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Local cytokine levels as prognostic factors for early relapse of non-muscle-invasive bladder carcinoma 局部细胞因子水平作为非肌肉浸润性膀胱癌早期复发的预后因素
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-lcl-2723
E. Zlatnik, A. B. Sagakyants, O. G. Shulgina, A. N. Shevchenko, E. V. Filatova, L. I. Belyakova, A. A. Breus, A. Maslov, A. Maslov, L. Rozenko
The aim of our study is to assess the local cytokine levels as prognostic factors for early relapse in NMIBC patients. 75 patients with NMIBC were enrolled in the study: 51 with primary NMIBC and 24 with initially recurrent NMIBC, LG and HG tumors were diagnosed in each group. Patients with primary NMIBC were monitored during 9 months after treatment: TURB and chemotherapy (No. 6). During TURB samples of tumors were taken, supernatants were obtained and tissue cytokine levels were measured (IL-1β, IL-6, IL-10, IL-18, TNFα, IFNγ, IL-8) by ELISA test. The results showed that in patients with primary NMIBC early relapses were diagnosed in 15 (46.8%) of LG tumors and in 11 (45%) of HG tumors matching that there was no difference depending upon tumor grade. In initially recurrent tumors of both LG and HG NMIBC the amounts of cytokines were maximal: in LG tumors they exceeded the primary ones from 7.1 (IFNγ) to 300 (IL-6) while in HG - from 2.0 (IL-10) to 9.7 (IL-6). The amounts of IL-1β, IL-6, IL-10, IFNγ, IL-8 were higher in those LG primary tumors which relapsed in 6-9 months compared to the ones which didn't, though their levels were much lower than in initially manifested relapse (from 2.6 times for IFNy to 150 times for IL-6). A similar trend, though not for all the same cytokines, was observed in HG tumors: tissue levels of IL-6, IL-10, IL-18 and TNFα were higher in tumors which relapsed in 6-9 months after treatment. The increase of 2 cytokines' levels were common for both LG and HG tumors (IL-6 and IL-10). This finding might be considered as a new prognostic factor of the early relapse. We conclude that relapse of LG and HG NMIBC is related to some immune mechanisms, namely to local hyperproduction of cytokines, especially IL-6 and IL-10, though IL-1β, IL-8, IFNγ could have an impact on LG and IL-18, TNFα — on HG tumors. Taking into account common signaling pathways of IL-6 and IL-10 like JAK/STAT, these transcription factors might be potential targets for new effective approaches to treatment.
我们研究的目的是评估局部细胞因子水平作为NMIBC患者早期复发的预后因素。75例NMIBC患者入组研究:51例为原发性NMIBC, 24例为初始复发性NMIBC,每组诊断为LG和HG肿瘤。对原发性NMIBC患者进行TURB和化疗(第6期)后9个月的监测。TURB期间取肿瘤标本,取上清液,ELISA检测组织细胞因子(IL-1β、IL-6、IL-10、IL-18、TNFα、IFNγ、IL-8)水平。结果显示,原发性NMIBC早期复发患者中,LG肿瘤有15例(46.8%),HG肿瘤有11例(45%),与肿瘤分级无差异。在早期复发的LG和HG NMIBC肿瘤中,细胞因子的含量最高:LG肿瘤的细胞因子含量高于原发肿瘤,从7.1 (IFNγ)到300 (IL-6), HG -从2.0 (IL-10)到9.7 (IL-6)。IL-1β、IL-6、IL-10、IFNγ、IL-8的水平在6-9个月复发的LG原发肿瘤中高于未复发的肿瘤,但其水平远低于最初表现复发的肿瘤(IFNy为2.6倍,IL-6为150倍)。在HG肿瘤中观察到类似的趋势,尽管不是所有的细胞因子都相同:治疗后6-9个月复发的肿瘤组织中IL-6、IL-10、IL-18和TNFα水平较高。2种细胞因子(IL-6和IL-10)在LG和HG肿瘤中均有升高。这一发现可能被认为是早期复发的一个新的预后因素。我们得出结论,LG和HG NMIBC的复发与某些免疫机制有关,即局部细胞因子的过量产生,特别是IL-6和IL-10,尽管IL-1β, IL-8, IFNγ可能对HG肿瘤的LG和IL-18, TNFα -有影响。考虑到IL-6和IL-10的常见信号通路如JAK/STAT,这些转录因子可能是新的有效治疗方法的潜在靶点。
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引用次数: 0
Role of IL-6 in the immunopathogenesis of mild, moderate and severe TBI IL-6在轻、中、重度脑外伤免疫发病机制中的作用
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-roi-2805
A. O. Norka, S. Vorobyev, R. Kuznetsova, S. Lapin, Z. Korobova, D. N. Monashenko, A. Totolian
Traumatic brain injury (TBI) results in a significant inflammatory burden that increase the production of inflammatory mediators and biomarkers. The immune system plays a key role in the pathogenesis of traumatic brain injury. Neuroinflammatory mediators released from resident glia (activated microglia and astrocytes) inside the brain recruit immune cells where cytokines are small soluble proteins that confer instructions and mediate communication among immune and non-immune cells. Interleukin-6 (IL-6) is a proinflammatory cytokine known to be elevated after trauma, and a major contributor to the inflammatory response following TBI. Previous studies have investigated associations between IL-6 and outcome following TBI, but to date, studies have been inconsistent in their conclusions. The purpose of the current study was to assessment of cerebrospinal fluid (CSF) interleukin-6 (IL-6) and MBP levels in patients with TBI. Samples of cerebrospinal fluid of 85 patients with TBI were examined. Concentrations IL-6 were measured via xMAP multiplexing technology. The control was the course of CSF in patients with concussion. An increased content was found in all patients with traumatic brain injury: 19.59 pg/mL in the group with mild traumatic brain injury; 103.6 pg/mL in the group with moderate traumatic brain injury; and 2225 pg/mL in the group with severe traumatic brain injury load versus 2.58 pg/mL in the control group. A direct correlation was found with the presence of basic myelin proteins in the cerebrospinal fluid, which indicates the degree of damage and neurodegeneration processes. Identification of the features of IL-6 content in patients with brain injury may indicate its important role in the course of disease. It also requires additional more detailed study, including comparison with IL-6 content in peripheral blood.
