wall to the airway lumen. Thus, eosinophils can be expected to damage airway epithelium in allergic airway inflammation development. Simultaneously, neutrophils located in close proximity to the smooth muscle layer together with eosinophils can contribute to bronchoconstriction induction.
每日吸入抗原诱导气道细胞免疫反应。在过敏原的情况下,过敏性气道炎症通常以嗜酸性粒细胞为代表,但在严重哮喘期间也观察到中性粒细胞浸润。动物模型有助于研究涉及嗜酸性粒细胞或中性粒细胞介导的炎症转换的机制。关于嗜酸性粒细胞和中性粒细胞在气道中的空间位置的数据对于理解过敏性气道炎症机制和阻力电位的估计是必要的,然而,尚未完全研究。在本研究中,我们对烟曲霉提取物诱导的过敏性气道炎症模型进行了表征,从而可以研究炎症发展的早期阶段。根据血常规和支气管肺泡灌洗液嗜酸性粒细胞计数证实模型的充分性。利用免疫组织化学染色的导气管作为一个整体和共聚焦激光扫描显微镜,我们估计中性粒细胞和嗜酸性粒细胞的空间位置:在上皮的管腔侧,在气道壁或粘膜下室靠近平滑肌层。与完整小鼠相比,在血液嗜酸性粒细胞百分比显著升高时检测到过敏性气道反应激活。同时,支气管肺泡灌洗液中嗜酸性粒细胞的数量也明显高于正常小鼠。此时,与中性粒细胞相比,嗜酸性粒细胞在支气管肺泡灌洗和导气管粘膜中均占主导地位。进行气道粘膜细胞空间定位分析,发现嗜酸性粒细胞多位于粘膜下腔室,少量位于气道壁,少量嗜酸性粒细胞位于上皮腔侧。中性粒细胞主要浸润于上皮腔侧,粘膜下腔室可见少量中性粒细胞,气道壁未见中性粒细胞。数据表明,在进一步的过敏原挑战下,嗜酸性粒细胞而非中性粒细胞明显会通过气道壁迁移到气道管腔。因此,在过敏性气道炎症的发展中,嗜酸性粒细胞可能会损害气道上皮。同时,位于平滑肌层附近的中性粒细胞和嗜酸性粒细胞可以促进支气管收缩。
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引用次数: 0
Mutation hot spots in MICA/MICB extracellular domains MICA/MICB细胞外结构域的突变热点
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-mhs-2680
A. Yu. Stolbovaya, I. V. Smirnov
MICA and MICB are non-classical MHC molecules that indicate cellular stress. They act as ligands for NKG2D receptors found on NK cells, thereby triggering a cytotoxic response against damaged, infected, or transformed cells. The production of soluble forms of MICA/MICB occurs via the cleavage of their extracellular domains (ECDs). The expression of MICA/MICB molecules in tumor sections or the levels of their soluble forms in blood have potential as diagnostic tools for cancer. They can predict important clinical outcomes for cancer patients, such as overall and recurrence-free survival. However, their extensive molecular polymorphism complicates the development of monoclonal antibodies (mAbs) for diagnostic use. Therefore, the diagnostic value of mAb-based assays may vary depending on the frequencies of allelic variants in local human populations. We examined the ECD amino acid sequences of more than 280 MICA and 50 MICB allelic variants. Additionally, we identified 172 and 58 single nucleotide polymorphisms (SNPs) located in the coding regions of the respective genes and resulting in amino acid replacements. The most frequent amino acid replacements (> 10%) in the ECD occur at 11 and 4 sites of MICA and MICB, respectively. We found that the frequencies of SNPs in the identified hot spots strongly correlate with each other in different human populations, despite the diversity of allelic variant frequencies. The functional role of only one site is known. The replacement of valine with methionine at position 152 enhances the affinity of MICA to NKG2D receptor. As the hot spots are dispersed throughout the entire ECD sequences, they may play a role other than modulating affinity with the NKG2D receptor interaction. We recommend that Ag sets used to validate anti-MICA/MICB mAbs meet two criteria. First, they should include both MICA and MICB alleles, as these genes have highly similar sequences. Second, the alleles should cover the variability observed in the identified hot spots.