创伤性脑损伤(TBI)导致显著的炎症负担,增加炎症介质和生物标志物的产生。免疫系统在创伤性脑损伤的发病机制中起关键作用。脑内驻留的胶质细胞(活化的小胶质细胞和星形胶质细胞)释放的神经炎症介质招募免疫细胞,其中细胞因子是小的可溶性蛋白,可传递指令并介导免疫细胞和非免疫细胞之间的通信。白细胞介素-6 (IL-6)是一种促炎细胞因子,已知在创伤后升高,是TBI后炎症反应的主要因素。先前的研究已经调查了IL-6与TBI后预后之间的关系,但迄今为止,研究的结论并不一致。本研究的目的是评估脑外伤患者脑脊液(CSF)白介素-6 (IL-6)和MBP水平。对85例脑外伤患者的脑脊液进行了检测。通过xMAP多路复用技术检测IL-6浓度。对照组为脑震荡患者的脑脊液病程。所有颅脑外伤患者均有升高,轻度颅脑外伤组为19.59 pg/mL;中度颅脑损伤组为103.6 pg/mL;重型颅脑损伤负荷组为2225 pg/mL,对照组为2.58 pg/mL。发现与脑脊液中碱性髓磷脂蛋白的存在直接相关,这表明损伤程度和神经变性过程。对脑损伤患者IL-6含量特征的识别可能提示其在病程中的重要作用。它还需要额外的更详细的研究,包括与外周血中IL-6含量的比较。
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引用次数: 0
Morphofunctional changes of microglia in adult and old Wistar rats 成年和老年Wistar大鼠小胶质细胞形态功能的变化
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-mco-2757
A. V. Sentyabreva, E. A. Melnikova, E. A. Miroshnichenko, I. S. Tsvetkov, A. M. Kosyreva
Alzheimer's disease (AD) is one of the most prevalent neurodegenerative diseases leading to dementia. There is no effective treatments for this disease so far, as well as a consensus concerning the mechanisms of its pathogenesis initiation. Obtaining data on them in vivo is possible only by modeling neurodegeneration in laboratory animals. Alzheimer’s disease (AD) is one of the most prevalent neurodegenerative diseases leading to dementia. There is no effective treatments for this disease so far, as well as a consensus concerning the mechanisms of its pathogenesis initiation. Obtaining data on them in vivo is possible only by modeling neurodegeneration in laboratory animals. Among the various theories of the initiation of neurodegeneration, the impact of microglia is vigorously studied recently, as well as inflammaging, which is a term for chronic age-related low-grade systemic inflammation. It manifests in the increasing number of senescent cells with senescence-associated secretory phenotype (SASP). Eventually, it leads to manifestation and progression of age-related diseases, such as AD. The aim of the study was to evaluate age-related changes in microglia, pro- and anti-inflammatory cytokines expression levels in the brain, as well as ones of microglial activation, and also subpopulations of lymphocytes in peripheral blood. We used male Wistar rats of two age groups, which were composed of old (age 24 months) and adult (age 3 months) rodents, without any additional exposure. In the hippocampus, morphological changes in microglia were assessed on preparations stained with antibodies to Iba1. In the prefrontal cortex, RT-qPCR was used to study the level of expression of pro-inflammatory IL-6 and TNFa, anti-inflammatory IL-10 and TGF-b cytokines, as well as microglial activation markers iNOS and MMP-9. In the peripheral blood, the relative numbers of the main subpopulations of lymphocytes and monocyte were measured by flow cytometry. It was shown that, compared with adult rats, old animals are characterized by significant changes in the morphology of microglia, an increase in the level of expression of pro-inflammatory and a decrease in anti-inflammatory cytokines, and an increase in microglia activation markers. With aging, a decrease in the percentage of monocytes and B cells in peripheral blood was observed. These data indicate the development of inflammaging, which displays itself in microglia activation, a shift in the balance of cytokine production towards pro-inflammatory ones, and, as a result, activation of the migration of monocytes and B lymphocytes from the blood into tissues. Thus, it is justified to study the role of inflammation in the development of AD in old animals whose physiological state corresponds to that in humans. Further research in this area will expand the understanding of the mechanisms of initiation and progression of neurodegeneration, which is necessary for the development of novel and effective therapeutic approa
阿尔茨海默病(AD)是导致痴呆的最常见的神经退行性疾病之一。目前尚无有效的治疗方法,对其发病机制也没有共识。只有通过模拟实验室动物的神经变性,才能在体内获得有关它们的数据。阿尔茨海默病(AD)是导致痴呆的最常见的神经退行性疾病之一。目前尚无有效的治疗方法,对其发病机制也没有共识。只有通过模拟实验室动物的神经变性,才能在体内获得有关它们的数据。在各种关于神经退行性变起始的理论中,最近对小胶质细胞的影响以及炎症的影响进行了大力研究,炎症是一种慢性年龄相关的低度全身性炎症。它表现为衰老相关分泌表型(SASP)的衰老细胞数量增加。最终,它会导致年龄相关疾病的表现和发展,如阿尔茨海默病。该研究的目的是评估大脑中小胶质细胞、促炎性和抗炎性细胞因子表达水平的年龄相关变化,以及小胶质细胞激活水平和外周血淋巴细胞亚群的变化。我们使用两个年龄组的雄性Wistar大鼠,包括老年(24月龄)和成年(3月龄)啮齿动物,没有任何额外的暴露。在海马中,用Iba1抗体染色的制剂评估小胶质细胞的形态学变化。在前额叶皮层,RT-qPCR研究促炎IL-6和TNFa、抗炎IL-10和TGF-b细胞因子以及小胶质细胞激活标志物iNOS和MMP-9的表达水平。在外周血中,用流式细胞术测定淋巴细胞和单核细胞主要亚群的相对数量。结果表明,与成年大鼠相比,老龄大鼠小胶质细胞形态发生明显变化,促炎因子表达水平升高,抗炎因子表达水平降低,小胶质细胞激活标志物升高。随着年龄的增长,外周血单核细胞和B细胞的比例下降。这些数据表明炎症的发展,表现为小胶质细胞的激活,细胞因子生产平衡向促炎因子的转变,结果是单核细胞和B淋巴细胞从血液迁移到组织的激活。因此,在与人类生理状态相对应的老年动物中,研究炎症在AD发生中的作用是有道理的。在这一领域的进一步研究将扩大对神经退行性变的发生和发展机制的理解,这对于开发新的有效的治疗阿尔茨海默病的治疗方法是必要的。
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引用次数: 0
Immunological factor development of external genital endometriosis 外生殖器子宫内膜异位症的免疫因素发展
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-ifd-2796
M. Levkovich, N. V. Ermolova, I. Krukier, T. N. Pogorelova, L. Kravchenko
External genital endometriosis (EGE) is one of the common gynecological diseases of women of reproductive age with a relapsing, progressive course that worsens the quality of life of patients due to pain, emotional imbalance, fear of relapse and possible surgical intervention. Currently, endometriosis is recognized as one of the most common diseases associated with infertility. Thus, among fertile women with preserved childbearing function, the disease is generally diagnosed in approximately 6-7%, while among patients suffering from infertility, its frequency can reach 20-48%.However, the causes that determine reproductive dysfunction in patients with EGE are not well understood. Much attention is currently paid to the role of immunity in the formation of endometriosis. Patients with EGE show changes in both local immunity factors and immunological components of circulating blood.Purpose of the study: the study of factors of innate and adaptive immunity in patients of reproductive age with external genital endometriosis (EGE).The study included 71 patients with various stages of external genital endometriosis, the control group included 24 patients without endometriosis. Determination of the population composition of peripheral blood lymphocytes, the level of monocytes expressing TLR, activation markers, was carried out by laser flow cytometry — Immunotex (France), Caltag (USA), FITC (fluorescein isothiocynate) — labeled CD3, CD4, CD8, CD16, CD19, HLA-DR, CD282, CD284 and PE (phycoerythrin) - labeled with CD25, CD69, CD95, CD107a, CD14.External genital endometriosis is characterized by: at stages I-II of the disease - a violation of the early stages of the innate immune response (an increase in the number of monocytes expressing TLR-4, a violation of the activation and differentiation processes of immunocompetent cells, which is reflected in a decrease in the expression of CD16, CD8, CD16+HLA-DR+, CD16+CD107a+, CD8+CD107a+, at III-IV stages of the disease, there is a decrease in the level of CD16 and activation markers CD69, HLA-DR, CD107a on their surface, which is combined with a decrease in the expression of CD8, CD16, HLADR and CD107a on their surface. CD95+ and CD8+CD95+ were found at various stages of EGE.The results obtained allow us to understand the features of the functioning of innate and adaptive immunity at various stages of external genital endometriosis, and the studied immunological parameters can be used as diagnostic criteria for the formation of various stages of EGE. These data can serve as a theoretical basis for further identification of markers of EGE progression, as well as the mechanisms underlying immune inflammation.
外生殖器子宫内膜异位症(EGE)是育龄妇女常见的妇科疾病之一,具有反复进行性病程,因疼痛、情绪失衡、害怕复发及可能的手术干预而使患者的生活质量恶化。目前,子宫内膜异位症被认为是与不孕症相关的最常见疾病之一。因此,在保留生育功能的育龄妇女中,该病的诊断率通常约为6-7%,而在患有不孕症的患者中,其发病率可达20-48%。然而,决定EGE患者生殖功能障碍的原因尚不清楚。免疫在子宫内膜异位症形成中的作用是目前研究的重点。EGE患者表现出局部免疫因子和循环血液免疫成分的改变。研究目的:探讨育龄外生殖器子宫内膜异位症(EGE)患者先天免疫和适应性免疫的相关因素。本研究包括71例不同阶段的外生殖器子宫内膜异位症患者,对照组包括24例无子宫内膜异位症患者。采用激光流式细胞术测定外周血淋巴细胞的群体组成和表达TLR(活化标志物)的单核细胞水平——Immunotex(法国)、Caltag(美国)、FITC(异硫代酸荧光素)标记CD3、CD4、CD8、CD16、CD19、HLA-DR、CD282、CD284和PE(藻红蛋白)标记CD25、CD69、CD95、CD107a、CD14。外生殖器子宫内膜异位症的特点是:阶段i ii的疾病——违反了先天免疫反应的早期阶段(单核细胞表达地的数量的增加,违反了激活免疫活性的细胞和分化过程,这是反映在CD16的表达减少,CD8, CD16 + HLA-DR + CD16 + CD107a +、CD8 + CD107a +, iii iv阶段的疾病,有一个减少CD16和激活标记CD69水平,HLA-DR, CD107a表面,同时细胞表面CD8、CD16、HLADR和CD107a的表达减少。CD95+和CD8+CD95+在不同阶段均有表达。本研究结果使我们能够了解外生殖器子宫内膜异位症各阶段先天免疫和适应性免疫功能的特点,所研究的免疫学参数可作为各阶段EGE形成的诊断标准。这些数据可以作为进一步鉴定EGE进展标记物以及免疫炎症机制的理论基础。
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引用次数: 0
Anthocyanins as a factor in the alimentary restoration of cellular immunity in diet induced obesity in rats 花青素在饮食性肥胖大鼠细胞免疫功能的消化道恢复中的作用
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-aaa-2719
E. Trushina, O. Mustafina, I. Aksenov, V. Tutelyan