MICA和MICB是非典型的MHC分子,表明细胞应激。它们作为NK细胞上发现的NKG2D受体的配体,从而引发对受损、感染或转化细胞的细胞毒性反应。MICA/MICB的可溶性形式是通过细胞外结构域(ECDs)的分裂产生的。MICA/MICB分子在肿瘤切片中的表达或其在血液中可溶形式的水平具有作为癌症诊断工具的潜力。它们可以预测癌症患者的重要临床结果,如总生存率和无复发生存率。然而,它们广泛的分子多态性使单克隆抗体(mab)用于诊断的发展复杂化。因此,基于单克隆抗体的检测方法的诊断价值可能因当地人群中等位基因变异的频率而异。我们检测了超过280个MICA和50个MICB等位基因变异的ECD氨基酸序列。此外,我们鉴定了172和58个单核苷酸多态性(snp)位于各自基因的编码区,导致氨基酸替换。最常见的氨基酸替换(>10%)分别发生在MICA和MICB的11个和4个位点。我们发现,在不同的人群中,尽管等位基因变异频率存在多样性,但在确定的热点中snp的频率彼此之间具有很强的相关性。只有一个位点的功能作用是已知的。用蛋氨酸取代152号位置的缬氨酸增强了MICA对NKG2D受体的亲和力。由于热点分布在整个ECD序列中,它们可能除了调节与NKG2D受体相互作用的亲和力外,还发挥其他作用。我们建议用于验证抗mica /MICB单克隆抗体的Ag集满足两个标准。首先,它们应该包括MICA和MICB等位基因,因为这些基因具有高度相似的序列。其次,等位基因应覆盖在鉴定的热点地区观察到的变异性。
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引用次数: 0
Immunological markers of arthroplasty failure 关节置换术失败的免疫学指标
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-imo-2725
O. Moskalets
Periprosthetic joint infection still remains a clinical challenge since accurate definition of this condition and reliable laboratory markers have not been established yet. This study aimed to evaluate the benefit of some lymphocyte and monocyte subset determination in patients with periprosthetic joint infection and non-infectious arthroplasty failure. Thirty-four patients with chronic periprosthetic joint infection, 12 patients with non-infectious arthroplasty and 30 healthy persons were included in the study. The counts of CD3+, CD3+CD4+, CD3+CD8+, CD19+, CD3-CD16+CD56+, CD3+HLA-DR+, CD4+CD45RACD45RО+, CD4+CD45RA+ CD45RО- and CD14+ HLA-DR+ subsets in peripheral blood were assessed by flow cytometry. The assessment of the intensity of antigen expression was carried out according to mean fluorescence intensity. A significant increase in CD3+CD4+ subsets (p < 0,01) and a significant decrease in CD3-CD16+CD56+ subsets (p < 0,005) were revealed in patients with periprosthetic joint infection compared to the healthy controls. The content of CD19+ lymphocytes in these patients was significantly higher than in aseptic ones (p < 0,005); the latter group was also characterized by more pronounced increase in the number of activated T lymphocytes (CD3+HLA-DR+) compared to controls (p < 0,001). Patients with periprosthetic joint infection showed decreased “naïve” T lymphocytes (CD4+CD45RA+CD45RO-) count compared to aseptic ones (p < 0,05), and both groups showed a decrease counts compared to controls (p < 0,001). On the contrary, memory T lymphocyte (CD4+CD45RACD45RO+) count was significantly increased in both compared groups (p < 0,05). Patients with periprosthetic joint infection compared with other two groups demonstrated a significant decrease in the number of activated monocytes (CD14+HLA-DR+) and pronounced decrease in the expression intensity of this marker on cell membrane (p < 0,05 and p < 0,001, respectively). Thus, evaluation of lymphocyte and monocyte subsets, including expression of cell activation antigens could be useful as additional laboratory test in combination with other conventional methods for differentiation between periprosthetic joint infection and aseptic arthroplasty failure.