The article presents the results of a study of the effect of anthocyanins on cellular immunity in rats on a model of alimentary obesity. The aim of the study was to study the effect of an anthocyanin- enriched diet on cellular immunity in diet induced obesity in rats. The study was carried out on male Wistar rats with an initial body weight of 108±2 g. The animals were randomized by body weight into 3 groups (8 pcs. in group). For 12 weeks, rats of the 1st (control) group received a complete modified diet of AIN93M; rats of the 2nd group consumed a high-calorie choline-deficient diet (HCChDD), the fat content of which was 45%, fructose – 20% of the energy value of the diet; rats of the 3rd group received HCChDD with the addition of standardized blueberry and blackcurrant extract (30% anthocyanins) at an average daily dose of 11 mg anthocyanins/kg body weight. The expression of differentiation markers of peripheral blood lymphocytes was carried out by flow cytofluorimetry. As a result of the study, it was found that in rats of the 2nd group with alimentary obesity, the relative content in the peripheral blood of T helpers (CD3+CD4+) was increased (p < 0.05) (75.75±1.11% versus 70.07±0 49% – group 1, 72.14±0.91% – group 3) and reduced (p < 0.05) content of T cytotoxic lymphocytes (CD3+CD8+) (22.54±1.14% versus 28.09±0.72% – 1st group, 26.07±0.87% – 3rd group). The CD3/CD4 ratio in rats of the 2nd group exceeded (p < 0.05) this index in rats of the 1st and 3rd groups (3.44±0.25 versus 2.47±0.09 – 1st group, 2.79±0.13 – 3rd group). Enrichment of the HCChDD with the blueberry and blackcurrant extract led to the normalization of these parameters of cellular immunity. The number of B lymphocytes (CD45R+), Т lymphocytes (CD3+) and NK cells (CD161+) in the rat peripheral blood of all experimental groups had no statistically significant differences. The results of the study of cellular immunity in rats with alimentary obesity indicate the presence of metainflammation. The received data indicate the prospect of using biologically active substances.
本文介绍了花青素对食源性肥胖大鼠细胞免疫影响的研究结果。本研究的目的是研究富含花青素的饮食对饮食性肥胖大鼠细胞免疫的影响。研究对象为初始体重为108±2 g的雄性Wistar大鼠。按体重随机分为3组,每组8只。在集团)。第1组(对照组)饲喂完全改良的AIN93M日粮,为期12周;第二组大鼠食用高热量胆碱缺乏饮食(HCChDD),其中脂肪含量为45%,果糖含量为饮食能量值的20%;第三组大鼠接受HCChDD,并添加标准蓝莓和黑加仑提取物(30%花青素),平均每日剂量为花青素11 mg /kg体重。流式细胞荧光法检测外周血淋巴细胞分化标志物的表达。结果发现,第二组食性肥胖大鼠外周血辅助T细胞(CD3+CD4+)相对含量升高(p < 0.05)(75.75±1.11%,第1组为70.07±0.49%,第3组为72.14±0.91%),T细胞毒性淋巴细胞(CD3+CD8+)含量降低(p < 0.05)(22.54±1.14%,第1组为28.09±0.72%,第3组为26.07±0.87%)。第2组大鼠CD3/CD4比值高于第1组和第3组大鼠(3.44±0.25 vs 2.47±0.09 - 1组,2.79±0.13 - 3组)(p < 0.05)。用蓝莓和黑加仑提取物富集HCChDD导致这些细胞免疫参数正常化。各实验组大鼠外周血B淋巴细胞(CD45R+)、Т淋巴细胞(CD3+)、NK细胞(CD161+)数量差异均无统计学意义。食源性肥胖大鼠的细胞免疫研究结果表明存在间炎症。收到的数据表明使用生物活性物质的前景。
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引用次数: 0
Effect of CFP-10/ESAT-6 secretory proteins on long-term non-specific immunological memory in mouse macrophages CFP-10/ESAT-6分泌蛋白对小鼠巨噬细胞长期非特异性免疫记忆的影响
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-eoe-2663
А. P. Lykov, S. Belogorodtsev, Е. К. Nemkova, А. Vetlugina, Т. М. Terekhova, Y. Schwartz
Innate immune cells (monocytes/macrophages, NK) can also develop immune memory, which means that these cells are trained after their first encounter with pathogens so that they exhibit a nonspecific immunological response to the same or another pathogen. Bacilli Calmette–Gu rin (BCG) induces nonspecific innate memory (trained immunity) in innate immune cells. We examined nonspecific innate memory in macrophages of BALB/c mice in response to mycobacteria with or without the RD1 region in the genome. Mice were immunized with BCG vaccine, and peritoneal macrophages were isolated on day 7, and then stimulated with bacterial lipopolysaccharide, CFP-10, or ESAT-6. In addition, mice were immunized with Mycobacterium tuberculosis uro-BCG vaccine (RD1-) and Mycobacterium tuberculosis strain H37Rv (RD1+) subcutaneously or intravenously; peritoneal macrophages were isolated and stimulated with lipopolysaccharide on day 4. Alveolar macrophages were obtained from lung explants of mice infected with Mycobacterium tuberculosis strain H37Rv mice, were expanded to confluence 70-80% and further stimulated with lipopolysaccharide. Lactate, cytokines, and glucose levels were examined in conditioned macrophage medium. Peritoneal macrophages from mice primed with BCG vaccine were shown to increase IL-1b, TNFa, and lactate production in response to CFP-6 and ESAT-10 (p < 0.05). Of note is the fact that lipopolysaccharide also increased production of IL-1b, TNFa, and also increased glucose uptake by peritoneal macrophages primed with BCG vaccine (p < 0.05). Peritoneal macrophages primed with Uro-BCG were shown to increase spontaneous production of IL-1b and decrease spontaneous production of TNFa (p < 0.05). When macrophages were primed by subcutaneous or intravenous administration of Mycobacterium tuberculosis strain H37Rv differentially affected cytokine production, by decreasing IL-1b production and increasing TNFa and IL-10, was observed. In response to lipopolysaccharide, peritoneal macrophages increased IL-1b, TNFa, IL-10 production and glucose consumption (p < 0.05). The mode of priming of macrophages with Mycobacterium tuberculosis strain H37Rv also led to multidirectional levels of cytokine production. Alveolar macrophages were shown to retain trained immunity, as they produced elevated levels of IL-1b, TNFa, and IL-10 (p < 0.05). Thus, mouse macrophages formed a trained immunity phenotype in response to different types of mycobacteria, which persists for a long time after primary contact with the pathogen, particularly in alveolar macrophages.
先天免疫细胞(单核/巨噬细胞,NK细胞)也可以发展免疫记忆,这意味着这些细胞在第一次遇到病原体后受到训练,因此它们对相同或另一种病原体表现出非特异性免疫反应。卡介苗诱导先天免疫细胞的非特异性先天记忆(训练免疫)。我们检测了BALB/c小鼠巨噬细胞对基因组中有或没有RD1区域的分枝杆菌的非特异性先天记忆。用卡介苗免疫小鼠,第7天分离腹腔巨噬细胞,然后用细菌脂多糖、CFP-10或ESAT-6刺激。此外,小鼠皮下或静脉注射结核分枝杆菌尿卡介苗(RD1-)和结核分枝杆菌H37Rv株(RD1+)免疫;第4天分离腹腔巨噬细胞,用脂多糖刺激。从感染结核分枝杆菌H37Rv小鼠的肺外植体中获得肺泡巨噬细胞,扩增至融合70-80%,并进一步用脂多糖刺激。在条件巨噬细胞培养基中检测乳酸、细胞因子和葡萄糖水平。接种卡介苗的小鼠腹腔巨噬细胞对CFP-6和ESAT-10的反应显示IL-1b、TNFa和乳酸的产生增加(p < 0.05)。值得注意的是,脂多糖也增加了IL-1b、TNFa的产生,并增加了接种卡介苗的腹膜巨噬细胞对葡萄糖的摄取(p < 0.05)。经urobcg诱导的巨噬细胞可增加IL-1b的自发生成,降低TNFa的自发生成(p < 0.05)。皮下或静脉注射结核分枝杆菌H37Rv诱导巨噬细胞时,观察到细胞因子产生的差异,IL-1b产生减少,TNFa和IL-10产生增加。腹腔巨噬细胞对脂多糖的反应增加了IL-1b、TNFa、IL-10的产生和葡萄糖消耗(p < 0.05)。用结核分枝杆菌H37Rv菌株引发巨噬细胞的模式也导致细胞因子的多向水平产生。肺泡巨噬细胞可以产生高水平的IL-1b、TNFa和IL-10,从而保持训练后的免疫力(p < 0.05)。因此,小鼠巨噬细胞对不同类型的分枝杆菌形成了一种经过训练的免疫表型,这种免疫表型在与病原体初次接触后持续很长时间,尤其是在肺泡巨噬细胞中。
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引用次数: 0
Content of CD4+T cell subpopulations in predicting the efficacy of biological therapy for psoriasis in children CD4+T细胞亚群的含量预测儿童银屑病生物治疗的疗效
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-coc-2704
D. Kuptsova, T. Radigina, O. Kurbatova, A. I. Materikin, R. Epishev, L. A. Opryatin, A. Khotko, N. Murashkin, S. Petrichuk
Psoriasis is a chronic inflammatory skin disease characterized by increased proliferation of epidermal cells, impaired keratinization and an inflammatory reaction in dermis caused by activation of T lymphocytes and synthesis of pro-inflammatory cytokines. The pathophysiology of psoriasis is also associated with a decrease in anti-inflammatory functions of immunosuppressive cells. Recently, there are more cases of development of resistance to ongoing therapy with biologics in children, requiring cancellation of drug or its replacement. The aim of the study was to evaluate the content of T helper subpopulations in prognosis of effectiveness of biologics in children with psoriasis. Immunophenotyping of T helper populations was performed in 110 children with psoriasis vulgaris before appointment of biologics, at 16 and 52 weeks. Age of children ranged from 6 to 18 years. Severity of psoriasis and effectiveness of therapy were assessed by index PASI, which varied 0-68. Content of Tregs, Thact and Th17 was determined by flow cytometry. In group with a sufficient effect of biologics, a decrease in PASI was obtained, both at week 16 of therapy (p = 0.000) and by year of treatment, p = 0.017. In children with psoriasis, regardless of duration and effectiveness of biologics, percentage of Thact was increased relative to normal values. In group 1 before prescription of biologics was increased percentage of Thact (p = 0.005) and Th17 (p = 0.001). Analysis of dynamics of content of small populations of T helper during 1 year of use of biologics in children with different efficacy of therapy showed that significant changes were found in content of Th17 and Treg, as well as their Th17/Treg. ROC analysis showed that when Th17 deviation was above 53%, Thact above 181% and Th17/Treg above 2.6 before biologics were prescribed, insufficient efficacy of therapy could be expected in 75% of cases by year. By the end of induction course, with a Th17 deviation above 102% and a Th17/Treg above 2.6, probability of ineffective treatment was already 82%. The study shows the informative value of assessment of Thact before appointment of biologics, dynamics of Th17 by the end of induction course and Treg after 16 weeks of therapy in prognosis of effectiveness of biologics in children with psoriasis.