假体周围关节感染仍然是一个临床挑战,因为这种情况的准确定义和可靠的实验室标记尚未建立。本研究旨在评估一些淋巴细胞和单核细胞亚群测定在假体周围关节感染和非感染性关节置换术失败患者中的益处。研究对象包括34例慢性假体周围关节感染患者、12例非感染性关节置换术患者和30例健康人。采用流式细胞术检测外周血CD3+、CD3+CD4+、CD3+CD8+、CD19+、CD3- cd16 +CD56+、CD3+HLA-DR+、CD4+CD45RACD45RО+、CD4+CD45RA+ CD45RО-和CD14+ HLA-DR+亚群的计数。根据平均荧光强度评估抗原表达强度。与健康对照组相比,假体周围关节感染患者的CD3+CD4+亚群显著升高(p < 0.01), CD3- cd16 +CD56+亚群显著降低(p < 0.005)。CD19+淋巴细胞含量明显高于无菌组(p < 0.005);与对照组相比,后一组活化T淋巴细胞(CD3+HLA-DR+)的数量也有更明显的增加(p < 0.001)。假体周围关节感染患者与无菌组相比,“naïve”T淋巴细胞(CD4+CD45RA+CD45RO-)计数减少(p < 0.05),两组与对照组相比计数减少(p < 0.001)。相反,记忆T淋巴细胞(CD4+CD45RACD45RO+)计数在两组间均显著升高(p < 0.05)。与其他两组相比,假体周围关节感染患者的活化单核细胞(CD14+HLA-DR+)数量明显减少,细胞膜上该标志物的表达强度明显降低(p < 0.05和p < 0.001)。因此,评估淋巴细胞和单核细胞亚群,包括细胞活化抗原的表达,可以作为额外的实验室测试,与其他常规方法相结合,用于区分假体周围关节感染和无菌关节置换术失败。
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引用次数: 0
Pleiotropic immunomodulating effects of peptide Arginyl-alpha-Aspartyl-Lysyl-Valyl-Tyrosyl-Arginine on various subsets of neutrophilic granulocytes and their phenotype in patients with COVID-19 in vitro 精氨酸- α -天冬氨酸-赖氨酸-缬氨酸-酪氨酸-精氨酸肽对体外新冠肺炎患者嗜中性粒细胞亚群及其表型的多效性免疫调节作用
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-pie-2755
V. Gorodin, V. A. Matushkina, V. N. Chapurina, A. I. Menyailo, S. Kovaleva, E. I. Dydyshko
The key role of neutrophilic granulocytes (NG) in the pathogenesis of COVID-19 makes them new targets for therapeutic approaches and of influencing the course and outcome of the disease, restoring changes in the phenotype and functions of NG. Synthetic peptides or polypeptide complexes of action are the most promising in the treatment of COVID-19. Aim: to reveal the effects of the influence of the hexapeptide (HP) – Arginyl-alpha-Aspartyl-Lysyl-Valyl-Tyrosyl-Arginine on the phenotype of functionally significant NG subsets in moderate COVID-19.The study examined patients 61 (57-71) years old (n = 45) in the acute period of COVID-19 – study group1 (SG1). In vitro, samples SG1 were incubated with HP (106 g/L, 60 min, 37 °C) – study group2 (SG2). The number of NG subsets was evaluated: CD16+IFNα/βR1+CD119+, CD16+IFNα/βR1+CD119- , CD16+IFNα/βR1+CD119+, CD64- CD16+CD32+CD11b+, CD64+CD16+CD32+CD11b+ and phenotype by membrane receptor expression density (MFI) (FC 500, Beckman Coulter, USA); NG phagocytic activity was tested before and after incubation with HP. The comparison group (GS) – of 22 volunteers examined in the pre-COVID