银屑病是一种慢性炎症性皮肤病,其特征是表皮细胞增殖增加、角化受损以及由T淋巴细胞激活和促炎细胞因子合成引起的真皮炎症反应。牛皮癣的病理生理也与免疫抑制细胞的抗炎功能下降有关。最近,越来越多的儿童对正在进行的生物制剂治疗产生耐药性,需要取消药物或替代药物。本研究的目的是评估辅助性T细胞亚群的含量对银屑病儿童生物制剂疗效预后的影响。对110例寻常型银屑病患儿在16周和52周使用生物制剂前进行T辅助人群免疫分型。儿童的年龄从6岁到18岁不等。用PASI指数(0-68)评价银屑病的严重程度和治疗效果。流式细胞术检测Tregs、Thact和Th17的含量。在生物制剂效果充分的组中,PASI在治疗第16周(p = 0.000)和治疗后一年(p = 0.017)均有所下降。在患有牛皮癣的儿童中,无论生物制剂的持续时间和有效性如何,Thact的百分比相对于正常值都有所增加。1组患者在开生物制剂前Thact和Th17百分比均升高(p = 0.005), Th17百分比升高(p = 0.001)。通过对不同疗效儿童使用生物制剂1年期间小群体辅助性T细胞含量的动态分析,发现Th17和Treg含量及其Th17/Treg含量发生了显著变化。ROC分析显示,在使用生物制剂前,Th17偏差大于53%,Thact大于181%,Th17/Treg大于2.6,按年计算,75%的病例可预期治疗效果不足。诱导疗程结束时,Th17偏差大于102%,Th17/Treg大于2.6,治疗无效的概率已达82%。本研究显示,在预约生物制剂前评估Thact、诱导疗程结束时Th17的动态以及治疗16周后评估Treg对银屑病儿童生物制剂疗效预后的信息价值。
{"title":"Content of CD4+T cell subpopulations in predicting the efficacy of biological therapy for psoriasis in children","authors":"D. Kuptsova, T. Radigina, O. Kurbatova, A. I. Materikin, R. Epishev, L. A. Opryatin, A. Khotko, N. Murashkin, S. Petrichuk","doi":"10.15789/1563-0625-coc-2704","DOIUrl":"https://doi.org/10.15789/1563-0625-coc-2704","url":null,"abstract":"Psoriasis is a chronic inflammatory skin disease characterized by increased proliferation of epidermal cells, impaired keratinization and an inflammatory reaction in dermis caused by activation of T lymphocytes and synthesis of pro-inflammatory cytokines. The pathophysiology of psoriasis is also associated with a decrease in anti-inflammatory functions of immunosuppressive cells. Recently, there are more cases of development of resistance to ongoing therapy with biologics in children, requiring cancellation of drug or its replacement. The aim of the study was to evaluate the content of T helper subpopulations in prognosis of effectiveness of biologics in children with psoriasis. Immunophenotyping of T helper populations was performed in 110 children with psoriasis vulgaris before appointment of biologics, at 16 and 52 weeks. Age of children ranged from 6 to 18 years. Severity of psoriasis and effectiveness of therapy were assessed by index PASI, which varied 0-68. Content of Tregs, Thact and Th17 was determined by flow cytometry. In group with a sufficient effect of biologics, a decrease in PASI was obtained, both at week 16 of therapy (p = 0.000) and by year of treatment, p = 0.017. In children with psoriasis, regardless of duration and effectiveness of biologics, percentage of Thact was increased relative to normal values. In group 1 before prescription of biologics was increased percentage of Thact (p = 0.005) and Th17 (p = 0.001). Analysis of dynamics of content of small populations of T helper during 1 year of use of biologics in children with different efficacy of therapy showed that significant changes were found in content of Th17 and Treg, as well as their Th17/Treg. ROC analysis showed that when Th17 deviation was above 53%, Thact above 181% and Th17/Treg above 2.6 before biologics were prescribed, insufficient efficacy of therapy could be expected in 75% of cases by year. By the end of induction course, with a Th17 deviation above 102% and a Th17/Treg above 2.6, probability of ineffective treatment was already 82%. The study shows the informative value of assessment of Thact before appointment of biologics, dynamics of Th17 by the end of induction course and Treg after 16 weeks of therapy in prognosis of effectiveness of biologics in children with psoriasis.","PeriodicalId":37835,"journal":{"name":"Medical Immunology (Russia)","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82301158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of endomorphins on humoral immune response, Th1/Th2/Th17 cytokine production and CD4+, CD8+ lymphocyte apoptosis in vivo 内啡肽对体内体液免疫反应、Th1/Th2/Th17细胞因子产生及CD4+、CD8+淋巴细胞凋亡的影响
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-eoe-2783
Ya. A. Kadochnikova, S. V. Gein
Endogenous opioid peptides are a large group of physiologically active compounds with a pronounced affinity for opioid-type receptors, capable of showing pronounced analgesic activity, as well as having additional effects on the periphery, due to their wide distribution on the cells of many organs and tissues. Little studied representatives of this group are endomorphins, which due to their structure and properties, are capable of producing a strong antinociceptive effect after central administration, which means that, in the future, they can be considered as potential substitutes for low molecular weight opiates. The aim of this study is to evaluate the effect of endomorphins on the humoral immune response, the production of Th1/Th2/Th17 cytokines and apoptosis of CD4+, CD8+ lymphocytes in vivo. The splenocytes of Swiss white mice were used as the object of the study. The number of antibody-forming cells in the spleen was assessed using the method of local hemolysis in agarose gel according to Jerne. Quantitative determination of cytokines was carried out by enzyme-linked immunosorbent assay using kits (R&D, USA) according to the method proposed by the manufacturer. Apoptosis was assessed using Annexin V-FITC/7-AAD kit reagents (Beckman Coulter, USA) according to the manufacturer’s instructions by flow cytometry on a CytoFLEX S flow cytometer (Beckman Coulter, USA). In the course of the study, it was found that endomorphins enhance the antibody genesis of the spleen, and the preliminary blockade of opiate receptors with naloxone led to the cancellation of the stimulating effect of peptides. Endomorphins didn’t affect splenocyte production of IL-2, IL-4, and IFNg, however, the introduction of endomorphin-2 naloxone-independent enhanced the induced production of IL-17. Evaluation of the effect of endomorphins on apoptosis of splenocytes in 24-h cultures showed that endomorphin-2 in unstimulated cultures of naloxone-dependently increased the percentage of late apoptosis of CD8+ lymphocytes, however, in stimulated cultures, both endomorphins increased the apoptotic activity of CD8+ lymphocytes, regardless of the preliminary blockade of opioid receptors. In summary, we can say that in the in vivo system, endomorphins have a wide range of multidirectional immunomodulatory effects, which may be of interest for practical use in the future.
内源性阿片肽是一大类具有生理活性的化合物,对阿片受体具有明显的亲和力,能够表现出明显的镇痛活性,并且由于其广泛分布于许多器官和组织的细胞中,因此对外周具有额外的作用。这类药物的代表性研究较少的是内啡肽,由于其结构和性质,在中央给药后能够产生很强的抗伤害感受作用,这意味着,在未来,它们可以被认为是低分子量阿片类药物的潜在替代品。本研究旨在探讨内啡肽对体内体液免疫反应、Th1/Th2/Th17细胞因子产生和CD4+、CD8+淋巴细胞凋亡的影响。以瑞士小白鼠脾细胞为研究对象。采用琼脂糖凝胶局部溶血法测定脾脏中抗体形成细胞的数量。细胞因子的定量测定采用酶联免疫吸附法,使用试剂盒(R&D,美国),按照制造商提出的方法进行。使用Annexin V-FITC/7-AAD试剂盒试剂(Beckman Coulter,美国),按照制造商的说明,在CytoFLEX S流式细胞仪(Beckman Coulter,美国)上进行流式细胞术。在研究过程中发现,内啡肽增强了脾脏的抗体生成,纳洛酮对阿片受体的初步阻断导致多肽刺激作用的取消。内啡肽不影响脾细胞IL-2、IL-4和IFNg的产生,但不依赖纳洛酮的内啡肽-2的引入增强了诱导的IL-17的产生。对内啡肽对脾细胞凋亡的影响的评估表明,在纳洛酮未刺激的培养中,内啡肽-2依赖性地增加了CD8+淋巴细胞晚期凋亡的百分比,然而,在刺激的培养中,两种内啡肽都增加了CD8+淋巴细胞的凋亡活性,而不考虑阿片受体的初步阻断。综上所述,我们可以说,在体内系统中,内啡肽具有广泛的多向免疫调节作用,这可能是未来实际应用的兴趣。
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引用次数: 0
Effect of electrical stimulation of the thigh muscles on the level of interleukin-6 in traumatic injuries of the anterior cruciate ligament of the knee joint 大腿肌电刺激对膝关节前交叉韧带创伤后白细胞介素-6水平的影响
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-eoe-2742
R. R. Akhmetyanov, E. Davydova, A. Sabiryanov
Traumatic damage to the anterior cruciate ligament leads to impaired support and mechanical instability of the limb. One of the frequent complications after injury is arthrogenic muscle inhibition due to inhibition of the quadriceps muscle and the development of functional contracture. On the contrary, one of the indicators of high muscle activity is a sufficient level in the blood of functional muscle proteins – myokines, in particular interleukin-6, which are expressed and released by muscle fibers. The aim of the study was to study the level of interleukin-6 in men with damage to the anterior cruciate ligament in the dynamics of electromyostimulation of the quadriceps femoris. The study involved 23 men, mean age 34.8±2.2 years, with traumatic injury of the anterior cruciate ligament, who, 10 days before surgery, underwent electromyostimulation of the quadriceps femoris using the INTELECT® Advanced device (Chattanooga (DJO), USA). The control group consisted of 12 healthy men, mean age 32.2±2.4 years. The level of IL-6 was determined in the blood serum before electromyostimulation, and in dynamics using a kit for enzyme immunoassay (Vector-Best, Novosibirsk). The obtained data were processed using the Statistica licensed software package v. 10.0. The basal level of IL-6 in the main group was 1.28 (0.87-1.72) pg/mL, which is significantly lower than in healthy individuals 5.2 (3.8-6.1) pg/mL and is due to a low level of physical activity due to functional contracture of the quadriceps muscle. In the dynamics of electromyostimulation on the 5th day, the level of IL-6 significantly increased by 3.2 times from the basal level, on the 10th day by 4.6 times, while not exceeding that of the group of healthy individuals. With the reduction of myocytes, the concentration of myokine interleukin-6 increased in the cytoplasm of cells, which contributes to the accumulation of macroergs in the muscle cell, due to myokine-dependent activation of glycogenolysis. The reparative and anti-inflammatory properties of IL-6 are realized in stimulated striated muscles by the classical signaling mechanism that can block the activation of the universal intracellular transcription factor NF-κB in relation to the production of pro-inflammatory cytokines. Thus, electromyostimulation before the start of surgical treatment leads to an increase in the concentration of myokine IL-6 in the blood, which contributes to an increase in the anti-inflammatory and reparative potential of damaged tissues.