period.It was revealed that unidirectional effects of HP in vitro contributing to the restoration of the phenotype of subsets CD16+IFNα/βR1- CD119+, CD16+IFNα/βR1+CD119- to CG indicators. There was a decrease in MFI CD16 (p < 0.05) in both subsets; MFI CD119 (p < 0.05) in the CD16+IFNα/βR1- CD119+NG subset, MFI IFNa/βR1 in the CD16+IFNα/βR1+CD119- NG subset. The effects of HP on the phenotype of CD16+IFNα/βR1+CD119+NG subsets in 76% of cases were manifested by a decrease in MFI CD16 (p<0.05), an increase in MFI IFNα/βR1 and CD119 (p1, 2<0.05), and in 24% of cases a decrease in MFI IFNα/βR1 (p<0.05). HP in vitro remodeling of the phenotypes subsets CD64- CD16+CD32+CD11b+ and CD64+CD16+CD32+CD11b+ were established, providing the usefulness of effector functions from hyperactivated to normal. In the CD64- CD16+CD32+CD11b+ subset, there was a decrease in MFI CD16 and CD11b to the indicators CG (p1, 2 < 0.05). Recovery of the NG phenotype under the influence of HP led to the restoration of the phagocytic function of NG.Positive effects of HP in vitro on the phenotypes of subsets actively and NGfunctions in COVID-19 open up prospects for the creation of new methods of immunotherapy to restore NG dysfunctions.
中性粒细胞(NG)在COVID-19发病机制中的关键作用使其成为治疗方法的新靶点,并影响疾病的过程和结局,恢复NG的表型和功能变化。合成多肽或多肽复合物是治疗COVID-19最有希望的方法。目的:探讨六肽(HP) -精氨酸- α -天冬氨酸-赖氨酸-缬氨酸-酪氨酸-精氨酸对中度COVID-19功能显著性NG亚群表型的影响。该研究检查了61(57-71)岁(n = 45)的COVID-19急性期患者-研究组1 (SG1)。体外,SG1样品用HP (106 g/L, 60 min, 37°C)孵育-研究组2 (SG2)。通过膜受体表达密度(MFI)评估NG亚群的数量:CD16+IFNα/βR1+CD119+、CD16+IFNα/βR1+CD119-、CD16+CD32+CD11b+、CD64+CD16+CD32+CD11b+和表型(FC 500, Beckman Coulter, USA);在HP孵育前后检测NG的吞噬活性。对照组(GS) -在covid前期间接受检查的22名志愿者。结果表明,HP在体外的单向作用有助于恢复CD16+IFNα/βR1- CD119+、CD16+IFNα/βR1+CD119-亚群对CG指标的表型。两组患者MFI CD16水平均有降低(p < 0.05);MFI - CD119在CD16+IFNα/βR1- CD119+NG亚群中表达(p < 0.05), MFI - IFNa/βR1在CD16+IFNα/βR1+CD119- NG亚群中表达(p < 0.05)。HP对76%的病例CD16+IFNα/βR1+CD119+NG亚群表型的影响表现为MFI CD16降低(p<0.05), MFI IFNα/βR1和CD119升高(p1, 2<0.05), 24%的病例MFI IFNα/βR1降低(p<0.05)。建立了CD64- CD16+CD32+CD11b+和CD64+CD16+CD32+CD11b+表型亚群的HP体外重塑,提供了从过度激活到正常的效应功能。在CD64- CD16+CD32+CD11b+亚群中,MFI CD16和CD11b对CG指标有降低(p1, 2 < 0.05)。HP影响下NG表型的恢复导致NG吞噬功能的恢复。HP在体外对COVID-19中活跃亚群表型和NG功能的积极影响为创造新的免疫治疗方法来恢复NG功能障碍开辟了前景。
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Medical Immunology (Russia)
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