前交叉韧带的外伤性损伤会导致肢体的支撑力受损和机械不稳定。损伤后常见的并发症之一是关节源性肌肉抑制,由于股四头肌的抑制和功能性挛缩的发展。相反,高肌肉活动的指标之一是血液中功能性肌肉蛋白-肌因子,特别是由肌纤维表达和释放的白细胞介素-6的足够水平。本研究的目的是研究在股四头肌肌电刺激下,前交叉韧带损伤的男性中白细胞介素-6的水平。该研究纳入23名男性,平均年龄34.8±2.2岁,前交叉韧带外伤性损伤,术前10天使用intellect®先进装置(Chattanooga (DJO), USA)对股四头肌进行肌电刺激。对照组健康男性12例,平均年龄(32.2±2.4)岁。肌电刺激前测定血清中IL-6水平,并使用酶免疫测定试剂盒(Vector-Best, Novosibirsk)动态测定血清中IL-6水平。获得的数据使用Statistica授权软件包v. 10.0进行处理。主组IL-6的基础水平为1.28 (0.87-1.72)pg/mL,显著低于健康人的5.2 (3.8-6.1)pg/mL,这是由于股四头肌功能性挛缩导致的体力活动水平较低所致。在第5天肌电刺激动力学中,IL-6水平较基础水平显著升高3.2倍,第10天显著升高4.6倍,但未超过健康个体组。随着肌细胞的减少,细胞细胞质中肌因子白介素-6的浓度增加,由于肌因子依赖性激活糖原分解,导致肌细胞中巨球蛋白的积累。IL-6的修复和抗炎作用是通过经典的信号传导机制在受刺激的横纹肌中实现的,它可以阻断与促炎细胞因子产生相关的细胞内通用转录因子NF-κB的激活。因此,手术治疗开始前的肌电刺激导致血液中肌因子IL-6浓度的增加,这有助于增加受损组织的抗炎和修复潜力。
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引用次数: 0
Immunological indicators of complications of surgical bowel disease in children
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-iio-2859
D. A. Musakhodjayeva, R. K. Karimov, S. Rasulova
The article is devoted to the development of immunological indicators of intestinal inflammation in children, which is of great importance for health authorities when organizing specialized pediatric and surgical services. The proposed method contributes to the early diagnosis and prevention of complications of inflammatory surgical bowel diseases in children, which is of great practical importance. The purpose of the study: To develop immunological indicators of complications of surgical bowel diseases in children. A retrospective analysis of 867 case histories of children who received inpatient treatment at the Department of Pediatric Surgery of the Bukhara branch of the Republican Scientific Center of Emergency Medical Care from 2019 to 2022 for surgical diseases of the gastrointestinal tract was carried out. The authors conducted an immunological study of 91 pediatric patients. All children underwent immunological blood tests: cellular and humoral immunity, cytokines (TNFα, IFNα, IL-8, MCP-1 and vascular endothelial growth factor VEGF-A) were studied. For the prevention of postoperative complications of CKD in children, it is recommended to determine IFNα in the blood serum in the period before surgery to solve the indications for immunocorrection. A noticeable positive relationship was established between IFNα and CD8 – r = 0.34, between IFNα and CD23 – r = 0.38, between IFNα and IgA – r = 0.39, between IFNα and PCT – r = 0.36. At the same time, PCT has a noticeable negative relationship with CD16 – r = -0.31 and with CD8 – r = -0.31 against the background of a noticeable positive relationship with IgG – r = 0.32 and IFNα – r = 0.36. It was found that IFNα is a more informative indicator of the effectiveness of the immune response, and PCT is an indicator of the effectiveness of antibacterial therapy in surgical bowel diseases in children
本文致力于儿童肠道炎症的免疫学指标的发展,这对卫生当局在组织专门的儿科和外科服务时非常重要。该方法有助于早期诊断和预防儿童炎性外科肠病的并发症,具有重要的现实意义。研究目的:探讨儿童外科肠病并发症的免疫学指标。回顾性分析2019 - 2022年在共和急救科学中心布哈拉分院儿科外科住院治疗的867例胃肠道外科疾病患儿的病史。作者对91名儿科患者进行了免疫学研究。所有儿童都进行了免疫血液检查:研究细胞和体液免疫、细胞因子(TNFα、IFNα、IL-8、MCP-1和血管内皮生长因子VEGF-A)。为预防儿童CKD术后并发症,建议术前测定血清IFNα水平,解决免疫矫正指征。IFNα与CD8 - r = 0.34,与CD23 - r = 0.38,与IgA - r = 0.39,与PCT - r = 0.36呈显著正相关。PCT与CD16 - r = -0.31、CD8 - r = -0.31呈显著负相关,与IgG - r = 0.32、ifn - r = 0.36呈显著正相关。研究发现,IFNα是免疫反应有效性的一个更有信息量的指标,而PCT是儿童外科肠病抗菌治疗有效性的一个指标
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Medical Immunology (Russia)
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